overview of moorfields' open eyes development to date and moorfields' approach to open...
TRANSCRIPT
OpenEyes
G W Aylward!Moorfields Eye Hospital
The problem
• Patient care!
• Outcomes!
• Research!
• Teaching
The Solution
Entry of structured data by front line clinicians in
real time
Software development
Specify Code
Specify Code
Clinicians want to be digital
‘Clinical systems’
• Moorfields 18 (+ 50)!
• Leeds: 320!
• St Thomas’: 760!
• GOS: 500!
• Manchester: 783
OpenEyes
• Web application!
• Open Source!
• Clinically led!
• Flexible!
• Modular
Timelines
2010 Project planning
2011 Dev team start (one developer)
2012 Launch (0.9)
2014 1.6 (Cataract, MR, glaucoma)
Usage
Bookings 100%
Correspondence 100%
Prescriptions 60%
Operation notes 80%
Outpatient clinic 25% - 80%
Development Process
• Form Group
Process
• Form Group!
• Create written specification (What and How)
Process
• Form Group!
• Create written specification!
• Turn into web ‘elements’
Process
• Form Group!
• Create written specification!
• Turn into web ‘elements’!
• Discuss!
Process
• Form Group!
• Create written specification!
• Turn into web ‘elements’!
• Discuss!!
• Pilot
Clinical engagement
• > 70 Ophthalmologists nationwide
What is Open Source?
• Source code published (downloadable)!
• Can be modified!
• No licence fee for use
Why Open Source?
Notes Diagnoses Procedures
100%10
0%0
Clicks Diagnoses
Open source upsides
• Good fit for clinicians
Clinical development
Clinician has idea
Improved resultsTries it out
Publishes it Others modify it
Engagement“Keith, please can you give us your time
and ideas to improve our software?”
Will Moorfields earn money from my work?
Will I be helping Bill Aylward buy a bigger boat?
Will I be able to use what I work on?
Open source upsides
• Good fit for clinicians!
• Speed and flexibility
Collaboration
Open source upsides
• Good fit for clinicians!
• Speed and flexibility!
• Low(er) cost
Open source downsides
• Culture
Open source downsides
• Culture!
• Control
Moorfields
Cardiff
Maidstone
Open source downsides
• Culture!
• Control!
• Sustainability
Conclusions
• OpenEyes is a novel approach to health informatics!
• Open source approach encourages clinical engagement, and should have a significant role in Healthcare environment
TourSubject Location Host
OE in the clinic CTC Tim Elliott
Development Dev office Jamie Neil
OE in theatres Theatre officeBrian Little/
Seema Verma
Infrastructure Server room Steve Gill