VISION OF OPEN HEALTH TOOLS

Vision: To enable a ubiquitous ecosystem where members of the Health and IT professions can collaborate to build open, standards-based interoperable systems that enable patients and their care providers to have access to vital and reliable medical information at the time and place it is needed.

WHAT IS OPEN HEALTH TOOLS?

• A community of National, Regional & Local Health Services Providers

who recognize that a common interoperable platform and exemplary tools for medical records is essential to meet the needs of patients, physicians, providers, payers as well as policy makers.

• A community of health professionals

who collaborate in providing the requirements for technology and interoperable information systems to improve the quality, safety and efficiency of human health.

• A community of Open Standards Organizations

who collaborate in providing specifications for health interoperability.

• A community of Open Source Developers

focused on developing a Health Information Platform of frameworks, exemplary tools and reference applications

• A community of vendors

who utilize the Open Health Technology to create wealth, increase profit and market share, while providing expertise and assets to the community.

• A community of academic and researchers

who bring their experiences, research, ideas and wisdom to provide innovation and evaluation of health information interoperability.

National Cancer Institute Membership National, Regional & Local Health Services Providers UK AU

Membership Open Standards Organizations Vendor Members

Membership Universities & Research

• Australian e-Health Research Centre (AEHRC) • Linkoping University • Mohawk College • Oregon State University

GOALS OF OPEN HEALTH TOOLS (Technology)

Design and Develop Open Health Technology:

Specifically we will create and enable an open source community of software developers to design and develop open standards based technology that meets interoperability • • • Utilize an Open Source Paradigm to form a community and develop the technology which enforces an open and transparent communication and coordination software development process Combine open standards programs, open source development, multiple cooperating vendors and major health consumers into successful software technology deliverables. Combine a series of councils to integrate the technical/IT and clinical communities. Create Clinical (physician and health professional), Architecture, Planning, and Requirement Councils to assure the software technology is designed, tested and meets the needs of the targeted end users. Create and maintain a technology harvesting program to identify, outreach and absorb aligned health industry software and provide the hosting environment to make publicly available under multiple licenses.

OPEN HEALTH TOOLS STRATEGY

1. Collaboration

- Bring together the major players into a single organization that includes national healthcare agencies, healthcare providers, practitioners, product/service companies, standards bodies, patients and clinicians

2 Design & Development

- Enable healthcare information interoperability by developing a common software tool platform based on open standards for creating software as well as a range of exemplary tools and several reference / exemplary applications

3 Deployment -

Create, nurture and enable suppliers to participate in an ecosystem that allows them to profit from open standards and open source software.

GOALS OF OPEN HEALTH TOOLS

(Ecosystem)

Enable a Healthy Ecosystem to Deliver Open Health Technology :

Specifically we will support profit based organizations to create, enable and nurture a community of individuals, vendors, commercial and public organizations to deliver the Open Health Technology.

• Grow the membership at a sustainable pace with broad participation from diverse communities including public institutions, vendors, users, academia, and developers.

• Build self defining, self actualizing teams that share economies of scale and community collaboration to achieve their collective common self interests.

• Create, enable and nurture a third party Open Health Certification program so that the Open Health Technology is a trusted source for interoperable health tools.

THE APPROACH TO STANDARDS

Strategy :

■ ■ ■ Adopt recognized industry standards and best practices.

Maintain close working relationships with identified SDOs.

Provide feedback to SDOs via early adopter program and communities to foster creation of useful, usable healthcare standards that address real healthcare requirements.

SDOs:

• • • • • • HL7: CCD, Semantics, Documents, Services OMG: technical specifications of services IHE: pragmatic community for adoption IHTSDO (SNOMED): Semantics, terminology definitions for healthcare ASTM: CCR / CCD specifications ISO/CEN/HL7: EHR requirements and specifications

OHT is NOT a Standards organization. OHT implements standards in the development of software.

Measuring Open-Source Maturity

• Functionality • Usability • Quality • Security • Performance • Scalability • Support • Documentation • Adoption • Community • Process and Governance

Open Source Software is Becoming Ubiquitous

•

By 2012, at least 80% of all commercial software solutions will include elements of open source.

Open Source Software is Becoming Ubiquitous

•

By 2010, at least 75% of all SOA initiatives will make extensive use of open source software.

