OSEHRA 2013 Summit Proceedings

Photo credit - Ken Rubin Photography

Photo credit - Ken Rubin Photography

Photo credit - Ken Rubin Photography

James Peake, M.D.

Chairman, Board of Directors, OSEHRA and Former Secretary, Dept. of Veterans Affairs

Stephen Warren, Senior Advisor to the Secretary and Chief Technology Officer, VA

Andrew Aitken, Founder and Managing Partner, Olliance Group

Dr. Tony Shannon, CMIO, NHS Leeds, England, Director, Frectal Ltd

Seong Ki Mun, PhD, President & CEO, OSEHRA

Paul Nichols, M.D., Deputy CMIO, VHA

Chris Goggans, VP of Technology, PatchAdivisor

Jacob Reider, M.D., CMO, ONC, HHS

General (Ret) Charles Green, M.D., Vice-Chairman and Senior Partner of Martin-Blanck & Assoc, LLC

Day 2 : Plenary / Panel Session

Day 3 : Open Workshop / Abstract Presentations

Day 1: Open Source and Agile Tutorials / Training

Wednesday, September 4, 2013


Morning Session: Technical Aspects of Open Source Development

9:00-9:45 AM 

 How to Contribute   

Dr. Wesley Turner - Kitware, Inc. / OSEHRA

9:45-10:30 AM


Attorney Marcus Streips - US Army

10:45-11:30 AM   Open Data    Dr. Fred Prior -Wash University / OSEHRA
11:30 AM-12:15 PM  

Key Findings from the 7th Annual, Future of Open Source Software Survey   

Conrad Clyburn - OSEHRA

Afternoon Session: Community Building

1:30-2:15 PM   IP Management and Open Source Software    David Wheeler - Institute for Defense Analysis
2:15-3:00 PM 

Collaboration Tools (Hands On)   

Jobin Kuruvilla - Go2Group
Brett Taylor - Go2Group
Dave Palmer - Go2Group
Fabian Lopez -
DSS, Inc.
3:15-4:00 PM   How to Make Money    Utpal Bhatt - Actuate
4:00-4:45 PM Agility in Action   

Anne Marie McLaughlin - DSS, Inc.

4:45-5:30 PM Community Management    Patrick Reynolds - Kitware Inc.


Day 2: Plenary / Panel Session

Thursday, September 5, 2013


8:30 - 10:15 AM

Opening Session

Welcoming Remark:
James Peake, M.D., Chairman of the Board of Directors OSEHRA

Session Chair:
Seong K. Mun, PhD, President and CEO, OSEHRA

Stephen Warren
Acting Assistant Secretary for Information and Technology, Department of Veterans Affairs

Andrew Aitken 
Founder and Managing Partner,
Olliance Group

OSEHRA and Open Source

Dr Tony Shannon
Chief Medical Information Officer, NHS Leeds, England, Director, Frectal Ltd

An NHS VistA...Challenges & Opportunities in the UK National Health Service

10:30 AM - 12:15 PM

Open Source Innovations

Session Chair:
General (Ret) Charles Green, M.D., Vice-Chairman and Senior Partner of Martin-Blanck & Associates, LLC

Paul Nichol, M.D.
iEHR Staff Office/Deputy CMIO, Veterans Health Administration

Chris Goggans
Vice President of Technology, PatchAdvisor, Inc.

Open Source as a Healthcare IT Security Tool

Seong K. Mun, PhD
President and CEO, OSEHRA

OSEHRA: 2013

Jacob Reider, M.D.
Chief Medical Officer, Office of the National Coordinator for Health IT, Department of HHS 

1:30 - 3:00 PM

Open Source Best Practices

Session Chair:
John Halamka, M.D., Member of the Board of Directors, OSEHRA

Kenneth W. Kizer, M.D., MPH 
University of CA, Davis, Former Under Secretary of Veterans Affairs, Chairman, Medsphere Systems Corporation

Open Source Best Practices

Mike Newman
Chief Information Officer, Tennessee Department of Health

Open Source VistA in Public Health

Howard Hays, M.D., MSPH
Chief Information Officer (acting),
IHS Office of Information Technology

