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Author Archives: Ed Larsen
Interoperability Trends and Patterns
This month’s Standard Insight is the last issue as published over the last 11-1/2 years. For those interested in an “oral history” of standards and interoperability, all issues back to 2001 are available to HIMSS members. One might ask why this current Standards Insight, … Continue reading
A Single Standard
As a follow-up to last month’s post, one of the more interesting outcomes of the ONC-led health IT initiatives is not just the coalescence around HL7 standards, but the central role the HL7 Clinical Document Architecture (CDA) has been accorded among interoperability strategy. While … Continue reading
Specifications by Regulation
By now, we have had an opportunity to review and comment on the Notices of Proposed Rule Making (NRPM) from ONC and CMS covering the 2014 Edition of Certified EHR Technology (CEHRT) and Meaningful Use Stage 2 (MU2). I observed different reactions to the NPRM, … Continue reading
Old News and New Windows
Between the January and March issues of Standards Insight, I feel like I have said about as much as I can about key issues in health IT. In January, I laid out the basic probabilities that health reform as we … Continue reading
Some Observations on ONC’s 2014 Edition
The Office of the National Coordinator and Centers for Medicare and Medicaid Services finally published their notices of proposed rule making (NPRM) after teasing hints throughout the week at HIMSS12. First impressions have started to emerge, such as, at the HIT Standards Committee (HITSC) … Continue reading
The Year 2012 and the Probability of Change
The arrival of each new year prompts musings about the year just past and predictions for the one upcoming. From the prism of “standards insight,” the focus last year remained on Washington health IT initiatives. Last month, we noted that … Continue reading
More Numbers
Last month, we noted the growing number of eligible providers (EPs) and hospitals (EHs) that have signed up and qualified for Medicare and Medicaid incentive payments for meaningful use of EHR systems. This week, CMS updated those numbers at the latest … Continue reading
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Numbers Do Count
In a blog piece last month, we began to examine newly released numbers from CMS that help us measure the advances in health IT, particularly through the lens of meaningful use and other federal initiatives. In this month’s Standard Insight, available … Continue reading
Numbers Matter
Numbers have the interesting property of turning theory into practice. Over the last month, we have seen a series of reports of how health IT transformation is advancing.
Chaos and Health IT
On the HIMSS Blog last month, I noted that we live our lives somewhere between fibrillation and asystole, a thought I had while listening to the Health IT Standards Committee (HITSC) August meeting call. The call reported on the frenetic activity … Continue reading




