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In this slideshow, Micheal ONeill, Senior Advisor to the Director, VA Innovation Initiative (VAi2), US Department of Veterans Affairs, outlines the need for a new approach to electronic health record systems and the benefits of establishing a new, open source community worldwide, in order to drive innovation. Michael ONeill presented at the Nuffield Trust seminar: Sharing international experience: Is implementing the VA's electronic health record system an option for the NHS? in July 2012.
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Making VistA More Accessible
Mike O’Neill Senior Advisor to the Director, VA Innovation Initiative (VAi2)
U.S. Department of Veterans Affairs
July 5, 2012
The Need for A New Approach
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• VistA EHR is the cornerstone of the care and benefits VA delivers to Veterans
• Rapidly evolving models of care drive EHR changes
• At a time when a higher rate of innovation is required, how do we keep up?
Establish an Open Source Community to Increase the Rate of Innovation
Enable Maximum Benefit to Public and Private Sector
Why A New Open Source Model? The Current Picture Is Fragmented.
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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
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
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What Should the Model Look Like?
This is not just a VistA story…
Other EHRs, including AHLTA & CHCS Joint VA/DoD health record: iEHR
PHRs Information Exchange
Analytics Tools
Fully Enable Providers, Patients, and Researchers
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What Should the Model Look Like?
Different People…
Different Organizations… Different Roles…
One Community
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Government Contracting Market
VA DoD IHS
Contractor
Product Services:
Design, Development, Support
Code
Requirements
OSEHRA Makes It More Open And More Efficient
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VA DoD IHS
Contractor
OSEHRA
Code
Requirements
Certified Code
Common Codebase APIs
Testing Collaboration
Creates more opportunity for engagement
Commercial Product Market
• Multi-billion dollar market • Fewer than 1/3 of private physicians have an
EHR that meets minimum requirements • Dominated by proprietary solutions
Adopter Product Company
Sales of Products and Services
Growing the Open Source EHR Market
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OSEHRA System Integrator Adopter
Common Codebase Version Management
APIs Testing
Collaboration
Services: Installation,
Maintenance, Support
Bundled Software
(Linux Foundation) (Red Hat, Canonical, etc.) (Customers)
Choice Flexibility
Great Service
OSEHRA Provides Foundation for Long-Term Collaboration and Growth
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Government Open Source
EHR
New market for the open source community
New business models for EHR community
New openness model for government
www.osehra.org
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