Please visit his blog at http://oscarcanadaes.blogspot.com and say hello.
Una gran bienvenida a nuestro nuevo OSCAR amigos y colegas en la Argentina.
Thursday, June 4, 2009
OSCAR - blog en español
The international OSCAR users have become a wonderful source of pride to the OSCAR community, and so it is with great joy that we can introduce you to the blog that's been created by Dr. Santiago Dejo, a family physician in Argentina.
Please visit his blog at http://oscarcanadaes.blogspot.com and say hello.
Una gran bienvenida a nuestro nuevo OSCAR amigos y colegas en la Argentina.
Please visit his blog at http://oscarcanadaes.blogspot.com and say hello.
Una gran bienvenida a nuestro nuevo OSCAR amigos y colegas en la Argentina.
Tuesday, June 2, 2009
New User Manual, New User Experience
OSCAR's latest user manual has gone online and has become much more interactive.
One benefit of an online manual is that Google Translate works on it.
If you would like to see the manual in Spanish for example, it is easy to make the switch:
Or perhaps OSCAR in French is more suitable for you:
We are looking for volunteers to contribute to the manual to make it even better.
If you would like to volunteer, please contact David Chan (dchan@mcmaster.ca) to get write access to the document.
One benefit of an online manual is that Google Translate works on it.
If you would like to see the manual in Spanish for example, it is easy to make the switch:
Or perhaps OSCAR in French is more suitable for you:
We are looking for volunteers to contribute to the manual to make it even better.
If you would like to volunteer, please contact David Chan (dchan@mcmaster.ca) to get write access to the document.
Tuesday, May 19, 2009
OSCAR Installers from 35 Countries
In the past month, people from 35 countries have taken a look at installing OSCAR.
Below is an ordered list identifying the top ten countries from where the interest has come from:
OSCAR continues to enhance support for international users by delivering support for Internationalization in the upcoming release.
If you rummage through the source, you will see that English, French, and Portuguese modules have already been crafted. Based on the number of global users downloading and installing OSCAR, we can only guess that support for additional languages is just a matter of time.
Below is an ordered list identifying the top ten countries from where the interest has come from:
OSCAR continues to enhance support for international users by delivering support for Internationalization in the upcoming release.
If you rummage through the source, you will see that English, French, and Portuguese modules have already been crafted. Based on the number of global users downloading and installing OSCAR, we can only guess that support for additional languages is just a matter of time.
OSCAR Grows 275% in British Columbia
We've been counting OSCAR users in British Columbia and what we've found was so exceptional that we had to check our math.
Over the last six months, the total number of known OSCAR users in British Columbia alone has jumped to 270!
This represents a 275% growth in the OSCAR user base so far this year.
Over the last six months, the total number of known OSCAR users in British Columbia alone has jumped to 270!
This represents a 275% growth in the OSCAR user base so far this year.
OSCAR Certifies OntarioMD CMS Spec 3.0
OSCAR Canada is very happy to announce that the OSCAR EMR is now OntarioMD CMS Spec 3.0 (conditionally) certified.
OSCAR is the only open source EMR in Canada that is certified by OntarioMD. Furthermore, no other OntarioMD certified EMR solution gives you complete and unfettered access to your data, the database that it is stored in, and the source code for the solution - now and forever.
As we've discussed before, CMS Spec 3.0 certification is a major achievement in the life of the OSCAR project.
OSCAR users can be very confident that their chosen EMR continues to advance technically and in conjunction with important public standards such as those being defined by OntarioMD.
OSCAR is the only open source EMR in Canada that is certified by OntarioMD. Furthermore, no other OntarioMD certified EMR solution gives you complete and unfettered access to your data, the database that it is stored in, and the source code for the solution - now and forever.
As we've discussed before, CMS Spec 3.0 certification is a major achievement in the life of the OSCAR project.
OSCAR users can be very confident that their chosen EMR continues to advance technically and in conjunction with important public standards such as those being defined by OntarioMD.
Tuesday, May 5, 2009
Preview: OSCAR 9.04
New Encounter window (click on it to see a larger image).
The upcoming OSCAR 9.04 has a number of new features, including time saving one-click-direct-billing-from-the-chart, and additional new CPP boxes.
Data Portability Is A Big Deal
Vendor lock-in. Dirty, despicable words. Vendor lock-down. Even worse words.
