Tomaz Gornik

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Open Health Guide to HIMSS19

The annual gargantuan HIMSS conference is back in Orlando with over 45,000 participants from more than 90 countries. There will be more than 1,300 vendors at the exhibit floor and more than 300 educational sessions. As with the last several conferences, the focus on open source as the key underlying technologies of health information technologies continues to increase. In previous conferences, we have seen the rise of open source technologies, in particular, those related to interoperability such as FHIR and Blockchain. A large number of sessions at HIMSS19 will be focused on another set of technologies powered largely by open source software and design principles such as artificial intelligence (AI), machine learning, and natural language processing.

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OSEHRA 2016: Marand to present on Postmodern EHRs at Open Source Summit

Press Release | Marand | June 27, 2016

Tomaž Gornik, CEO of Marand, will speak at OSEHRA Open Source Summit in Washington DC, the largest annual event in open source health-technologies in the USA. Openness and agility are at the core of Postmodern EHRs. The term “Postmodern” was launched recently by Gartner when describing the ongoing evolution of ERP systems moving from monolithic towards modular systems. Tomaž Gornik applied this concept to EHRs in a series of blog posts and recent presentations at different events around the globe (see blog posts, list of events).

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The Postmodern EHR: What are the Enablers?

Traditional monolithic EHR architectures focus on stability and standardization at the expense of agility. Along with innovation, cloud based deployment and integration of things, agility is the main differentiator when describing the requirements of application architecture for the Postmodern EHR. Achieving agility is impossible for the vast majority of healthcare applications today as they are an inseparable mix of code for user interface, decision logic, workflows and data definitions. New architectures promote agility and reuse by turning the applications inside out and layering the four types of programming into portals, rule engines, process engines and XML data. Let’s look at some examples, layer by layer:

The Postmodern EHR: The Data Layer

This second approach entails defining a data layer, which is the most important aspect of the Postmodern EHR architecture from my previous post. Why is this the most important layer? Most healthcare organizations are beginning to realize that their data is more valuable than their applications. Data has become a key asset, since good data is key to improving outcomes, managing chronic disease and enabling population health management. And it needs to be managed for the lifetime of the patient. Which application is going to last that long? What happens to health data when we switch applications?

The Postmodern EHR: What can Health IT Learn from the Evolution of the ERP Market?

It seems the pattern is clear. From best of breed to integrated (mega)suite to a new world of innovative, agile, mostly cloud based and multivendor solutions. This is what Gartner calls “Postmodern”. According to Christensen, disruption like this becomes possible when the established players start exceeding the requirements and expectations of their customers, providing only sustaining innovation – i.e. adding more and more features to their products. This is what was happening in the personal productivity space with the Office products. Similarly, the ERP market today has well defined requirements and this allows the newcomers to disrupt, meeting the base expectations and adding innovation and agility while lowering costs.

Think!EHR Platform™ chosen by Hospital Sírio-Libanês, a top Brazilian healthcare provider

Press Release | Marand | August 17, 2015

Marand has signed a contract with Hospital Sírio-Libanês, one of the premier healthcare institutions in South America. Hospital Sírio-Libanês will use Think!EHR Platform™ as a vendor-neutral structured data repository as well as a foundation for the development of a suite of new clinical applications. Marand will also provide services including consulting, training and support. “Hospital Sírio-Libanês is already a HIMSS EMRAM Stage 6 hospital but in order to reach Stage 7, we have to provide additional clinical functionality in several areas. For this reason, we needed a solution to centralize and integrate all the clinical information in a vendor-neutral structured data repository, analogous to our PACS.

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OSEHRA 2016 Open Source Summit

Event Details
Type: 
Conference
Date: 
June 27, 2016 (All day) - June 29, 2016 (All day)
Location: 
Bethesda North Marriott Hotel & Conference Center Bethesda, MD
United States

Looking to gain expertise in both public and private sector open source health IT?  Want to collaborate on global state-of-the-art solutions for electronic health records, and population health tool development? Need access to domestic and international market opportunities?  Then OSEHRA’s 5th annual Open Source Summit, held just outside of Washington, DC from June 27-29, 2016, is the place for you. Nearly 400 industry leaders, federal and state government officials, academics, clinicians, developers, and researchers participated in the 2015 OSEHRA Open Source Summit—with representation from the United States, Canada, India, Jordan, Mexico, Romania, South Korea, and the United Kingdom. Do not miss your opportunity to join them this year!

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