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

2. 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.”

3. 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

4. Cathedral and Bazaar

5. 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

6. 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?

7. 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?

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

9. 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.

10. 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