Tools Architecture

Services Content Definition UI Messaging Terminology Eclipse Platform Artifact Repository

Other Application Interoperability OHT Platform Reusable components Rules Your Application Other Tools Your Tool Standard open interfaces Compliant Standards Guidelines Their Tool

Services View of OHT Platform and Standard Reference Applications

DATA ACCESS APPLICATIONS SERVICE DELIVERY

Public Health Provider Pharmacist Radiologist Physician/ Nurse Lab Clinician Public Health

POINT OF SERVICE APPLICATIONS

Pharmacy Radiology / Imaging Hospital / Clinic Laboratory Patient Viewer/ Portal Electronic Health Record Personal Health Record

Extensibility Technologies

•

OSGi

•

Web Services Terminology Service Public Health Services

•

Outbreak Management

•

Detection & Notification

•

Visualization Service Library Health Service Bus Analysis Services

•

Reporting

•

Analytics

•

Data Warehouse l Interoperability Services

•

Data Interchange

•

Legacy System Adapters

•

Simulator Infrastructure Services

•

Security & Privacy

•

Provider/Patient Registries

•

Communications

•

Medical device integration Patient Information Services

•

Record Location & Management

•

Entity Identification

•

Distributed Data Access (CRUD)

•

Indexing

•

Replication

•

Workflow & Business Rules Common Services OHT Platform

Viewer/ Portal

Data View of OHT Platform

Secure Communications

Health Record Bank OHT Platform Extensibility Health Service Bus Heath Service Bus Patient Information Services Infrastructure Services Analysis Interoperability Service Library Patient Information Infrastructure Common Services

Legacy EMR Laboratory

Terminology Service

Public Health Database Secure Communications

Technical Architecture

Service Provider Service Provider Healthcare Services Bus Semantics Repository Services Directory

Conformance Architecture Research Security Health Data Tools Academic & Outreach

Open Source Projects

Clinical Content Tools Legacy Integration Device Integration OHT Platform HL7 Tools & Messaging User Interface Modeling Tools Terminology Health Content Supply Chain Management

Contributes Money

BUSINESS / CONTRIBUTION MODEL

Foundations Individuals Vendors Government Contributes People & Money Allocates Money Pump priming Matching Funds for Projects Friends of eHealth Charitable Non Profit Open Health Tools Board of Stewards Projects Open Source Ecosystem Membership Dues, Contributions, Marketing Membership Technical Contributions OHT Professional Services Members are not obligated for financial contribution or dues.

Open Source

Free Community Developed Commercial Friendly Lic Formal Development Process Design Develop Test Free Support Free Code Business Model Commercial Products & Services Common Healthcare Infrastructure Common IT Infrastructure Multi Platform Multi Vendor Vendor Neutral

Profit Based

Distribute Deploy Brand Sell Price Package Promote Fee support Fee services High margin products & services

Deployment

End User

•Education •Training •Service & Support •Implementation Services •Requirement Gathering

Testing & Conformance

•Integrated Data Test Centers •Simulation Environment •Self Certification Programs

Academic & Research Device Integration Community Outreach

Universities Research Organizations

Developer & Development

•Harvesting Programs •Jump Start •Standards Training •Tutorials, Samples, Examples •Training & Workshops •Knowledge Transfer Centers

Franchise Programs

MEMBERSHIP QUALIFICATIONS

Public and private organizations and individuals who:

• Participate in the health industry. The following are examples: – Governmental institutions and standards bodies; – Producers and consumers – National, regional, state and local health service providers – Vendors and non profit organizations – Payers and public health organizations – Industry domain experts • Make a significant contribution to the success of Open Health Tools. The following are contribution examples: – Source code, designs and specifications – Intellectual property – Resources and expertise • Express public support for Open Health Tools • Sign the Open Health Tools Membership Agreement and Logo Agreement

MEMBERSHIP RESPONSIBILITIES

Specific Board Member Responsibilities:

• • • • • • • • • Each member organization appoints one person to serve as a Steward (ie voting member of Board of Directors) Steward represents your organization in establishing the Open Health Tools policies, behavior, plans, priorities, technology plans and directions.

Steward should be a senior executive who can allocate resources and represent their respective organization. Time commitment is one day per quarter for board meetings.

