Join us for the 2017 OSEHRA Open Source Summit! summit.osehra.org Succeeding with the New Federal Open Source Policy Conference Sponsor June 13-15, 2017: Bethesda North Marriott Hotel & Conference Center, MD summit.osehra.org

3:00 PM, EST

Welcome to the OSEHRA Innovation Webinar Don Hewitt Vice President, Business Operations OSEHRA hewittd@osehra.org Ramina Toy Program Manager toyr@osehra.org Ira Sachs BITS Analysis Lead irstsa@gmail.com Overview of VA Open Source Electronic Health Record Contract

Open Source Technical Support and Working Group Services for VA VistA Contract March 21, 2017

Key Goals Advance community understanding and establish collaborative exploration of VA requirements Provide a visualization toolset to assist the community in understanding current VistA structure and interfaces Identify relevant candidate open source software and products for intake by VA “Tee up” these candidates for intake through analysis, prioritization, and certification

Impressions After Year 1 Intake is hard EPIP still oriented to support standardization Larger items require funding for testing and sustainment No real process for bug fixes (yet) Genuine support from both VHA and EPIP Turbulence as VA grapples with future strategy First year successful in establishing identification and prioritization process Year 2 will demonstrate real value of contract

Identifying Candidates for VA Intake Open Source Software Repositories VHA Designated Items VA Class III Code CBA Package for Quarterly Review VA EPIP Open Source Search Analysis Intake Recommendations QUARTERLY IPR Intake Certification Technical Working Groups OIT PD

VHA Requirements Policy VHA Policy to share unfilled requirements with the community Designates OSEHRA website as the official external repository for these requirements Currently exploring possibility of using ViViaN™ display these requirements Would use VA’s Business Function Framework as the organizing structure FedBizOpps announcement scheduled this week Working as quickly as we can! Looking to go live in late April or May

Analysis and Deliverables

Quarterly Cycle Overview Technical Working Groups Elaborate, Refine, and Prioritize Needs; OSS Research Recurring Quarterly Cycle Gap Analysis Open Source Software Selection Criteria SWOT Analyses Prioritization Description Document CBA Package for Quarterly Review Features Boundary Conditions Identified Gaps Code Maturity Quantitative Selection Metric Proposed Candidate Summaries Analysis of Alternatives Risk Analysis Recommendations SWOT Analysis Gap Analysis Selection Criteria Prioritization Description Document

Results - Contract Year 1 14 candidates recommended for intake 3 additional candidate recommendations on hold pending additional information Recommended candidates are in various stages of the intake process Additional OSS candidates remain for CY 2 analysis; new candidates will be identified through additional research 1 new certification, 4 previously certified 2 Technical Working Groups (TWG’s) initiated X Already Certified

Current Priority & Status Candidate Priority Origin Complex Orders “Then” Conjunction (OSEHRA Level 2™ Certification)  1 DSS, Inc Maternity Tracker* 2 VACI XU Digital Signature (OSEHRA Level 4™ Certification) 3 OSEHRA Staff RAPTOR* 4 Enhanced Problem List 5 DSS, Inc. Appointment Postcard Notification v4.0 (OSEHRA Level 2™ Certification) 6 VHA Class 3 Veteran Appointment Notification System (VANS) 7 On-the-Fly Alerts  8 *In Certification

Complex Orders “Then” Conjunction Certification completed to OSEHRA Certification Level 2™ Addresses a known problem in VistA Pharmacy Take this medication, THEN take that medication Working with VHA and OIT Sustainment to establish a new path Take bug fixes directly to sustainment rather than go through EPIP

Certification Queue Maternity Tracker RAPTOR Conducting initial peer review RAPTOR On hold pending change to updated namespace

OSS Intake Path Flowchart (Hold)

Distribution of OSS Candidates Identified and Analyzed Analyzed in CBA (By Category) 28 Candidates Analyzed Recommended for Intake (By Category) 14 Candidates Recommended Full Candidate List 232 Candidates Total

The Path Forward

Lessons Learned Need to focus on candidates that can be taken in most rapidly Items that require new funding have a multi-year time horizon Licensing Issues VA Innovations Licensing Guide Intake can be more rapid if business owners “Champion” intake efforts

“Portfolio Management” Strategy Continue to promote qualified candidates of all sizes Shift short term priority to bug fixes and small implementation opportunities Should be faster and easier for VA to intake Currently acquiring Bug List from VA Will communicate to the community to allow the community to help remediate bugs

Technical Working Groups (TWGs)

Technical Working Groups Designed to provide collaborative venues that combine VA and other community members Modeled after existing OSEHRA Groups, and fully integrated into group ecosystem

Federal Open Source Policy TWG Status Group Co-Chairs On-Going VistA Security (Private) VA: Terry Luedtke VA Community: Mike Henderson Pharmacy VA: Amy Colón Community: Sam Habiel Anticipated eHMP VA: Fred Mingo Community: Roger Foster Federal Open Source Policy TBD

Opportunities for Community Input on OSEHRA Website

How Can You Help? Suggestions for candidate software Feedback on posted documents Submission of code to OSEHRA Repository Participation in Certification Process Code and documentation review Certification calls Interested in candidate code? Code for all the candidates are available… Success is dependent upon community participation and collaboration!

Questions?

Join us for the 2017 OSEHRA Open Source Summit! summit.osehra.org Succeeding with the New Federal Open Source Policy Conference Sponsor June 13-15, 2017: Bethesda North Marriott Hotel & Conference Center, MD summit.osehra.org

Thank You for Attending the OSEHRA Innovation Webinar! Join us for the April 18th Webinar: TBD