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Hugh P. Creedon, PhD. Deanne J. Clark J.D. Keith

vxVistA.org Community Collaboration Web Portal Uses Atlassian Open Source Web Tools to Deploy vxVistA-OS EHR. Hugh P. Creedon, PhD. Deanne J. Clark J.D. Keith. Sponsors:. About DSS, Inc.

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Hugh P. Creedon, PhD. Deanne J. Clark J.D. Keith

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  1. vxJourney – vxVistA Webinars – Sponsored by DSS, Inc.

  2. vxVistA.org Community Collaboration Web Portal Uses Atlassian Open Source Web Tools to Deploy vxVistA-OS EHR Hugh P. Creedon, PhD. Deanne J. Clark J.D. Keith

  3. Sponsors: • About DSS, Inc. • DSS, Inc., is a privately held company founded in 1990, that specializes in healthcare IT solutions that enhance the VistA EHR. With over 1200 installations of software in the VA and six VA National Contracts, DSS is the premier integration and development company for VistA. DSS develops and supplies integrated enhancements to the VistA system in the Department of Veterans Affairs, Indian Health Services, and the Private Sector. DSS released vxVistA-OS in January 2010. • About Open Health Tools • Open Health Tools is a community of open source developers, health professionals, and an ecosystem that brings together members from the health and IT professions to create a common health interoperability framework, exemplary tools and reference applications to support health information interoperability. vxVistA-OS is a conditional project with OHT. vxVistA.org—O’Reilly OSCON 7-22-2010

  4. What is the difference between FOIA VistA & vxVistA-OS? • VistA is an acronym for Veterans Information System Technology Architecture. Is a comprehensive system developed by the Department of Veterans Affairs. • VistA is a patient centric, longitudinal health record system used by 163 hospitals, 135 nursing homes, 850 community outpatient clinics, and 180,000+ health care professionals • VistA was built on a model of outcomes tracking, continuity of care, reporting, and research. Funded by tax payers and designed from clinician requirements it is the most used EHR in the world today. • VistA by the Numbers… • More than 1,000,000 lines of code • ~ 24,000 routines • 2,000 files • 20,000+ pages of Documentation • vxVistA-OS is FOIA VistA that has been modified and enhanced by DSS, Inc. for over 4 years to work in • non-VA healthcare delivery settings. It was released to • the world as an Open Source Project in January 2010. • Key Components of DSS vxVistA-OS • vxVistA-OS(M) • vxCPRS (Computerized Patient Records System) • vxBCMA (Bar Code Medication Administration) • vxVitals Lite (Vitals Management) • vxGroupNotes (Group Visit Documentation Tool) • Key Enhancements • Prescription writing and printing • Laboratory Interfaces and Order Sheet printing • Pediatrics • Enhanced Women’s Health (OB/GYN) • Patient Medical Record Numbers • Provider Alternate ID Numbers • Redaction of many VA-isms in GUIs and • commonly used options vxVistA.org—O’Reilly OSCON 7-22-2010

  5. vxVistA –OS Team Challenge • Build the Open Source version of vxVistA --Implement, support, and maintain VistA worldwide as public domain software under the Eclipse Public License (EPL) --Maintain the integrity of FOIA Enhancement and Patch Process --Develop enhancement products to promote best practices, performance measures, and workflow efficiencies providing a great return on investment --Work with partners in Open Source and Commercial community to interface/integrate best of breed systems and offer new modules • Distribute vxVistA-OS --Free Open Source (FOSS) and Commercial Open Source (COSS) models for complete DIY or robust support and customization services including hosted options • Deliver a Collaboration environment -- A place where a community will find the information needed for Installation, Use of the system, Training and Support of the vxVistA-OS Enhancement Process. • Build a web-framework that inspires a Community-driven, Collaboration Environment to Promote Use and Knowledge of the vxVistA-OS EHR --Hospitals, community health organizations, practices and other healthcare entities to benefit from VistA forums featuring best practice discussions and posts by thought leaders. vxVistA.org—O’Reilly OSCON 7-22-2010

