overview of moorfields' open eyes development to date and moorfields' approach to open...

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

Clinicians want to be digital

‘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%

Development Process

• Form Group

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

Why Open Source?

Notes Diagnoses Procedures

100%10

0%0

Clicks Diagnoses

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

Collaboration

Open source upsides

• Good fit for clinicians!

• Speed and flexibility!

• Low(er) cost

Open source downsides

• Culture

Open source downsides

• Culture!

• Control

Moorfields

Cardiff

Maidstone

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

TourSubject Location Host

OE in the clinic CTC Tim Elliott

Development Dev office Jamie Neil

OE in theatres Theatre officeBrian Little/

Seema Verma

Infrastructure Server room Steve Gill