Healthcare, Meet Open Source www.tolvenhealth.com      www.tolven.org Neil Cowles Chief Executive Officer Tolven Inc.
Agenda <ul><li>Open Source Software </li></ul><ul><ul><li>What is Open Source Software </li></ul></ul><ul><ul><li>The Hist...
Open Source Software “ You do not really understand something unless you can explain it to your grandmother.” Albert Einst...
What is Open Source Software <ul><li>Open source software is software whose source code is openly published and is usually...
What is Open Source Software <ul><li>It’s the place that Product Specialists, Programmers, Technical Writers, and many oth...
What is Open Source Software <ul><li>Open source is not a business model </li></ul><ul><li>It is a development and distrib...
The History of Open Source “ Everything that is really great and inspiring is created by the individual who can labor in f...
The History of Open Source <ul><li>In the beginning “All software was free……” </li></ul><ul><li>Back in 1960, IBM provided...
The History of Open Source <ul><li>1970 – 1980 </li></ul><ul><ul><li>Richard Stallman (formally MIT Lab) developed a GNU (...
The History (Future) of Open Source Gartner: December 2008
Credible Open Source Projects are not…. “ Consultants have credibility because they are not dumb enough to work at your co...
Credible Open Source Projects are not… <ul><li>The “wild west” of the software programming world </li></ul><ul><ul><li>Hig...
Commoditization of Technology “ Obstacles are those frightful things you see when you take your eyes off your goal.” Henry...
<ul><li>Historically software companies have developed </li></ul><ul><ul><li>Operating system tools and extensions </li></...
Commoditization of Technology Application Delivery  Firefox, Internet Explorer MIDLET Platform Technologies CRM, Sales For...
<ul><li>Database </li></ul><ul><ul><li>MySQL has gained 14% market share in overall database usage (Oracle has 41%) </li><...
<ul><li>Mozilla </li></ul><ul><ul><li>In December 2008, Firefox is reported to have 21.1% market share  </li></ul></ul><ul...
<ul><li>A survey conducted by Gartner Research found that more than 85% of firms have knowingly adopted open source softwa...
The Value of Open Source <ul><li>Zimbra </li></ul><ul><ul><li>Acquired by YAHOO! for $350M </li></ul></ul><ul><li>MySQL </...
Advantages of Open Source “ Better to keep your mouth shut and appear stupid than to open it and remove all doubt.” Mark T...
The Advantages of Open Source <ul><li>Total cost of ownership </li></ul><ul><li>Quality </li></ul><ul><li>Ability to modif...
The Advantages of Open Source <ul><li>Collaboration provides better solutions </li></ul><ul><li>More eyes on the code </li...
The Advantages of Open Source <ul><li>&quot;How has open-source software met your organization's expectations in the follo...
Industry-Specific Open Source Solutions “ Innovation is the specific instrument of entrepreneurship.  The act that endows ...
Industry-Specific Open Source Solutions <ul><li>Higher Education (Sakai) </li></ul><ul><li>Customer Relationship Managemen...
Healthcare-Specific Open Source Solutions <ul><li>Numerous robust open source solutions in healthcare </li></ul><ul><ul><l...
Healthcare-Specific Open Source Solutions <ul><li>Numerous robust open source solutions in healthcare </li></ul><ul><ul><l...
Summary “ We make a living by what we get, we make a life by what we give.” Winston Churchill
Summary <ul><li>The software industry initially started with the premise that software should be free and is now returning...
Questions Neil Cowles President and Chief Executive Officer Tolven Inc. [email_address] www.tolven.org www.tolvenhealth.com
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Healthcare, Meet Open Source www.tolvenhealth.com www.tolven.org

  1. 1. Healthcare, Meet Open Source www.tolvenhealth.com www.tolven.org Neil Cowles Chief Executive Officer Tolven Inc.