Each board member can appoint a delegate and an employee to be a member of the executive committee, which meets periodically and is responsible for operations.

There are no financial obligations for membership All contributions are voluntary and based upon self interest. Beyond the initial contribution there are no obligations to contribute.

No member can bind the Open Health Tools or other members.

All technology is provided on an “as is basis”, without warranties or conditions, no liability

Sign Same Governance Agreements

• • • • Membership Agreement & Bylaws & Application Intellectual Property Policy Terms of Use Logo Agreement

Open Health Tools Governance Principles

Members are all equal

• • All members have single vote All members sign same agreements: – Membership Application and bylaws – IP Policy – Web Site Terms of Reference – Logo Agreement – Committer and Contributor guidelines and agreements • Low barriers to entry with all members meeting same criteria

Open transparent environment

• No confidential information • Well established open software development processes and guidelines which are published and open to all.

• All deliberations of Board and Councils are open. (Only personnel matters are private.) • All projects are open and transparent

Commercially friendly license to build vibrant eco-system Contribution Model

• Those who contribute decide • • No obligations to contribute Merit based contributions as selected by peers

OPEN HEALTH TOOLS COMMUNITIES

Open Health Tools Open Source Community Private Public Commercial Applications Code & Data Open Health Tools Eco-system Eclipse Open Source Community Eclipse Eco-system Non-Eclipse Open Source Community The Open Health Tools Open Source

The community builds common services, frameworks, exemplary tools and example applications.

For example:

Record Locator Services & Hl7 Messaging Terminology Services & Identity Management

The Open Health Tools Eco-system

The community takes the Open Health Tools Technology and builds, packages, and sells the technology as products, applications, tools, for profit and use.

OHT’s APPROACH TO OPEN SOURCE?

Advantages of Open Health Open Source Technology

• Delivers quality software on schedule, within budget, by small collaborative teams.

• Enables vendors to optimize their self interest while collaborating and competing. • Enable vendors to incur lower costs and to gain market advantages by leveraging an extensive base of high quality free source code, proven skills, and resources.

• • Enables a large virtual community of developers to grow with the software, resulting in: – improved quality due to open rigorous peer review with many developers, – extensive tuning and improvement of the software, – rapid porting of code to new hardware and platforms, – rapid response to changing requirements and conditions, – detailed understanding of how the system works due to the open, transparent nature of process.

Enables multi vendor, multi platform and multi language solutions.

Open Source Is DEFINED by the License?

•Open source is licensed software in which the source code is made available to users so that they are freed to modify it for their own purposes and (within certain restrictions) redistribute original and derived works as they see fit.

•The "

open source

" software model describes a set of characteristics and properties for developing, delivering, and supporting software .

The Open-Source Definition

• • • • • • • • • • Free Redistribution Source Code Derived Works Integrity of the Author's Source Code No Discrimination Against Persons or Groups No Discrimination Against Fields of Endeavor Distribution of License License Must Not Be Specific to a Product License Must Not Restrict Other Software License Must Be Technology-Neutral (www.opensource.org)

OHT Open Source Technical Projects

• Technical Projects & Leadership Roles • • • • • • • • • • • • • • • • • • Committed

Academic Outreach Analysis & Reporting Canadian .EHR

Clinical Content Tools Common User Interface Conformance Tools Device Interoperability latform Project IHE Data Modeling Privacy Access Security Health Legacy Interoperability HL 7 Tools Project

Modeling Tools for Healthcare

Supply Chain Tooling for Healthcare Publishing Terminology Tools Project, Oracle Open Mohawk, Canada Infoway NHS NHS Canada Infoway OHT MexJ Inpriva Open NHS IBM

IBM VHA

ITG IBM IHTSDO, NHS NeHTA

OPEN HEALTH ECOSYSTEM PROJECTS • • • Enable niche market creation: Enable rich after markets e.g. Education, Services , Enable multiple total product solutions, Provide links and aggregation services for Members & their products.

• • Enable Member collaboration and networking: Enable tools to self identify and self organize, Enable language specific target markets (French Japanese, Korean, German, Mandarin) • • • • • Enable Member lead mindshare and PR activities: Analysts briefings, Press and mindshare activities, Collaborative advertising, Joint reference accounts, Joint collateral and content creations and distributions Enable academic and research full participation