Dear All,
I think Pablo has a very pertinent point. Theory and armchair discussions are
good, but applicability in real life situations, and painlessly, is the need of
the hour.
If I were an implementor I would need a (no nonsense) 'openEHR for dummies', an
SDK, sample code, a ready out-of-the-box installation with all the components
in place (probably in ISO format) and a HUGE FAQ.
End of the day, what a guy need for his requirement - is what he actually need
- nothing more, nothing less.
I am sure, somewhere in the www, many of these components do exist. Now it
would be nice if we could get it all together on a single page.
With warm regards,
Dr D Lavanian
MBBS,MD
CEO and MD
HCIT Consultant
www.hcitconsultant.com
Certified HL7 Specialist
Member- American Medical Informatics Association
Member HIMSS
Senior Consultant and Domain Expert - Healthcare Informatics and TeleHealth
Former Vice President - Healthcare Products, Bilcare Ltd
Former Vice President - Software Division, AxSys Healthtech Ltd
Former Co-convener Sub committee on Standards , Governmental Task force for
Telemedicine
Former Vice President - Telemedicine (Technical), Apollo Hospitals Group
Former Deputy Director Medical Services, Indian Air Force
Office: +91 20 32345045
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----- Original Message -----
From: pablo pazos
To: openehr implementers2 ; openehr implementers ; openehr clinical ; openehr
clinical ; openehr technical chime
Sent: Tuesday, November 02, 2010 9:36 AM
Subject: Why is OpenEHR adoption so slow?
Hi Thomas,
My opinion is the grade of adoption of a standard depend in some aspects of
goverment agencies, in some of the industry and some of the academy.
DICOM is a good example of an open standard heavily supported by the
industry, that's the point of it success. Can't be OpenEHR a de-facto standard
for EHRs? Like DICOM is for imaging. I think yes, but the progress of OpenEHR
to solve real the problems and make it usable, is slow.
I think OpenEHR is strong on the academy area. It has poor industry
penetration (I mean enterprises developing tools and aplying a good part of the
OpenEHR specification in their systems, and that these systems where used in
some hospitals). I don't know what's the penetration of OpenEHR on goverment
agencies. There are some open tools but there is some stillness on making
improvements on them.
For example, here in Latin America, almost nobody knows about OpenEHR in the
industry area, and very very few knows about it in the academy area.
There are some ideas that may help the difusion and adoption of OpenEHR:
- I think that regional OpenEHR communities are needed to empower the
adoption and spreading of the standard. In 2009 I send a message to the mailing
lists, but I get no answer from the community (this mail is below). Now we have
36 members from Uruguay, Argentina, Chile, Colombia, Spain, and more. They work
on goverment agencies, big enterprises (like IBM), developers and physicians. I
think the international OpenEHR community needs to support these regional
communities, providing guidelines, general objectives, and following their
work. Here in South America, only few people know about OpenEHR, that's a
shame. People in goverment are making decissions, without knowing that are good
and open standards out there.
- Formal training and education in OpenEHR is needed. It's very hard to the
newcomer to understand how to use OpenEHR, and people interested on the main
ideas of OpenEHR may be dissapointed when they try to use it in a real-world
software application. People in the industry must be trained, but how many
OpenEHR trainers are out there?
In Set-2010 I've done a hands-on OpenEHR tutorial in Argentina, and people
(medics and TIC people) where amazed about building their archetypes and having
a tool that generates the EHR (this is my degree project). This was done in the
context of the "Argentine Congress of informatics and Health 2010". Now, the
organizers want to make more time to discuss OpenEHR and its posibilities. This
is just an example that great things can happen if someone has interest.
Regional OpenEHR communities can build courses fucused on the regional needs,
may be made some money to support the open tool development (*).
- Building and supporting open tools. The current tools have no regular
updates. We need developers to build new tools and improve the current tools.
We can use the money of the training courses (*) to pay developers to do this
job. If this depends only on the free time we have, tools just can die before
they are implemented.
