by Wes Rishel | November 17, 2011 | Comments Off
Are you tired of government not listening? Here is your chance to set the record straight on the NwHIN. You don’t have to live in a tent or pound a drum. You can sit comfy in a chair and pound a keyboard.
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Category: Uncategorized Tags: Healthcare Interoperability, NHIN, NwHIN, ONC
by Wes Rishel | December 21, 2010 | 1 Comment
The converse of Clarke’s third Law is also true, “any magic is indistinguishable from sufficiently advanced technology.” … The PCAST Report represents a canny understanding of the ability of the Internet to facilitate disruptive innovation … What evidence can CMS and ONC use to fufill its regulatory duties by balancing new vision with existing initiatives.
Category: Healthcare Providers Interoperability Tags: EHR, Health Information Exchange, Healthcare Interoperability, Meaningful Use, NHIN, NHIN Direct, PCAST Report
by Wes Rishel | September 22, 2010 | 2 Comments
In a time when “caterwaulablogging” is as routine as waving howdy, I pledge to express my concerns about NIEM with as little verbal plumage as I can muster, in hopes that I am contributing to the evolution of these ideas towards the vision I set out two years ago.
Category: Applications Healthcare Providers Interoperability Uncategorized Tags: ARRA, EHR, Health IT, Healthcare Interoperability, Healthcare Providers, Meaningful Use, NHIN, NHIN Direct, Stimulus
by Wes Rishel | June 17, 2010 | 1 Comment
Today Anand Shroff replied to my prior post with some very provoking questions. I have added emphasis in quoting his reply. Wes – are you detecting a split between EMR vendors and HIE vendors? From where I sit, the HIE vendors should be fairly neutral about what gets picked, as long as there is a single [...]
Category: Healthcare Providers Interoperability Uncategorized Tags: ARRA, EHR, EMR, Healthcare Interoperability, Healthcare Providers, Healthcare Reform, HIE, Meaningful Use, NHIN, NHIN Direct, Stimulus
by Wes Rishel | June 13, 2010 | 11 Comments
Sean Nolan’s blog highlights that NHIN Direct has stumbled on a “tough” decision. We didn’t come to agreement on the backbone protocol despite an absolutely outstanding process for increasing understanding as opposed to so many meetings where the opposite of speaking usually is not “listening” but “waiting to speak.” Sean characterized the split in the [...]
Category: Healthcare Providers Interoperability Vertical Industries Tags: ARRA, EHR, Health Information Exchange, Health IT, Healthcare Interoperability, HIE, Meaningful Use, NHIN, NHIN Direct, RESTful Web Services, simple interop, UDDI
by Wes Rishel | March 14, 2010 | 12 Comments
Recently a person organizing a state’s HIE effort reported a hospital CIO saying, “why do I need your complex HIE when can have NHIN Direct?” This question gets to the heart of the confusion that some states or stated designated entities are experiencing with the introduction of NHIN Direct into the mix. I wrote this fellow [...]
Category: Interoperability Vertical Industries Tags: ARRA, EHR, Health Information Exchange, Health Internet, HIE, Meaningful Use, NHIN, NHIN Direct
by Wes Rishel | January 4, 2010 | 4 Comments
In Simple Interop: Use Cases we have made a somewhat unorthodox proposition, to support mixed communication between people and automatic computer processing programs. We have done so because of the issues raised in Rant on Heath Information Technology Asynchrony . This proposition entails solving some issues. For example, what if The email is never delivered [...]
Category: Healthcare Providers Interoperability Vertical Industries Tags: ARRA, EHR, Health Information Exchange, Health Internet, Health IT, Healthcare Interoperability, Healthcare Providers, HIE, Meaningful Use, NHIN
by Wes Rishel | January 4, 2010 | 1 Comment
In Simple Interop: Use Cases we set the challenge of communicating among people and Health IT systems in a manner that does not create a “walled community” where all those that practice with EHRs and HIEs have no ability to use the Internet to communicate with those that don’t. The biggest challenge in such a [...]
Category: Healthcare Providers Uncategorized Vertical Industries Tags: ARRA, EHR, Health Information Exchange, Healthcare Interoperability, Healthcare Providers, HIE, Meaningful Use, NHIN, personal health record, PHR, Stimulus
by Wes Rishel | January 4, 2010 | 4 Comments
This post zeroes in on exactly why the simple interop approach is important. It does so by listing a number of use cases. They illustrate the issues of getting to interoperability while an industry is in transition – and are industries ever not in transition? We are mindful of the specific kinds of interoperability required [...]
Category: Healthcare Providers Interoperability Vertical Industries Tags: ARRA, EHR, Health Information Exchange, Health Internet, Healthcare Interoperability, Healthcare Providers, HIE, Meaningful Use, NHIN, personal health record, PHR, Stimulus
by Wes Rishel | December 31, 2009 | 4 Comments
This post seeks not to define the full scope of interactions of a PHR but simply to define a simple connection between PHRs and other health IT systems. We make two claims for this approach. (1) it greatly simplifies the roll-out of connections between PHRs and other healthcare IT systems, thus accelerating the roll-out of [...]
Category: Healthcare Providers Interoperability Vertical Industries Tags: ARRA, EHR, Health Information Exchange, Health Internet, Health IT, Health Record Bank, Healthcare Interoperability, HRB, Meaningful Use, NHIN, personal health record, PHR, Stimulus
