VA Innovation. OSEHRA and Open Source Health IT

Transcription

1 VA Innovation OSEHRA and Open Source Health IT Mike O Neill Senior Advisor to the Director, VA Innovation Initiative (VAi2) U.S. Department of Veterans Affairs May 15, 2012

2 S E C V A D E P S E C V A C O S V A VAi2 Executive Selection Board Identify, Develop, and Test New Solutions to Employee Competitions 77 employee innovations launched Industry Competitions 36 projects underway Special Projects 3 Special Projects completed Prizes & Challenges 3 prize challenges run VA s Top Priorities ~ $ M p o r t f o l i o f u n d i n g i n n o v a t i o n s Innovation at VA 2

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4 Why A New Open Source Model? You Can Already Get the Code 4

5 Why A New Open Source Model? Many Organizations Have It DSS Medsphere IHS VA FOIA VistA World VistA MHS 5

6 Why A New Open Source Model? They ve Invested In Development DSS: vxvista Medsphere: Open Vista IHS: RPMS VA FOIA VistA World VistA MHS: CHCS 6

7 Why A New Open Source Model? Customers Have Been Supported DSS: vxvista Medsphere: Open Vista Midland Memorial, Kern Medical Center, Silver Hill Hospital, IHS: RPMS VA FOIA VistA World VistA Oroville Hospital, Jordan, MHS: CHCS Nigeria, Finland, Mexico, West Virginia 7

8 Why A New Open Source Model? But the Picture Is Fragmented. DSS: vxvista Medsphere: Open Vista Midland Memorial, Kern Medical Center, Silver Hill Hospital, IHS: RPMS VA FOIA VistA World VistA Oroville Hospital, Jordan, MHS: CHCS Nigeria, Finland, Mexico, West Virginia 8

9 What Do We Want The Picture To Look Like? Share code that should be shared 9

10 What Do We Want The Picture To Look Like? Share code that should be shared Allow fixes to be widely shared 10

11 What Do We Want The Picture To Look Like? Share code that should be shared Allow fixes to be widely shared Allow enhancements to be contributed and widely shared 11

12 What Do We Want The Picture To 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 12

13 What Do We Want The Picture To 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 13

14 What Do We Want The Picture To 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 14

15 What Do We Want The Picture To 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 15

16 What Do We Want The Picture To 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 16

17 What Do We Want The Picture To 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 17

18 What Do We Want The Picture To Look Like? 18

19 What Do We Want The Picture To Look Like? This is not just a VistA story 19

20 What Do We Want The Picture To Look Like? This is not just a VistA story EHRs, including AHLTA & CHCS 20

21 What Do We Want The Picture To Look Like? This is not just a VistA story EHRs, including AHLTA & CHCS iehr 21

22 What Do We Want The Picture To Look Like? This is not just a VistA story EHRs, including AHLTA & CHCS iehr PHRs 22

23 What Do We Want The Picture To Look Like? This is not just a VistA story EHRs, including AHLTA & CHCS iehr PHRs Information Exchange 23

24 What Do We Want The Picture To Look Like? This is not just a VistA story EHRs, including AHLTA & CHCS iehr PHRs Information Exchange Analytics 24

25 What Do We Want The Picture To Look Like? This is not just a VistA story EHRs, including AHLTA & CHCS iehr PHRs Information Exchange Analytics Tools 25

26 What Do We Want The Picture To Look Like? This is not just a VistA story EHRs, including AHLTA & CHCS iehr PHRs Information Exchange Analytics Tools Fully Enable Providers, Patients, and Researchers 26

27 What Do We Want The Picture To Look Like? Different People 27

28 What Do We Want The Picture To Look Like? Different People Different Organizations 28

29 What Do We Want The Picture To Look Like? Different People Different Organizations Different Roles 29

30 What Do We Want The Picture To Look Like? Different People Different Organizations Different Roles One Community 30

31 What Do We Want The Picture To Look Like? Different People Different Organizations Different Roles One Community 31

32 An Open Source Custodian For Health Record Systems The central governing body of an open, collaborative group of users, developers, and integrators engaged in advancing EHR technology Over 850 members, including 125 companies Board of Directors: James B. Peake, M.D. (Chair), former VA Secretary and Army Surgeon General John D. Halamka, M.D., CIO Beth Israel Deaconess Medical Center Mike O Neill, Senior Advisor to the Director, Veterans Affairs Innovation Initiative Charles B. Green, M.D., (DoD liaison) Lieutenant General and Surgeon General, USAF 32

