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Future of Open Source Survey Results


North Bridge and Black Duck Software just published the Future of Open Source 10th Anniversary Survey Results – an activity that OSEHRA participated in.

Some key insights from this year’s study (Excerpted from the study):

  • Open Source Is The Modern Architecture. Open Source is the foundation now for nearly all applications, operating systems, cloud computing, databases, big data and more. Open Source development has gone from the exception to the rule.
  • Open Source IS the Engine of Innovation. Open Source is driving business because it facilitates faster, more agile development. This translates into quicker builds, accelerate time to market and vastly superior interoperability.
  • There is a new generation of companies and business models emerging. Respondents report that in the next two or three years, the business models that will generate the most revenue for open source vendors are SaaS (46%), Custom Development (42%), and Services/Support (41%).
  • Challenges remain: Open Source security and management practices have not kept pace with rapid adoption. In the wake of high profile breaches, there is likely to be more emphasis on security.
  • Participation and contribution will secure the future of open source. Investing in the open source community spurs innovation, delivers exponential value and most of all, it’s fun.

For more information, see the slide show –

Post from OSEHRA Team

See full post:

Open Source Health Collaborates with OpenEMR on Cloud-based Integrative Health Platform

Open Source Health

Toronto, Ontario, Canada / ACCESSWIRE / December 11, 2014 / Open Source Health Inc. (CSE:OSH), a cloud based integrative healthcare platform that puts control in the hands of women to educate, advocate and collaborate on their own healthcare is pleased to announce it has entered into an agreement with Medical Information Integration LLC, of Portland, Oregon, USA to add Open Source Health’s technology for Integrative and Preventive medicine to their advanced openEMR platform making it the first of its kind globally. This will allow the thousands of clinics and practitioners serving millions of patients in over 200 countries to expand their practice from disease management to Integrative and Preventive Medicine.

More …


Meaningul Use Flex-IT and Hardship Exemptions

Is case you hadn’t heard ….

Flex-IT Act – For those not familiar with this act, it would change the attestation period for meaningful use stage 2 from 365 days to only 90 days. This act is being backed by some very strong healthcare organizations including a call from the AMA, CHIME, HIMSS, and MGMA to make this change. As is noted by these organizations, very few hospitals have attested to meaningful use stage 2 and only 2 percent of eligible providers have attested to meaningful use stage 2 so far (they do have until the end of February).

If the meaningful use stage 2 numbers continue on this trend, CMS will need to do something or risk having the program be labeled a failure. It’s hard to predict what will happen (or not happen) in Washington, but the pressure to change the meaningful use stage 2 reporting periods to 90 days is growing. Poor meaningful use stage 2 attestation numbers could very well push this issue over the edge.

EHR Penalty Hardship Exemption – In case you missed it, CMS reopened the meaningful use hardship exception period. Originally you had to file for a meaningful use hardship exception by July 1, 2014, but you now have until November 30, 2014 to apply for an exception. This is a big deal for those who likely didn’t know they’d need an exception for meaningful use.

While this exception is related to the EHR certification flexibility (ie. your EHR vendor software isn’t ready for you to implement and attest), many have wondered if we won’t see more ways for organizations to avoid the coming meaningful use penalties. These prognosticators suggest that if meaningful use stage 2 numbers continue to be as awful as what’s described above, it’s possible that the government will provide some relief from the meaningful use penalties. As of now, the meaningful use penalties are coming, so you better be prepared.

Exerpted from:

Peace Corps OpenEMR Project Starts Now!

Medical Information Integration. LLC and Ensoftek, LLC are poised to start long awaited Peace Corps OpenEMR integration and deployment project.  We have an incredible team between the two primary companies and we will keep the community updated on the progress.  This project will, over the next two years, deploy OpenEMR to every Peace Corps post in the world.



Ignite Health – Changing the Health Care IT Model with Open Source


Tony has been invited to speak at Technology Association of Oregon’s Ignite Health!

