Roger A. Maduro

See the following -

1st OSEHRA Summit A Great Success

The 1st Annual Open Source EHR Summit held this week at the Gaylord National Conference Center at National Harbor, just outside Washington D.C., was well attended by over 400 participants. The event was a huge success and many of the participants openly voiced the belief that this effect will be seen as the tipping point for open source in healthcare. It was "unbelievably cool" according to one of the participants, Todd Park, the Chief Technology Officer (CTO) for the U.S. Government.

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AMA Call To Action On Health Records Should Tell Doctors To Heal Themselves

The American Medical Association (AMA) is one of the most powerful and well-known institutions in this country. Opposition from the AMA helped to bury hopes for universal healthcare back in the Harry Truman presidency, and now the AMA maintains a stranglehold on Current Procedural Terminology (CPT) codes and therefore on any innovation in reporting medical services. So when the AMA puts out a press release titled AMA Calls for Design Overhaul of Electronic Health Records to Improve Usability, describing the serious usability problems of EHRs, and announcing the release of their “solution” white paper titled Improving Care: Priorities to Improve Electronic Health Record Usability, headlines get made and policy-makers start to stir. Can a snap of the fingers by the AMA bring the EHR industry in line? Read More »

CMS To Invest $5+ Billion a Year in Open Source and Cloud-based IT Infrastructure for Medicaid

After more than 40 years of relying on monolithic mainframe platforms to administer its services, the Centers for Medicare & Medicaid Services (CMS) has embraced a new modular, open and agile approach to Medicaid health information technology for the Federal government and States. In many ways, this is the best of what open source advocates and technology innovators could have hoped for when it comes to open source policy from a government agency. According to Andrew Slavitt, Acting Administrator of CMS, the agency will spend more than $5 billion a year to fund this transformation.

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EHR Systems & Cost Transparency in the Healthcare Industry

Cost transparency is obviously a big issue in the healthcare industry. Whether it’s the amazing variation in costs hospitals charge patients for similar medical procedures, or the costs associated with acquiring and implementing an Electronic Health Record (EHR) system for a hospital - Why are all these costs often carefully hidden?  Is there something special about the healthcare industry that says – "Let's not talk about how much things really cost." Apparently, many industry leaders must feel that hospitals boards and patients have no need to know this information. Read More »

HHS IDEA Lab Hosting Innovation Day in DC on May 15

The Department of Health and Human Services (HHS) is holding an Innovation Day on Monday, May 15th at the Hubert H. Humphrey Building in Washington, D.C. The day will feature presentations from teams across HHS who are using open source, collaborative, and entrepreneurial methods like design thinking and lean startup to improve how their office or agency delivers on the HHS mission. The day will also feature a panel on deploying creative thinking to improve work in government, and innovative speakers from government and the private sector.

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Hurricanes Harvey and Irma Draw the Line - Time for the US to Embrace Open Source Emergency and Disaster Response

For nearly 20 years now the global open source community and applications have been a keystone to disaster relief efforts around the world. The enormous number of disaster relief applications and knowledge that has been developed through all these years, should, and needs to be leveraged in the current crisis. For that reason Open Health News is starting a series of articles to highlight some of the most important solutions. A substantial portion the open source applications for emergency and disaster response that exist are actually already in the news website in the form of articles and resource pages.

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Is the Grace Hopper Open Source Day 2015 a Turning Point for Open Health and Humanitarian Open Source Projects?

One of the most significant efforts to help open health and humanitarian open source apps seen to date will be taking place tomorrow in Houston, Texas. The event is the Open Source Day 2015, part of the annual Grace Hopper Celebration of Women in Computing (GHC) a conference designed to bring the research and career interests of women in computing to the forefront. The full-day Code-A-Thon is focused on “coding for humanitarian causes in a dynamic, collaborative environment.” This day will give “women from around the world the chance to learn how to contribute to the open source community, regardless of their skill or experience level.”

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Obama and Biden Blast EHR Vendors for Data Blocking

As they are winding their terms in office, President Barack Obama and Vice President Joe Biden dropped a stink bomb on the health IT industry. Speaking at different events on Friday, January 9th, the President and Vice President both criticized proprietary electronic health record (EHR) vendors as the primary obstacle to the success of their administration’s health care strategy. This is the highest level acknowledgement so far of the serious impact that “lock-in” EHR software vendors are having on America’s medical infrastructure and the ability of physicians to provide medical care.

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Open Health News About to Cross the 225,000 Visitor Milestone

Open Health News has continued growing in leaps and bounds and we are close to crossing a major milestone, 225,000 unique visitors to the site since we launched a little over three years ago. Not bad considering that when we launched the site, we thought the maximum number of people interested in a web site providing news related to open health would top off at 30,000 max!

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Open Health News Continues To Grow-Visitors Cross the 375,000 Mark

We have been very busy lately and did not have time this year to write a recap of major events related to our news web site. Well, a bit late, we start here with a review of our traffic figures. Traffic to the website continues to grow and we are now approaching 20,000 unique visitors per month. As the table shows below, the total number of unique visitors since we launched the site nearly four years ago has surpassed 375,000 and the total number of Page Views has broken the 8 million mark.

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Open Health Round-Up For 2014: Notable Articles, Reports, And Events

Even the hidebound field of health care can undergo a lot of change over the course of one year. Key health IT trends that I saw throughout 2014 are summarized in another article. Here I'll list some of the most notable articles and reports related to open source, standards, and transparency in health. Read More »

OpenMRS Community Announces Malawi will be the Host Country for OMRS17

OpenMRS Global Events Manager Christine Gichuki announced yesterday that Malawi has been chosen as the host country for the OpenMRS 2017 implemeters meeting (OMRS17). This is a major milestone for the OpenMRS project. OMRS17 was hosted by the government of Uganda last year. The conference was a major success as I decribed in a presentation at the recent OSEHRA 2017 meeting in Bethesda, Maryland. This will be the second OMRS meeting that is hosted the by a national goverment. The incredibly successful meeting in Uganda is described in this article.

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OSEHRA 2017 Summit - Microsoft, OpenStack, IBM Support VistA in the Cloud

This year’s OSEHRA 2017 Open Source Summit proved to be another major milestone in the transition from locked-in vendor-controlled health information technology to an open solutions approach. One of the major news stories at the summit was the decision by Microsoft to join OSEHRA and collaborate with the Open Health community. Another major presentation was that of Martin Rice, Director of the Division of State System for the Centers for Medicare and Medicaid Services (CMS) and Clyneice Chaney, Principal Systems Engineer. In their presentation (video* and PowerPoint*), Rice and Chaney described how CMS is transitioning to an open/modular approach to State Medicaid IT systems.

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OSEHRA Community Responds to the Federal Government's Proposed Open Source Policy

The OSEHRA community today submitted a response to the "Draft Open Source Policy for Federal Agencies" released by the White House on March 10. The policy was open for comments through today. This is a major milestone for the OSEHRA community as well as the open source community as a whole. Currently the US Government spends nearly a hundred billion dollars a year on software purchased from the private sector or procured from government contractors. Most of this software acquisition ends up in failure. President Barack Obama has made it a priority to shift technology acquisition policies to solve this problem and restore technology innovation by embracing open source.

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OSEHRA Conference to Feature Open Health Panel

The 2015 OSEHRA Open Source Summit is opening in two days with a panel addressing the need for the open health community to join forces and work together to change the current health IT paradigm from expensive and outdated pre-internet mainframe solutions to innovative open solutions. The panel brings together six leaders from diverse open health communities and technologies to discuss how the community can join forces. I have the honor of being the moderator of the panel. The speakers for the Open Health panel are...

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