Shaman healing

Wugan posted a nice piece about shaman healing over at Flow. And thanks to Miss Medicina for linking it in the first place. One of the great things about shaman healing is versatility. Now I often bemoan the fact that I don't have all that many instants. Only one to be exact. Riptide. But it has a nice instant heal and then keeps rolling after that. When followed by a chain heal or a few lesser healing waves, it's a very powerful combo. Of course the shaman must be very aware of party movement because of cast time. The versatilty really comes in with totems. It's great to be able to adjust your totems for the specific situation. At this point I'm only running heroics, but I change up my totems frequently throughout an instance. In AN or TOC (with rogue) I will definitely drop my cleansing totem. Nature resistance is nice for lighting damage. Stoneskin totem is really nice for some damage mitigation (but if there's no dk and I'm in a nice mood, I may drop strength of earth for you...maybe). Frost resist. Fire resist. Even dropping your elemental totem during tough fights (black knight, phase 2!). We have so many choices. For me what works well is to have my default totems set up (stoneskin, flametongue, mana, wrath of air). I then have my other common utility totems set up on their own bar (using bartender), cleansing, life, resists, elementals, etc. It's nice to just drop my defaults and then change as needed with a click. Using key bindings and clique/grid then puts all of my healing spells within easy reach and keeps a nice clean interface for me. Right now I have RT, LHW and CH bound to my F, E, and R keys. Earth shield, cleanse spirit and HW are then bound to the mouse through clique. So far it's working well. Any other ideas or thoughts on how you've streamlined things or things you've done to tighten up your healing?