OSEHRA 2014 Summit Proceedings

Jim Whitehurst

President and Chief Executive Officer, Red Hat, Inc.

Doug Fridsma, M.D., Ph.D., Chief Science Officer and Director of the Office of Science and Technology in the Office of the National Coordinator for Health Information Technology, U.S. Department of Health and Human Services

Andrew Aitken, OSEHRA Board of Director

Jim WhitehurstPresident and Chief Executive Officer, Red Hat, Inc.

Dan Morhaim, M.D., Maryland House of Delegates, District 11

Stephen Warren, Executive in Charge, Office of Information and Technology and Chief Information Officer, U.S. Department of Veterans Affairs

Seong Ki Mun, PhD

President & CEO, OSEHRA

 
Day 1 - Open Source Principles and Practices
Wednesday, September 3, 2014
 Morning Session: Working With Open Source  Special Technical Session

Session Chairs: 

Rick Avila, U.S. Department of Veterans Affairs, OIT

Rick Marshall, VistA Expertise Network

 8:30 AM

Open Source PrimerFred Prior, Ph.D., Washington University

Future VistA: A Technical Town Hall (Hosted by VISTA Expertise Network) 

This session, intended for experienced VistA developers, will address priorities for technical development within the VistA EHR. Topics will include the code convergence challenge and a new proposal for broker consolidation.

 9:00 AM

Managing IPMarcus Streips, U.S. Army Medical Research

 9:30 AM

Mature OS Community - ITK Case StudyTerry Yoo, Ph.D., U.S. National Library of Medicine

Session Chairs: 

Michael Ackerman, Ph.D., U.S. National Library of Medicine

Rick Marshall, VistA Expertise Network

 10:15 AM

Managing Security in OS Development (Heartbleed vs. M2M), James Campbell, U.S. Department of Veterans Affairs, OIT

Future VistA: A Technical Town Hall (Continued)

 10:45 AM 

Open Source Practice at VA, Rick Avila, U.S. Department of Veterans Affairs, OIT

 11:15 AM

Open Source Within the Agile Project Management Framework, Scott Gould, GovernmentCIO

 Afternoon Session I: Abstract Presentations
Track >> Imaging Open Source Usability Open Source Business VistA Tools & Technologies

 Session Chairs: 

Bill Hoffman, VP and CTOKitware, Inc.

Guy Esten, Program Manager, Special Programs, U.S. Department of Veterans Affairs, OIT

Thomas Salander, Intersystems Corporation

Terry LeBlanc, ​President, Global eSolutions

1:15 - 2:45 PM

RAPTOR (RAdiology Protocol TOol and Recorder): 

Andrew Casertano & Frank Font, S.A.N. Business Consultants 

Product Management: 

Mike Henderson, OSEHRA

OSEHRA is a Great Business Opportunity for Systems Integrators: 

Shahid Shah, Netspective Communications

VistA on FHIR with VistA Novo: 

Dave Hill, The MITRE Corporation

Future of Imaging in VistA

Dezso Csipo, Object Forge, Inc.

Certification Working Group Activities: 

Wes Turner, Ph.D., Kitware, Inc.

OpenVista in State Health Systems

Edmund Billings M.D., Medsphere

Composable Software, Collaborative Development and the CareWeb Framework

Doug Martin, M.D., Regenstrief Center for Biomedical Informatics

Research Data Mashups for Open Science: 

Fred Prior, Ph.D. & Stephen Moore, Washington University School of Medicine; Ashish Sharma, Ph.D., Emory University

VIVIAN - VistA Visualization: 

Mike Henderson, OSEHRA 

Hybrid is Not a Dirty Word: 

Deanne Clark, DSS, Inc. 

VistA Evolved: CPRS Evolution, Fileman GUI, Template GUI, Reminder Dialog Editor GUI (Demo Only): 

Sidney Tarason, Astute Semantics

X3D Scene Graph Structures for Medical Image Metadata: 

Nicholas F. Polys, Ph.D. & Abhijit A. Gurjarpadhye, Ph.D., Virginia Polytechnic Institute and State University

Community FORUM Project: 

Rick Marshall, VistA Expertise Network

 

Chromecast and Its Potential in Healthcare IT: 

Rob Tweed, Ph.D., M/Gateway Developments Ltd.

Afternoon Session II: Industry Activities  Special Technical Session

Session Chairs: 

Mike Webb, The MITRE Corporation

Mike Henderson, OSEHRA;    Wes Turner, Ph.D., Kitware, Inc

 3:00 PM

Open Source Business ModelsCorporate Members, OSEHRA

The Emerging ANSI Standard on Open Source Software Quality Certification

This session will discuss OSEHRA’s new certification standard for open source software quality, which is scheduled for submission as a draft ANSI standard in late 2014. The session will be of interest to both management and technical personnel. Community comments and suggestions will be solicited for incorporation into the draft standard prior to its final submission to ANSI.

