Wes Rishel

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Entries Tagged as 'Stimulus'


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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Category: Applications Healthcare Providers Interoperability Uncategorized     Tags: , , , , , , , ,

Plug for Motorcycle Guy’s Map of CDA/XDS

by Wes Rishel  |  July 5, 2010  |  Comments Off

If you follow health IT standards and haven’t seen it, I recommend a look Keith Boone’s Where in the World is CDA and XDS. This is a sexy presentation and a  great use of simple and effective collaboration. More important, it is a massive job to get this data and keep it up to date. [...]

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

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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Simple Interop Gets Respectable: More News at HIMSS

by Wes Rishel  |  February 26, 2010  |  1 Comment

Many people have contacted me about getting started with Simple Interop. I have been lining up some Web resources to host a series of “birds of a feather” discussions. The goal was to encourage groups to form up and try it. ONC has followed this topic and offered many favorable comments. As it works out they [...]

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

Simple Interop: A PowerPoint Presentation

by Wes Rishel  |  January 24, 2010  |  19 Comments

Sir Blogsalot has written quite a bit about the idea of simple interoperation, each post developing some aspect of the idea. Recently I combined all the ideas in a single PPT presentation. You can download it by clicking here to leave the Gartner Blogs web site and then clicking on the link to the presentation. [...]

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

More on Humboldt Country EHRs and Interop

by Wes Rishel  |  January 16, 2010  |  Comments Off

After publishing “It Takes a Region:” Progress Without EHRs I received an email from Alan Glaseroff updating me on the current state of the chronic disease efforts and the proliferation of EHRs, which is now up to 41% by physician count. With his permission I am including portions of his email here: We did use [...]

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

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

Simple Interop: Definitions

by Wes Rishel  |  December 30, 2009  |  2 Comments

There are many definitions to certain common terms associated with healthcare information exchange. These are definitions that I am using in preparing the “simple interop” series of posts. These definitions will not necessarily be suitable for other purposes and are not necessarily consistent with the other sources, including Gartner research notes. Health domain name a [...]

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