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Open Sourcein Healthcare
Luis Ibanez
All Things Open - 2014
7B
$72T
320M
5%
$16T
22%
$16T
24%
$3.8T
$3.8T $3.6T $2.7T
US
38thhttps://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000#Ranking
https://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000#Ranking
https://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000#Ranking
$3.8T$2.7T $0.3T
12%World Bank Data
Effective ?
OECD Data & Mary Meeker Report - USA, Inc.
Geek ?
?
1960
IBM7090
$23M
2013
32K
84%
2010
16%
2010
16%
2010 2013
60%$20B
EHR
ElectronicHealthRecords
EHR$$
400 beds
$100M
?
NDA
<rant>
���U+1F648 U+1F649 U+1F64A
FreeMarket
Access toInformation
</rant>
Example
http://www.beckershospitalreview.com/finance/ehrs-and-health-it-projects-are-they-battering-hospitals-financial-profiles.html
WakeForest -$56M
http://wunc.org/post/wake-forest-baptist-implements-cuts
Thousands of employeeswill be affected by several cost-cutting measures.
http://wunc.org/post/wake-forest-baptist-implements-cuts
The hospital is planning tofreeze some hiring,
http://wunc.org/post/wake-forest-baptist-implements-cuts
...reduce retirement contributions...
http://wunc.org/post/wake-forest-baptist-implements-cuts
...and ask employees to voluntarily take furloughs...
http://wunc.org/post/wake-forest-baptist-implements-cuts
...CEO John McConnell saidthe hospital is….
http://wunc.org/post/wake-forest-baptist-implements-cuts
...implementing its Electronic Medical Records program...
http://wunc.org/post/wake-forest-baptist-implements-cuts
...which has Challenges...
How about others ?
59%41%
http://dashboard.healthit.gov/quickstats/pages/FIG-Hospital-Capability-Secure-Electronic-Messaging.php
http://dashboard.healthit.gov/quickstats/pages/FIG-Hospital-Electronic-Query-Capability.php
no yes
http://dashboard.healthit.gov/quickstats/quickstats.php
...breath...
5,723Hospitals
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
211Federal
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
1,037State and Local
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
1,068For Profit
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
2,894Not For Profit
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
413Psychiatric
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
920,829beds
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
$ 830 BExpenses in all US hospitals
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
$ 250 BSoftware for Sale Industry
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
VistAhttp://en.wikipedia.org/wiki/VistA
http://en.wikipedia.org/wiki/Public_domain
Public Domain
MUMPShttp://en.wikipedia.org/wiki/MUMPS
SET A=”Hello World” WRITE A
SET ^A=”Hello World” WRITE ^A
SET ^A(3,0.4,”DC”)=5 WRITE ^A(3,0.4,”DC”)
5,000Hx $100M
$ 500 B
VistAhttp://en.wikipedia.org/wiki/VistA
$ 0 B
2.5 MLOC(MUMPS)
25 MLOC(C-Language Equivalent)
17 MLOC
13 K Devs
Long Tail
13 KD x 25 MLOC 17 MLOC
VistA
19 K Devs
19 KD5 KH
4 D1 H
DOCTORS NURSES
PHARMST DEVS
HH
HH H H H
HHH
H HH H H H
VistAEHR
END
