Donate Your Car for Kids

Changing lives and serving to kids graduate since 1992, cars for children is a 501 (c) (3) Non-Profit Organization. All auto and car donatio...

The CMS and ONC Final Rules Arrive

Steve Posnack from ONC declared today IT Bonanza Day.   The Interoperability Roadmap , CMS Meaningful Use Final Rules with a Comment Period ...

The Joint HIT Standards and Policy Committee meeting

All the members of the ONC Federal Advisory Committees met in Washington to review delivery system reform and the Interoperability Roadmap. ...

The Early Experience of ICD10

Many in the press have asked me about the first few days of ICD10.   The answer for my institutions, like many, is that other than a few sma...

Unity Farm Journal - First Week of October 2015

When we first moved to Unity Farm, I became a timber expert - managing 15 acres of oak, maple, cedar, birch, poplar, and hickory.   I learne...

Confidence versus Competence

Sometimes an article inspires and resonates with me.    Such was the case two weeks ago when I read about an alternative to the Peter Princi...

Unity Farm Journal - Fourth Week of September 2015

The temperatures are in the 40’s at night, the pastures are covered with dew, and the pumpkins are ready for harvesting.    Fall arrived thi...

The September 2015 HIT Standards Committee

The September 2015 HIT Standards Committee was notable for the naming of new members and for the incorporation of the NwHIN Power Team (Dixi...

Unity Farm Journal - Third Week of September 2015

The tree house is done and is engineered to hold 20 visitors plus a good supply of cider.  I’ve suggested to my daughter that she gets marri...

The Changing Role of the CIO

Over my 8 years of blogging (since 10/21/07) I've written many posts about IT leadership, career development and re-inventing yourself (...

Unity Farm Journal Second Week of September 2015

The work on the tree house continues.  The Labor Day weekend provided plenty of time for me to labor (in 90+ degree heat) First, I built a s...

The New Peter Principle

I grew up in the Southern California town of Palos Verdes Estates, where a nearby neighbor, Laurence J. Peter became famous  by stating ...

Unity Farm Journal - First Week of September 2015

It’s hard to believe that September is already here.  Apple picking has started and cider pressing begins soon.    Our Asian pears are sweet...

Solving the Provider Directory Problem for the Country

In many previous posts, I’ve written about the importance of enabling infrastructure to accelerate interoperability.   The standards are not...

Unity Farm Journal - Fourth Week of August 2016

Often people ask me how Kathy and I are able to care for 126 animals, grow half our food, and continuously develop 15 acres of wilderness in...

The August 2015 HIT Standards Committee

The August 2015 HIT Standards Committee marked the beginning of an important transition. As work on Meaningful Use winds down, it is being r...

Unity Farm Journal - Third Week of August 2016

As I’ve mentioned before, farmers really do not take vacations.    Life on the farm is a vacation.    Compared to the stresses and anxieties...

FY16 Strategic Planning

As we gather together stakeholders for strategic planning of next year’s priorities, what are we hearing and what we have learned? 1.  Clini...

Unity Farm Journal - Second Week of August 2015

Although there really is no such thing as vacation for a farmer, I am trying to work from home on Mondays and Fridays in August.  I saved on...

Unity Farm Journal - First Week of August 2015

My daughter returns from Japan on Friday and we’ll hear all about her Summer traveling with David, her fiance.  They plan to marry next year...