Gartner Blog Network

Wes Rishel
VP Distinguished Analyst
12 years at Gartner
45 years IT industry

Wes Rishel is a vice president and distinguished analyst in Gartner's healthcare provider research practice. He covers electronic medical records, interoperability, health information exchanges and the underlying technologies of healthcare IT, including application integration and standards. Read Full Bio

We Need To Unboggle Health Information Queries

by Wes Rishel  |  February 12, 2013

Directed exchange is the model for 97% of HIE traffic. We need better options for query.

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A Much-Needed Nudge for Stage 2 Interoperability

by Wes Rishel  |  January 6, 2013

HL7 participants have identified a barrier to interoperability in C-CDA and conceived a response. It is urgent that HL7 leadership and ONC ensure that their are ideas are taken up immediately.

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EHRs and Billing Fraud. Guest Blog from Don Simborg.

by Wes Rishel  |  October 2, 2012

EHRs have had a bad week. DHHS Secretary Sebelius and Attorney General Holder sent a letter to the major hospital provider organizations threatening to crack down on EHR fraud. A New York Times editorial decried the EHR abuse. A full hour on National Public Radio was devoted to this problem.

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Mostashari Rant on “Walled Gardens”

by Wes Rishel  |  August 24, 2012

In the end, are ONC and CMS trying to stop the tides by fighting walled gardens of interoperability based on vendor products? I don’t think so.

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Gawande: Big Medicine Should Be More Like the Cheesecake Factory

by Wes Rishel  |  August 10, 2012

Gawande’s chose the Cheesecake Factory as a metaphor to communicate the advantages of “big medicine.” It was a brilliant way to get right up in the face of “traditional medicine” with this important lesson.

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+4 For Micky Tripathi on HIE

by Wes Rishel  |  June 27, 2012

+1 fo Micky for calling out the new PPT-ware about a completely architected “eco-system” as wrong-headed at a time when so little is known about the demands of accountable care

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The Biggest Healthcare Interop Issue: Frozen Interface Syndrome

by Wes Rishel  |  April 13, 2012

ONC and CMS run the risk of creating interoperability mandates that make upgrades nearly impossible. They need to employ bilateral asynchronous cutover to avoid “frozen interface syndrome.”

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A New Approach to Clinical Interop in Stage 2 Meaningful Use

by Wes Rishel  |  March 19, 2012

The meaningful use stage 2 NPRM standards regulation cites the HL7 Consolidated CDA. The fine points of the citation signals a major shift in interoperability policy.

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“Direct” is Much More than Email

by Wes Rishel  |  March 6, 2012

Direct is not just email; it supports sending structured data from one system to another. The direct glass may only be half full, but you can die of thirst waiting for half-empty glasses to be filled.

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OK, XML Schema Does Earn its Keep in HL7

by Wes Rishel  |  December 31, 2011

For the current state of RIM-based HL7 standards XML schema is a necessary ingredient.

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