open source solutions experience, solutions, results open source solutions 1 misys open source...
Post on 18-Dec-2015
241 Views
Preview:
TRANSCRIPT
Open Source Solutions experience, solutions, results
Open Source Solutions
1
Misys Open Source Solutions (MOSS) – Healthcare
Redwood MedNet PresentationA Practical Application of Open Source Strategies in a Not-So-Conventional Health Care Company
Tim ElwellVP, Misys Open Source SolutionsMay 20, 2009
Open Source Solutions experience, solutions, results
Open Source Solutions
experiencesolutions
results
Treasury & CapitalMarkets
GlobalServices
Banking
Health-care
OpenSource
Misys Integrated Businesses – Before Oct. 2008
• $1B revenues, 4,500 employees,– 1st software company listed on FTSE100
•Substantial Expertise– 30 years experience in Banking– 25 years experience in Healthcare
•Installed Base– 1,200 financial institutions, including every one
of the world’s top 50– 110,000 Physician users
•Global Footprint– Customers in more than 120 countries,– 36 Offices around the World
•Market Position – Award-winning solutions across each business
unit,– Market leader in banking IT worldwide by
customer base
2
Open Source Solutions experience, solutions, results
Open Source Solutions
experiencesolutions
results
Treasury & CapitalMarkets
GlobalServices
Banking
OpenSource
Misys Integrated Businesses – Post Oct. 2008
4
Allscripts & Misys Healthcare Solutions
NASDAQ: MDRX
Glen Tullman CEO
Mike Lawrie Chairman
Health- care
MOSS
Misys plcFTSE: MSY.L
CEO: Mike Lawrie
Open Source Solutions“The Innovator’s Dilemma” by Clayton M. Christensen
• In doing what a company is expected to do (and is rewarded by the market), that company is preparing a way for its own disruption.
• BUT, it also is the beginning of the innovator’s solution.
Open Source Solutions MOSS Purpose
• Meaningful disruption
Generates Revenue Causes change to happen
Open Source SolutionsOpen Source Solutions – HealthcareObjective: Committed to improving healthcare delivery using a standards-based, open source approach to build interoperability tools between disparate electronic medical records (EMR) systems and healthcare enterprises.
Organization: Independent division inside of Misys plc
Community: The team is collaborating with prominent medical informatics, technology companies, and policy influencers to support and develop Health Information Exchange (HIE).
Goal: Support US-based Nationwide Health Information Network (NHIN) initiatives to provide lower cost, higher quality options that will result in greater EMR adoption and improved healthcare delivery.
Market Opportunity: Estimated that the creation of a NHIN will reduce the cost of healthcare expenditures by $77.8 billion annually. (1)
Business Model: HIE organizational consulting, customer application development, hosting, and support.(1) Walker, Jan, Pan, Eric, Johnson, Douglas, Adler-Milstein, Julia, Bates, David W., Middleton, Blackford. The Value of Health Information Exchange and Interoperability. Marketwatch Health Tracking. Jan. 19, 2005.
Open Source SolutionsUses Case Scenarios
• Ambulatory Specialist Referral
• Provider to Emergency Department Referral
• Unplanned Access to Patient Medical Summary
• Ante-Partum Care Delivery
Open Source Solutions
ClinicalHealth Record(Tolven - eCHR)
EMR(OpenMRS)
PreNatalEMR Plug-in
(Misys)
Clinical—ED(Hospital)
AmbulatoryCare (EMR)
IntegrationLayer
Consumer/Retail Layer
IHEPIX Manager
(Initiate)IHE Adapters
(Misys)
PatientHealthRecord(Tolven - ePHR)
In Development Existing
IHE XDS Registry/Repository
Infrastructure (IBM)
Interface Engine(WebReach - Mirth)
Ambulatory Specialist Referral
Open Source Solutions
ClinicalHealth Record(Tolven - eCHR)
EMR(OpenMRS)
PreNatalEMR Plug-in
(Misys)
Clinical—ED(Hospital)
AmbulatoryCare (EMR)
IntegrationLayer
Consumer/Retail Layer
IHEPIX Manager
(Initiate)IHE Adapters
(Misys)
PatientHealthRecord(Tolven - ePHR)
In Development Existing
IHE XDS Registry/Repository
Infrastructure (IBM)
Interface Engine(WebReach - Mirth)
Unplanned Access to Patient Medical Summary
Open Source SolutionsSCALE 2008 – MOSS “Coming Out”Updated Plan Based on Customer Needs
– IHE library
– A basic set of IHE profiles implemented in Java. – This library has been accepted to and successfully
completed the Connectathon for the last three years.
