Michael ONeill: Making VistA accessible


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In this slideshow, Micheal ONeill, Senior Advisor to the Director, VA Innovation Initiative (VAi2), US Department of Veterans Affairs, outlines the need for a new approach to electronic health record systems and the benefits of establishing a new, open source community worldwide, in order to drive innovation.

Michael ONeill presented at the Nuffield Trust seminar: Sharing international experience: Is implementing the VA's electronic health record system an option for the NHS? in July 2012.

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Michael ONeill: Making VistA accessible

  1. 1. Making VistA More Accessible Mike O’NeillSenior Advisor to the Director, VA Innovation Initiative (VAi2) U.S. Department of Veterans Affairs July 5, 2012
  2. 2. The Need for A New Approach • VistA EHR is the cornerstone of the care and benefits VA delivers to Veterans • Rapidly evolving models of care drive EHR changes • At a time when a higher rate of innovation is required, how do we keep up?Establish an Open Source Community to Increase the Rate of InnovationEnable Maximum Benefit to Public and Private Sector 2
  3. 3. Why A New Open Source Model? The Current Picture Is Fragmented. Medsphere: Open Vista Midland Memorial, Kern MedicalDSS: vxVistA Center, Silver Hill Hospital, … WorldVistA Indian Health Veterans Affairs Service: RPMS Oroville Hospital, Jordan, … Military Health Nigeria, Finland, Service: CHCS Mexico, West Virginia… 3
  4. 4. What Should the Model 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 4
  5. 5. What Should the Model Look Like? This is not just a VistA story… Other EHRs, including AHLTA & CHCS Joint VA/DoD health record: iEHR PHRs Information Exchange Analytics ToolsFully Enable Providers, Patients, and Researchers 5
  6. 6. What Should the Model Look Like? Different People… Different Organizations… Different Roles… One Community 6
  7. 7. Government Contracting Market Requirements VA DoD Contractor Code IHS Services: Product Design, Development, Support
  8. 8. OSEHRA Makes It More Open And More EfficientCommon Codebase APIs Creates more opportunity Testing Collaboration for engagement OSEHRA Certified Code Code VA DoD Contractor IHS Requirements 8
  9. 9. Commercial Product Market• Multi-billion dollar market• Fewer than 1/3 of private physicians have an EHR that meets minimum requirements• Dominated by proprietary solutions Product Adopter Company Sales of Products and Services
  10. 10. Growing the Open Source EHR Market(Linux Foundation) (Red Hat, Canonical, etc.) (Customers) System OSEHRA Integrator Adopter Common Codebase Services: ChoiceVersion Management Installation, Flexibility APIs Maintenance, Great Service Testing Support Collaboration Bundled Software 10
  11. 11. OSEHRA Provides Foundation for Long- Term Collaboration and Growth New market for the Government Open Source open source community New business models for EHR community New openness model EHR for government 11
  12. 12. www.osehra.org 12