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

www.vxvista.orgvxJourney – vxVistA Webinars – Sponsored by DSS, Inc.

www.vxvista.org

www.vxvista.orgwww.vxvista.org

vxVistA.org Community Collaboration Web Portal Uses Atlassian Open Source Web Tools to Deploy vxVistA-OS EHR

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

www.vxvista.org

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

www.vxvista.org

What is the difference between FOIA VistA & vxVistA-OS?

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

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


www.vxvista.org

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.


www.vxvista.org

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


www.vxvista.org

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!


www.vxvista.org

Open Source Plug-ins

• Analytics Plugin for Confluence — David Simpson • Atlassian Universal Plugin Manager — Atlassian • Table Plugin — Bob Swift • Autowatch Plugin — 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 • Tagcumulus plugin — Herman de Boer • Widget Connector — Atlassian


www.vxvista.org

Open Source Plug-Ins

www.vxvista.org

Target Audience – A new challenge

vxVistA.org Users Activity Tool

Individuals/Researchers Looking for improvements on healthcare services, best

practices, information about EHRs/Jobs/Data sharing

Confluence WikiAdaptavist Community

Bubbles

Healthcare professionals Evaluating EHRs or who

use vxVistA-OS

Recommending new modules, workflows or GUI

Mockups

ConfluenceGliffy Diagrams

Balsamiq MockupJIRA

Software Developers Tracking bugs and implementing Agile Project

Management

JIRA + GreenHopperCrucible - FishEye

Product ManagersQA Specialists

Requirements and Quality Assurance Scripts

Confluence JIRA

Project Managers Task Assignments, Workflow development, Issue tracking

TaskDocs, ad hoc WorkflowsJIRA+ GreenHopper

Implementation Specialists

Implementation Strategies, Issues tracking,

Documentation Library, Add-ons

JIRA – TaskDockadhocWorkflows

Confluence

Interaction diversity – (low and high technical interaction in the same environment)


www.vxvista.org

People

Area of Interest

PressRoom

MediaLibrary

LearningCampus

Community

Developers

vxVistA

vxVistA.org

Phase I• Collaboration Environment• Resource Pool• GUI Mockups examples• Workflow Diagrams examples• Issues and Bug Tracking• Agile Project Management• vxVistA You Tube Channel

Our building process - Structure

Initial Structure -> FreeMindMockups -> BalsamiqStaging Site -> ContegixInitial Theme Development -> CustomWareGraphic Design & Animations -> Kainoway - ArgentinaContinuous development -> DSS vxVistA Team & OS Community

Banner

Navigation menu

Spotlight Section

News News

Site Navigation – Categories and Sections

Recently Updated

Ads Ads

During the construction of the site, we received collaboration from experts residing in USA, Australia, Canada, Argentina, Italy and Netherlands


www.vxvista.org

Home Page Mockup (Collaborating using Balsamiq)


www.vxvista.org

vxVistA-OS Module Page Mock-up


www.vxvista.org

Workflow Diagram drawing tool (Gliffy)


www.vxvista.org

vxVistA and vxVistA.org released on January 2010

Visits came from 84 countries/territories


www.vxvista.org

Current Confluence content


www.vxvista.org

The first two quarters (Q1 & Q2 2010)


www.vxvista.org

Community Projects…

•Collaborate

•Innovate

•Share with other Projects/Community

•“Intranet” for Project Specific Work that is not “Public”


www.vxvista.org

The vxVistA Enhancement Process


www.vxvista.org

Brief Demonstration of vxVisA.org…


www.vxvista.org

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 will improve 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.

Looking Ahead…


www.vxvista.org

Collaboration Environment Roadmap

Social (non technical) Collaboration

Users / Developers Collaboration

Issues/Bug Tracking / Agile Project Management

Source Code tracking

Peer Code Review

Continuous Integration / Software Version Control

Technical Interaction

Low

High

Phase 1 A

Phase 1 B

Phase 1 C

AtlassianCollaboration

ToolsJan 10

Q3 2010

Q4+ 2010

Q4+ 2010

Q1+ 2011

Phase 2

Phase 3

Phase 4+

2010 2011+


www.vxvista.org

2G – JIRA, GreenHopper and Tempo

Issues ManagementAgile Project 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.


www.vxvista.org

2G – Balsamiq, Gliffy and TaskDock

GUI Mockups

Graphic Diagrams

Task Management

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.

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.

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.


www.vxvista.org

vxVistA.org – Second Generation

Launch Week – August 2 – 6, 2010


www.vxvista.org

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…

vxVistA-OS web link: www.vxVistA.orgDSS web link: www.dssinc.comOHT web link: www.openhealthtools.orgEclipse web link: www.eclipse.org

Links to Learn More…


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

Documents

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