33 A LOOK INSIDE 33

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35 OSEHRA Code Repository VistA Open Source VistA CPRS VA Gold Disk Patches and Class 3 enhancements On the way AHLTA Coming Soon! Janus Coming Soon! HealtheMe PHR EWD Web Application Framework Tools: Eclipse M environment Cache-to-GT.M converter Authentication

36 Core EHR Architecture Code Convergence Refactoring Infrastructure Development Tools Health IT Genomics Imaging Data Warehouse & Analytics OSEHRA Workgroups

37 Code Convergence Key participants in convergence: VistA Version Open vxvista OpenVistA RPMS WorldVistA FOIA Primary Representative DSS, Inc. MedSphere Indian Health Service WorldVistA Department of Veterans Affairs

38 VistA COMPUTERIZED PATIENT RECORD SYSTEM (CPRS) VistA IMAGING DENTAL TEXT INTEGRATION UTILITIES (TIU) Sites of Care Clinics Hospitals Nursing Homes Domiciliary Home/Workplace ADMISSION DISCHARGE TRANSFER 1. HL7, PATIENT FUNDS 2. RPC Broker, 3. VA FileMan, LABORATORY 4. VISTA Data Extraction SURGERY Framework, 5. BAR VISTALink, CODE MEDICATION ADMINISTRATION 6. TaskMan MEDICINE MEDICAL RECORDS TRACKING WARDS WOMEN S HEALTH AUTHORIZATION SUBSCRIPTION UTILITY (ASU) PATIENTS PRESCRIPTIONS VISTA SOFTWARE PACKAGES VOLUNTARY SERVICE SCHED-ULING INTEGRATED DATABASE TASK MANAGER MENU MANAGER REHAB MEDICINE MAILMAN IMAGES MEDICAL CARE COST RECOVERY KERNEL ACCOUNTS RECEIVABLE PERSONS RPC BROKER VA FILEMAN DEVICE MANAGER USER SECURITY INTEGRATED FUNDS CONTROL ACCOUNTING & PROCUREMENT CLINICAL REMINDERS LIBRARY DRUGS INVENTORY CLINICAL PATIENT RECORD NURSING LAB RESULTS OUTPATIENT PHARMACY RADIOLOGY INPATIENT PHARMACY BLOOD BANK SOCIAL WORK ENGINEERING DIETETICS CONSULTS / RESULT TRACKING MENTAL HEALTH ONCOLOGY PROBLEM LIST HEALTH SUMMARY page 38

39 Enabling EHR Development App 1 App N Access Layer EHR Transactional Data 39

40 Enabling EHR Development App 1 App N Access Layer EHR Transactional Data Converge on a Common Core 40

41 Enabling EHR Development App 1 App N Access Layer Define and Publish Common Services EHR Transactional Data Converge on a Common Core 41

42 Enabling EHR Development App 1 App N Rapid Application Development and User Interaction Access Layer Define and Publish Common Services EHR Transactional Data Converge on a Common Core 42

43 Enabling Health IT Analytics App 1 App N Access Layer Data Warehouse 43

44 Enabling Health IT Analytics App 1 App N Access Layer Data Import & Export Common Data Services Data Warehouse 44

45 Enabling Health IT Analytics App 1 App N Define and Publish Common Services Access Layer Data Import & Export Common Data Services Data Warehouse 45

46 Enabling Health IT Analytics Rapid Application Development and User Interaction App 1 App N Define and Publish Common Services Access Layer Data Import & Export Common Data Services Data Warehouse 46

47 A Common Approach? App 1 App N App 1 App N Access Layer? Access Layer EHR Transactional Data? Data Warehouse 47

48 OSEHRA and iehr Near-Term Opportunity Communication Architecture APIs Features Roadmaps Feedback and Collaboration Interoperability Code Sharing OSEHRA Facilitates Community Interaction VA, DoD, IPO Government Sector Private Sector 48

49 QUESTIONS? 49