I've just posted an original definition of meaningful use, which opposes the HIMSS defintion. The definition is tied to the clinical decision support and patient-centered cognitive support, and stresses the need to increase care value (effectiveness and efficiency). Feel free to use an portions you deem supportive of FOSS. It's at http://curinghealthcare.blogspot.com/2009/06/meaningful-use-clinical-dec\ ision.html <http://curinghealthcare.blogspot.com/2009/06/meaningful-use-clinical-de\ cision.html>
Steve Beller --- In openhealth@yahoogroups.com, fred trotter <fred.trot...@...> wrote: > > The most pressing order of business for LibertyHSF is the status of FOSS EHR > systems in the coming stimulus package. > > There are two issues that I believe LibertyHSF must weigh in on. > > The first is the definition of meaningful use from the FOSS perspective. > > The second, and more pressing, is the issue of certification, currently only > WorldVistA is a CCHIT certified FOSS project and that certification will run > out soon. If CCHIT cerfitication is used as a criteria for stimulus funding > in the current form of the certification it will be detrimental to FOSS > projects. > > CCHIT has been listening and working with us, but we need to decide if and > at what point we need to setup a competing certification method and body. On > the 16th CCHIT is hosting a town hall meeting specifically to discuss the > FOSS certification isssues. By that time I want to have a semi formal > process in place for deciding what the communities (to the degree that > LibertyHSF can represent it) response will be. > > To that end, I am sending an inviation email to individual community members > to participate on the important sounding 'meaningful use and certification > commitee'. > > If you get an second email from me within the hour, you were invited, if you > did not you were not. But my criteria for inclusion in this group is merely > that you have A. Contributed to the discussion so far in a meaningful way or > B. You are supporting a FOSS EHR in more than one live deployment. If you > have talked to me about this issue either in person or over email over the > last few months then I have tried to include you. If you meet these criteria > and you want to be formally involved then please email me today or tomorrow > requesting that I include you. > > I am inviting several people who I want to specifically point out in advance > of their acceptance of the invitation because I know that they might be > controversial. > > The first is Greg Caulton. I have been very critical of PatientOS in the > past and I see no reason why I will not be -personally- critical of them in > the future. But LibertyHSF is not 'freds party' but intended to be > representative of the entire FOSS community. Whatever else I have to say > about PatientOS it does appear to be in the process of becoming a ligit FOSS > project. The reason that I feel Caultons/PatientOS inclusion may be > controversial is that the project has the CCHIT feature set as an implict > design document. In short PatientOS has implicitly endorsed the CCHIT > definition of what an EHR is, as far as I know, they are the only FOSS EHR > project to have taken this stand. While I disagree with this and other basic > design decisions that PatientOS has made I can see no reason why PatientOS > should not get a vote at this table. > > The second is Dr. Kibbe. I am inviting Dr. Kibbe specifically because he is > an effective critic of the CCHIT model generally, and because he has > participated in our community in the past. Recall that he attempted to > promote a FOSS EHR for AAFP. If he accepts the bridge I hope that he will > serve as a bridge to other groups who are frustrated with CCHIT and are > wondering what to do. > > Last but certainly not least, I plan on including Dennis Wilson from CCHIT. > Dennis is the project leader for Laika and is therefore a full member of the > FOSS healthcare community. Better than anyone else at CCHIT he personally > understands the implications of what a FOSS license implies, and what > running a FOSS project is like. Most importantly we need a person from CCHIT > to give balance to our discussion. > > I am inviting Dr. Kibbe and Dennis to specifically be outside advisors to > our group, although they will have full access to any meetings or > mailinglists, they will not be included in a final vote, unless the > committee itself decides to overrule me on this stance. I have not idea if > either Dennis, Dr. Kibbe or Greg will accept my invitation, but I wanted to > let everyone know that they would be invited. > > Besides them, I am inviting the usual suspects. > > I have been advised to err on the side of being too inclusive with > LibertyHSF, and the list of people that I am inviting to this is intended to > be an initial stab at doing just that. All those in favor remain silent, all > those opposed bitch loudly. > > -FT > > > > > -- > Fred Trotter > http://www.fredtrotter.com > > > [Non-text portions of this message have been removed] > [Non-text portions of this message have been removed]
