Wes Rishel

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Entries Tagged as 'NHIN'


Occupy Spec Street. Set the Record Straight on NwHIN

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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PCAST and Clarke’s Third Law

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.

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Category: Healthcare Providers Interoperability     Tags: , , , , , ,

NIEM: Be Careful What You Wish For

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.

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NHIN Direct: Response to Comment on Vendor Positions

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 […]

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NHIN Direct and Strange Bedfellows

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 […]

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Category: Healthcare Providers Interoperability Vertical Industries     Tags: , , , , , , , , , , ,

NHIN Direct v. HIEs: Competitors or Collaborators

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 […]

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Category: Interoperability Vertical Industries     Tags: , , , , , , ,

Simple Interop: Issues Associated with Automatic Processing

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 […]

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Simple Interop: The Payload

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 […]

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Category: Healthcare Providers Uncategorized Vertical Industries     Tags: , , , , , , , , , ,

Simple Interop: Use Cases

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 […]

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Category: Healthcare Providers Interoperability Vertical Industries     Tags: , , , , , , , , , , ,

Simple Interop: the PHR

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 […]

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