[forwarded on behalf of Ed Hammond]

-------- Original Message --------
Subject:        RE: [openEHR-announce] openEHR Transition Announcement
Date:   Mon, 5 Sep 2011 12:20:19 +0000
From:   Dr Ed Hammond, Ph.D. <william.hamm...@duke.edu>
To:     Thomas Beale <thomas.beale at oceaninformatics.com>, openehr-announce 
<openehr-announce at openehr.org>



A significant move.  Congrats to the leaders.

Ed Hammond

W. Ed Hammond
Director, Duke Center for Health Informatics
2424 Erwin Rd, 12th Floor, Room 12053
Phone: 919.668.2408
Fax: 919.668.7868
Assistant: Naomi Pratt
Email: naomi.pratt at duke.edu
Phone: 919.668.8753
------------------------------------------------------------------------
*From:* openehr-announce-bounces at openehr.org 
[openehr-announce-bounces at openehr.org] on behalf of Thomas Beale 
[thomas.beale at oceaninformatics.com]
*Sent:* Sunday, September 04, 2011 9:00 PM
*To:* openehr-announce
*Subject:* [openEHR-announce] openEHR Transition Announcement


Dear All,

I am writing on behalf of the new Transitional Board of /open/EHR to 
share our plans to take /open/EHR to a new level of operations; a new 
structure, business model and governance. Our vision is the creation of 
a thriving community that works collaboratively to benefit humanity 
through efficient and effective electronic health records (EHRs) that 
support the highest quality health care for the least effort.

Until now, the /open/EHR Foundation has functioned as an owner of 
intellectual property, governed by University College London and Ocean 
Informatics, with board members Prof David Ingram (UCL), Prof Dipak 
Kalra (UCL) and Dr Sam Heard (Ocean).

With the support of the considerable community of Members and via 
engagement of a new category of sponsoring organisational Member known 
as ?Associates? - Companies, Universities and Governments - the 
Transitional Board proposes a number of changes:

  * The /open/EHR Foundation becomes an operational non-profit
    organisation with paid key staff and resources;
  * The Board (of governance) of the Foundation is extended to up to 10
    people with a shift to election by the /open/EHR Associates;
  * Members who participate are recognised by their peers, may take on
    decision-making roles, and have the right to commit changes to the
    key development assets of the Foundation.

The Members will participate individually and, through qualification by 
peer recognition, will control the development within the three 
Programmes that are building the key assets:

  * The /open/EHR */specifications/* of the logical health record and
    attendant services as well as the methods for describing the content
    using archetypes (Detailed Clinical Models) and templates; and
  * The /open/EHR */archetypes and templates/* to be used within systems
    and for message content between systems to achieve interoperability;
    and
  * The /open/EHR */software projects, /*to provide open source
    development of tools to support the uptake and use of the
    specifications and templates.

A group of Members will be needed to bootstrap each of these programmes 
and determine the working arrangements that are suitable to the products 
that they are managing at the current stage of development.

The Associates will determine who governs the Foundation by nominating 
and voting on new members of the Board. The Board will appoint key 
Operational staff and will approve the leader of each of the Programmes. 
The Programme Leaders will be appointed by Qualified Members working in 
that Programme, subject to Board approval. We believe this will create 
the right balance between the ?ground up? creation of /open/EHR through 
participation of Members and ?top down? governance.

The first step is to share with you a white paper providing more detail 
on the proposals and to ensure that the Members are reasonably satisfied 
that this is the right direction to head.

Some key activities have been proceeding in the background and are 
reaching a point of maturity. It has taken us some time to gather more 
clinical champions in this endeavour and companies that can use and work 
with the tools in their early stages of development. It has also taken 
quite some time for Thomas Beale to work out how to provide a seamless 
pathway between definition of archetypes, specialisation of archetypes 
to ensure development scalability, to meet jurisdictional requirements, 
and templates that allow tailoring for actual use in specific settings. 
The result is ADL/AOM 1.5. He has, as usual, been totally committed to 
this work and it is probably very important for me to say, it is ?no 
mean feat?.

There is a lot to do. Most important are:

  * Begin to showcase development teams and software using /open/EHR
    successfully in clinical settings;
  * Finalise ADL/AOM 1.5, including its succinct XML expression, and
    integrate it into existing and emerging tools;
  * Update the /open/EHR reference model to version 1.1 bringing our
    collective knowledge to bear on the new features and changes while
    ensuring backward compatibility;
  * Begin an open source software project for tools, web-based if
    possible, to author archetypes, templates and terminology reference
    sets directly interacting with the Clinical Knowledge Manager and
    equivalent repository and review tools; and
  * Establish a mechanism for Associates to formally endorse archetypes
    (and possibly in the longer term templates) for international use.

The Board has been changed to manage the transition until we are in a 
position to take nominations from Associates. Prof. David Ingram will 
become President and remain on the Board. Dr Bill Aylward from 
Moorfield?s Eye Hospital (the Open Eyes Project) will join Dr Ian 
McNicoll with his long advocacy of health care computing (British 
Computer Society) and Dr Jussara Rotzsch who has been involved in 
establishing /open/EHR as the Brazilian national EHR model. Professor 
Dipak Kalra and I will remain and I become Chair of the Board initially. 
The new Board will now actively seek Associates to engage in this 
important work and to provide secure governance into the future.

At present many of our key participants are being drawn into national 
programmes. Whilst this is encouraging, we need to bring this work, 
where appropriate, back to the international community as quickly as 
possible. It is clear that governance that is acceptable to these 
national programs and industry is a very important step. It is also our 
belief that standard SDO processes are not suitable for our work and we 
have instead modelled our future on collaborative engineering efforts. 
Our products must be fit for purpose, stable and have an update cycle 
that is in tune with our domain.

Free membership for participants and free access to the assets of the 
Foundation remains a fundamental principle going forward. Our commitment 
to open specifications, open software and open clinical models, 
unrestrictive to commercial use, remains unchanged.

We hope you will join with us enthusiastically in the next phase of 
development of the Foundation and comment freely on the attached paper. 
There will be many views on what we need to do and how we might best 
achieve it. The Board is very interested in alternative ways to balance 
the needs of industry and governments with those of the developers and 
users of the system.

Let?s make the future of eHealth work efficiently for all.

Yours sincerely, Sam Heard

Acknowledgements: Thank you to David Ingram, Dipak Kalra, Thomas Beale, 
Martin van der Meer and Tony Shannon for assisting in the planning.

openEHR Transition White Paper 
<http://www.openehr.org:8888/openehr/321-OE/version/default/part/AttachmentData/data/openEHR%20Foundation%20moving%20forward.pdf>
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