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OSSDC 2012: Innovation in Government

nasa
June 21, 2012

OSSDC 2012: Innovation in Government

Open Source Software and Electronic Health Records. Presented by Mike O’Neill, Senior Advisor to the Director, VA Innovation Initiative (VAi2), U.S. Department of Veterans Affairs

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June 21, 2012
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  1. Innova&on  in  Government:  
    Open  Source  So4ware  
    and  
    Electronic  Health  Records  
    Mike  O’Neill  
    Senior  Advisor  to  the  Director,  VA  Innova&on  Ini&a&ve  (VAi2)  
    U.S.  Department  of  Veterans  Affairs  
     
     
    June  21,  2012  
     
     
     

    View Slide

  2. The  Need  for  A  New  Approach  
    2  
    •  VistA  EHR  is  the  cornerstone  
    of  the  care  and  benefits  VA  
    delivers  to  Veterans  
    •  Rapidly  evolving  models  of  
    care  drive  EHR  changes  
    •  At  a  &me  when  a  higher  rate  
    of  innova+on  is  required,  how  
    do  we  keep  up?  
    Establish  an  Open  Source  Community  to  Increase  the  
    Rate  of  Innova&on  

    View Slide

  3. Why  A  New  Open  Source  Model?  
    You  Can  Already  Get  the  Code…  
    3  

    View Slide

  4. Why  A  New  Open  Source  Model?  
    Many  Organiza&ons  Have  It…  
    4  
    DSS  
    Indian  Health  
    Service  
    Military  Health  
    Service  
    Medsphere  
    WorldVistA  
    Veterans  Affairs  

    View Slide

  5. Why  A  New  Open  Source  Model?  
    They’ve  Invested  In  Development…    
    5  
    DSS:  vxVistA  
    Indian  Health  
    Service:  RPMS  
    Military  Health  
    Service:  CHCS  
    Medsphere:  Open  Vista  
    WorldVistA  
     
    Veterans  Affairs  

    View Slide

  6. Why  A  New  Open  Source  Model?  
    Customers  Have  Been  Supported…  
    6  
    DSS:  vxVistA  
    Indian  Health  
    Service:  RPMS  
    Military  Health  
    Service:  CHCS  
    Medsphere:  Open  Vista  
    Midland  Memorial,  Kern  Medical  
    Center,  Silver  Hill  Hospital,  …  
    World  VistA  
     
    Oroville  Hospital,  
    Jordan,  …  
    Nigeria,  Finland,  
    Mexico,  West  
    Virginia…  
    Veterans  Affairs  

    View Slide

  7. Why  A  New  Open  Source  Model?  
    But  the  Picture  Is  Fragmented.  
    7  
    DSS:  vxVistA  
    Indian  Health  
    Service:  RPMS  
    Military  Health  
    Service:  CHCS  
    Medsphere:  Open  Vista  
    Midland  Memorial,  Kern  Medical  
    Center,  Silver  Hill  Hospital,  …  
    WorldVistA  
     
    Oroville  Hospital,  
    Jordan,  …  
    Nigeria,  Finland,  
    Mexico,  West  
    Virginia…  
    Veterans  Affairs  

    View Slide

  8. What  Should  the  Model  Look  Like?  
    •  Share  code  that  should  be  shared  
    8  

    View Slide

  9. What  Should  the  Model  Look  Like?  
    •  Share  code  that  should  be  shared  
    •  Allow  fixes  to  be  widely  shared  
    9  

    View Slide

  10. What  Should  the  Model  Look  Like?  
    •  Share  code  that  should  be  shared  
    •  Allow  fixes  to  be  widely  shared  
    •  Allow  enhancements  to  be  contributed  and  
    widely  shared  
    10  

    View Slide

  11. What  Should  the  Model  Look  Like?  
    •  Share  code  that  should  be  shared  
    •  Allow  fixes  to  be  widely  shared  
    •  Allow  enhancements  to  be  contributed  and  
    widely  shared  
    •  Collaborate  whenever  possible  
    11  

    View Slide

  12. What  Should  the  Model  Look  Like?  
    •  Share  code  that  should  be  shared  
    •  Allow  fixes  to  be  widely  shared  
    •  Allow  enhancements  to  be  contributed  and  
    widely  shared  
    •  Collaborate  whenever  possible  
    •  But  compete  when  it  makes  sense  
    12  

    View Slide

  13. What  Should  the  Model  Look  Like?  
    •  Share  code  that  should  be  shared  
    •  Allow  fixes  to  be  widely  shared  
    •  Allow  enhancements  to  be  contributed  and  
    widely  shared  
    •  Collaborate  whenever  possible  
    •  But  compete  when  it  makes  sense  
    •  Support  users  who  are  not  IT  experts  
    13  

    View Slide

  14. What  Should  the  Model  Look  Like?  
    •  Share  code  that  should  be  shared  
    •  Allow  fixes  to  be  widely  shared  
    •  Allow  enhancements  to  be  contributed  and  
    widely  shared  
    •  Collaborate  whenever  possible  
    •  But  compete  when  it  makes  sense  
    •  Support  users  who  are  not  IT  experts  
    •  Support  users  who  are  IT  experts  
    14  

    View Slide

  15. What  Should  the  Model  Look  Like?  
    •  Share  code  that  should  be  shared  
    •  Allow  fixes  to  be  widely  shared  
    •  Allow  enhancements  to  be  contributed  and  
    widely  shared  
    •  Collaborate  whenever  possible  
    •  But  compete  when  it  makes  sense  
    •  Support  users  who  are  not  IT  experts  
    •  Support  users  who  are  IT  experts  
    •  Allow  companies  to  make  money  
    15  

