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Open Mrs Vision 2



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  • 1. OpenMRS Vision Hamish SF Fraser Partners In Health Division of Global Health Equity, BWH Harvard medical School
  • 2. OpenMRS Mission Statement
    • To build and foster a community of people interested in improving health care in developing countries through information technology
    • To effect change through collaboration, through open sharing of ideas and code, and — most importantly — through action
    • To provide developing countries with enterprise information systems that equal or surpass commercial products
    • To promote and demonstrate the power of open source software
  • 3. OpenMRS Organization
    • Originally a verbal agreement between three people Burke, Paul & Hamish
    • Added Chris shortly after
    • Now operated as a 4 person board
    • Coordinated by weekly conference calls, the OpenMRS Wiki and the code repository
    • Regular meetings every 2 – 3 months at least once a year in Africa
  • 4. OpenMRS Organization evolution
    • Planning process with Boston Consulting Group and Rockefeller Foundation
    • Consultative process with stake holders from global health, medical informatics, open source communities and funders
    • Developed a plan for an organizational structure, a funding model and a road map
  • 5. OpenMRS organizational chart Near term role Long-term role (potentially part time in '09) Software development & management Board of Directors Release manager Foundation President Implementer Documentation Lead Full-time developer Full-time developer UI Designer Chief Advocate Chief Administrative Officer Full-time developer QA / QC team Full-time developer Full-time developer Developer Documentation Lead Infrastructure Administrator Security Analyst OpenMRS Application Dev. Director QA / QC & Release Director OpenMRS Platform Development Director Chief Software Architect VP of Implementation & Evaluation Reference Site Support Manager Full-time developer Full-time developer M&E Manager Additional admin support (as needed) Centers of Excellence Coordinator(s) Mentorship Administrator Community Communication Manager Partnerships & community support Implementation Partner Manager Development Partner Manager VP of Partnerships & Community Support Implementation & Evaluation
  • 6. Roadmap process
    • Core teams from Regenstrief Institute, PIH and the MRC traveled to Kenya and Rwanda in March
    • We visited the two founding sites and compared the strategies and uses of OpenMRS
    • After interviews with the leadership of the clinical sites and organizations we developed a priority list of key functions
  • 7. OpenMRS Road Map 2009
    • Data synchronization*
    • Web forms* (MS Infopath replacement)
    • More advanced reporting tools*
    • Linking to cell phones and mobile devices*
    • Advanced decision support tools*
    • Improved user interface
    • Performance optimized for 2M patient records
    • Tools for primary care
    • Treatment failure module for HIV in SA
  • 8. Training initiatives
  • 9. Developer training, Rwanda
    • We are running a training program in Kigali for computer science graduates
    • One year, mentored training course
      • Web development
      • Java programming
      • OpenMRS programming
      • Medical informatics
    • Ten students able to support OpenMRS rollout as well as PIH and MVP projects
    International Development Research Center
  • 10.  
  • 11. Training program Wiki site
  • 12. Google Summer of Code
    • Sponsorship for selected open source projects
    • Projects and mentors drawn from OpenMRS developers
    • Students receive stipend for three months work
    • Third year of program, 14 students this year
    • Now OpenMRS Internship Program, IDRC funded
  • 13. Community: OpenMRS Wiki
  • 14. Open source code release management
  • 15. OpenMRS reference sites
    • An OMRS reference site is an implementation that has a close formal relationship with OMRS and serves to meet several goals:
      • Serve as partner in developing ideas and testing new functionality
      • Help ground OMRS software development on actual needs of users on the ground
      • Serve as value proof for OMRS capabilities across different environments
      • Be a source of resources ( eg developer time, grant funding) for OMRS
    Reference site relationship should be time-bound, limited to testing specific functionality / meeting learning goals Courtesey BCG
  • 16. Modifying and extending OpenMRS
    • Ability to configure the system to new requirements without programming
    • Ability to interoperate with other systems whether open or closed source
    • Ability to add new functionality/modules i.e. the platform approach
    • Ability to examine and modify the core code i.e. full open source system
  • 17. Implementations vary widely Morogoro, Tanzania Deschap- elles, Haiti Sauri, Kenya Mbarara, Uganda Zambezia, Mozam- bique NE Rwanda Harare, Zimbabwe Richmond, South Africa Eldoret, Kenya Nohana, Lesotho Kigali, Rwanda Address Hierarchy Printing Registration module Remote FormEntry Report Template REST Restrict by Role Patient Summary Patient Matching ODA Mock Logic Web Service Obs Group Export module MRN Generator module Mirth Messaging module Logic Web Service Jasper Report Groovy Google Maps Image Viewer Form Import/Export Form Entry Form Data Export Form2Program Flowsheet Double Entry Reconciliation module DHIS Connector Data deletion Compare Lists Clinical Summary BIRT Reporting Module Adaptive Turnaround Document (ATD) X X X X X X X X X X X X X X X X X X X X X X 7 X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X 6 12 5 9 4 3 6 6 4 1 Modules Total no. of modules used
    • Reporting, forms, basic clinical tasks modules highly used
      • 3 languages in use
    Courtesey BCG
  • 18. Draft of OpenMRS revised vision "Our mission is to foster, with partners, self-sustaining EMR and health information technology implementations that significantly improve the effectiveness of care in resource-poor environments through peer mentorship, proactive collaboration, and an open source code base of the highest quality." -- Care leads the way
    • Ultimate goal of improving effectiveness of healthcare in resource-poor environments
    • Implementations are the community's foundation
    • Close relationship with reference sites helps maintain focus on ground-level needs
    Flexible, open, interoperable core
    • Interoperable and standards-compliant platform that allows implementations and application developers to start at higher point and configure it for any need
    • Core source code is open
    Partner engagement and support
    • Robust implementer and application developer communities
    • Providing expertise and other support to implementer and application developer partners
    Capacity through apprenticeship and content dev
    • Engagement with partners to build local capacity through curriculum development, training, and sharing consulting expertise
    • Mentorship as formal apprenticeship: Continued commitment to the OpenMRS Internship Program (OIP) and to Google Summer of Code
    • Openness about our progress, decisions, and plans for the future
    • Community built around trust
    • Active community involvement and participation in decision making
    Active transparency and community involvement Sustainability
    • Ability to help community for as long as support is needed
    • Leveraging commercial support opportunities without straying from our open source roots
  • 19. Breakout session
  • 20. Collaborators and Funders
    • Partners In Health
    • Regenstrief institute
    • Medical Research Council, South Africa
    • World Health Organization
    • US Centers for Disease Control
    • Brigham and Women hospital
    • Harvard Medical School
    • University of KwaZulu-Natal
    • Millennium Villages Project
    • International Development Research Centre, Ottawa
    • Rockefeller Foundation
    • Fogarty International Center, NIH
    • Boston Consulting Group
    • Google Inc
  • 21.  
  • 22. Partnering with industry
    • Current partnerships with companies developing modules of OpenMRS
      • MIRTH
      • Google