Open Licensing in Health IT

John Halamka, renowned CIO of the Beth Israel Deaconess Medical Center (BIDMC), is a blogger, and he just added a Creative Commons license after making the following remarks: I want my blog to be used for education, training, and research. I hope that its contents appear in derivative works such as other blogs, websites, and wikis. I’d prefer that these derivative works be openly shared. I would also ask that any material that is repurposed has attribution to me as the author. Content from my blog should not be sold. Charging for access to that which I make freely available … Continue reading Open Licensing in Health IT

Loosely Coupled Health IT

My research group, Children’s Hospital Informatics Program, just released a statement of principles in designing the next generation of Health IT, and folks are picking it up. The key concept is substitutability, or what software/Internet architects have called loose coupling. The idea is to build modular rather than monolithic systems, and ensure that the modules are connected in loose enough ways that innovation is possible within each component independently of the others. Sounds kinda obvious, right? Not so in Health IT, which is only just now starting to get the point of the Web. So, for example, if you think … Continue reading Loosely Coupled Health IT

Empowering the Patient vs. Enabling an Artificial Monopoly

Health Information Technology is moving along fairly quickly, with the stimulus money and the rise of Personally Controlled Health Records (Indivo/Dossia, Google Health, Microsoft HealthVault). I’m quite optimistic about the future of health data: there is a growing effort to free the data in order to empower patients. And then there are some really boneheaded efforts that appear to be for patient safety, but end up creating all the wrong incentives and further blocking patients from taking an active role in their care. This week provided fantastic examples of both. Harvard’s own Donald Berwick explains to the New York Times … Continue reading Empowering the Patient vs. Enabling an Artificial Monopoly

Does CVS provide a CSV?

Over the last two years, I’ve spent most of my time on… not elections believe it or not, but rather the personal control of health data over at Children’s Hospital, Boston, with a fantastic crew. And so now it turns out that health data is super cool, what with the Obama recovery plan and the significant funding towards NIH / electronic medical records. I didn’t see it coming, but I can’t say I’m unhappy, of course. Over at CHIP (Children’s Hospital Informatics Program), we’re a bunch of folks who feverishly believe that Personally Controlled Health Records (PCHRs), records you get … Continue reading Does CVS provide a CSV?