    View Slide

  16. What  Should  the  Model  Look  Like?  
    •  Share  code  that  should  be  shared  
    •  Allow  fixes  to  be  widely  shared  
    •  Allow  enhancements  to  be  contributed  and  
    widely  shared  
    •  Collaborate  whenever  possible  
    •  But  compete  when  it  makes  sense  
    •  Support  users  who  are  not  IT  experts  
    •  Support  users  who  are  IT  experts  
    •  Allow  companies  to  make  money  
    •  Promote  the  growth  of  the  market  
    16  

    View Slide

  17. What  Should  the  Model  Look  Like?  
         This  is  not  just  a  VA/VistA  story…  
     
    17  

    View Slide

  18. What  Should  the  Model  Look  Like?  
         This  is  not  just  a  VA/VistA  story…  
     
    Other  EHRs,  including  AHLTA  &  CHCS  
    18  

    View Slide

  19. What  Should  the  Model  Look  Like?  
         This  is  not  just  a  VA/VistA  story…  
     
    Other  EHRs,  including  AHLTA  &  CHCS  
    Joint  VA/DoD  health  record:  iEHR  
    19  

    View Slide

  20. What  Should  the  Model  Look  Like?  
         This  is  not  just  a  VA/VistA  story…  
     
    Other  EHRs,  including  AHLTA  &  CHCS  
    Joint  VA/DoD  health  record:  iEHR  
    PHRs  
    20  

    View Slide

  21. What  Should  the  Model  Look  Like?  
         This  is  not  just  a  VA/VistA  story…  
     
    Other  EHRs,  including  AHLTA  &  CHCS  
    Joint  VA/DoD  health  record:  iEHR  
    PHRs  
    Informa&on  Exchange  
    21  

    View Slide

  22. What  Should  the  Model  Look  Like?  
         This  is  not  just  a  VA/VistA  story…  
     
    Other  EHRs,  including  AHLTA  &  CHCS  
    Joint  VA/DoD  health  record:  iEHR  
    PHRs  
    Informa&on  Exchange  
    Analy&cs  
    22  

    View Slide

  23. What  Should  the  Model  Look  Like?  
         This  is  not  just  a  VA/VistA  story…  
     
    Other  EHRs,  including  AHLTA  &  CHCS  
    Joint  VA/DoD  health  record:  iEHR  
    PHRs  
    Informa&on  Exchange  
    Analy&cs  
    Tools  
     
    23  

    View Slide

  24. What  Should  the  Model  Look  Like?  
         This  is  not  just  a  VA/VistA  story…  
     
    Other  EHRs,  including  AHLTA  &  CHCS  
    Joint  VA/DoD  health  record:  iEHR  
    PHRs  
    Informa&on  Exchange  
    Analy&cs  
    Tools  
     
    Fully  Enable  Providers,  Pa&ents,  and  Researchers  
    24  

    View Slide

  25. What  Should  the  Model  Look  Like?  
         
     
     Different  People…  
    25  

    View Slide

  26. What  Should  the  Model  Look  Like?  
         
     
     Different  People…  
    Different  Organiza&ons…  
    26  

    View Slide

  27. What  Should  the  Model  Look  Like?  
         
     
     Different  People…  
    Different  Organiza&ons…  
    Different  Roles…  
    27  

    View Slide

  28. What  Should  the  Model  Look  Like?  
         
     
     Different  People…  
    Different  Organiza&ons…  
    Different  Roles…  
    One  Community  
    28  

    View Slide

  29. What  Should  the  Model  Look  Like?  
         
     
     Different  People…  
    Different  Organiza&ons…  
    Different  Roles…  
    One  Community  
     
      29  

    View Slide

  30. Government  Contrac&ng  Market  
    VA  
    DoD  
    IHS  
    Contractor  
    Product  
    Services:  
    Design,  Development,  Support  
    Code  
    Requirements  

    View Slide

  31. OSEHRA  Makes  It  More  Open  
    And  More  Efficient  
    31  
    VA  
    DoD  
    IHS  
    Contractor  
    OSEHRA  
    Code  
    Requirements  
    Cer&fied  
    Code  
    Common  Codebase  
    APIs  
    Tes&ng  
    Collabora&on  
    Creates  more  opportunity  
    for  engagement  

    View Slide

  32. Commercial  Product  Market  
    •  Mul&-­‐billion  dollar  market  
    •  Fewer  than  1/3  of  private  physicians  have  an  
    EHR  that  meets  minimum  requirements  
    •  Dominated  by  proprietary  solu&ons  
    Adopter  
    Product  
    Company  
    Sales  of  Products  
    and  Services  

    View Slide

  33. Growing  the  Open  Source  EHR  Market  
    33  
    OSEHRA   System  
    Integrator  
    Adopter  
    Common  Codebase  
    Version  Management  
    APIs  
    Tes&ng  
    Collabora&on  
     
    Services:  
    Installa&on,  
    Maintenance,  
    Support  
     
    Bundled  
    So4ware  
    (Linux  Founda&on)   (Red  Hat,  Canonical,  etc.)   (Customers)  
    Choice  
    Flexibility  
    Great  Service  
     

    View Slide

  34. New  Open  Source  Collabora&on  
    34  
    Government   Open  Source  
    EHR  
    New  market  for  the  
    open  source  
    community  
    New  business  models  
    for  EHR  community  
    New  openness  model  
    for  government  

    View Slide

  35. www.osehra.org  
    35  

    View Slide