You need a Data Asset — not a Data Warehouse

Last Friday, I had a chance to speak, along with Dr. Craig, to a pretty cool group of folks in Washington DC about how we think about creating data-centric assets, and why we think it’s important to inject some new concepts into our national conversation about healthcare quality and research. It was a good conversation,…

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Trust is not Global

I have been lax in acknowledging another awesome idea to emerge from recent discussions about how to accelerate progress around data exchange. Just before Thanksgiving (and my daughter’s 16th birthday!), Wes Rishel wrote a post in which he proposed that we might short-circuit the daunting and messy current requirement of full transitive trust for participation…

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Starting with "No"

I have been really excited over the last few weeks as our national discussion around healthcare standards and data exchange have taken on a real world quality that has felt lacking in the past. But change is hard to make stick, and John Halamka’s blog today about audit trails is a reminder that we all…

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Hey — was that just an HIT Standards breakthrough?

I spent Thursday last week at the HIT Standards Committee’s inaugural “Implementation Workgroup” meeting in Washington DC. The purpose of the meeting was for the committee to hear perspectives from folks who are “on the ground” and could offer real-world perspectives on the pros and cons of what HITSP has done to date — to…

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H1N1: Painting with the HSG Palette

People ask me a lot why I came back to Microsoft after being away for so long. The answer is pretty simple: I don’t believe there is anybody in the world better positioned to make a real difference in the world of healthcare technology.  And that’s about more than just a dollar commitment. Microsoft has…

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Broken Windows and Broken Scales

“Broken Windows” theory says, in a nutshell, that letting little things go can lead to big problems: [I]f a window in a building is broken and is left unrepaired, all the rest of the windows will soon be broken…one unrepaired broken window is a signal that no one cares, and so breaking more windows costs…

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A Nice Business

Over Labor Day weekend my kids and I took off for an overnight hiking trip to Ingalls Creek, in the Alpine Lakes Wilderness just south of Leavenworth. After one of the most arid summers in Washington history, we managed to pick the one weekend where it rained like nobody’s business. We got well and truly…

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MyMedLab + Keas + HealthVault = Awesome

Once in awhile I get a glimpse of what healthcare is going to look like in a few years – and it is super-awesome. That happened the other day — I got to experience what happens when you take two really great consumer health ideas and loosely couple them through HealthVault. MyMedLab First of the…

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Scaling up our support options

As it turns out, there are a ton of people working on HealthVault-related projects. Hospitals, labs, payers and other health systems sharing data with their patients; pharmacies helping to manage medications; direct to consumer startups building innovative tools; device manufacturers participating in the “Works with Microsoft HealthVault” program; academic institutions doing research — the list…

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Even more on CCR "vs" CCD — we don’t need to choose!

I’ve copied below a note I just sent to some of the good folks responsible for setting policy around which standards will be considered appropriate for meaningful exchange of clinical summaries. As I’ve said many times before, I believe that annointing just one standard misses the point — the hard part is collecting the information…

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