The Indian Health Service and Open Source HIT

3:20 - 4:50 PM

Business Models in Open Source

Session Chair:
Paul Tibbits, M.D., VA Deputy CIO for Architecture, Strategy and Design

Peter Groen
Co-Founder and Senior Editor, OpenHealthNews

VistA Installations GIS Map & Database v.1.0

Robert Wentz
President/Chief Executive Officer
Oroville Hospital

Hospital Based Operational Developer Business Model for Open Source EHR

Gunnar Hellekson
Chief Technology Strategist, Red Hat

Business Models

5:10 - 6:15 PM

EHR is Deployed... Now What?

Panel Moderator:
Mike O'Neill, CEO of MedicaSoft, LLC (Former VA Liaison, OSEHRA Board of Directors) 


Panel Members:

Ron Sullivan
Vice President / General Manager, Public Sector, InterSystems Corporation
Edmund Billings, M.D.
Chief Medical Officer, Medsphere Systems Corporation
William K. Smith, M.D.
Chairman and Chief Executive Officer, MedRed, LLC
Robert Missroon
Chief Finance Officer, DSS, Inc.
Hank Kwan
Director, Data Innovations and Clinicals, 3M Healthy Information Systems


Day 3: Open Workshop / Abstract Presentations

Friday, September 6, 2013


Track >>

Open Source Technologies – Clinicians and Users

Open Source Technologies - Developers Open Source Business Models  Clinical Applications Interoperability  Open Source Enterprise EHR
Morning Session OS Tools and Technologies OS Tools and Technologies Open Source Business Models Clinical Workflow & Information Integration Technical Aspects of Interoperability Technical Aspects of OS Enterprise EHR
8:30 – 10:00 AM Session Chair:
Art Hamerschlag, Mitre
Session Chair:
Chris Goranson, PIIM
Session Chair:
Mike Webb, Mitre
Session Chair:
Sharon McNeill, VA
Session Chair:
Fred Prior, Washington University
Session Chair:
Maureen Coyle, VA
Wireless capable medical devices with significant software and data integration are the future of OSEHRA
Shahid Shah / OSEHRA


Data Mining VA VistA Source Code
Fred Trotter / Not Only Dev

The OSEHRA Value Proposition 
Keith McCall / KRM

The Value of Patient-Generated Data Kristina Sheridan / Mitre
Universal Health Data Exchange Language Implementation
Odysseas Pentakalos, PhD

Managing OSEHRA VistA
Matt McCall / OSEHRA

Open Source Clinical Decision Support
Dr. Emory Fry / Cognitive Medical Systems

NoSQL, the Modern MUMPS
LaForest / 10gen

Unmanagement and Peer Production 
Luis Ibanez / OSEHRA


RAPTOR (Radiology Protocol Tool and Recorder)
Andrew Casertano / SAN Business Consultants


A Recipe for Data Fusion
Russell Neimy / Scientific Research Corporation

Fileman 22.2
Sam Habiel / VistA Expertise Network

Health UI Platform
Gail Hamilton / Mitre

Advances in JavaScript and Browsers and their impact on Healthcare IT Rob Tweed / M-Gateway Developments (Demo)


Adopting an Open Source Business Model
Utpal Bhatt / Actuate

Virtual VistA Training
Kimberly Lyons, Kristina Ruis / VHA

Minimizing Terminology Development and Maintenance with Open Source Software, Tools and Services
Amy Sheide RN, BSN, MPH; Senthil K. Nachimuthu, MD, PhD / 3M Health Information Systems

OSEHRA Reminders Work Group Update
Nancy Anthracite, MD / WorldVistA;
George Lilly / WorldVista;
Patrick Redington / VA


          Modernizing VistA Immunization Documentation
Rob Silverman / VA
Sam Habiel / VistA Expertise Network

10:00 - 10:30 AM


10:30 AM – 12:00 PM Session Chair:
Jenny Jensen, KRM Associates, Inc.
Session Chair:
Fabian Lopez, DSS
Session Chair:
Chuck Hume, VHA
Session Chair:
Lorraine Landfried, VA OIT/PD
Session Chair:
Peter Li, OSEHRA
Session Chair:
Conrad Clyburn, MedForeSight
Evolving Health Management Platform (HMP) as an Open Architecture Platform: Lessons Learned from the HMP Partner-centric model 
Marcia Pickard / VHA

