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Nate Osit
Works at Forerun Systems
Attended UMass Lowell
Lives in Boston
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Nate Osit

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Read This Edition of the HCSM Review - Up Now!
I was surprised when I was asked last week to be the host of this week's Health Care Social Media Review. I do technically have a blog, but I'm much bigger on guest posting than I am on maintaining my...
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My new post on Occupy Healthcare! Beware offers of support from those who have an interest in maintaining the old systems. 
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Great site that all should visit!
 
Have you seen the new @freepress site? Beautiful, beautiful stuff (via @jcstearns @levjoy)

http://t.co/EVghRCdi

Shows off their diversity of interests
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I asked you if it was SECURE!

Hilarious clip via +John Moehrke 
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An important topic, especially for those of us in tech
 
Weigh in! We know you have thoughts, let's hear 'em!

I’ve been writing about Apple and the value of repair for the better part of the last decade. Repair is our mission at iFixit — and it always has been. Even so, I didn’t expect the scale of the public...
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Agreed! There are very few doing this right, and there is much inertia to overcome.
Home · News · Clippings · Health Industry News · Open Health IT News · Open Source News · Press Releases · Video Clips · Blogs · The Future Is Open · Groen's HIT Blog · External Blogging Sites · Featu...
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The root problem is the one level modeling approach.  The semantics of the data at the time of capture is tied up in the database structure and the application code.  Only by using models that are transportable across applications can the semantics of a concept be exchanged along with the data.  This requires a multi-level approach based on a generic reference model.  
  
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Cool! Anyone in my circles going?
 
1st Annual OSEHRA Open Source EHR Summit scheduled for October in Washington D.C. http://www.openhealthnews.com/news-clipping/2012-07-05/1st-annual-osehra-open-source-ehr-summit
OSEHRA, the Open Source Electronic Health Record Agent, will convene the 1st Annual OSEHRA Open Source EHR Summit, 17-18 October 2012, at the Gaylord National Convention Center, Washington, D.C. The "...
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An important read! This is a huge, global problem, and it's encouraging to see progress being made. These folks should be working with budgets in the billions not millions, though. It's a time critical issue, and it's easier to allocate resources now than wait until it's an emergency. 
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There should be a law against industrial farming of animals, which will raise the price of meat by a billion percent. This should be good enough until the Star Trek replicator is completed. I don't quite see why people need to eat that garbage anyway.
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Hope to see lots of folks there!
 
Registration for HealthCamp Boston 9/14 is now open! We're looking for a few good disruptors - and sponsors. Tell your friends and neighbors... If you're coming to town for Medicine 2.0, come a day early and turbocharge your conference experience with the premiere health care unconference experience: HealthCamp! If you're local, join the fun! Please spread the word.

About This Event | HealthCa.mp/Boston – http://vsb.li/k9Ba2n
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My first O'Reilly post! Want to see where HIE is headed in MA over the next year? Check it out!
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Will be interesting to see how this pans out. If you have suggestions, post them on the original thread!
 
I'd like your input on two items below.

Background: 

In the articles you may have seen on Forbes (links below), I mentioned how the focus has been overcoming obstacles to getting data out of EHRs. While that is important, the bigger item to drive the results Accountable Care Organizations (ACOs) and others want is to get data back into EHRs from systems such as Avado. After my presentation to the "Pioneer ACOs", I was pulled aside by the Chief Medical Officer of the ONC (Jacob Reider - former CMIO of AllScripts). Long story short, he is going to orchestrate a White House meeting where I will play a leadership role. The goal is to tackle the issue of getting data back into EHRs. One of the lynchpins to success will be getting large/influential customers of the EHR vendors putting the heat on their vendors to make this happen. Without exception, they don't expect Epic, Cerner et al to address their needs for patient engagement tools.

Action requested: 

1. Who are the most influential customers major EHR vendors will listen to? To get cooperation from EHR vendors it is most likely to happen if customers cajole their vendors into supporting it. I define "influential" as big, thought-leading and patient-focused. Presumably it would include Kaiser and Mayo. Who else? Please name not only the org but the individual that should be invited to the White House.
2. What is the best technology standard to facilitate getting patient data back into EHRs? I define "best" as most likely to be put into action. HTTP is a great example of a light weight standard that had a big effect. Can the Consolidated CDA/CCD be just as effective at getting data into EHRs as it is to get out of EHRs?

The following two articles recap the White House meeting I was a part of and the ACO panel session.

Mr. Obama, Tear Down This Wall http://www.forbes.com/sites/davechase/2012/06/06/mr-obama-tear-down-this-wall/
Pioneer Health Care Organizations Share Lessons Learned and Challenges Ahead http://www.forbes.com/sites/davechase/2012/06/12/pioneer-health-care-organizations-share-lessons-learned-and-challenges-ahead/

More background on HC VIP:
I coined the HC VIP acronym for a vendor association that represents vendors in the patient engagement arena. The White House meeting will include those vendors, EHR vendors and I believe it's also imperative to invite customers (and thus the request) as well as patient advocacy. To begin with (and perhaps long-term), HC VIP will utilize the resources and support of the Society for Participatory Medicine. They are very supportive and I don't want to reinvent the wheel. After brainstorming, I liked the HC VIP acronym as it sends a nice message that patients are, indeed, VIPs in healthcare. 


This is all quite nascent so any/all feedback is welcome. 
VideoThis week, I participated in a meeting at the White House described as an
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Have him in circles
1,394 people
Kadie Migliarese's profile photo
Scott Wolfe's profile photo
Sigurdur Fjalar Jonsson's profile photo
Nick Dawson's profile photo
Meredith Gould's profile photo
Berta Solé Escolà's profile photo
William Collins's profile photo
Stefanie Galvin's profile photo
Timothy Brault's profile photo
Work
Occupation
Health IT Implementation Specialist. I work with EDIS patient tracking and charting modules. I'm also an HL7 magician-in-training! I fight for the users.
Employment
  • Forerun Systems
    Implementation Specialist, 2011 - present
  • Health IT Geek
    2009 - present
  • Tufts Medical Center
    Transcription Analyst, 2009 - 2011
Places
Map of the places this user has livedMap of the places this user has livedMap of the places this user has lived
Currently
Boston
Story
Introduction
Just your average Health IT geek / Implementation Specialist. I talk EMR/EHR, FOSS, HITsm, hcsm & Linux. Passionate about building communities. Team #hcsmvac!

My interests also include community radio, reducing health and economic disparities, playing the bass, media theory, and much more!

I'm very friendly, so please say "Hi!"!
Bragging rights
Cat owner, #HITsm 2011 Top Contributor to Watch, owner of many books
Education
  • UMass Lowell
Basic Information
Gender
Male