6 years, 5 months ago

Stopping Accidental Technical Debt

In one of my earlier posts about technical debt, I differentiated between intentional debt (that taken on deliberately and purposefully) and accidental debt (that which just accrues over time without rhyme or reason or record). Dealing with (in the sense of evaluating, tracking, and resolving it) technical debt is obviously a consideration for someone in […]

6 years, 5 months ago

Pride, Prejudice, and Professionalism in the Business of IT

Twenty-plus years in IT have led me to believe that there are very few absolutes when it comes to software systems. Two that do seem to hold true are these: Creating systems is esteemed far more highly than maintaining systems. Systems that are not maintained, will decay. There are a variety of reasons for this […]

6 years, 5 months ago

You can’t always get what you want…

You can’t always get what you want But if you try sometimes well you just might find You get what you need When it comes to systems, you can’t always get what you want, but you do get what you design (intentionally or not), whether it’s what you need or not. In other words, the […]

7 years, 11 months ago

Locking Down the Prisoners: Control, Conflict and Compliance for Organizations

The most important thing to learn about management and governance is knowing when and how to manage or govern and more importantly, when not to. The story is told about a very new and modern penal facility, the very epitome of security and control. Each night, precisely at 11:00 PM, the televisions were shut off […]

7 years, 11 months ago

Cartesian Dilemma Afflicts the EHR Incentive Program compromising the mission of Healthcare Interoperability

Affordability Care Act and HITECH Act lead into EHR Incentive Program. Based on the EHR Incentive Program CMS has already payed out 24+ Billion to Eligible Participants. To advance EHR adoption in the Healthcare Ecosystem CMS proposed formation of Accountable Care Organization https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2011-Fact-sheets-items/2011-12-19.html From the above link “”The Pioneer ACO Model is designed for health care organizations and providers that […]

10 years, 7 months ago

Cybernetic Entropy

The pioneers of cybernetics borrowed the concept of entropy from thermodynamics, the tendency of systems to become less organized over time.They regarded structure and information as ways of halting or reversing entropy, and information is sometime…

10 years, 7 months ago

Cybernetic Entropy

The pioneers of cybernetics borrowed the concept of entropy from thermodynamics, the tendency of systems to become less organized over time.They regarded structure and information as ways of halting or reversing entropy, and information is sometime…