open source strategy for health it - worldvistaworldvista.org/conferences/presentation-folder/vcm 37...
TRANSCRIPT
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OSEHRA Briefing
Seong K. Mun, PhDPresident and CEOOSEHRAVienna, VA
Professor: Virginia TechArlington, VA
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• Hack-o-thon– Group Met at OSEHRA Over the weekend– Thank you
• Major Bug Fix Contribution by DSS– Error caused by patient merge
Hot off the Press
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Current Organizational Members
Amida Technology Solutions BitscopicBook Zurman, Inc. CGI FederalCGI Technologies and Solutions, Inc.CognosanteDocument Storage Systems, Inc.Electronic Health SolutionsFIS GT.M Group
HSPCInterSystems CorporationKitware, Inc.Liberty IT Solutions, LLCMedicaSoft, LLCMedsphereNuanceParaxial, LLCPatchAdvisorPerspecta
SoosangSTUnisysVistA Expertise NetworkYottaDB LLCZato Health
Oroville HospitalThe MITRE CorporationRegenstrief Institute University of Arkansas for Medical Sciences
Industry
Non-Profit / Academia Government
Central Regional Hospital (NC)
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OSEHRA Groups
Archived Groups:• Meaningful Use• VistA/eHMP in the Cloud
• VistA Security TWG
Group Name Type Last Meeting Date Status
Advanced Convolutional Neural Networks (CNN) Open Source Project Group N/A Pending Start
Architecture Work Group 4/22/2019 Ad-Hoc
Certification Work Group 5/21/2019 Active
Code Convergence Work Group 10/4/2018 Ad-Hoc
Database Administration Committee (DBAC) Discussion Group 3/1/2019 Ad-Hoc
Development Tools Discussion Group On-Going Ad-Hoc
FHIR on VistA Open Source Project Group 3/18/2019 Pending Start
Immunization Open Source Project Group 5/2/2019 Active
Open Architecture Work Group 5/29/2019 Active
Pharmacy Work Group 5/15/2018 Ad-Hoc
popHealth Developer Work Group 5/7/2019 Active
popHealth Steering Work Group 5/7/2019 Active
popHealth User Work Group 5/7/2019 Ad-Hoc
Reminders VA Work Group 5/31/2019 Active
Synthetic Patient Data Work Group 5/30/2019 Active
VA-PALS Open Source Project Group 4/24/2019 Active
VistA Internationalization (Plan VI) Open Source Project Group 5/28/2019 Active
Visualization Open Source Project Group 5/16/2019 Active
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GAO Report on VistA Modernization
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– Management Organization Structure– In coordination with OIT (Tibbits) and VHA (Hume)– VistA Transition is to be done in coordination with OIT– Clinical Council: Working Hard and Overwhelmed– Initial Operating Capability in March 2019– Question about VistA Functions that Cerner Does Not Support– Two Contractors: they are looking for partners
EHRM Industry Day
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• House Subcommittee on VA Mondernization– 4-5 Republican Members– Questions about VA-DoD Interoperability– Question of VistA Transition
Congressional Interests
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• Software as Service
• VA-DoD Joint Management Memo– VA in no longer agreeable
General Direction
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Major Code ContributionSAMHSA on Care Coordination
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Omnibus Care Plan Functional Overview
4/30/2018 10
Standards-based Data Shared Among
Applications
Administrative
• Program, Services, Locations
• Patient Enrollment• Practitioners,
Organizations• Patient Consent• Episode of Care
Scheduling/Appointment
• New Appointments
• Encounter Management
Care Coordination
• Caseload Mgmt. Dashboard
• Enrollee/Consumer Dashboard
• Outreach/Activity Management
• Smart Notes• Program Mgmt.
Screener/Assessment
• Scored screening and assessments (MA Assessment, PHQ9, PHQ4, etc.)
• BH-Works Comprehensive Assessment
• Computable Scores/sub-scores (LOINC)
Care Planning
• SOAP/Visit Notes• Dynamic Care Plan
Summary• Goals and
Interventions based on Outcomes/scores
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Omnibus Care Plan Technical ArchitectureCloud-based, Secure, HIPAA-Compliant, Scalable, Extensible web platform
4/30/2018 11
•Browser-based, supports phone/mobile
•Low Information Technology (IT) overhead
Web-application
•HL7 Fast Healthcare Interoperability Resources (FHIR),
•Integration with Electronic Health Record (EHR), billing, quality systems
Standards-based Data Services
•HIPAA compliant cloud services
•Business Associate Agreement
•Centralized management, secure, scalable
Cloud-based & HIPAA-Compliant
•Reuses existing software components
•Extensible to integrate other applications
Reusability and Extensibility
•Encryption•Identity & Access Mgmt.•User roles (Permissions)•Patient Consent
Security/Privacy
•Automatic increase in memory, storage to match user needs cloud services
Scalable
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Emerging Korean Community
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Pusan University Consortium
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VistA Training Resources:https://www.osehra.org/content/sample-ehr-curriculum
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Project Schedule
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• Single Payer Health System• PHR/Blue Button Based Data Hub• Open Source Based EHR Solutions:
– Mid-size Hospitals
Recent Visit of Korea Delegation
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• Conference Sponsor – Perspecta• Platinum – DSS• Bronze – Book Zurman, Oroville, Prologica• WiFi – YottaDB• Exhibitors – Kitware, Patch Advisor, YottaDB
Summit Sponsors
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• YottaDB pre-Summit Training on 8 July• VA Activities• HHS/HIS CTO Study
– Howard Hayes, Theresa Cullen and Maia Laing• SAMHSA Care Coordination Platform Demo• Health Concourse Demo• VA-PAL
OSEHRA Summit Highlights
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• Social Security Administration• Department of Homeland Security• National Security Agency• National Science Foundation• Federal Election Committee• Department of Transportation
Federal Open Source Panel