Feature Articles

OSEHRA 2015: Preliminary Agenda Open Source Summit Released

The 2015 Open Source Summit: Community-Powered Healthcare IT Solutions is shaping up to be another exciting event that will showcase the remarkable achievements of our growing community!  The Summit offers a unique perspective on healthcare IT innovation in the U.S. and global markets, as well as an opportunity to network with the individuals and companies who are making it happen...Further, the OSEHRA community is expanding beyond its VistA-centric origins. This year, in collaboration with Open Health News, a diverse panel of open source community leaders has been formed to exchange ideas, expertise, and business opportunities. Read More »

Halamka's Report on the May 2015 HIT Standards Committee Meeting

The May 2015 HIT Standards Committee focused on an in depth review of the ONC Notice of Proposed Rulemaking, with the goal of providing guidance to ONC by June as to which standards should be included in final rule, which should not be included, and which should be identified as directionally appropriate for inclusion in future regulation.The meeting began with the ONC announcement that the HITSC workgroups would be disbanded in June and replaced by focused task forces.

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Fred Trotter Talks About Open Health Sustainability

Fred Trotter is easy to recognize; he's a tall man with an equally big presence. Whether he's sporting his signature wild shock of blond hair or has shaved it bald as he does once a year or so, he can't be missed in a crowd. Any place where open source, big data, and healthcare-oriented people are gathered, you are likely to find him and his crew. Fred Trotter headshotHe's a frequent speaker at OSCON and was recently a panelist at the SXSW MedTech Conference, which is where I caught up with him to ask about his passion for open source and health care related data...

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Halamka: A Time of Great Turmoil in Healthcare IT Policy Making

We are in a time of great turmoil in healthcare IT policy making.   We have the CMS and ONC Notices of Proposed Rulemaking for Meaningful Use Stage 3, both of which need to be radically pared down. We have the Burgess Bill which attempts to fix interoperability with the blunt instrument of legislation. Most importantly we have the 21st Century Cures Act, which few want to publicly criticize. I’m happy to serve as the lightening rod for this discussion, pointing out the assumptions that are unlikely to be helpful and most likely to be hurtful. Read More »

OpenStreetMap Community Helps With Nepal Earthquake Response

Since the devastating earthquake in Nepal, there have been responses from all over the world from relief agencies, governments, non-profits, and ordinary citizens. One interesting effort has been from the crowdsourced mapping community, especially on OpenStreetMap.org, a free and open web map of the world that anyone can edit (think the Wikipedia of maps.) Read More »

Why Open Source Hardware Creators Win

While recently demonstrating a prototype to a family member I was asked, "Are you going to patent that?" While happy to see such enthusiasm, I tactfully declared that I couldn’t seek a patent, as it was built using open source components. This perplexed my family member who, being from a generation or two (or three) before me, thought that is how "inventing things works." So, I did my best to explain the seemingly "hippie-ish" concepts of open source, copyleft, and Creative Commons licenses to someone from America’s Greatest Generation with little success. In the end, we simply agreed to disagree on the issues of patents and capitalist pursuit.

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TPP Treaty Could be a Serious Threat to US Public Health System

While trade agreements may seem to be another, albeit international species of wonkery, these agreements could have major effects on patients' and the public's health.  Since these concerns have been essentially ignored by the US medical and health care literature, (although they have appeared in UK journals, Australian, and New Zealand journals in English), they I will discuss them below. Worthy of further discussion is the possibility that these potential threats to health care and public health may arise not just from ideological disagreements, but also from health care corporations' increasing capture of government, facilitated by the conflicts of interest generated by the revolving door. Read More »

International Society Calls for Healthcare Projects to Collaborate using Open Source

Software projects in health care would benefit from increased collaboration, using open source, exchanging know-how and open documentation, say experts from IsfTeH, International Society for Telemedicine and eHealth. “Most important is the sharing of best practices, but reusing common software components also reduces costs”, the experts say. “There are excellent tools and projects in the domain of Free/Libre Open Source Software for Health Care”, the experts say, “but their impact so far is limited. That would change if they banded together to form an ecosystem.”

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Behavioral Health Hospitals: We need EHRs, but incentives would help.

Acute care hospitals have demonstrated what happens when you pay people—when you incentivize them—to do something...statistical and anecdotal data suggest that behavioral health hospitals are moving in the same direction as acute care, just not as quickly. A growing demand for EHRs and integrated care is tied to an expanded patient pool enabled by Mental Health Parity legislation and the Affordable Care Act, among other factors.

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IBIS: A Powerful, Drupal-based Biosurveillance System

I'm very excited about Joshua Lee's talk on the Drupal-powered International Biosecurity Intelligence System (IBIS) at DrupalCon 2015. Though I'm no biosecurity expert, the aggregation methods and process workflow for gathering biosecurity information is relevant to many industries. In his talk, the technology for creating this data aggregation system will be covered, as well as how the Drupal community can both benefit and contribute to this project...

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The Patient Is Mentally Ill. Why Are We Only Treating His Broken Hand?

Nationwide, the patchwork nature of mental health care—most mental health hospitals lack electronic health records (EHRs)—drives up overall health care costs primarily through expensive emergency department (ED) visits by people who present with apparent mental health challenges. Of course, the disparity between mental and acute health care in the United States is caused by far more than a lack of EHRs in behavioral health settings. But more information enables better care and helps control costs, making it a necessary component in reforming the health care system.

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Invisible Fluorescent Ink Opens New Frontier in Fight against Counterfeiting

Counterfeiting gives brand owners major headaches. Companies lose sales and governments lose tax income. Resulting costs to businesses of counterfeit and pirated products add up to as much as US$650 billion a year worldwide, according to the International Chamber of Commerce. Scientists and engineers have developed many techniques in the fight against counterfeiters. You might have one example in your pocket right now – the banknotes we use almost every day are produced using special paper, with watermarks, holograms, glossy strips and many other security features...

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Halamka's Report on The April 2015 HIT Standards Committee Meeting

The April 2015 HITSC meeting focused on the Certification Rule NPRM and a comprehensive review of the Federal Interoperability Roadmap. I suggested that a guiding principle for the committee’s work is to emphasize the enablers in the proposals while reducing those aspects that create substantial burden/slow innovation.   As a federal advisory committee our job is to temper regulatory ambition with operational reality.

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Open Human Augmentation Focus of Penguicon 2015 Conference

The Penguicon 2015 theme is human augmentation. The lines between science fiction and reality are growing thinner because of bright minds and innovators who focus on improving people’s lives. For instance, prosthetics that once cost thousands of dollars can be now printed with open source designs for less than a lunch for four at a decent restaurant. We’re even controlling them with impulses from our brains! People are either wearing devices that make them more powerful, efficient, or aware—or implanting tech directly into their bodies. As we become more like machines, we’ll explore some of those emerging technologies and talk to people who are actively developing them, like e-NABLE...

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6 Reasons People with Disabilities Should Use Linux

Often, when issues of accessibility and assistive technology are brought up among people with disabilities, the topics center around the usual issues: How can I afford this device? Is it available for me? Will it meet my needs? How will I receive support? Open source solutions, including any Linux-based operating system, are rarely, if ever, considered. The problem isn't with the solution; instead, it is a result of lack of information and awareness of FOSS and GNU/Linux in the disability community, and even among people in general. Here are six solid reasons people with disabilities should consider using Linux...

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