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WorldVistA - PowerPoint PPT Presentation

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WorldVistA

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  1. WorldVistA • Nonprofit, 501(c)(3) public-benefit corporation • Seeks to improve health worldwide by making medical software more accessible, more affordable, and better. • Members include • Developers working, or who used to work, for U.S. DVA • OpenVistA end-users • Other organizations members or representatives • Promote VistA Open-Source • Future development coordination • Including “localization” and “internationalization”… • Change management & licensing • Inter-institutional arrangements and coordination • End-User and Developer Education & Training

  2. WorldVistA Profile • WorldVistA's mission is to improve health worldwide by making medical software better and cheaper • Focus on VistA: affordable, effective, well-integrated electronic health information technology • A rapidly growing community • 100+ members • 20% increase per meeting for last three years • Daily electronic discussions • Weekly conference calls • International participation: UK, Malaysia, India, Mexico, etc. • Doctors, vendors, coders, organizations large and small

  3. David Whitten • Medical Information Systems since 1981 • Logic and Ontology Experience since 1989 • Unofficial, Unauthorized Cyc FAQ 1994 • Co-founder, Treasurer WorldVistA 2002 • M Development Committee • 12+ years Department Veterans Affairs

  4. Strategic Challenges • Medical Care Crisis • Expense: % of GNP and Increasing Ranks of Uninsured • Error: Injury and Mortality • Software Crisis • Relative Expense: Shift in Costs from Hardware to Software • Absolute Expense: Success Breeds Failure – Complexity • CHAOS Study: Examples & Patterns, but Not Understanding • Medical Informatics Crisis • ACPE Survey: Most Backward Sector of U.S. Economy • Exception: VistA, but No Good Explanation

  5. WorldVistA's Insights • Quality Initiatives need a “net effect” - the network is the system • Product orientation is a paradigm trap • We are deploying a process not a product • Product is just the enabler • Acculturation as well as technical education is needed • Software improvement must be • evidence-based • user-driven • continuous • Evaluation and certification ensure high-quality