Global Health and health Informatics: Serving the underserved Paul Biondich, MD MS Regenstrief...
-
Upload
emanuel-goley -
Category
Documents
-
view
227 -
download
0
Transcript of Global Health and health Informatics: Serving the underserved Paul Biondich, MD MS Regenstrief...
Global Health and health Informatics: Serving the
underservedPaul Biondich, MD MS
Regenstrief Institute & OpenMRS
Why Global Health?Global Health: health of populations in global context... transcends the perspectives and concerns of individual countries
Most interested in worldwide health improvement through reduction of disparities
These two primary motivations push global health practitioners towards:
the poor and underserved on a global scale
health problems that cut across national borders
collaboration (as global problems need global solutions)
Global Health InformaticsResource poor healthcare settings:
higher volumes
higher acuity of illness
poor care facilities (infrastructure, workflows, etc)
Amplifies caregiver’s inherent limitations as data processors
Simple HIT tools arguably have greater opportunity to
improve healthcare quality
facilitate task shifting down to the less trained
Pressure on a system encourages disruptive innovations
Massive shortage of critical thinkers in this space
The Community
Mission Statement
``The mission of OpenMRS is to improve health care delivery in resource-constrained environments by coordinating a global community that creates a robust, scalable, user-driven open-source medical record system platform.``
6Regenstrief Institute, Inc.
OpenMRS - API
•Three code layers
•Database Layer
•Service Layer
•Presentation Layer
•Hibernate, Spring, AJAX
Thanks!
values
User-Centered:
Design decisions are driven by real, not perceived needs
Our software works in the most challenging health care delivery environments
We create a platform that is adaptable to the unique needs of our users around the world
VALUES
Open
We are open, honest and transparent in both our processes and software
Our software serves as a platform that empowers users and implementers to innovate
We publicly document and actively share our knowledge, skills, experiences, and failures
VALUES
Community-Driven
We believe the best ideas come from people with different backgrounds and talents, and we create a community where these people can come together and create
We believe in harnessing the wisdom of our software development community by creating a safe place to raise concerns, discuss failures, improve existing ideas and solve problems.
Medical Record Keeping
in Eldoret circa 2004
Patients in AMRS0 56250 112500 168750 225000
2006
2007
2008
2009
1/2 2010
Per Year Cumulative
208,360 as of 5/18/10
encounters in AMRS0 625000 1250000 1875000 2500000
2006
2007
2008
2009
1/2 2010
Per Year Cumulative
2,187,368 as of 5/18/10
Observations in AMRS0 17500000 35000000 52500000 70000000
2006
2007
2008
2009
1/2 2010
Per Year Cumulative
~66.6 million as of
5/18/10
10 1649
95
189
258
0
50
100
150
200
250
300
Total Developer`s List Active Subscribers (by Year)
96: number offaculty / staff
in RG Informatics
0
4581
137
218
273
0
50
100
150
200
250
300
Total Implementer`s List Active Subscribers (by Year)
OpenMRS Mailing List Posts: 10,346
OpenMRS Wiki (as of 5/18/2010):
Total # of accounts: 2,021Total # of Wiki Pages: 3,576Total # of Page Edits: 17,260Total # of Page Views: 3,215,466
OpenMRS Web Forum: 549 users
Total Forum Posts: 1,947
Other Community Statistics
Recent ActivityGrowing the organization
More discrete roles and responsibilities
Growing leadership, structure
Complete overhaul of online presence
Formation of 501(c)3
Improving the API
Performance release forthcoming
Web services
Overhaul of User Interface Layer
Continuing to Improve Communication Techniques