dear Lavanian. Nice to hear from u after a long time. Agreed about the need for practical and deplouable models. Curremtly open EHR is perceived as an academic theoretical exercise by many IT savvy doctors in UK. There is als a lack in clarity on who is the right recepient of this. Is it product companies is it the clinician. Is it the healrh informatics teams. Thanks Dr. Shivam. MS FRCS Head Clinical Transformation Royal Free Hospitals Dr. Shivam. 00447814708199
Sent from my iPhone On 2 Nov 2010, at 05:15, "Dr Lavanian" <lavanian at vsnl.net> wrote: > 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 > Mobile: +91-9970921266 > ----- 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 > > ******************************************************************************************************************** > > This message may contain confidential information. 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