A few months ago, I posted a proposed resolution and
asked for comments, and many of you kindly reponded.
When this came up for debate on the floor of the
Pennsylvania Medical Society House of Delegates, here
was an unsuccessful movement to remove all the
references to open source, but it was adopted without
amendment, but only for referral for decision by the
Board of Trustees. It was not adopted by the House of
Delegates (except for referral), primarily because
most of the Delegates did not really have an
understanding of what open source is. What follows is
what was officially adopted for referral for decision
by the Board.
Bruce et. al.:
Excellent timing. Check out this April 18th event please.
ExpeditionWorkshop/OpenCollaboration NetworkingHealthInformationTechnology
2006 04 18
http://colab.cim3.net/cgi-bin/wiki.pl?ExpeditionWorkshop/
OpenCollaboration_NetworkingHealthInformationTechnology_2006_04_18
Purpose / Description (32LP)
Participants will explore opportunities for multi-disciplinary and
community-based collaboration around national challenges. By drawing on
strategic leadership and "best practices" underway in the health arena,
participants will learn how to conduct open collaboration in their own
settings. Presentations will illustrate exemplary collaboration that is
transforming healthcare services delivery today. Growing Communities of
Practice will benefit from knowledge-sharing including: (33PG)
open standards development (33PH)
web-based collaboration environments (33O1)
ontologies for efficient information-sharing and (33O2)
Federal Enterprise Architecture Data Reference Model V2.0 (32LQ)
In Light of this Purpose, How are We Building Collaboration Readiness and
Discernment? Key Workshop Questions: (32LR)
How can multiple communities from diverse sectors work together using
relevant scenarios to build stewardship practices that support readiness and
realization of shared missions? (32LS)
How is the emerging maturity of notation systems generally, including the
DRM abstract model, enabling multiple notation (modeling) systems to
reinforce and map to one another, while contributing to current demands for
real-time readiness and visibility of the "whole picture"? (32LT)
How can the capacities of trust, agility, and accountability be achieved
through federated stewardship among communities still building common ground
and understanding? (32LU)
How can Communities of Practice (or Interest) define their identities,
roles, and governance relationships in a manner that reinforces their
individual and collective capacities? (32LV)
The President's Management Agenda (PMA) requires all federal agencies to
transform the roles and relationships among people, processes, and
technology in order to become a citizen-centered government. The PMA
emphasizes bringing value and productivity results to citizens, businesses,
and public managers. The Federal Enterprise Architecture (FEA) is emerging
as an important collaborative organizing process to promote the delivery of
effective, efficient services. FEA Reference Models serve as catalysts for
foresight and discernment around improved mission and business performance,
including data and information-sharing. The Data Reference Model, in
particular, will provide a concrete means for improving the capacity for
mission-related sharing, while also increasing the downstream value of
strategic information assets. (32LW)
/AdditionalContextualBackground - from the Network of Communities of
Practice (32LX)
8:30am - Check-in and Coffee (32LY)
8:40am - Welcome and Overview (32LZ)
SusanTurnbull, GSA, Co-chair, Emerging Technology Subcommittee, and
Co-chair, Social, Economic and Workforce Implications of IT and IT Workforce
Development Coordinating Group, Subcommittee on Networking and Information
Technology Research and Development (32M0)
JohnThonasian, National Governors Association, State Views on Collaboration
and Initiatives for Health Information Technology (33WR)
MarcWine, GSA, Intergovernmental Solutions Division, Health Information
Technology (32N9)
BrandNiemann, EPA, Chair, Semantic Interoperability Community of Practice,
SICoP, EPA Data Architecture with DRM 2.0. See new pilot to incorporate the
CHI Vocabularlies into the NCI Ontology Infrastructure. See April 3, 2006,
Federal Computer Week, Framework could aid global information exchange UDEF
attracting interest of National Cancer Institute, IT groups (330N)
9:00am - Introductions: What are your interests in light of the workshop
purpose? (32M2)
9:30am - Overview of Health IT Sharing Project, MarcWine, GSA
Intergovernmental Solutions Division, Health Information Technology
(32M3)
9:40am - Federal Health IT Initiatives: Enabling Collaboration, J. Michael
Fitzmaurice, Ph.D., FACMI, Senior Science Advisor for Information
Technology, Office of the Director, Agency for Healthcare Research and
Quality (33LE)
10:00 - Questions and Discussion (33LC)
10:10 - BREAK (33LG)
10:20 - Health Care Standards Landscape Web-based Tool, Tom Rhodes, NIST
(33LI)
10:40 - Open Collaboration and the Harmonization of Standards -- Open
Discussion (33WS)
11:00 - Healthcare Services Specification Project (HSSP): Toward Open,
Interoperable Health Service Standards for Interoperability, Ken Rubin,
Chief Healthcare Architect, EDS Civilian Government & DoD Healthcare
Portfolio and member HL7 Service-oriented Architecture SIG and Object
Management Group's Healthcare Domain Task Force (33PM)
11:20 - VA-DoD Health IT Sharing: Collaboration Among Agencies, Fred McLain,
VA-DoD Health IT Sharing Program (33PC)
11:40 - Questions and Discussion (33LO)
11:50 - NASA Electronic Medical Record Project - Collaboration between NASA
and Indian Health Service, Wycliff Hoffler, NASA (33NS)