- In order to help any goverment adoption of OpenEHR, the decission makers
have some questions that today OpenEHR can't answer.
- What is the state of the standard?
- Is it stable?
- Wich parts are stable?
- Is there any return of investment study done on efective use of OpenEHR?
- Or just, how much time and money I have to spend to effectively use
OpenEHR in a real world application? (I have to train people to make things
happen, not in an investigation project, but in a production project)
- What real world products are using OpenEHR?
- How these products are using OpenEHR? (they adopt the RM? the AOM? the
SM?)
There is page on "who is using OpenEHR" in the portal, but it is outdated. My
proposal is to do regular polls on the community in order to know: who is
working on what, and how they're using OpenEHR.
- Formal links with "formal" SDOs are needed. I think that OMG is in tune
with the way OpenEHR do things. They have the COAS standard, and OpenEHR RM is
mapped to COAS. This is a good starting point to have something in common.
I think there are very good posibilities in the OpenEHR adoption on the
industry adn goverment areas, but we need to build improve the lines of action
of the community to reach that.
Just my humble opinions.
Best regards,
- Pablo.
--------------------------------------------
Hi,
We're trying to build an spanish-speakers community about openEHR , I just
create a google group: http://groups.google.com/group/openehr-es
We want to translate some docs and presentations to generate enough knowledge
to spread the word about OpenEHR, and other EHR related concepts between
latin-american and spanish people.
Best regards
Pablo Pazos Gutierrez
http://pablo.swp.googlepages.com/
------------------------------------------------------------------------------
Date: Fri, 22 Oct 2010 20:19:29 +0100
From: thomas.beale at oceaninformatics.com
To: openehr-technical at openehr.org
Subject: Re: Articles on Healthcare, Complexity, Change, Process, IT and the
role of openEHR etc
Hi Derek,
it is very simple. Not being an official standard has been a real problem for
government agencies, obsessed with official standards.
- thomas beale
On 22/10/2010 17:12, Derek Meyer wrote:
Tony,
This is very impressive piece of work. Every since I first came across
openEHR I have intuitively felt that it is closer to the 'solution' than more
static attempts at standardization. So why is progress so slow? I've appplied
some lateral thinking to this, and come up with what many people on this list
may (at best) think contrarian - but at the risk of being flamed....
The Case for NPfIT 2.0 www.nationalhealthexecutive.com page 52-53.
(I'll go get my hard hat now...)
Best wishes,
Derek.
On 22/10/10, "Shannon Tony (Leeds Teaching Hospitals NHS Trust)"
<tony.shannon at nhs.net> wrote:
Late last year I said I would work on some material to help explain
openEHR in the wider context of healthcare change during 2010.
It has taken me longer that I originally planned but I've recently shared
some articles online towards that end.
http://frectal.com/book/
The articles explore issues such as
Healthcare under pressure,
Complexity of healthcare+management+IT,
Change and the elements within
Aligning process improvement efforts with IT
In the final articles I explore healthcare change going forward, the need
for better IT and particularly why I believe openEHR has the potential to
tackle the complexity and diversity of healthcare..
http://frectal.com/book/healthcare-change-the-way-forward/
http://frectal.com/book/healthcare-change-the-way-forward/healthcare-openehr%e2%80%99s-potential-to-handle-complexity-diversity/
In the spirit of evolutionary change, they are up in draft form for now,
so comments on any article are welcome..
Hope you find it of some interest/value in explaining openEHR's place in
the wider world.
Please feel free to share..
Kind regards
Tony
Dr Tony Shannon
Consultant in Emergency Medicine, Leeds Teaching Hospitals
Clinical Lead for Informatics, Leeds Teaching Hospitals
Chair, Clinical Review Board, openEHR Foundation
tony.shannon at nhs.net
+44.789.988.5068
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Chair Architectural Review Board, openEHR Foundation
Honorary Research Fellow, University College London
Chartered IT Professional Fellow, BCS, British Computer Society
Health IT blog
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