Overview of Moorfields' Open Eyes development to date and Moorfields' approach to Open Eyes, Mr Bill Aylward, Director OpenEyes

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This document discusses OpenEyes, an open source electronic patient record system developed at Moorfields Eye Hospital. It provides information on the motivation for developing OpenEyes to address issues with patient care, outcomes, research and teaching. It describes OpenEyes as a web application that allows frontline clinicians to enter structured data in real time. The document outlines the development process, timeline, usage rates and clinical engagement. It compares OpenEyes to other clinical systems and discusses the benefits and challenges of using an open source approach.

Healthcare Technology News & Politics

OpenEyes
G W Aylward!
Moorﬁelds Eye Hospital

The problem
• Patient care!
• Outcomes!
• Research!
• Teaching

The Solution
Entry of structured data
by front line clinicians in
real time

Software development
Specify Code
Specify Code

‘Clinical systems’
• Moorﬁelds 18 (+ 50)!
• Leeds: 320!
• St Thomas’: 760!
• GOS: 500!
• Manchester: 783

OpenEyes
• Web application!
• Open Source!
• Clinically led!
• Flexible!
• Modular

Timelines
2010 Project planning
2011 Dev team start (one developer)
2012 Launch (0.9)
2014 1.6 (Cataract, MR, glaucoma)

Usage
Bookings 100%
Correspondence 100%
Prescriptions 60%
Operation notes 80%
Outpatient clinic 25% - 80%

Process
• Form Group!
• Create written
speciﬁcation
(What and How)

Process
• Form Group!
• Create written
speciﬁcation!
• Turn into web
‘elements’

Process
• Form Group!
• Create written
speciﬁcation!
• Turn into web
‘elements’!
• Discuss!

Process
• Form Group!
• Create written
speciﬁcation!
• Turn into web
‘elements’!
• Discuss!!
• Pilot

Clinical engagement
• > 70 Ophthalmologists nationwide

What is Open Source?
• Source code published (downloadable)!
• Can be modiﬁed!
• No licence fee for use

Open source upsides
• Good ﬁt for clinicians

Clinical development
Clinician has idea
Improved resultsTries it out
Publishes it Others modify it

Engagement
“Keith, please can you give us your time
and ideas to improve our software?”
Will Moorﬁelds earn money
from my work?
Will I be helping Bill Aylward
buy a bigger boat?
Will I be able to use what I
work on?

Open source upsides
• Good ﬁt for clinicians!
• Speed and ﬂexibility

Open source upsides
• Good ﬁt for clinicians!
• Speed and ﬂexibility!
• Low(er) cost

Open source downsides
• Culture!
• Control

Open source downsides
• Culture!
• Control!
• Sustainability

Conclusions
• OpenEyes is a novel approach to health
informatics!
• Open source approach encourages clinical
engagement, and should have a signiﬁcant
role in Healthcare environment

Tour
Subject Location Host
OE in the clinic CTC Tim Elliott
Development Dev ofﬁce Jamie Neil
OE in theatres Theatre ofﬁce
Brian Little/
SeemaVerma
Infrastructure Server room Steve Gill

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