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 […]

2nd Edition

My first book about enterprise architecture was published in 2003. It was called: Information First – Integrating Knowledge and Information Architecture for Business Advantage. Around 2013, being the tenth anniversary of publication, I planned to do a re-write and produce a second edition. I didn’t think it would take too long! Well here we are…

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The myth of the providential man

Enterprises are sometimes confronted with stagnating situations or projects. These situations may arise because the enterprise might not be able to address them with its own means (organization, infrastructure, methodology, people) and it then requires an external contribution to make things evolve. For example, the enterprise can hire one or more external persons who it hopes will […]

Enterprise architect as business-anarchist

I seem to have acquired the half-joking job-title of ‘business-anarchist’. Huh? Anarchist? You mean like those crazy bomb-throwing guys from the past? Uh, no… – not quite… Quite a long way from ‘”not quite”, actually. You did notice that word ‘business’,