1. Global Health and health Informatics: Serving the underserved Paul Biondich, MD MS Regenstrief Institute & OpenMRS

2. Why Global Health? Global Health: health of populations in global context... transcends the perspectives and concerns of individual countries Most interested in worldwide health improvement through reduction of disparities These two primary motivations push global health practitioners towards: the poor and underserved on a global scale health problems that cut across national borders collaboration (as global problems need global solutions)

3. Global Health Informatics Resource poor healthcare settings: higher volumes higher acuity of illness poor care facilities (infrastructure, workflows, etc) Amplifies caregiver’s inherent limitations as data processors Simple HIT tools arguably have greater opportunity to improve healthcare quality facilitate task shifting down to the less trained Pressure on a system encourages disruptive innovations Massive shortage of critical thinkers in this space

4. The Community

5. Mission Statement ``The mission of OpenMRS is to improve health care delivery in resource-constrained environments by coordinating a global community that creates a robust, scalable, user- driven open-source medical record system platform.``

6. 6 Regenstrief Institute, Inc.

7. OpenMRS - API Three code layers Database Layer Service Layer Presentation Layer Hibernate, Spring, AJAX

9. Thanks!

10. values User-Centered: Design decisions are driven by real, not perceived needs Our software works in the most challenging health care delivery environments We create a platform that is adaptable to the unique needs of our users around the world

11. VALUES Open We are open, honest and transparent in both our processes and software Our software serves as a platform that empowers users and implementers to innovate We publicly document and actively share our knowledge, skills, experiences, and failures

12. VALUES Community-Driven We believe the best ideas come from people with different backgrounds and talents, and we create a community where these people can come together and create We believe in harnessing the wisdom of our software development community by creating a safe place to raise concerns, discuss failures, improve existing ideas and solve problems.

14. Medical Record Keeping in Eldoret circa 2004

15. Patients in AMRS 208,360 as of 5/18/10

16. encounters in AMRS 2,187,368 as of 5/18/10

17. Observations in AMRS ~66.6 million as of 5/18/10

18. Total Developer`s List Active Subscribers (by Year) 96: number of faculty / staff in RG Informatics

19. Total Implementer`s List Active Subscribers (by Year)

20. OpenMRS Mailing List Posts: 10,346 OpenMRS Wiki (as of 5/18/2010): Total # of accounts: 2,021 Total # of Wiki Pages: 3,576 Total # of Page Edits: 17,260 Total # of Page Views: 3,215,466 OpenMRS Web Forum: 549 users Total Forum Posts: 1,947 Other Community Statistics

21. Recent Activity Growing the organization More discrete roles and responsibilities Growing leadership, structure Complete overhaul of online presence Formation of 501(c)3 Improving the API Performance release forthcoming Web services Overhaul of User Interface Layer Continuing to Improve Communication Techniques