OSEHRA Open Adoption Model Promoting an OSS VistA Healthcare Platform Prepared for OSEHRA AWG by Edward Ost 11/29/2018

OSEHRA Conference – Stephen Warren “Proprietary Innovation versus OSS Innovation” “More than just taking out but putting in” “VA has a preference for working with open source software solutions and open source communities” “When that new contract [T4] is in place, it will have an OSS requirement on it.”

Moving from OSS License to OSS Culture OSS license does not necessarily imply community driven How to promote and accelerate community driven ingest of code by the VA? Evolve from VA centric publishing to community driven development

Cathedral and Bazaar

Principles What is the scope of OSEHRA stakeholders? VA infrastructure Broader healthcare network(s) supporting veterans What is the scope of OSEHRA? Platform Product Community-driven versus a community of consumers? Self-governed Dependent on government

Community-Driven What structures encourage a culture of community? What structures are necessary to provide a path to active community participation in creating code? What structures enable collaboration between community members?

VistA Stewardship What role(s) should the VA have wrt VistA Consumer Contributor Publisher Steward Does the VA 800 lb gorilla skew the balance of the OSEHRA community? Where should the center-of-gravity of the community be, VA or OSEHRA? Should there be a change in scope or charter of OSEHRA wrt VA and VistA stewardship?

What can we learn from other OSS Communities? Apache OpenStack Linux

Open Adoption Model Open Reference Architecture OSS Reference Implementation API Management How can we apply this in a community-driven way to OSEHRA and VistA in a manner in which establishes an open market rather than a closed Cathedral.

Community Technical Enablers Standards based Service oriented Test Driven contracts Devops infrastructure-as-code Decentralized SCM (Github) These enablers allows the community to collaborate technically to drive innovation from the bottom-up rather than the top-down Provides a more scalable crowd-sourcing innovation model