Let's say that you are writing your Master's thesis and right before you have to hand it in, your support agreement with Microsoft expires and you no longer have access to your work.
That would be bad. Very bad. So bad in fact that it doesn't happen. When you license Microsoft Office, the Microsoft Corporation can't lock you out of your stuff. After all, your work is your work.
Years after you've left university, you are practicing medicine and using the latest tools. Fantastic tools like the modern EMR.
Things in life change and perhaps you decide that you want to move to a new practice or adopt some new technology. Perhaps you are not moving, but your vendor has expired or is no longer responsive to your needs and you need move your medical records to a new system.
A lot of physicians are in this exact position today. Unfortunately, many of these physicians are having a crash course in the nuances of being, for the lack of a better word, screwed.
Before spending once minute inputing a single piece of valuable information into your EMR, ask yourself this:
Then, look in the system for the data export feature.
This is the data export window in OSCAR.
Click a couple buttons and take your information with you.
It is that easy.
Let's say that you are writing your Master's thesis and right before you have to hand it in, your support agreement with Microsoft expires and you no longer have access to your work.
That would be bad. Very bad. So bad in fact that it doesn't happen. When you license Microsoft Office, the Microsoft Corporation can't lock you out of your stuff. After all, your work is your work.
Years after you've left university, you are practicing medicine and using the latest tools. Fantastic tools like the modern EMR.
Things in life change and perhaps you decide that you want to move to a new practice or adopt some new technology. Perhaps you are not moving, but your vendor has expired or is no longer responsive to your needs and you need move your medical records to a new system.
A lot of physicians are in this exact position today. Unfortunately, many of these physicians are having a crash course in the nuances of being, for the lack of a better word, screwed.
Before spending once minute inputing a single piece of valuable information into your EMR, ask yourself this:
Is my relationship with this vendor going to last FOREVER?
Then, look in the system for the data export feature.
This is the data export window in OSCAR.
Click a couple buttons and take your information with you.
It is that easy.
Friday, May 1, 2009
Has OSCAR Become the #2 EMR in Ontario?
We know that OSCAR is the #1 open source EMR in Canada, but how does it compare to the proprietary vendors as far as market share?
Most proprietary EMR solutions are extraordinarily expensive to operate. To encourage EMR usage, provincial governments across Canada have developed programs to fund doctors as they transition to electronic records. Because the governments are paying the bills, they have a pretty good idea of EMR market share.
Recently the Ontario government published EMR market share statistics, current for March 2009, in Ontario.
The unfortunate part of these statistics is that OntarioMD only counts the doctors that have been funded by the government, and not the actual number of doctors using an EMR.
OSCAR users have recently been counting themselves to get a sense of how large our community is. Our current understanding is that there are 438 physicians using OSCAR in Ontario.
Further analysis of the data leads to an interesting conclusion - OSCAR may now be the EMR in Ontario with the 2nd largest market share, when measured by the actual number of physicians using an EMR.
By updating the OntarioMD statistics, and swapping out funded physicians with just physicians, we find that OSCAR is catapulted into 2nd position, when measuring market share.
Most proprietary EMR solutions are extraordinarily expensive to operate. To encourage EMR usage, provincial governments across Canada have developed programs to fund doctors as they transition to electronic records. Because the governments are paying the bills, they have a pretty good idea of EMR market share.
Recently the Ontario government published EMR market share statistics, current for March 2009, in Ontario.
The unfortunate part of these statistics is that OntarioMD only counts the doctors that have been funded by the government, and not the actual number of doctors using an EMR.
OSCAR users have recently been counting themselves to get a sense of how large our community is. Our current understanding is that there are 438 physicians using OSCAR in Ontario.
Further analysis of the data leads to an interesting conclusion - OSCAR may now be the EMR in Ontario with the 2nd largest market share, when measured by the actual number of physicians using an EMR.
By updating the OntarioMD statistics, and swapping out funded physicians with just physicians, we find that OSCAR is catapulted into 2nd position, when measuring market share.
Thursday, April 23, 2009
OSCAR Fundraising Update
From the every tireless Dr. Colleen Kirkham, an update on the current OSCAR Canada Users Society fundraising effort:
The OSCARCanada first ever fundraising campaign was launched in early March and has raised $17,500 to date. Donations have come from BC, Ontario and Quebec. A huge thank you to all those in the OSCAR community that have made a donation so far!