12:10 - Networking Lunch (on own) (33PD)
1:10 - caCORE: A Common Framework for Cancer Data Management, Denise Warzel,
Associate Director, Core Infrastructure, National Cancer Institute, Center
for Bioinformatics, NIH (33NB)
1:10 - Health IT: Value for Medicaid, Richard Friedman, Director, Division
of State Systems, Center for Medicaid and State Operations, The Centers for
Medicare and Medicaid Services, DHHS and Jared Adair, Computer Science
Corporation (33PE)
1:30 - Questions and Discussion (33PF)
1:40 - Perspectives on Public - Private Open Collaboration, Ned McColloch,
Federal Health Group Director, IBM (33NM)
2:0 - BREAK (33NK)
2:10 - Virtual Open Collaboration,Tom Jones, Tolven Health and former VP
Medical Information, Oracle Corporation (33NI)
2:30 - Questions and Discussion (33NN)
2:40 - NIH Roadmap: Re-engineering Clinical Research Enterprise - Clinical
Research Networks Update, Jody Sachs, D.P.M., National Center for Research
Resources, NIH (33NP)
3:00 - Questions and Discussion (33NQ)
3:10 - Collaboration and Open Source Electronic Health Record (EHR)
Solutions, Peter Groen, Assistant Professor, Shepherd University (33LB)
3:30 - Emerging Models of Open Collaboration for Electronic Health Records,
Roger Maduro, VISTA Software Alliance (33NU)
3:50 - Emerging Nationwide Health Information Networks: Public - Private
Collaborations - A View From the Field, Claudine Beron, Accenture (33NW)
4:10 - The Future of Health IT Open Solutions, Doug Goldstein, President,
Medical Alliances (33NY)
4:30pm - ADJOURN (32MA)
Upcoming Events (33O3)
Ed Dodds
dodds@conmergence.com
Strategist
<Conmergence/>
facilitating convergence
# # # #
Does anyone have a idea of where open source is going
in the U.S. Health and Human Services efforts to
promote universal ehr in the U.S.? I know there has
been (not surprisingly) some resistance from the
proprietary vendors, to early efforts to promote an
open source model.
Hi Bruce,
> Does anyone have a idea of where open source is going
> in the U.S. Health and Human Services efforts to
> promote universal ehr in the U.S.? I know there has
> been (not surprisingly) some resistance from the
> proprietary vendors, to early efforts to promote an
> open source model.
I am WorldVistA's program manager for the HHS/CMS funded VistA-Office EHR effort and can tell you that the project is going full steam ahead. We have just entered the Beta field test phase and in parallel will be working on certifying VOE to meet the ONCHIT EHR certification standards. CMS has completely bought into the open source model of user driven, collaborative improvement and has decided that WorldVistA will become the open source "steward" for VistA Office. Concrete progress has been made in implementing the open source approach as we are about to integrate several community developed enhancements in VOE. We will also be sending code to the VA for inclusion in FOIA VistA to address requiements in the VA and achieves one of WorldVistA's long standing goals of establishing two way code sharing with the VA. Perhaps the most important element of our collaboration with the VA is synchronizing with their "patch stream" approach to fixing bugs and improving VistA. Last but not least, over the next few weeks we will be porting VOE to Linux as we have FOIA VistA, to make a full open source version avaialble for the server side.
Will be glad to answer any other questions off list....unfortunately we will not be able to send anyone to the GSA meeting...but, coincidentally are organizing the next VistA Community meeting for late June at Robert Morris University in Pittsburgh, PA.... that would also be a good opportunity to expose folks from PMS to the open source model and VOE?
Cheers,
Joseph
....
Joseph Dal Molin
VP, Businsess Development, WorldVistA
www.worldvista.org
1.416.232.1206
Bruce Wilder wrote:
Thank you for that information, Joseph. Can you
provide us with any more specific info on the meeting
in Pittsburgh this June?
As an aside, I went over a recent 65-page report on
the "eHealth Initiative" of the American Health
Quality Foundation (www.ahqf.org), which receives
some funding from AHRQ (www.ahrq.gov), and not one
reference to open source. I'll see what they have to
say at the HIT Symposium in Boston in July.
We will be posting a draft agenda etc. on the WorldVistA website in the next couple of weeks.... www.worldvista.org
Follow navigation bar link to Events.
I find that there is still some reluctance to use the term "open source" by the public sector in the US and Canada...particularly the closer you get to policy making bodies....it is still too controversial for many.... ironically the private sector has far fewer antibodies for the term.
Joseph
Bruce Wilder wrote:
Hi,
I am not so sure whether relevant to the subject but in Turkey, as a formal EU applicant country now, we are bounded by the Mandates of the EU e-Govt and e-Health frameworks and these strongly point out the neccesity to obey Open Source systems to be delivered; thus avoiding single vendor/brand lock-in.
As in line with the recommendations and mandates, we had started an Open Source e-Government Gateway project by an Open Tender which was eventually won by a JV, a TR systems integrator company and one of the biggest Companies globally in e-Govt and e-Trade & Health from Singapore. The media news is in the following link:
http://www.crimsonlogic.com/media/05_11_07.htm
We are also trying hard in TR, as a group of independent consultants and acedemicians, to help & promote FOSS initiatives in all possible rounds…I had started a personal effort by establishing the following project at SourceForge.Net: openHISI-TR with Website at:
I would be delighthed to get your comments and guidance..
Best of my regards,
Dr. Koray ATALAĞ