Open Source in Healthcare

Open Sourcein Healthcare

Luis Ibanez

All Things Open - 2014

7B

$72T

320M

5%

$16T

22%

$16T

24%

$3.8T

$3.8T $3.6T $2.7T

US

38thhttps://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000#Ranking

https://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000#Ranking

https://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000#Ranking

$3.8T$2.7T $0.3T

12%World Bank Data

Effective ?

OECD Data & Mary Meeker Report - USA, Inc.

Geek ?

?

1960

IBM7090

$23M

2013

32K

84%

2010

16%

2010

16%

2010 2013

60%$20B

EHR

ElectronicHealthRecords

EHR$$

400 beds

$100M

?

NDA

<rant>

���U+1F648 U+1F649 U+1F64A

FreeMarket

Access toInformation

</rant>

Example

http://www.beckershospitalreview.com/finance/ehrs-and-health-it-projects-are-they-battering-hospitals-financial-profiles.html

WakeForest -$56M

http://wunc.org/post/wake-forest-baptist-implements-cuts

Thousands of employeeswill be affected by several cost-cutting measures.

http://wunc.org/post/wake-forest-baptist-implements-cuts

The hospital is planning tofreeze some hiring,

http://wunc.org/post/wake-forest-baptist-implements-cuts

...reduce retirement contributions...

http://wunc.org/post/wake-forest-baptist-implements-cuts

...and ask employees to voluntarily take furloughs...

http://wunc.org/post/wake-forest-baptist-implements-cuts

...CEO John McConnell saidthe hospital is….

http://wunc.org/post/wake-forest-baptist-implements-cuts

...implementing its Electronic Medical Records program...

http://wunc.org/post/wake-forest-baptist-implements-cuts

...which has Challenges...

How about others ?

59%41%

http://dashboard.healthit.gov/quickstats/pages/FIG-Hospital-Capability-Secure-Electronic-Messaging.php

http://dashboard.healthit.gov/quickstats/pages/FIG-Hospital-Electronic-Query-Capability.php

no yes

http://dashboard.healthit.gov/quickstats/quickstats.php

...breath...

5,723Hospitals

http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

211Federal

http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

1,037State and Local

http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

1,068For Profit

http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

2,894Not For Profit

http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

413Psychiatric

http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

920,829beds

http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

$ 830 BExpenses in all US hospitals

http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

$ 250 BSoftware for Sale Industry

http://www.aha.org/research/rc/stat-studies/fast-facts.shtml

VistAhttp://en.wikipedia.org/wiki/VistA

http://en.wikipedia.org/wiki/Public_domain

Public Domain

MUMPShttp://en.wikipedia.org/wiki/MUMPS

SET A=”Hello World” WRITE A

SET ^A=”Hello World” WRITE ^A

SET ^A(3,0.4,”DC”)=5 WRITE ^A(3,0.4,”DC”)

5,000Hx $100M

$ 500 B

VistAhttp://en.wikipedia.org/wiki/VistA

$ 0 B

2.5 MLOC(MUMPS)

25 MLOC(C-Language Equivalent)

17 MLOC

13 K Devs

Long Tail

13 KD x 25 MLOC 17 MLOC

VistA

19 K Devs

19 KD5 KH

4 D1 H

DOCTORS NURSES

PHARMST DEVS

HH

HH H H H

HHH

H HH H H H

VistAEHR

END