Hi All,

[This posting is related to Tony Shannon's great email regarding the
future of openEHR in 2009.  I think some of it relates to the technical
list members as well so I have CC'd them.]

Not wanting to hi-jack Tony's thread I started this one where I hope I
have a few positive and possibly helpful suggestions.  Some of them may
need funding to help protect some people's time and others are virtually
cost free.

I do have one negative comment and I'll get that out of the way first.
As I have indicated, I believe that I will have more success working on
some of the fringe areas of healthcare with openEHR.  Therefore I tend
to talk to providers that are not in the main; primary care/family
medicine/general practice areas.  I have been told by more than one of
these folks that they didn't feel very welcome to participate on this
(Clinical) list on issues that concerned their areas.  Whether it was
lack of feedback on questions or actual comments about currently
focusing on archetypes for more general medicine. A bit more
consciousness about welcoming new people might be in order.  :-)   

Now for a few positive suggestions for the group and for individuals.
Some of you may already be doing some of these things but in my
experience in building open source teams they have helped me.

1. There are more than 450 members registered on this (Clinical) list.
With a few more than that on the technical list.  Many are duplicates
(like myself).  I would guess that at least 75% of the Clinical list
members have downloaded and tinkered with one of the archetype editors.
Probably created a few and then said; Now what?

No software to use them on (hopefully OSHIP will soon help with that) no
place for peer review and feedback.  I suggest a section on the SVN
server labeled 'community' with the correct folder structure underneath
like the other areas.  A group of the experts should receive an email
each time a commit is made to this section.  One of the experts then
provides some kind of feed back on that commit.  Maybe some of them are
good enough to be moved into the CKM for consideration?  Maybe the
experts can provide enough feedback that these early community
committers get better.  It is clearly true that Sam, Heather, the NHS
group and a handful of others cannot possibly build all the archetypes
needed.  Sure, you'll get a lot of junk archetypes to sort through in
the beginning. You'll also need to spend more time in education but
there are a lot of resources on the website and wiki that you can point
to.  But people like to participate in something meaningful.  If they
enjoy it, they'll tell a friend.  It shouldn't be too difficult to setup
a web page to show people when to get an SVN client along with a name
and email registration space where they can be sent a SVN password
automatically.  Open this are up to the world.  If it gets completely
out of control then change the rules or shut it down.  Right now there
is no way to encourage "the crowd" to participate and share their
wisdom.

2.  When you go to meetings and conferences.  Do not hang out with
openEHR people.  Meet new professionals and have a 15-30 sec comment
about how we are turning over the data design of healthcare applications
to the healthcare providers.  Give them the URLs to get an editor and to
the community SVN website along with the mailing list info.  Do not try
to explain openEHR or even archetypes to them at that point.  Even if
they ask; give them a little more info and encourage them to join the
community.  Leave them wanting to learn more.

3.  Post comments on blog articles and healthcare related sites/online
magazines.  Try one of these:    http://www.hitsphere.com/ 

4. Prepare a guest blog entry.  In fact two of those on the above site
have asked me and are waiting for me to prepare guest postings on
openEHR for their sites.  Most of these guys WELCOME contributed content
that is of interest to their readers.

5.  When you see stuff that is blatantly bull$$%$%^ on blogs and online
magazines, do not hesitate to say so.  If you really believe in what you
are saying and doing then let people know.  Certainly people like David
Kibbe have no problem with saying that CCR is the greatest thing to
happen to healthcare while at the same time thinking that openEHR is an
open source EMR project. Don't be afraid to put your ideas and
convictions out there.  It usually only takes a few minutes.  If we
spend all of our time discussing openEHR related matters on these lists
then we are only "preaching to the choir" and not recruiting new people
with new ideas.  


Well, that's my top five.  I hope they help promote and expand the
community. 

Cheers,
Tim

-- 
Timothy Cook, MSc
Health Informatics Research & Development Services
LinkedIn Profile:http://www.linkedin.com/in/timothywaynecook 
Skype ID == timothy.cook 
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