 4:00 PM

Panel Discussion

Moderator: Andrew Aitken, OSEHRA Board of Directors

Session Chair: 

William K. Smith, M.D., MedRed

 4:45 PM

Hospital Successes: VistA-Based EHRs 

 

Day 2 - The Power of Open Source Collaboration
Thursday, September 4, 2014
Morning Plenary Session
 8:30 - 8:45 AM

Welcome and Introduction  

  • Seong K. Mun, Ph.D., President & CEO, OSEHRA
  • LTG (ret.) James B. Peake, M.D., Chairman of the Board of Directors, OSEHRA
Session Chair:

Andrew Aitken, OSEHRA Board of Directors

 8:45 - 10:30 AM

Open Source as an Engine of Innovation - This session will discuss the role of open source as an engine of innovation in health IT. Innovation leaders with national and international standing have been invited to share their experiences and offer strategies to bring the open source community to its full potential.

  • Jim Whitehurst President and Chief Executive Officer, Red Hat, Inc. 
  • Doug Fridsma, M.D., Ph.D. Chief Science Officer and Director of the Office of Science and Technology in the Office of the National Coordinator for Health Information Technology, U.S. Department of Health and Human Services
  • Dan Morhaim, M.D. Maryland House of Delegates, District 11
  • Stephen W. Warren Executive in Charge, Office of Information and Technology and Chief Information Officer, U.S. Department of Veterans Affairs
 Panel Chair:

Mike O'Neill, OSEHRA Board of Directors

10:45 - 12:00 PM

Panel: Managing Open Source Innovation

Members:

  • Jim Whitehurst
  • Doug Fridsma, M.D., Ph.D.
  • Dan Morhaim, M.D.
  • Stephen W. Warren
Afternoon Session I: Open Source Platforms
Session Chair:

Gail Graham, Assistant Deputy Undersecretary for Health for Informatics and Analytics, U.S. Department of Veterans Affairs, VHA

1:15 - 1:45 PM

Enterprise Health Management Platform and Open Source: 

Dave Waltman, U.S. Department of Veterans Affairs, VHA

This session will explore the eHMP architectural model for VistA and review ongoing projects.

1:45 - 2:15 PM

The Health Systems Platform Consortium (HSPC), New Opportunities for Open Source and VistA

This session will introduce the HSPC mission and its potential impact on healthcare information technology solutions.

2:15 - 2:45 PM

VistA Meaningful Use

Mark Rives, CDR, Indian Health Service

Afternoon Session II: Abstract Presentations
Track >> Analytics Innovations & Integration Clinical/Application VistA Application 

Session Chairs:

Christine Rhodes, Director, Open Source Management, U.S. Department of Veterans Affairs, VHA

Melissa Livingston, ESE PAD Senior Project Manager, U.S. Department of Veterans Affairs, VHA

Jonathan Nebeker, M.D., Associate National CMIO for Strategy and Functional Design, U.S. Department of Veterans Affairs, VHA

Chuck Hume, Deputy Chief Information Officer, U.S. Department of Veterans Affairs, VHA

 
 
 3:30 - 5:00 PM

popHealth - Open Source Meaningful Use Certified Quality Measure Tool Successfully Used by VHA and Private Providers:

John Rancourt, U.S. Department of Health and Human Services; Andy Gregorawicz, The MITRE Corporation; Eric Whitley, Northwestern University 

Academic Abstract Competition Winner

The Verve Project: Open Source Vitals Monitoring:

Nadege Willis & Sandhya Singh, University at Albany, State University of New York

Homelessness, Lack of Aftercare Participation and Comorbid Psychiatric Conditions are Associated with Poorer Long-Term Outcomes:

Kathleen Decker, M.D., Hampton VAMC/ Eastern Virginia Medical School

VA Enterprise Health Management Platform (eHMP):

Marcia Pickard & Peter Koutsovitis, U.S. Department of Veterans Affairs, VHA; David Waltman, ASM Research

Novel solution for efficient patient data management, clinical decision support and effective patient treatments:

Rex Ballinger, O.D., VA Maryland Health Care System

Innovation Models in Health IT:

Hon Pak, M.D., LongView International Technology Solutions

Dedicated Diabetic Machine  (DDM) - Therapeutic Solution for High Blood Sugar:

Harish Kapoor, Dr. I-Net's Quantum Therapeutics

Immunization Workgroup Update:

Nancy Anthracite, M.D. & George Lilly, WorldVistA

Downstream Impact of VistA Immunization Enhancements:

Robert Silverman, U.S. Department of Veterans Affairs, VHA

Use of Patient-Centric Electronic Health Record and Big Data Analytics to Reduce Hospital Readmission:

Fleming Y. M. Lure, Ph.D., MS Technologies Corporation; Wei Qian, Ph.D., University of Texas

Drools - the Business Logic Integration Platform:

Jim Tyrrell, Red Hat

 

Quantitative Hand Tremor Measurement using a LeapMotion Controller:

Rob Tweed, Ph.D., M/Gateway Developments Ltd

ICE: An Open Source Immunization Forecaster for Integration with EHR Systems:

Michael Suralik & Noam Artz, Ph.D., HLN Consulting, LLC; Kensaku Kawamoto, M.D., Ph.D., University of Utah

Strategies Enhancing Health Care through Open Big Data: Impacts and Opportunities:

Marc Wine, The Spectrum Group

 

VetLink: A VistA-integrated Patient Self-service Solution:

Will Locke, Vecna

Vista Women's Health Pregnancy and Lactation Patient Safety

FDA D/X Drugs: Challenges, Enhancements and Surveillance

Jay Goodman, DSS, Inc.

VISTA Evolution - EHR Business Process Models for Care Coordination and MU:

Aneel Advani, M.D., Assoc Prof (Adjunct) Johns Hopkins University

 

 

 

 

Reminders Workgroup Update:

Nancy Anthracite, M.D. & George Lilly, WorldVistA; Patrick Redington, U.S. Department of Veterans Affairs

Poster Presentations

Rapid Agile IntegrationDennis Murphey, Enterprise Business Solutions, Inc

Adding Value to VistA Legacy System: Eduardo Brito, DSS, Inc.

Imaging Test Environment: Dezso Csipso, ISI Group, LLC

Test Early, Test Often--"Not One and Done": A New Model for Interoperability Testing: Mario Hyland, AEGIS.net, Inc.

Health eTime Medical Scheduling Application: William K. Smith, M.D., MedRed

 

Day 3 - VistA Evolution: Blueprint for Innovation
Friday, September 5, 2014
Morning Session: Abstract Presentations
Track >> Interoperability Mobile Platform VistA Tools & Technologies
Session Chairs:

Betty Levine, Division Director, e-Health and Telemedicine at ISIS, Georgetown University

Marcus Baggs, IT Specialist, US Department of Veterans Affairs, OIT

Fabian Lopez, VistA Open Source Community Development Manager, DSS Inc. Paul Bradley, Associate Partner, Forensic Services and Valuations, PwC
8:30 - 10:15 AM

Reasons Why Health Data is Poorly Integrated Today and What We Can Do About It:

Shahid Shah, Netspective Communications

VA Mobile Health: Improving Provider Workflow and the Veteran Experience of Care:

Neil Evans, M.D., U.S. Department of Veterans Affairs, VHA

Securing the FOSS VistA Stack:

K.S. Bhaskar, FIS GT.M;

HIPAA Baseline Discussion:

Jack Shaffer, KRM Associates

A Scalable Open Source Direct Implementation w/RESTful API:

Brandt Welker, MedicaSoft; Paul Bradley, PWC; Catalin Branea, InfoWorld

Why is Conformance & Interoperability Testing So Damn Hard?:

Mario Hyland, AEGIS.net, Inc.

Mobile Health and Open Source:

Hon Pak, M.D., LongView International Technology Solutions

Scalable Patient Identity Management on the Cloud using OpenEMPI:

Odysseas Pentakalos, SYSNET International, Inc.

Automated VistA Installation Using Vagrant (Demo Only):

Christopher Edwards, KRM Associates

Enabling Interoperability between Standard and Local Terminologies using HDD Access:

Senthil K. Nachimuthu, 3M Health Information Systems, Inc

Developing Applications for Mobile Devices: Going Native?:

Rob Tweed, Ph.D., M/Gateway Developments, Ltd

The Joint Modernized VA MHS Unified Integrate Electronic Healthcare Record:

Philip H. Newcomb, Software Revolution, Inc

Clinical Decision Support Tools and Technologies:

John McKim, Knowledge Analytics Incorporated

 

Certification Framework Relevant to Mobile Health:

Wes Turner, Kitware

FED iFM: A New Integrated Approach to the Life Cycle of Facilities and their Data:

Stephen Hagan & Kimon Onuma, FAIA, Hagan Technologies, LLC
 

VistA Application Developer Sandbox:

Salim Semy, Dave Hill, Liam Morley, The MITRE Corporation

Track >> Training Mobile User Experience Open Source Value Proposition

Session Chairs:

Linda Fischetti, Senior Principal, Health Informatics and Policy, The MITRE Corporation Hon Pak, M.D., Chief Medical Officer, LongView International Technology Solutions Aaron Drew, Ph.D., Chief Engineer & Technical Director, VistA Evolution Program, U.S. Department of Veterans Affairs, OIT

Jack Taylor, M.D., Chief Medical Information Officer, Business Information Technology Solutions, Inc. (BITS)

10:30 - 12:00 PM

Open-Source Academic EHRS – HITECH’s “VistA for Education”:  

Patricia A. Abbott, Ph.D., RN, University of Michigan School of Nursing

Streamlining VA Mobile App Development: 

Shawn Hardenbrook, U.S. Department of Veterans Affairs, VHA

Applying Universal GUI Designs to EMR Development to Improve Human Computer Interaction:

Chris Goranson, The Parsons Institute for Information Mapping, The New School

All Open Source is Not Created Equal - Benefits of Verified, Supported Open Source Software:

Kevin Guiles, DSS, Inc.

Virtual Training in MyVeHU Campus:

Becky Monroe, U.S. Department of Veterans Affairs, VHA

Future of Mobile Healthcare:

Yong Chang, Ph.D., Samsung Electronics

EHR Usability, The future of medicine is easy to use:

Bennett Lauber, Ph.D., The Usability People, LLC

Nurturing VistA Community Collaboration:

Fabian Lopez, DSS, Inc.

 

Creating Public EHR Datasets for Academic Teaching and Software Testing:

Bill Hoffman & Wes Turner, Ph.D., Kitware, Inc.

Panel Discussion
Moderator: Hon Pak, M.D.

 

Introducing the EHR Designer:

Marine Koshkakaryan & Noah Pedrini, Parsons Institute for Information Mapping, The New School

How to Use Open Source Technologies in Safety-critical Health Applications:

Shahid Shah, Netspective Communications

Simulation Training in Clinically Related Graduate Programs:

Professor Stephen Burrows, Sacred Heart University

User Interface and User Experience Design for the MHS Healthcare Community:

Jihoon Kang, Parsons Institute for Information Mapping, The New School

Jordan's Choice for Open Source, Our Window into the Health Sector Future:

Omar Shboul, Electronic Health Solution

 

Afternoon Plenary Session: U.S. Department of Veterans Affairs
 Session Chair  Christine Rhodes, Director Open Source Management, U.S. Department of Veterans Affairs, VHA

1:15 - 2:15 PM

VistA Evolution Plenary Session

Purpose:  To provide an update on the status of VistA Evolution, the program that focuses on the modernization of the U.S. Department of Veterans Affair’s health information system, and the direction it is going.

VistA Evolution Overview  

  • Alan Constantian, Ph.D., Senior Advisor, Customer Advocate for Health at U.S. Department of Veterans Affairs, OIT
  • Theresa Cullen, M.D., CMIO / Director, Health Informatics, VHA

The U.S. Department of Veterans Affairs (VA) and the U.S. Department of Defense (DoD) are on complementary paths for modernizing their respective Electronic Health Record (EHR) systems, replacing or enhancing existing systems as required to support delivery of the best possible care in their particular environments.  For its part, VA will enhance, or evolve, its Veterans Health Information Systems and Technology Architecture (VistA) EHR to achieve its interoperability, clinical, and technical objectives.  The VistA Evolution Program’s chief goal is to achieve seamless interoperability with DoD and other healthcare partners; this goal is supported by clinical goals to enhance VistA to support a patient-centric, team-based healthcare delivery model, and technical goals to establish a robust Information Technology (IT) architecture to underpin current usage and future innovation.

Architecture  

  • Paul Tibbits, M.D., Deputy CIO for Architecture, Strategy, and Design; U.S. Department of Veterans Affairs

In addition to supporting seamless interoperability with DoD and other healthcare providers, the VistA Evolution Program will also modernize the VistA architecture and capabilities.  Learn about VA’s efforts to develop a flexible EHR platform founded on principles of open standards, open architecture, and service-oriented software.

2:15 - 3:00 PM

Panel Discussion:  Q&A on VistA Evolution & VA’s Open Source Engagement

  • Theresa Cullen, M.D., CMIO / Director, Health Informatics, VHA
  • Alan Constantian, Ph.D., Senior Advisor, Customer Advocate for Health at U.S. Department of Veterans Affairs, OIT
  • Paul Tibbits, M.D., Deputy CIO for Architecture, Strategy, and Design; U.S. Department of Veterans Affairs
  • David Waltman, Senior Advisor to the Under Secretary for Health, VA
  • Aaron Drew, Ph.D., Chief Engineer & Technical Director, VistA Evolution Program, VA