Open Source solutions for the health care IT industry are leaping into the fore front these days. With several major solutions that are ONC certified, big data analysis tools appearing, and efforts like OSHERA (US government push to make VisTa open, OpenHIE and Peace Corp’s adoption of OpenEMR for world wide deployment it’s time to pay attention. This presentation with touch on the hot projects and topics around this FOSS in HIT.

The Technology Association of Oregon, in partnership with HiMSS Oregon, invite you to attend Portland’s first Ignite Health on Thursday September 19th.

Ignite Health is an assembly of 18 creative thinkers to present, in no more than 5 minutes, an idea that could change the face of health and wellness as we know it. Each presenter has 5 minutes and 20 slides to share their idea to the Portland community.


Crowd Funding Proposal for OpenEMR e-Signing


Proposal to provide a standardized class library and implementation reference for electronically signing and locking medical records in OpenEMR.  Other types of records that could use this functionality as well.

What is needed to flesh it out and provide a sample form implemented using the tool.

  • Forms are free to be modified as currently implemented until “signed”.
  • When Signed, a SHA1 hash code (or similar) of the content and a revision number is incremented. The signature is marked in a signature tracking table and form is locked and can no longer be modified after this.
  • Ability to verify the hash code of a form would be provided as an Admin feature
  • A user can add an addendum(s) to a signed form, which can also be Save/Signed like above.
  • Possibly provide a model that would allow you to sign a form from “outside” by picking the form from a list of unsigned forms, instead of having to add e-signing code to the form itself
  • Possibly include the ability to save an individual form as a PDF and attach it as a static “document” in the document tree of the patient.   That would provide as sort of belt and suspenders approach to “locking” a document when approved/signed.

This project is partially completed already and is sorely needed and frequently requested.   The base class library is flexible enough to allow for future enhancements that would allow any record in the system to be signed, not just ‘forms’ or medical notes.

We are trying out a newly launched crowd funding site, CatInCan, it’s easy to set up and support has been good.

Business Update Spring 2013

Growing our business with new hosting environment, & workflow tools Code Assist and NewCrop eRx!

It’s been a busy and exciting quarter! The business is growing rapidly and with it the challenges to our business in keeping up with demand. We continue to balance our team so that we can continue to provide excellent support and hosting services. Last year we started to reach the capacity of our primary hosting environment in the state of Oregon, so we started looking at our upgrade options and worked on developing a path with the least impact to our customers.  I am happy to announce the we have fully brought a new facility location online in the state of Texas.  This site provides us with a third geographically dispersed environment for secure, HIPAA-compliant hosting MI-Squared OpenEMR clinics, business customers and other services.

We have also been working to respond to demands in the marketplace for a simplified way of adopting OpenEMR. We expect to offer some new options and bundles for our MI-Squared OpenEMR software-as-a-service offering, and we will be announcing the availability of these exciting new features sometime soon. The Mi-Squared base offering, starting in April, will include NewCrop eRx for one provider, our billing and diagnosis research tool called CodeAssist, and our brand new integrated e-Fax send and receiving module dubbed Fax’inOut. A couple of things that are possibly even cooler, are the IPad-based Mobile application from our new mobile partner MedMaster Mobility, and our very exciting Advance Report Designer, which will become our standard reporting engine, and allow end user to create ad-hoc reports that can be saved and scheduled.

Outside of the OpenEMR box, our business has a long history of working with some excellent customers on projects to create highly customized products that start with OpenEMR as their foundation. One of the most exciting specialties being targeted for extended OpenEMR capability is the behavioral health field, with platform improvements to address needs in the area of mental health crisis management.  The new features even include councilor dispatching and patient transition. For almost a year, we have been working closely with a large Home Health Care provider in California to create a tool for complete management of that business.  Finally, stay tuned because we are about to release several new specialty targeted editions of OpenEMR, including Ophthalmology, Podiatry, Pediatrics and Allergy.

Thanks again for reading, and we look forward to continuing to make health IT more accessible in the healthcare marketplace.

Keeping the Open Source Way ….

–Tony, CTO of MI-Squared