open source workshop, mie2009
DESCRIPTION
Peter's opening slides for the workshop, plus his presentation about Open Steps meetings and EFMI STC2008; given at EFMI LIFOSS WG workshopTRANSCRIPT
![Page 1: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/1.jpg)
Open Source and Healthcarein Europe -
Time to Put Leading Edge Ideas into Practice
Peter J Murray, Graham WrightThomas Karopka, Helen Betts, Andrej Orel
![Page 2: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/2.jpg)
Open Source and Healthcarein Europe -
Time to Put Leading Edge Ideas into Practice
A workshop organised by theEFMI LIFOSS and IMIA OS Working groups
![Page 3: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/3.jpg)
Helen Betts
UK representative to EFMI; Director, CHIRAD
Workshop Chair
![Page 4: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/4.jpg)
Workshop outline:
Main issues/messages of the 2004 Open Steps workshops and the EFMI STC 2008 - Peter Murray
Building the FLOSS-HC Community - A strategy for the advancement of FLOSS in health care - Thomas Karopka
Open Source Business Rule Management System (BRMS) – A implementation in the breast cancer screening program DORA – Anze Droljc/Andrej Orel
![Page 5: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/5.jpg)
Workshop outline:
Discussion – Helen Betts chairing
EFMI/IMIA WGs business meeting/discussion(builds on preceding presentations and discussion) -Thomas Karopka leading
![Page 6: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/6.jpg)
Peter J. Murray
Director, CHIRAD;Acting Executive Director, IMIA
Open Steps (2004) workshops andEFMI STC 2008
![Page 7: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/7.jpg)
Peter J. Murray
Founding member of:
IMIA Open Source WG (2002)AMIA Open Source WG (2003)
EFMI Libre/Free and Open Source WG (2005)
![Page 8: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/8.jpg)
What was Open Steps?
What were the outputs?
What has happened since with WG activity?
What did the EFMI STC 2008 find?
![Page 9: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/9.jpg)
Marwell Open Steps meeting
Marwell Zoo Hotel, Winchester, UK – February 2004
- invited 24hour thinktank of 30 people; funded by BCSHIF
- mostly UK; others Czech, Belgian, Dutch, North American
- iterative discussions and electronic voting
![Page 10: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/10.jpg)
Main purpose of Open Steps:
...to identify key issues, opportunities, obstacles, areas of
work and research ... around the potential for using open
source software, solutions and approaches within health
care, and in particular within health informatics, in the UK
and Europe.
![Page 11: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/11.jpg)
Three quarters of attendees described their
'ideal vision for the future use of software in
healthcare' as containing at least a significant
percentage of Free/Libre/Open Source
Software (FLOSS), with nearly one third
wanting to see it 'entirely open source'.
![Page 12: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/12.jpg)
The emergence of a situation wherein FLOSS
could interface with proprietary software
within the healthcare domain was seen to be
both achievable and desirable, and also likely
if the right drivers were put in place and
barriers addressed.
![Page 13: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/13.jpg)
Participants rated the most important issues why
people do and might use FLOSS within the health
domain as:
quality, stability and robustness of software
and data, as well as long-term availability of
important health data through not being
locked up in proprietary systems that do not
allow interoperability and data migration.
![Page 14: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/14.jpg)
Participants felt that the strongest drivers (towards adoption/use of FLOSS in healthcare) were:- adoption and use of the right standards (the strongest driver)
- the development of an OS 'killer application' (the next strongest)
- political mandate towards the use of OSS
![Page 15: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/15.jpg)
Participants felt that the strongest drivers (towards adoption/use of FLOSS in healthcare) were:
- producing positive case studies comparing financial benefits of OSS budget reductions
- sharing of learning and knowledge
- promoting OSS best practice case studies
![Page 16: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/16.jpg)
Strongest barriers:
- lack of understanding of cost of ownership
- lack of an 'incubator' for OSS
![Page 17: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/17.jpg)
They felt that the two most important areas for FLOSS activity by IMIA OSWG and other FLOSS groups were:
- 'political' activity and
- work on raising awareness among healthcare workers and the wider public.
![Page 18: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/18.jpg)
San Francisco (medinfo2004) meetingSeptember 2004
- presentation and discussion of Marwell results
- international audience (many from USA)
- general validation of Marwell outputs
plus:- modularity of software development (driver)- lack of interaction between FLOSS groups (barrier)
![Page 19: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/19.jpg)
Focus of effort over the next 5 years
'political' activity; inc. working within existing health informatics and other
organisations and persuading them to support and commit to FLOSS
approaches; working in local health communities; making available documents
and speaking on the benefits of FLOSS; further Open Steps type meetings,
possibly at European level and including more industry players;
availability; publicising the importance of health data being available across
time and all kinds of boundaries between systems – and the role FLOSS can
play.
![Page 20: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/20.jpg)
Software development was NOT seen as a major priority by these groups
WHY?
- because most are not primarily programmers/developers?
- because of health care backgrounds?
- do they think there is enough software development projects already out there?
![Page 21: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/21.jpg)
Full report available:
http://www.peter-murray.net/chiradinfo/marwell04/marwellreportv01p01.htm
http://bit.ly/bq0TZ
![Page 22: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/22.jpg)
What has happened since?
![Page 23: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/23.jpg)
EFMI STC 2008:
Presentations and discussion on range of FLOSS issues in health(care).
Discussion of progress made (or not) since 2004 meetings.
![Page 24: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/24.jpg)
Conclusions of discussions:
Many of the issues presented at the firstOpen Steps meetings four years ago.
Things have not really moved on much.
Why is this?
Should the Open Source community be worried about this?
![Page 25: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/25.jpg)
Where do we go from here?
We hope this workshop willprovide some answers
![Page 26: Open source workshop, MIE2009](https://reader033.vdocuments.us/reader033/viewer/2022051412/548700aeb4af9faa0d8b52cb/html5/thumbnails/26.jpg)
Peter J. Murray
@peterjmurray on Twitter (#MIE09)
http://www.slideshare.net/drpeter
http://www.hi-blogs.info