  6. Atlassian Suite – The Solution • We analyzed more than 8 collaborative solutions • Atlassian suite of products was selected because: • Proven power of their components (Confluence, Crowd, JIRA) • Readily available Support • Extensive Plug-ins repository (Balsamiq, Gliffy, Community Bubble, etc) • Seamless integration with OS Plug-Ins, COTS Plug-Ins, & COTS Business Apps • Friendly user interface • Flexibility for change over time as the project evolves • Willingness to support our Open Source Community • Our goals were: • To leverage Open Source tools & Plug-Ins while retaining integration with proven commercial technologies—hybrid blend of COSS, FOSS and COTs • To provide the right tools to nurture the vxVistA-OS evolution from its birth as a COTs system to its second life as an Open Source EHR through adoption, education, and beyond as the project matures and grows—a Sandbox for Innovation vxVistA.org—O’Reilly OSCON 7-22-2010

  7. Atlassian Suite – The Solution • Atlassian Understood and Supported the effort to release the vxVistA-OS EHR and its potential benefit as a Global Healthcare model with the potential to impact Individuals and Nations around the World • Atlassian donated its non-Open Source components under a special license to support this Open Source project • Collaboration between Public, Private, Proprietary and Open Source models is key to the success of any fledgling OS project, and the vxVistA team greatly appreciates that Atlassian recognized the value of the vxVistA-OS EHR and made the vxVistA.org site possible with their generosity • During the design and development phase of this project, experts in collaboration from all around the world including USA, Argentina, Italy, Australia, Canada, Germany, England and Netherlands, joined forces to support this Endeavor. Companies and Individuals donated their time and software licenses to make this happen. Thanks to all of them! vxVistA.org—O’Reilly OSCON 7-22-2010

  8. Open Source Plug-ins • Analytics Plugin for Confluence — David Simpson • Atlassian Universal Plugin Manager — Atlassian • Table Plugin — Bob Swift • AutowatchPlugin — CustomWare • Community Bubbles — Adaptavist • Chart Plugin — Atlassian • Checklists Macros — Comalatech • Composition Plugin — CustomWare • Confluence JIRA Macros — Atlassian • Confluence Page History Slider — CustomWare • Confluence Smilies — Andy Brook • Confluence Tabular Metadata Plugin — Atlassian • Confluence Usage Tracking Plugin — Atlassian • Contributors Plugin — Atlassian • CustomWare Page Templates — CustomWare • Flexi Blog Posts Plugin — CustomWare • Footnotes — Adaptavist • Office Connector — Atlassian • Reporting Plugin — CustomWare • Table Plugin — Bob Swift • Tagcumulusplugin — Herman de Boer • Widget Connector — Atlassian vxVistA.org—O’Reilly OSCON 7-22-2010

  9. Open Source Plug-Ins

  10. Target Audience – A new challenge Interaction diversity – (low and high technical interaction in the same environment) vxVistA.org—O’Reilly OSCON 7-22-2010

  11. Banner Navigation menu Ads Spotlight Section Ads News Recently Updated News Site Navigation – Categories and Sections Our building process - Structure Initial Structure -> FreeMind Mockups -> Balsamiq Staging Site -> Contegix Initial Theme Development -> CustomWare Graphic Design & Animations -> Kainoway - Argentina Continuous development -> DSS vxVistA Team & OS Community • Phase I • Collaboration Environment • Resource Pool • GUI Mockups examples • Workflow Diagrams examples • Issues and Bug Tracking • Agile Project Management • vxVistA You Tube Channel During the construction of the site, we received collaboration from experts residing in USA, Australia, Canada, Argentina, Italy and Netherlands vxVistA.org—O’Reilly OSCON 7-22-2010

  12. Home Page Mockup (Collaborating using Balsamiq) vxVistA.org—O’Reilly OSCON 7-22-2010

  13. vxVistA-OS Module Page Mock-up vxVistA.org—O’Reilly OSCON 7-22-2010

  14. Workflow Diagram drawing tool (Gliffy) vxVistA.org—O’Reilly OSCON 7-22-2010

  15. vxVistA and vxVistA.org released on January 2010 Visits came from 84 countries/territories vxVistA.org—O’Reilly OSCON 7-22-2010

