Predictions for 2017 are everywhere this time of year, and it is no wonder. There are so many technological advances, in health care and elsewhere, and a seemingly endless appetite for them. We all want the latest and greatest gadgets, we all want the most modern treatments, we all have come to increasingly rely on technology, and we all -- mostly -- see an even brighter technological future ahead. Here's my meta-prediction: some of the predicted advances won't pan out, some will delight us -- and all will end up surprising us, for better or for worse. Like Father Time and entropy, the law of unintended consequences is ultimately undefeated...
Halamka's Advice to the Trump Administration
As I've listened to the confirmation hearings for cabinet nominees, I’ve realized that no one with healthcare IT expertise has yet been identified by the transition team. I continue to ask all my colleagues about any contact they’ve had with anyone advising the new administration - so far, no one has been asked anything by anyone related to healthcare IT. At this early time in the administration, it’s important to offer advice as to the priorities ahead for the next few years. What would I recommend to the new administration?
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Open Medical Records Community Supports New System In Mozambique
The southern African country of Mozambique suffers under the most extreme challenges for resource-poor countries: economic instability, political strife, civil unrest, corruption and crime, unreliable infrastructure (such as transportation and telecommunications), and a large-scale HIV epidemic that has yet to be declared under control...The nation has enormous need and opportunity for improving its healthcare system and the lives of its residents. In the face of their crisis, Mozambique is working to equip its medical clinics across the nation with an electronic medical records system (EMR). Mozambique believes an EMR can empower clinicians to give high-quality and consistent care to those most in need, while allowing the country to reap the insights of comprehensive reporting for responsive public health decision making...
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OSEHRA to Launch Workgroup to Develop Strategy for Open Health Community
Major developments in open source health information technology are opening all kinds of opportunities for the members of the OSEHRA community. These developments include the open source strategy embraced by the Centers for Medicare & Medicaid Services (CMS) to modernize the state Medicaid IT infrastructure, the rapid adoption of open source APIs, including Fast Healthcare Interoperability Resources (FHIR), and the emergence of blockchain technology and middleware solutions to fix the interoperability crisis.
- The Future Is Open
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Open Source and the Software Supply Chain
Grasping the nuances of hardware supply chains and their management is straightforward—you essentially are tracking moving boxes. Managing something as esoteric as resources for building software with a variety of contributions made by the open source community is more amorphic. When thinking about open source platforms and supply chains, I thought of the supply chain as a single process, taking existing open source components and producing a single result, namely a product. Since then, I’ve begun to realize that supply chain management defines much of the open source ecosystems today. That is, those who know how to manage and influence the supply chain have a competitive advantage over those who don’t do it as well, or even grasp what it is...
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7 Thoughts on the Importance and Future of Blockchain in RCM
Blockchain is being put forward as a new means to potentially help solve interoperability challenges in healthcare. Blockchain technology is a permanent log of online transactions or exchanges. It emerged in 2009 as the foundation for trading the digital currency bitcoin. The entire log is duplicated across a network of computers. Users interactions on the network can add to the record of transactions...
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7 Notable Legal Developments in Open Source in 2016
In 2012 the jury in the first Oracle v. Google trial found that Google's inclusion of Java core library APIs in Android infringed Oracle's copyright. The district court overturned the verdict, holding that the APIs as such were not copyrightable (either as individual method declarations or their "structure, sequence and organization" [SSO]). The Court of Appeals for the Federal Circuit, applying 9th Circuit law, reversed, holding that the "declaring code and the [SSO] of the 37 Java API packages are entitled to copyright protection." The U.S. Supreme Court declined to review the case, and in 2016 a closely watched second trial was held on Google's defense of fair use. In May 2016 the jury returned a unanimous verdict in favor of Google...
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2017 Prediction: Some "Oops" Ahead
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Halamka Sets Healthcare Innovation Priorities for 2017
As we begin 2017, what should be the focus of our work over the next year?... Regardless of the policies, repeals, and delays of the Trump administration, we’ll still need to optimize usability and support the four goals of value-based purchasing - quality measurement, total medical expense management, practice process improvement and technology adoption. BIDMC has already created a prototype of groupware documentation and we should complete our next generation inpatient documentation solution by mid 2017. Part of that work incorporates open source secure texting as part of the medical record. We’re also piloting Google’s G-suite so that our stakeholders can store/share, collaborate, and communicate on any device from anywhere using only a browser...
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Krampus Adopts One Free Software Tool for Each Month in 2017
Curious how Krampus is doing this year? Well, as the recently hired manager of Krampus's open source programs office, I'm excited to tell you that we have an ambitious plan to adopt one free software tool during each month of the coming year. Our story might be useful for other non-software-focused businesses (Krampus, Inc. doesn't currently produce any software) who are also are curious about open source alternatives and want to follow a similar path. To get you in the spirit, I've included all the links that made us feel like 12 months of free and open source software adoption is possible...
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Top 10 Linux News Stories of 2016
They grow up so quickly. It's hard to believe that 25 years ago Linus Torvalds announced to the comp.os.minix Usenet group that he was "doing a (free) operating system (just a hobby, won't be big and professional like gnu) for 386(486) AT clones." Since 1991, Linux has grown beyond even Torvalds' dreams. It's not a stretch to say that Linux is everywhere. Corporations large and small use Linux, and it powers computers, mobile devices, and connected hardware. Critical infrastructure relies on the stability and flexibility of Linux...
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