All Things Open 2014 - Day 1 Wednesday, October 22nd, 2014 Luis Ibanez Moderator with OpenSource.com Trending/Hardware Open Source in Healthcare

1. Open Source
in Healthcare
Luis Ibanez
All Things Open - 2014

3. 7B

4. $72T

6. 320M

7. 5%

8. $16T

9. 22%

10. $16T

11. 24%

13. $3.8T

14. $3.8T $3.6T $2.7T
US

16. 38th
https://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000#Ranking

17. https://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000#Ranking

18. https://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000#Ranking

19. $3.8T$2.7T
$0.3T
12%
World Bank Data

20. Effective ?

21. OECD Data & Mary Meeker Report - USA, Inc.

22. Geek ?

23. ?

25. 1960

26. IBM
7090

27. $23M
2013

28. 32K

32. 84%
2010

33. 16%
2010

34. 16%
2010 2013
60%
$20B

35. EHR

36. Electronic
Health
Records

37. EHR
$$

38. 400 beds
$100M

39. ?

40. NDA

41. <rant>

43. U+1F648 U+1F649 U+1F64A

44. Free
Market

45. Access to
Information

46. </rant>

47. Example

48. http://www.beckershospitalreview.com/finance/ehrs-and-health-it-projects-are-they-battering-hospitals-financial-
profiles.html
Wake
Forest
-$56M

49. http://wunc.org/post/wake-forest-baptist-implements-cuts
Thousands of employees
will be affected by several
cost-cutting measures.

50. http://wunc.org/post/wake-forest-baptist-implements-cuts
The hospital is
planning to
freeze some hiring,

51. http://wunc.org/post/wake-forest-baptist-implements-cuts
...reduce
retirement
contributions...

52. http://wunc.org/post/wake-forest-baptist-implements-cuts
...and ask employees
to voluntarily take
furloughs...

53. http://wunc.org/post/wake-forest-baptist-implements-cuts
...CEO John
McConnell said
the hospital is….

54. http://wunc.org/post/wake-forest-baptist-implements-cuts
...implementing its
Electronic Medical
Records program...

55. http://wunc.org/post/wake-forest-baptist-implements-cuts
...which has
Challenges...

56. How about
others ?

57. 59%
41%
http://dashboard.healthit.gov/quickstats/pages/FIG-Hospital-Capability-Secure-Electronic-Messaging.php

58. http://dashboard.healthit.gov/quickstats/pages/FIG-Hospital-Electronic-Query-Capability.php
no yes

59. http://dashboard.healthit.gov/quickstats/quickstats.
php

60. ...breath...

63. 5,723
Hospitals
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

64. 211
Federal
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

65. 1,037
State and Local
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

66. 1,068
For Profit
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

67. 2,894
Not For Profit
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

68. 413
Psychiatric
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

69. 920,829
beds
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

71. $ 830 B
Expenses in all US hospitals
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

72. $ 250 B
Software for Sale Industry
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

75. VistA
http://en.wikipedia.org/wiki/VistA

76. http://en.wikipedia.org/wiki/Public_domain
Public Domain

78. MUMPS
http://en.wikipedia.org/wiki/MUMPS

80. SET A=”Hello World”
WRITE A

81. SET ^A=”Hello World”
WRITE ^A

82. SET ^A(3,0.4,”DC”)=5
WRITE ^A(3,0.4,”DC”)

84. 5,000H
x $100M

85. $ 500 B

87. VistA
http://en.wikipedia.org/wiki/VistA

88. $ 0 B

89. 2.5 MLOC(MUMPS)

90. 25 MLOC(C-Language Equivalent)

91. 17
MLOC

92. 13 K
Devs

93. Long Tail

94. 13 KD x 25 MLOC
17 MLOC

95. VistA
19 K
Devs

96. 19 KD
5 KH

97. 4 D
1 H

98. DOCTORS NURSES
PHARMST DEVS

99. H
H
H
H H H H
H
H
H
H H
H H H H
VistA
EHR

100. END