  2. 2. Agenda <ul><li>Open Source Software </li></ul><ul><ul><li>What is Open Source Software </li></ul></ul><ul><ul><li>The History of Open Source </li></ul></ul><ul><li>Commoditization of Technology </li></ul><ul><ul><li>The Adoption of Open Source Technology </li></ul></ul><ul><ul><li>The Value of Open Source </li></ul></ul><ul><li>Advantages of Open Source </li></ul><ul><li>Industry-Specific Open Source Solutions </li></ul><ul><li>Questions </li></ul>
  3. 3. Open Source Software “ You do not really understand something unless you can explain it to your grandmother.” Albert Einstein Nobel Prize Laureate in Physics
  4. 4. What is Open Source Software <ul><li>Open source software is software whose source code is openly published and is usually available at no charge </li></ul><ul><li>Just like proprietary software, even though open source software can be freely downloaded, there can be fees associated with </li></ul><ul><ul><li>Maintenance </li></ul></ul><ul><ul><li>Integration </li></ul></ul><ul><ul><li>Support </li></ul></ul><ul><li>Currently, there are over 180,000* active open source projects today </li></ul>Reference: Black Duck Open Source Rookies of the Year for 2008
  5. 5. What is Open Source Software <ul><li>It’s the place that Product Specialists, Programmers, Technical Writers, and many other software professionals </li></ul><ul><li>head to innovate </li></ul><ul><li>outside the confines </li></ul><ul><li>of their day jobs </li></ul><ul><li>and technical </li></ul><ul><li>constraints….. </li></ul>Reference: The Total Growth of Open Source Amit Deshpande and Dirk Riehle SAP Research, SAP Labs LLC
  6. 6. What is Open Source Software <ul><li>Open source is not a business model </li></ul><ul><li>It is a development and distribution model </li></ul><ul><li>Open source software companies opt for business strategies that best fits their marketplace </li></ul>
  7. 7. The History of Open Source “ Everything that is really great and inspiring is created by the individual who can labor in freedom.” Albert Einstein Nobel Prize Laureate in Physics
  8. 8. The History of Open Source <ul><li>In the beginning “All software was free……” </li></ul><ul><li>Back in 1960, IBM provided software that was “libre” (free) </li></ul><ul><ul><li>Software could be freely shared with others </li></ul></ul><ul><ul><li>Shipped with source code </li></ul></ul><ul><ul><li>Software could be modified and enhanced </li></ul></ul><ul><li>By the early 1970s, software was “unbundled” </li></ul><ul><ul><li>Proprietary licensing was introduced </li></ul></ul><ul><ul><li>Software shipped without the source code </li></ul></ul><ul><ul><li>Modification and enhancements were restricted </li></ul></ul><ul><ul><li>Restricted redistribution </li></ul></ul>
  9. 9. The History of Open Source <ul><li>1970 – 1980 </li></ul><ul><ul><li>Richard Stallman (formally MIT Lab) developed a GNU (General Public License) operating system </li></ul></ul><ul><ul><li>University of California Berkley – BSD UNIX </li></ul></ul><ul><li>1980 – 1990 </li></ul><ul><ul><li>Extensions to UNIX </li></ul></ul><ul><ul><ul><li>Dependent on AT&T Unix License </li></ul></ul></ul><ul><ul><li>A number of other “tooling projects” </li></ul></ul><ul><li>1991 </li></ul><ul><ul><li>Bill Jolitz introduced an encumbered version of BSD Unix </li></ul></ul><ul><ul><li>Linus Torvalds implemented the first Linux Kernel </li></ul></ul>
  10. 10. The History (Future) of Open Source Gartner: December 2008
  11. 11. Credible Open Source Projects are not…. “ Consultants have credibility because they are not dumb enough to work at your company. Scott Adams
