Technology perspectives, The power of the possible - OpenEyes. Mr Bill Aylward, Director, OpenEyes

Transcript

1. OpenEyes G W Aylward Moorfields Eye Hospital
2. Goals • Patient care • Outcomes • Research • Teaching
4. 0 17,500 35,000 52,500 70,000 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Notes Diagnoses Procedures
5. 100% 10 0% 0 Clicks Diagnoses
9. @
10. Clinical Digital Maturity Paper Partially digital Fully Digital Partial Integration Full Integration
11. Clinicians want to be digital
12. ‘Clinical systems’ • Moorfields 18 (+ 50) • Leeds: 320 • St Thomas’: 760 • Medline:118,552
13. The solution 1) Make it easy data into electronic form: 2) Integration:
14. OpenEyes • Web application • Open Source • Clinically led • Flexible
17. OpenEyes at MEH • In use at all 13 sites • All prescriptions, correspondence, operation bookings, since January 2012 • Clinical modules for cataract, glaucoma, medical retina released, others by end of 2013
18. Prescribing
19. Correspondence
20. Clerking
21. Clerking
22. Event types • Adding functionality • A large collection • Many more to come • ‘Developer community’
23. ‘Event’ store OE Developer Do your own! Need a new event type?
25. Will this approach work outside Moorfields?
28. Will this approach work outside Ophthalmology?
31. OpenEHR Archetype OpenEHR Template
33. The Core Team Personnel WTE Director 0.4 Developers 4.5 Product/Project Managers 2 Quality Assurance 1 Support 1 (Funded by MEH through to 2017)
34. Other resources • > 50 Ophthalmologists (volunteers) • Developers in Cardiff and Maidstone (Funded by local host Hospital)
35. Why Open Source?
36. Open source • Good fit for clinicians
37. Clinical development Clinician has idea Improved results Tries it out Publishes it Others modify it
38. Open source • Good fit for clinicians • Speed and flexibility
39. Collaboration
40. Process • Form Group
41. Process • Form Group Cataract Strabismus Core ARMD Glaucoma Adult A&E Medical Retina
42. Process • Form Group • Create written specification (What and How)
43. Process • Form Group • Create written specification • Turn into web ‘elements’
46. Process • Form Group • Create written specification • Turn into web ‘elements’ • Discuss!
47. Open source • Good fit for clinicians • Speed and flexibility • Security
49. Open source • Good fit for clinicians • Speed and flexibility • Security • Low(er) cost
50. Licences • GitHub ($25 per month) • JIRA ($1200 for 25 users $600 per year • Sauce Labs ($150 per month) • Travis (£500 per year)
51. Open source • Culture
54. Moorfields Cardiff Fife Maidstone Salisbury Glasgow Liverpool
55. Open source • Culture • Control
56. Users OpenEyes
57. Users Foundation IMS Data Colleges OpenEyes OpenEHR Industry
58. Open source • Culture • Control • Funding
59. The Core Team Personnel WTE Director 0.4 Developers 4.5 Product/Project Managers 2 Quality Assurance 1 Support 1 (Funded £3.5million by MEH through to 2017)
60. Conclusions • OpenEyes is an enabler for change • Clinical leadership is vital • Open Source is a good fit for clinical software, but barriers remain