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IHE Standards based, Open Source, Health Information Exchange
, ,Commissioner, CCHIT; Board Member, Open Health Tools
Konda Mullapudi, Program Manager, MOSSCCHIT Work Group Member for Health Information Exchange
HIE Executive Session April 29, 2010
Florida International University
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Companys Promise . . .
British software group Misys is expected to announce a major strategic gamble this week.
Under new American management, the company is planning to embrace the "open
" ,
programmers. Two new products are planned in healthcare and financial markets thatMisys hopes will become industry standards: one offering a platform for trading carbon
.
London Dail Tele ra h
July, 23, 2007
Mike Lawrie, CEO
experience, solutions, results
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Misys Integrated Businesses
Post Oct. 2008
Bankin
Treasury& Ca ital
Allscripts &Misys HealthcareHealth-
experiencesolutions
results
Markets o u ons
NASDAQ: MDRX
GlobalServices
OpenSource
en u manCEO
Mike Lawrie
a rman
Misys plc
3
FTSE: MSY.L
CEO: Mike Lawrie
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experience, solutions, results
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Misys plc
Consolidated income statement for the year ended 31 May 200** All figures in millions for 2009and2008Continuingoperations
2009 2008Revenue 692.4 492.3Operating profit before exceptional items 107.5 77.8Exceptional items 7.9 (25.4)Operatingprofit 115.4 52.4Finance costs (22.7) (5.0)Finance income 1.5 1.5Net finance costs (21.2) (3.5)
Profitbeforetaxation 94.2 48.9Taxation (4.6) (13.8)
Profitaftertaxationfromcontinuingoperations 89.6 35.1
1.072B Revenue
Market Cap (4/26/10) = $2.1B
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MOSS Mantra
"First they ignore you,,
then they fight you,
Open Source Solutionsexperience, solutions, results
then you win."
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Whats needed today in healthcare?
Open Source Solutionsexperience, solutions, results
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Transparency
Open Source Solutionsexperience, solutions, results
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Innovation
Open Source Solutionsexperience, solutions, results
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Disruption
Open Source Solutionsexperience, solutions, results
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17%
Open Source Solutionsexperience, solutions, results
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Single Digits
Open Source Solutionsexperience, solutions, results
> 90%
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EMRs have been around for 45 YEARS!
1960s
1966 Dr. Larry Weed introduced the concept of the Problem OrientedMedical Record (PROMS) into medical practice First EMR
1967 Homer Warner LDS HELP System Coding, Decision support(DSS), 3M
1968 Octo Barnett MGH Communit Clinic Codin DSS encounternote documentation, COSTAR, NEJM 1968.
Open Source Solutionsexperience, solutions, results
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Single Digits
Open Source Solutionsexperience, solutions, results
> 90%
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Open Source Solutionsexperience, solutions, results
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"Those who do not remember history are doomed to repeat it"-Poet/Philosopher George Santayana, 1905
"Mobius Stripan "impossible" figure with no beginning,
no end and only one edge
Open Source Solutionsexperience, solutions, results
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ea t n ormat on xc ange prov es anOpportunity to get it right . . .
Open Source Solutionsexperience, solutions, results
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MOSS Historical Summary
Open Source Solutionsexperience, solutions, results
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It is time to blow up what we are doing. We can look
resulting in transformational improvements in products,delivery of service, and business models. That is the
.
Steve ONeill
Chief Information Officerar or osp a
Open Source Solutionsexperience, solutions, results
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Roger McNamee
New Normal The collective impact of changes that have suddenlyaltered our lifestyle, along with an acknowledgement that we are never
going back to where we once were.
Open Source Solutionsexperience, solutions, results
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Free: The New Economy
Tim Berners-Lee
arc n reessen
Milton Friedman
Open Source Solutionsexperience, solutions, results
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Recession
Open Source Solutionsexperience, solutions, results
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April 2009
Jan 2009O enPIXPDQ
Open Source Solutionsexperience, solutions, results
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Forrester ResearchNov. 2006
John Rymer
Contracted by CHCF
Open Source Solutionsexperience, solutions, results
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We forecast that open source will provide a 20%boost to RHIN adoption in 2014
70%
48%
60%
50%
60%Without Open Source
Alternative
With Open Source
35%
33%
30%
40%
erna ve
10%
16%
25%
13%
22%
10%
20%
1% 2%4%
6%
2%3%
5%
0%
2006 2007 2008 2009 2010 2011 2012 2013 2014
Open Source Solutionsexperience, solutions, results
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< 10%
60%60%
70%
Without Open Source
Alternative
48%46%
40%
50% With Open Source
Alternative
25%
22%
33%
20%
30%
1% 2%4%
6%
10%
2%3%
5%
8%
13%
0%
10%
Open Source Solutionsexperience, solutions, results Copyright HIE Services, Inc. 2008
2006 2007 2008 2009 2010 2011 2012 2013 2014
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Whats needed today in healthcare?
Trans arency
Innovation
Disruption
Open Source Solutionsexperience, solutions, results
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Fundamentally Different EMR StrategyOutside-IN
EMR
EMREMR
EMR
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Mashable Universe StrategyINSIDE--OUT
Meaningful
By our customer
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Misys Open Source Solutions (MOSS)
A Service Oriented Architecture (SOA) compliant, open
source standards-based core infrastructure that rovides aframework for the creation of a
Heath Information Exchange.
This framework would allow mashable, value-added
application portlets to be joined together to create newextensible a lications.
experience, solutions, results Company Confidential 30
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Misys Open Source Industry Solutions
Healthcare
Address need of meaningful users by providing alow-cost interoperability exchange solution that
enables secure and free exchange of healthrecords across communities.
Leverage power of portal & aggregation ofcommunity data by providing value to users through
access of clinical groupware (EHR-lite)components.
Open Source Solutionsexperience, solutions, results
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Business Strategy
Sell Low Cost Health Information Exchange Solution into Medium /Small Community Space Hospitals
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MOSS-H Assets Created in FY 2010
Community Development
OpenPIXPDQ Available NOW Server side implementation of IHE PIX/PDQ profile, focusing on PIX Manager and PDQ Supplier actors https://openpixpdq.projects.openhealthtools.org/
nge
Server side implementation of IHE XDS.b profile including both XDS Repository and Registry Actors
https://openxds.projects.openhealthtools.org/OpenATNA Available NOW
Server side implementation of IHE ATNA profile with Audit Record RepositorytEx
cha
. . .
OpenEMPI Available NOW Created by a Partner to plug into the MOSS Stack Enterprise Master Person Index developed with the help of our partner https://openhie.projects.openhealthtools.org/
O enXCA Available S rin 2010 But was certified in Connectathon 2010s
Connec
Server side implementation of IHE Cross Community Access profile
OpenXUA Available Summer 2010 -- But was certified in Connectathon 2010 Server side implementation of the Cross-Enterprise User Assertion that provides a means to communicate claims about the
identity of an authenticated principal
Mis
Misys Connect Portal Available NOW Proprietary SOA platform Clinical Data Repository
Open Source Solutionsexperience, solutions, results
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Hybrid Business Models
Open Source Solutionsexperience, solutions, results
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Solution-on-a-Slide
Enabling
Open Source Solutionsexperience, solutions, results 35
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Clinical Document Exchange
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Typical IHE based HIE (Hybrid Model)
3737experience, solutions, results Company Confidential
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Strategic Location Easy Access to VIPs
Open Source Solutionsexperience, solutions, results
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Demonstration
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Open Source Solutionsexperience, solutions, results
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OpenSourceSolutions
, ,
41experience, solutions, results Company Confidential