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Eric Guroff

@eguroff.bsky.social

Health and gov tech, Founder/CEO @ ratiopbc.com

251 Followers  |  171 Following  |  38 Posts  |  Joined: 18.11.2024  |  1.9624

Latest posts by eguroff.bsky.social on Bluesky

This week trump canceled billions of dollars of COVID-19 funds sent via CDC to health departments, stating, β€œthe COVID-19 pandemic is over, and HHS will no longer waste billions of taxpayer dollars responding to a non-existent pandemic…” Funds were not being wasted. That is a lie.

#factcheckfriday

29.03.2025 00:27 β€” πŸ‘ 600    πŸ” 139    πŸ’¬ 15    πŸ“Œ 5

it is very reasonable to have a no-recording policy. Clinic leadership should just tell frontline staff to say that. Blaming hipaa is trying to blame a law for a corporate policy, and my OP is coming from frustration over so much misinformation about hipaa

13.03.2025 19:06 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Doctors office tells my mom that it’s a violation of hipaa for her to record her appointment.

NO ITS NOT, STOP MAKING UP BS β€œHIPAA” RULES

13.03.2025 15:36 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

You should know that a big part of 18F's work was to make sure multi-million to multi-*hundreds*-of-millions dollar contracts at fed *and* state level didn't go to shitty enterprise IT consultancies that *repeatedly* delivered tech that didn't work, was late, or didn't even do what it needed to

02.03.2025 18:03 β€” πŸ‘ 4711    πŸ” 1216    πŸ’¬ 58    πŸ“Œ 85

LLM: well, fine! just tell your database to accept FLEXTYPE it’s stupid if it doesn’t

31.01.2025 18:43 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Who could this debate possibly be between? πŸ˜†

23.01.2025 00:07 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

If your data*

(Edit button please)

22.01.2025 22:30 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Probably not the right audience, but settle a debate:

Do primary keys and foreign keys exist in a *database* or in *data*?

If your comes in with ID references, but you don’t configure them as PKs and FKs in your database, can you still call them PKs and FKs?

22.01.2025 22:29 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 2    πŸ“Œ 0

There’s a joke somewhere in the use of β€œsub” and β€œprime” in both mortgage crises and government contractors

10.01.2025 18:56 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I always wondered what the .1% not included in the β€œkills 99.9% of germs” claim on hand sanitizer. The more you know!

30.12.2024 23:35 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Um, Congress, you might want to take a look at this What might DOGE have brewing?

Most interesting DOGE take I’ve seen yet: www.eatingpolicy.com/p/um-congres...

From @pahlkadot.bsky.social

20.12.2024 12:03 β€” πŸ‘ 4    πŸ” 4    πŸ’¬ 0    πŸ“Œ 0
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Request for Information: Administration for Children and Families Development of Interoperability Standards for Human Service Programs The Administration for Children and Families (ACF), in the U.S. Department of Health and Human Services (HHS), invites public comments to inform the use or adoption of interoperability standards for h...

Opportunity for interop folks: ACF is seeking public comment on interoperability standards for human services: www.federalregister.gov/documents/20...

16.12.2024 02:52 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Do we think the theory with splitting up HTI-2 is that it’s less likely a new admin would undo all of them, vs a blanket roll back of just 1? Or is it just logistically easier on a tight deadline to ship incrementally?

11.12.2024 17:07 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 2    πŸ“Œ 0

That description looks like the proposed rule stage though, right? So maybe still referencing all the stuff that is now on the cutting room floor?

11.12.2024 15:01 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Shoulda been there πŸ€¦πŸ»β€β™‚οΈ

11.12.2024 15:00 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Got it, makes sense!

11.12.2024 15:00 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

So no second final rule with the other stuff? Confused about the OMB link from the top of this thread then

11.12.2024 14:53 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

It seems like it, bc the HTI-2 final rule was re-subtitled to just TEFCA: www.healthit.gov/topic/laws-r...

But I’m confused that I don’t see anything about this second final rule on healthit.gov

@healthapiguy.bsky.social - any idea what’s going on here?

11.12.2024 14:43 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Yeah, I do see this cited as a reason not to share (unfortunately).

10.12.2024 21:56 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

How are they talking about segmenting part 2 data for facilities that have both part 2 and non part 2 data? It’s a burden on under-funded BH and SUD providers to segment - is anyone working on an open standard, clinically validated algorithm to tag part 2 data flowing to HIEs?

10.12.2024 18:17 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Okay, the timing of this is just too on point

05.12.2024 20:55 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Does this ever get so good that APIs and standards become moot?

04.12.2024 00:29 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Can’t remember where I heard this quote, but it keeps coming to mind:

It’s better to have the problems of connection than isolation

01.12.2024 23:54 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Thanks! Any signal from new admin on what they will do with this? Or are we just guessing from general regulatory signaling that they will repeal (is that the right term) via EO if finalized before inauguration? So curious if any of this (esp the public health portion) is likely to stick around

26.11.2024 02:22 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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U.S. Proposes Breakup of Google to Fix Search Monopoly In a landmark antitrust case, the government asked a judge to force the company to sell its popular Chrome browser.

Surprised to see a forced divesture in Anthropic as part of this - I feel like Google’s AI investments (both internal and in outside companies) actually increases the competition in the AI market (unlike Search and Online Advertising), given OpenAI/Microsoft’s lead www.nytimes.com/2024/11/20/t...

21.11.2024 12:28 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Oof, I’m really glad I’m not working for a digital front door company selling to enterprise health systems anymore.

20.11.2024 18:48 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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a close up of a man 's face with the word no on it . ALT: a close up of a man 's face with the word no on it .
19.11.2024 18:56 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Nooooo CDC spells HIPAA wrong on their official government website 😭

19.11.2024 17:31 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

πŸ‘€

19.11.2024 15:44 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

Do the courts say anything about latency as it pertains to info blocking? (Not sure Athena’s implementation, but assuredly many implementations of an analytical database would have quite a lag from the production database)

19.11.2024 15:44 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

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