Reporting and Visualization of Healthcare Data Using Open Source Technology
Virgil Dodson, Director, BIRT Exchange Evangelists

The Business Drivers Behind the Acquisition & Implementation of Open Source EHRs Jason Goldwater / Clinovations
Conducting Usability Evaluations for Meaningful Use Stage 2 Funding
Bennet Lauber / Usability People


Panel Discussion: 
Challenges associated with Interoperability
Mario Hyland / Aegis
Glen Janzen / IHS;
Elaine Hunolt / Interagency Program Office (IPO);
Lauren Thompson / Office of National Coordinator

Panel Discussion:
Building and Managing a Diverse, International Team for OS VistA Application
William Smith, John Pajak / MedRed;
Ryan Lehman / BT Americas;
Sam Habiel, Carol Monahan / VistA Expertise Network


A Strategy for the Future of the MUMPS Technology that Underpins VistA
Rob Tweed / M-Gateway Developments

User interface and User Experience Design for Healthcare Applications Jihoon Kang / Parson Institute for Information Mapping


The Hybrid Model - Combining Proprietary and Open Source Technologies That Support the Client and Improve the Bottom Line 
Deanne Clark / DSS


Multimodal Clinical Information Integration as Applied to Patient Care
Dr. Rex Ballinger / VA

VistA Service Assembler
Keith Cox;
Travis Hilton;
Catherine Pfeil/ VA
Teaching M to Generation Y
Ibanez / OSEHRA

OSEHRA is a Great Business Opportunity - Shahid Shah / OSEHRA

Open Source Clinical Decision Support and Quality Improvement Initiatives
Burke / Cognitive Medical Systems


Panel Discussion:
Semantic Approaches to Interoperability 
Tom Munnecke / New Health Project;

The (FileMan) Health Graph Conor Dowling / Caregraf;

Opening Up the Interchange Wes Turner, PhD / Kitware



Panel Discussion:
Executing OSS as a Community-based Delivery: Lessons Learned from the OSEHRA Scheduling Challenge
Ken Rubin / HP;
Tony Mallia / Edmond Scientific;

Christopher Goranson / Parson Institute for Information Mapping


RESTful Web Services from VistA
Sam Habiel / VistA Expertise Network

Architecture Driven Transformation of OpenVista and WorldVistA into Java/EGL
Philip Newcomb / Software Revolution
The Use of Open Source EHRs within the Federal Safety Net
Jason Goldwater / Clinovations

Hacking healthcare: re-engineering doctor behavior for better patient outcomes
Elliot Murphy / Pat Deegan & Associates

Afternoon Session Open Source Systems  Open Source Systems Open Source Business Models and Healthcare Affordability Clinical Analytics and Big Data Solutions to Interoperability Challenges Solutions to OS Enterprise EHR
1:00-2:30 PM Session Chair:
Denise LeFevre, Oroville Hospital
Session Chair:
Afsin Ustundag, PwC, LLP
Session Chair:
Terri Simmons, Actuate Corporation
Session Chair:
Gerry Higgins, AssureRx Health
Session Chair:
Mario Hyland, Aegis
Session Chair:
DaCosta Barrow, 3M
Data Visualization for Qualitative Patient Data Discovery
Chris Goranson, Anne Luther / Parson Institute of Information Mapping

EHR System Functional Model (EHR-S FM) Release 3
Stephen Hufnagel / TIAG

Open Source, Open Minds - Open Source Advocacy in VA
Julie Harvey / VA

Panel Discussion:
The Future of Omics-based Decision Support: Integration with the VistA EHR
Gerry Higgins; Rick Williams / AssureRx Health;
Aileen Prior / Mitre,
Brian Athey, PhD / U of Michigan Medical School;
Kensaku Kawamoto, MD, PhD / ONC for Health IT
Open Source and Integrated Application  Achieving Interoperability from the Ground Up 
Amir Ismail / DSS

VA VistA Standardization (Do no harm)
Guy Esten / VA

Context or Clinical Decision Support?
John Taylor MD /  Business Information Tech. Soln.