  12. 12. Credible Open Source Projects are not… <ul><li>The “wild west” of the software programming world </li></ul><ul><ul><li>High levels of control </li></ul></ul><ul><li>Willing to suffer fools </li></ul><ul><ul><li>Community member have to prove </li></ul></ul><ul><ul><li>themselves and earn respect </li></ul></ul><ul><li>Undirected </li></ul><ul><ul><li>There’s usually a clear roadmap </li></ul></ul>
  13. 13. Commoditization of Technology “ Obstacles are those frightful things you see when you take your eyes off your goal.” Henry Ford Founder of the Ford Motor Company
  14. 14. <ul><li>Historically software companies have developed </li></ul><ul><ul><li>Operating system tools and extensions </li></ul></ul><ul><ul><ul><li>Delivery systems </li></ul></ul></ul><ul><ul><ul><li>Print management </li></ul></ul></ul><ul><ul><ul><li>Access management </li></ul></ul></ul><ul><ul><li>Database components and technology </li></ul></ul><ul><ul><ul><li>Resilience, back-up and failover </li></ul></ul></ul><ul><ul><ul><li>Analytics </li></ul></ul></ul><ul><ul><li>Development Tools </li></ul></ul><ul><ul><ul><li>Source code maintenance tools </li></ul></ul></ul><ul><ul><li>End user applications </li></ul></ul><ul><ul><ul><li>Administrative and clinical applications </li></ul></ul></ul>Commoditization of Technology
  15. 15. Commoditization of Technology Application Delivery Firefox, Internet Explorer MIDLET Platform Technologies CRM, Sales Force Automation, Healthcare Data Base PostgreSQL , Oracle, Microsoft SQL Operating Systems Linux, Windows, Unix, Solaris Commoditizing the technology Reducing the barriers to entry Development Tools Eclipse, .NET, Delphi, Android
  16. 16. <ul><li>Database </li></ul><ul><ul><li>MySQL has gained 14% market share in overall database usage (Oracle has 41%) </li></ul></ul><ul><ul><li>PostgreSQL and other open source databases are also growing market share </li></ul></ul><ul><li>Operating Systems </li></ul><ul><ul><li>IDC report for Q1 2007 says that Linux holds 12.7% of the overall server market </li></ul></ul>The Adoption of Open Source Technology
  17. 17. <ul><li>Mozilla </li></ul><ul><ul><li>In December 2008, Firefox is reported to have 21.1% market share </li></ul></ul><ul><li>Apache </li></ul><ul><ul><li>The Apache HTTP server has over 70% market share </li></ul></ul><ul><li>Open Office </li></ul><ul><ul><li>Leading analyst firms estimate Open Office market share at 10% in the U.S. </li></ul></ul>The Adoption of Open Source Technology
  18. 18. <ul><li>A survey conducted by Gartner Research found that more than 85% of firms have knowingly adopted open source software, with the rest set to follow suit by 2010 </li></ul>The Adoption of Open Source Technology
  19. 19. The Value of Open Source <ul><li>Zimbra </li></ul><ul><ul><li>Acquired by YAHOO! for $350M </li></ul></ul><ul><li>MySQL </li></ul><ul><ul><li>Acquired by Sun for $1B </li></ul></ul><ul><li>JBoss </li></ul><ul><ul><li>Acquired by Red Hat for $ 350M </li></ul></ul><ul><li>Jaba </li></ul><ul><ul><li>Acquired by Cisco for undisclosed amount </li></ul></ul>
  20. 20. Advantages of Open Source “ Better to keep your mouth shut and appear stupid than to open it and remove all doubt.” Mark Twain
  21. 21. The Advantages of Open Source <ul><li>Total cost of ownership </li></ul><ul><li>Quality </li></ul><ul><li>Ability to modify and enhance </li></ul><ul><li>Drive innovation </li></ul><ul><li>No vendor lock-in </li></ul>
  22. 22. The Advantages of Open Source <ul><li>Collaboration provides better solutions </li></ul><ul><li>More eyes on the code </li></ul><ul><li>Try before you “buy” </li></ul><ul><li>“ It does what it says on the tin” </li></ul>