– Connect application
– A basic eMPI application– A viewer to retrieve and view a patient record that
encompasses all practices in the community (the longitudinal patient record).
– Server – Side Concentration
– PIX-PDQ– XDS Registry and Repository
XX X XX
experience, solutions, results 14
MOSS - Mission
Objectives
- Create broad-base adoption of the MOSS Platform
- Develop lower cost Health Information Exchange (HIE)
- Standard’s based
- Support Nationwide Health Information Network (NHIN) initiatives
- Improve healthcare delivery by increasing EHR adoption
- EHR ‘on-ramp’ through the creation of Clinical Groupware
Approaches
- Provide standard-based IHE interoperability options
- Develop open source IHE infrastructural components
- Leverage core – monetize plug-ins and SaaS; Consulting and Support
Open Source Solutions
Open Source Solutions experience, solutions, results
Open Source Solutions
IHE Profiles: Server ComponentsApril 2009
Pressures:•Moving project from Source Forge•Continue harmonization work with the IHE Profiles project•Demonstrate community value, establish precedent for committer status•Tooling harmonization
Dependencies:•JDK 1.5 or 1.6•JBoss: 4.0.5 or above•Hapi: 0.5.1•Braid: 1.1•PostgreSQL 8.3•Apache: Commons, Log4J, Xerces, Axis2•OpenEMPI•Beepcore•Jaxb
Milestones:•Jan ’09 – go-live for project home•Jan 16 - pre-connectathon MESA testing for openPIXPDQ• March 31 - post connectathon milestone: move openPIXPDQ from Source Forge• April 15 - HIMSS milestone• 2Q09 – XDS Repository/Registry development begins•3Q09 – IHE Client Library harmonization
Plan Content:
•Committed:•PIX Manager (PIX Feed, PIX Query & PIX update notification)•PDQ Supplier (PDQ Query)•ATNA transactions specific to PIX/PDQ
•Audit Log (Audit Trail Client)•TLS Secure Transaction•Actor Configuration
•eMPI & eMPI Adapter•XDS Repository•XDS Registry•Proposed:•PIX v3 Manager (PIX Feed, PIX Query and PIX Update Notification)•PDQ v3 Supplier (PDQ Query)
Deleted/Changed:•Full ATNA/CT moved to post 2Q09 (may use Connect Code)
Configurations:•JBoss 4.0.5•PostgreSQL 8.3•Braid 1.1•JDK 1.5/1.6
Added:• IHE Client Libraries harmonization• IHE Profiles roadmap harmonization• XCA
Open Health Tools Presentation: BOCA Chart
Open Source Solutions experience, solutions, results
Open Source SolutionsMOSS – (OHT) Roadmap
OHT Charter Project Approval December ‘08
Connect-a-thonFebruary ‘09
IHE Project harmonizationJanuary ‘09
Move OpenPIXPDQ to OHT March ‘09
IHE Client library harmonization 3Q 2009
HIMSS ShowcaseApril ‘09
Begin OpenPIXPDQ DevelopmentOctober ‘08
Begin XDS Development 2Q 2009
ATNA/CT/XCA
2009
Connect Gateway Code Review2Q 2009
Open Source Solutions
experience, solutions, results World Congress
20
Portal Decomposition
20
Viewer—Liferay
Misys SaaSMisys SaaS
Platform
Value-AddComponents &
Portal
E-
PrescribingE
ncounter M
gmt.
Docum
ent M
gmt.
Lab Orders
Mgm
t.
Scheduli
ng
Billi
ng
CRM
Reporting
Clinical Data Repository
PIX/PDQeMPI
XDS Registry& Repository ATNA
IHE COREMisys ConnectServer Platform:
SaaS
CoreOpen SourceInfrastructure
Clinical Groupware
Information and Related Technology Governance Open Source Solutions
The CoBIT framework is the property of the Information Systems Audit and Controls Association and has been referenced with permission.
Consulting Plan
Solution approach
Collect and translate businessAs-is To-be• Map requirements to technical utility• Introduce “best practices”• Create detailed milestone development• Recommend architectural platform• Leverage open source components• Utilize standards-based approach• Include customer resources
Development Approach
• Leverage open source center of competence
• Iterate with continuous feedback• Leverage customer resources
Value Alignment Approach
• Multi-stakeholder strategic planning session
Identify
• Stakeholder value• Milestone development• Governance Framework• Policies and Procedures• Funding resources• Business model analysis
Open Source Solutions
top related