The Future Is Open

OSEHRA will be holding a webinar on Tuesday, May 16, to provide an update and discussion of the status of the development of a cloud-based version of VistA and eHMP running on Microsoft Azure. The project is sponsored by Microsoft and was announced two months ago in a statement by Don Hewitt, the Vice President of Business Operations of OSEHRA. Hewitt writes: One of our newest members, Microsoft Corporation, is sponsoring an open source project group to implement a proof of concept for VistA in the cloud...

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The Department of Health and Human Services (HHS) is holding an Innovation Day on Monday, May 15th at the Hubert H. Humphrey Building in Washington, D.C. The day will feature presentations from teams across HHS who are using open source, collaborative, and entrepreneurial methods like design thinking and lean startup to improve how their office or agency delivers on the HHS mission. The day will also feature a panel on deploying creative thinking to improve work in government, and innovative speakers from government and the private sector.

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The HIMSS17 Conference taking place in Orlando, FL, is clearly the turning point for open source in the healthcare information technology industry. Although the label "open source" is barely mentioned in the program, the fact is the majority of the presentations at the conference are either based directly on open source technologies or open health concepts. These include the large number of presentations on interoperability, FHIR, and the open/modular Medicaid IT revolution.

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Hopefully, the public statements made by President Obama and Vice President Biden will lead to a public debate over the monumental problems that the HITECH Act and proprietary EHR vendors have caused the American people. While the press continues to report the figure of $35 billion as the cost of implementing EHRs, that figure does not tell the entire story. Perhaps the next step is to provide accountability and transparency. That would start with firm numbers regarding the real costs of EHR implementations forced on an unprepared healthcare system by the HITECH Act.

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As they are winding their terms in office, President Barack Obama and Vice President Joe Biden dropped a stink bomb on the health IT industry. Speaking at different events on Friday, January 9th, the President and Vice President both criticized proprietary electronic health record (EHR) vendors as the primary obstacle to the success of their administration’s health care strategy. This is the highest level acknowledgment so far of the serious impact that “lock-in” EHR software vendors are having on America’s medical infrastructure and the ability of physicians to provide medical care.

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As we reported in the December 15 issue of OpenMedicaidIT News, Andrew Slavitt, Acting Administrator of CMS, has openly discussed the opportunity offered by CMS' open Medicaid IT strategy in multiple blog posts and meetings. We have reported on this opportunity in an article titled CMS To Invest $5+ Billion a Year in Open Source and Cloud-based IT Infrastructure for Medicaid and recently started a newsletter provide our readers with news of the opportunities for tech companies as they emerge. We reprint here the article from the newsletter presenting that opportunity in Slavitt’s own words.

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Major developments in open source health information technology are opening all kinds of opportunities for the members of the OSEHRA community. These developments include the open source strategy embraced by the Centers for Medicare & Medicaid Services (CMS) to modernize the state Medicaid IT infrastructure, the rapid adoption of open source APIs, including Fast Healthcare Interoperability Resources (FHIR), and the emergence of blockchain technology and middleware solutions to fix the interoperability crisis.

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The OSEHRA community today submitted a response to the "Draft Open Source Policy for Federal Agencies" released by the White House on March 10. The policy was open for comments through today. This is a major milestone for the OSEHRA community as well as the open source community as a whole. Currently the US Government spends nearly a hundred billion dollars a year on software purchased from the private sector or procured from government contractors. Most of this software acquisition ends up in failure. President Barack Obama has made it a priority to shift technology acquisition policies to solve this problem and restore technology innovation by embracing open source.

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