Making the Case for Consumer Experience Improvements in Healthcare

In a recent IT leadership meeting, someone asked how we get our CFO and other leaders to prioritize work that improves consumer experience (CX) but does not have an associated hard ROI. Business leaders are obviously genuinely interested in driving those CX improvement efforts and are well aware of the challenges in prioritizing them. The … Continue reading Making the Case for Consumer Experience Improvements in Healthcare →

On Technical Debt, Strategic Windows, and the Ragged Front of Technology Evolution

Technology evolution has a ragged edge. The onus is on us - the back office architects and engineers - to bind the old and the new, the static and the in-progress, into a whole cohesive enough to provide continuity to the business we serve

IBM’s Spin Off: A Window on Key Architectural Factors for the Coming Decade

It’s being called a ‘spin off.’ But this is not like a glacier calving. IBM is splitting in two. One part will continue to be ‘IBM’, focused on hybrid cloud and AI. The other part, called ‘NewCo’ for now, will focus on managing client-owned infrastructure. This is an incisive and courageous move by IBM. Understanding … Continue reading IBM’s Spin Off: A Window on Key Architectural Factors for the Coming Decade →

On the Tsunami of Consumer Health Apps Headed Our Way

[It is now June 2024, nearly four years since I wrote this post. Talk about a swing and a miss! In practice there are very few software applications actually using Patient Access APIs - not the tsunami I saw in my crystal ball. I need to do a post-mortem to figure out how I - … Continue reading On the Tsunami of Consumer Health Apps Headed Our Way →

Your ONC Cures Act APIs and Managing Consent as Policy

The ONC Cures Act final rule is forcing payers and providers to come to grips with automating consent management and enforcement for data access. The best architectural solution to address it is Policy Based Access Control, or PBAC. PBAC is a kind of Attribute-Based Access Control, or ABAC. Unlike Role-Based Access control, in which a … Continue reading Your ONC Cures Act APIs and Managing Consent as Policy →

Five Key Technology Themes Which Will Shape the Coming Decade, Part 8: Strategic Impacts, and Conclusion

This is the eighth and last in a series of posts (first, previous) in which I am exploring five key technology themes which will shape our work in the coming decade. The Strategic Business Impacts of our Technology Themes Having analyzed our five technology themes, and explored their operational impacts, let’s look at the strategic … Continue reading Five Key Technology Themes Which Will Shape the Coming Decade, Part 8: Strategic Impacts, and Conclusion →

Five Key Technology Themes Which Will Shape the Coming Decade, Part 7: Operational Impacts

This is the seventh in a series of posts (first, next, previous) in which I am exploring five key technology themes which will shape our work in the coming decade. The Operational Business Impacts of our Technology Themes Having analyzed our five technology themes, let’s look at how the technology tapestry we’ve woven from those interrelated … Continue reading Five Key Technology Themes Which Will Shape the Coming Decade, Part 7: Operational Impacts →

Five Key Technology Themes Which Will Shape the Coming Decade, Part 6: The Right-Sizing of Information Tools

This is the sixth in a series of posts (first, next, previous) in which I am exploring five key technology themes which will shape our work in the coming decade: The Emergence of the Individual Narrative;The Increasing Perfection of Information;The Primacy of Decision Contexts;The Realization of Rapid Solution Development;The Right-Sizing of Information Tools. The Right-Sizing of … Continue reading Five Key Technology Themes Which Will Shape the Coming Decade, Part 6: The Right-Sizing of Information Tools →

Five Key Technology Themes Which Will Shape the Coming Decade, Part 5: The Realization of Rapid Application Development

This is the fifth in a series of posts (first, next, previous) in which I am exploring five key technology themes which will shape our work in the coming decade: The Emergence of the Individual Narrative;The Increasing Perfection of Information;The Primacy of Decision Contexts;The Realization of Rapid Solution Development;The Right-Sizing of Information Tools. At Last, the … Continue reading Five Key Technology Themes Which Will Shape the Coming Decade, Part 5: The Realization of Rapid Application Development →

Five Key Technology Themes Which Will Shape the Coming Decade, Part 4: The Primacy of Decision Contexts

This is the fourth in a series of posts (first, next, previous) in which I am exploring five key technology themes which will shape our work in the coming decade: The Emergence of the Individual Narrative;The Increasing Perfection of Information;The Primacy of Decision Contexts;The Realization of Rapid Solution Development;The Right-Sizing of Information Tools. The Primacy of … Continue reading Five Key Technology Themes Which Will Shape the Coming Decade, Part 4: The Primacy of Decision Contexts →