  23. 23. The Advantages of Open Source <ul><li>&quot;How has open-source software met your organization's expectations in the following areas?” </li></ul><ul><ul><li>Reduced costs...87% (met or exceeded expectations). </li></ul></ul><ul><ul><li>Improved quality...92% </li></ul></ul><ul><ul><li>Eased integration and customization...86% </li></ul></ul><ul><ul><li>Quickened the pace of innovation...82% </li></ul></ul><ul><ul><li>Improved support...84% </li></ul></ul><ul><ul><li>Standards compliance...91% </li></ul></ul><ul><ul><li>Decreased time to market...82% </li></ul></ul>Gartner: December 2008
  24. 24. Industry-Specific Open Source Solutions “ Innovation is the specific instrument of entrepreneurship. The act that endows resources with a new capacity to create wealth.” Peter F. Drucker
  25. 25. Industry-Specific Open Source Solutions <ul><li>Higher Education (Sakai) </li></ul><ul><li>Customer Relationship Management (CRMSugar) </li></ul><ul><li>Government </li></ul><ul><ul><li>United Kingdom </li></ul></ul><ul><ul><li>&quot;We waste a fortune on proprietary computer software because of paying for licenses and promises up front and not demanding value” (Steve Shine, Ingres) </li></ul></ul><ul><ul><li>United States </li></ul></ul><ul><ul><li>Numerous Bills being brought to Congress relating to the adoption of open source technologies in the United States (e.g., Rockefeller) </li></ul></ul>
  26. 26. Healthcare-Specific Open Source Solutions <ul><li>Numerous robust open source solutions in healthcare </li></ul><ul><ul><li>Acute Sector </li></ul></ul><ul><ul><ul><li>OpenVista, WorldVista xxVista </li></ul></ul></ul><ul><ul><li>Ambulatory Care </li></ul></ul><ul><ul><ul><li>ClearHealth, OpenMRS </li></ul></ul></ul><ul><ul><li>Health Information Exchange </li></ul></ul><ul><ul><ul><li>BrowserSoft </li></ul></ul></ul><ul><ul><li>Life Sciences </li></ul></ul><ul><ul><ul><li>OpenClinica </li></ul></ul></ul><ul><ul><li>Integration </li></ul></ul><ul><ul><ul><li>Mirth, Bostech, Sun ESB </li></ul></ul></ul>
  27. 27. Healthcare-Specific Open Source Solutions <ul><li>Numerous robust open source solutions in healthcare </li></ul><ul><ul><li>Acute Sector </li></ul></ul><ul><ul><ul><li>Clinical Data Management </li></ul></ul></ul><ul><ul><li>Ambulatory Care </li></ul></ul><ul><ul><ul><li>Physician Office </li></ul></ul></ul><ul><ul><li>Health Information Exchange </li></ul></ul><ul><ul><ul><li>Data Aggregation Solution </li></ul></ul></ul><ul><ul><li>Life Sciences </li></ul></ul><ul><ul><ul><li>Electronic Data Capture </li></ul></ul></ul><ul><ul><li>Integration </li></ul></ul><ul><ul><ul><li>Partner with Mirth, Bostech and Sun </li></ul></ul></ul><ul><li>Standards based secure clinical data repository </li></ul><ul><li>Care Provider, Consumer and Researcher solutions </li></ul><ul><li>Rapid application development environment </li></ul><ul><li>Applications framework to support “App-Store” </li></ul>
  28. 28. Summary “ We make a living by what we get, we make a life by what we give.” Winston Churchill
  29. 29. Summary <ul><li>The software industry initially started with the premise that software should be free and is now returning to its roots </li></ul><ul><li>Open source technologies are starting to dominate many industries </li></ul><ul><li>Industry-specific open source solutions are changing the paradigm of information and technology procurement and adoption </li></ul>
  30. 30. Questions Neil Cowles President and Chief Executive Officer Tolven Inc. [email_address] www.tolven.org www.tolvenhealth.com

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