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 de 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: [email protected]
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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--
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Chief Technology Officer, Ocean
Informatics
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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