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Open Source
in Healthcare
Luis Ibanez
All Things Open - 2014
7B
$72T
320M
5%
$16T
22%
$16T
24%
$3.8T
$3.8T $3.6T $2.7T
US
38th
https://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000#Ranking
https://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000#Ranking
https://en.wikipedia.org/wiki/World_Health_Organization_ranking_of_health_systems_in_2000#Ranking
$3.8T$2.7T
$0.3T
12%
World Bank Data
Effective ?
OECD Data & Mary Meeker Report - USA, Inc.
Geek ?
?
1960
IBM
7090
$23M
2013
32K
84%
2010
16%
2010
16%
2010 2013
60%
$20B
EHR
Electronic
Health
Records
EHR
$$
400 beds
$100M
?
NDA
<rant>
U+1F648 U+1F649 U+1F64A
Free
Market
Access to
Information
</rant>
Example
http://www.beckershospitalreview.com/finance/ehrs-and-health-it-projects-are-they-battering-hospitals-financial-
profiles.html
Wake
Forest
-$56M
http://wunc.org/post/wake-forest-baptist-implements-cuts
Thousands of employees
will be affected by several
cost-cutting measures.
http://wunc.org/post/wake-forest-baptist-implements-cuts
The hospital is
planning to
freeze some hiring,
http://wunc.org/post/wake-forest-baptist-implements-cuts
...reduce
retirement
contributions...
http://wunc.org/post/wake-forest-baptist-implements-cuts
...and ask employees
to voluntarily take
furloughs...
http://wunc.org/post/wake-forest-baptist-implements-cuts
...CEO John
McConnell said
the hospital is….
http://wunc.org/post/wake-forest-baptist-implements-cuts
...implementing its
Electronic Medical
Records program...
http://wunc.org/post/wake-forest-baptist-implements-cuts
...which has
Challenges...
How about
others ?
59%
41%
http://dashboard.healthit.gov/quickstats/pages/FIG-Hospital-Capability-Secure-Electronic-Messaging.php
http://dashboard.healthit.gov/quickstats/pages/FIG-Hospital-Electronic-Query-Capability.php
no yes
http://dashboard.healthit.gov/quickstats/quickstats.
php
...breath...
5,723
Hospitals
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
211
Federal
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
1,037
State and Local
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
1,068
For Profit
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
2,894
Not For Profit
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
413
Psychiatric
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
920,829
beds
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
$ 830 B
Expenses in all US hospitals
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
$ 250 B
Software for Sale Industry
http://www.aha.org/research/rc/stat-studies/fast-facts.shtml
VistA
http://en.wikipedia.org/wiki/VistA
http://en.wikipedia.org/wiki/Public_domain
Public Domain
MUMPS
http://en.wikipedia.org/wiki/MUMPS
SET A=”Hello World”
WRITE A
SET ^A=”Hello World”
WRITE ^A
SET ^A(3,0.4,”DC”)=5
WRITE ^A(3,0.4,”DC”)
5,000H
x $100M
$ 500 B
VistA
http://en.wikipedia.org/wiki/VistA
$ 0 B
2.5 MLOC(MUMPS)
25 MLOC(C-Language Equivalent)
17
MLOC
13 K
Devs
Long Tail
13 KD x 25 MLOC
17 MLOC
VistA
19 K
Devs
19 KD
5 KH
4 D
1 H
DOCTORS NURSES
PHARMST DEVS
H
H
H
H H H H
H
H
H
H H
H H H H
VistA
EHR
END

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Open Source in Healthcare