Re-engineering VistA: A Modest Proposal
K.S. Bhaskar / FIS

Tackling CMMI Engineering with a Large Open Source Project
Christopher Laney; Deepthi Rodrigues / CGI

Secure Interoperability with RPC and HL7 using Apache
Ed Ost / Talend

VA's Pharmacy Re-engineered Medication Management Terminology Service - VA Pharmacy Product System
Lynn Sanders / VA


RESTful Health Information Exchange
Suzette Stoutenburg / Mitre

Iterative Methodologies... What Works and What Does Not Work!
Janet Fuller, 
Rosemary Nelson / MDM Strategies, Inc.  

Hackathon Leveraging Two Open Source Technologies
Noah Pedrini, Marine Koshkakaryan / Parson Institute of Information Mapping
Use of Open Source to support Mental Health Interoperability 
Erik Pupo / Deloitte

A Review of Activities of the Certification Working Group
Wesley Turner, PhD / OSEHRA


iEHR SOA Web Services Contracts - Designing Open Solutions for Interoperability for DoD and VA
John Wolf / Harris


Modernizing VistA - Using Micro Steps to Drive Macro Goals 
Rodney Neal, Karen Clark / DSS

2:30 - 3:00 PM


3:00 - 4:30 PM Session Chair:
Rick Avila, Kitware
Session Chair:
Jack Taylor, Business Information Tech. Soln.
Session Chair:
Mike Morotti, Medsphere
Session Chair:
K.S. Bhaskar, GT.M/FIS Global

Session Chair:
Melissa Livingston, VA

Session Chair:
Chris Rhodes, VHA

Clinical Decision Support Technology -  The Key to Predictive Modeling and Healthcare Modernization
V. Katherine Gray, PhD, PMP / DSS

Using CalDAV OS for Patient Scheduling
Tony Mallia / Edmond Scientific

Open Source VistA:  A Case Study in the affordability of VistA compared with proprietary EHRs 
Deanne Clark, Hugh Creedon / DSS

Arvados: An Open-Source Biomedical Big-Data Platform for Hybrid Clouds
Alexander Zaranek / Harvard Personal Genome Project


Panel Discussion:

Achieving and Maintaining Interoperability Across the Enterprise: Open Source Solutions in Connecting Vendors and Health Systems.
Amy Sheide RN, BSN, MPH; Senthil Nachimuthu, MD, PhD / 3M
Health Information Systems

CONNECT - The Road Ahead, Lauren Thompson / Office of National Coordinator

CONNECT: A Community Driven Platform for Enabling Secure Health Information Exchange, Greg Turner / CGI


Panel Discussion:
VA's VistA Product Roadmap
Christine Rhodes / VHA;
Maureen Coyle / VA OIT;
Tony Dunnigan, MD / VA;
Paul Nichol, MD / VHA;
Curtis Anderson / VHA


Interlinking Various Personal Health Applications through the Web
Sukwha Kim / Seoul National University Hospital

A Cloud on My Desk - Reducing Complexity Using Open Source Tools
Elliot Murphy / Pat Deegan & Associates


Open Source Business Model for VistA
Edmund Billings / Medsphere

Analytics and Big Data using VISTA
Jack Bates / VA OIT

The VistA Classroom for Returning Vets
Elliot Sloane / Center for Healthcare Information Research and Policy

The Best Practices in the Cloud-based Open Source EHR
Lara Khansa, PhD / Virginia Tech

Leveraging the Cloud to Enable Community Innovation
Ed Ost / Talend

Utilization of the Electronic Medical Record to Assess Aftercare Compliance and Mortality
Dr. Kathleen Decker / Hampton VAMC

  Developing VistA in a Distributed Environment - (Demo)
Christopher Edwards
4:30 - 5:00 PM


5:00 - 6:00 PM Panel Discussion:  Future State of Open Source EHR   
Shahid Shah / OSEHRA
Peter Levin / Amida Technology Solutions
Fred Trotter / Not Only Dev