  16. Current Confluence content vxVistA.org—O’Reilly OSCON 7-22-2010

  17. The first two quarters (Q1 & Q2 2010) vxVistA.org—O’Reilly OSCON 7-22-2010

  18. Community Projects… • Collaborate • Innovate • Share with other Projects/Community • “Intranet” for Project Specific Work that is not “Public” vxVistA.org—O’Reilly OSCON 7-22-2010

  19. The vxVistA Enhancement Process vxVistA.org—O’Reilly OSCON 7-22-2010

  20. Brief Demonstration of vxVisA.org… vxVistA.org—O’Reilly OSCON 7-22-2010

  21. Looking Ahead… The introduction of open source development in the EHR arena will change the way healthcare is delivered in the U.S. The vxVistA-OS EHR willimprove the quality of care by eliminating the need for providers to spend exorbitant amounts of money on software licenses. Instead, the money can be invested funds in skilled personnel for a safe and successful implementation, used to fund needed work to make data exchange better and easier, used to develop better treatments with real research behind the science across large pools of patients that will directly result in better patient care and enable sites to manage their records and their facility with one of the most robust and reliable systems on the market. vxVistA.org—O’Reilly OSCON 7-22-2010

  22. Collaboration Environment Roadmap Technical Interaction Atlassian Collaboration Tools Low Jan 10 Social (non technical) Collaboration Phase 1 A Users / Developers Collaboration Phase 1 B Q3 2010 Issues/Bug Tracking / Agile Project Management Phase 1 C Q4+ 2010 Phase 2 Source Code tracking Q4+ 2010 Peer Code Review Phase 3 Q1+ 2011 Continuous Integration / Software Version Control Phase 4+ High 2010 2011+ vxVistA.org—O’Reilly OSCON 7-22-2010

  23. 2G – JIRA, GreenHopper and Tempo Agile Project Management Issues Management Time Tracking JIRA provides issue tracking and project tracking for software development teams to improve code quality and the speed of development. GreenHopper adds agile project management to any JIRA project. Whether you are a certified Scrum Master or just getting started with agile concepts, GreenHopper is the perfect tool for managing your backlog, planning sprints and tracking your team through the entire release process Tempo updates Atlassian's popular JIRA platform with support for billing and salary administration with sophisticated time-tracking and cost reporting capabilities.  vxVistA.org—O’Reilly OSCON 7-22-2010

  24. 2G – Balsamiq, Gliffy and TaskDock GUI Mockups Task Management Graphic Diagrams Elegantly extend JIRA into Confluence with the TaskDock JIRA integration. When creating a TaskDock task in Confluence easily add it to a specific JIRA project and fix version. JIRA users now have one queue for tasks across both systems. Both tasks are synced so when it is completed or re-opened in one system it updates in both. Using Balsamiq Mockups feels like you are drawing, but it's digital, so you can tweak and rearrange controls easily, and the end result is much cleaner. Teams can come up with a design and iterate over it in real-time in the course of a meeting.  With Gliffy online diagram software, you can easily create professional-quality flowcharts, diagrams, floor plans, technical drawings, and more. Our online diagram editor makes it easier than ever to create great looking drawings.  vxVistA.org—O’Reilly OSCON 7-22-2010

  25. vxVistA.org – Second Generation Launch Week – August 2 – 6, 2010 vxVistA.org—O’Reilly OSCON 7-22-2010

  26. DSS, Inc. and Open Health Tools are sponsoring this website because we strongly believe that it takes a committed and involved community for open source software to be a success. We hope that you will take us up on our invitation, visit the website, provide feedback on what you like and don’t like and ultimately become part of the vxVistA.org community… Links to Learn More… vxVistA-OS web link: www.vxVistA.org DSS web link: www.dssinc.com OHT web link: www.openhealthtools.org Eclipse web link: www.eclipse.org vxVistA.org—O’Reilly OSCON 7-22-2010

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