There is a new page on the OCUS website where donors are acknowledged. (Note-if you have made a donation and don’t see your name there, please let me know. You are likely in the group of 20 anonymous donors as I didn’t want to post anyone’s name without explicit permission to do so!)
For those of you who have been meaning to make you donation, you can find the form here. Keep those cheques coming in!
What we will do with the funds raised? David Daley has created a new roadmap page which outlines the top items we are targeting for the October release. You can also see what has been completed on the April release. Some programming we hope to accomplish includes:We have a programmer lined up this spring to revamp billing module and the WCB module Dr. Karen Cunnningham has collated a wish list for changes to the prescription module At the national usergroup meeting we agreed on changes we want to the encounter page We also have plans for a new INR module
What to do if you don’t see your most desired programming item at the top of the list?:Start by making sure your item is on the wishlist Be vocal, participate, show up at the meetings, teleconferences etc and make sure you are part of the ongoing discussion Volunteer-the more people we have helping to move this project forward, the more we can get done –there is a job for everyone! Don’t forget to make your donation –we can’t do anything without funds for programming Don’t panic, be patient –those of us that have been using OSCAR for a few years can tell you that most things seem to get done eventually and the speed of development is actually very fast If you really can’t wait –hire a programmer (or your kid) and get started (but don’t forget to talk to Jay Gallagher or David Chan about what you want to build!)
The OSCARCanada board of directors will be discussing the ongoing management of the wish list and the setting of priorities and how to do this in the most efficient and fair way. If you have any ideas about this, please pass them onto the board. Your board of directors are listed online and all of them read the list serv!
Thanks again to Dr. Carole White, our treasurer, who is processing all the donations.
I will keep the group posted regarding how our fund raising campaign is going.
Colleen
Wednesday, April 22, 2009
OSCAR EMR Roadmap
OSCAR Roadmap
(last update, April 15, 2009)
The OSCAR Roadmap strategy is to target two formal releases each year - in April and October. We've adopted a new numbering strategy consistent with other significant open source projects, specifically following the format Year.Month. The next release will be version 9.04.
Source code will continue to be available for interim and development releases.
OSCAR is based on a community based development model. Current contributors to the OSCAR project include:
- Large institutions (e.g. McMaster, McGill & City of Toronto)
- Independent companies (e.g. OSCAR support companies)
- User Groups (e.g. OSCAR Canada Users Society)
- Independent clinics and individual doctors
We encourage all users and organizations that are working on significant new features to inform us of what they are doing so that we can support and publicize their efforts.
Whenever possible, our intention is to be transparent about what features are currently committed (ie funded and scheduled), and which are currently planned (ie prioritized, but funding/scheduling is still being organized).
Spring Release - April, 2009 - OSCAR v9.04 (committed)
- OntarioMD CMS Spec v3.0 conformance, including improved data portability, chronic disease management, and diabetes reporting
- French OSCAR & improved internationalization
- OSCAR Measurements extensions to enable easier end user customization
- Improvements to the encounter page (additional CPP input boxes)
- Customizable CDM flow sheets and new CDM flow sheets for other diseases
- ICL lab interface
- support for OntarioMD web portal
- enhanced support for MyOSCAR, including
-> create patient myoscar account from the demographic screen
-> direct pasting of the myoscar message into eChart roll
- enhanced support for MyDrugRef, including
-> display/hide MyDrugRef messages while prescribing
-> show how many untrusted postings
Fall Release - October, 2009 - OSCAR v9.10 (planned, unless noted otherwise)
- (committed) Billing subsystem improvements and extensions, including BC specific improvements, multi-jurisdictional support allowing easier regional localizations
- Prescription subsystem improvements (workflow and functionality)
- Document handling and workflow routing enhancements, including scans delivered to inbox, improved document tagging
- Improvements to the allergy module (improved interactions)
- Reworked INR flow sheet
- Code maintenance, UI cleanup, improved documentation
(last update, April 15, 2009)
The OSCAR Roadmap strategy is to target two formal releases each year - in April and October. We've adopted a new numbering strategy consistent with other significant open source projects, specifically following the format Year.Month. The next release will be version 9.04.
Source code will continue to be available for interim and development releases.
OSCAR is based on a community based development model. Current contributors to the OSCAR project include:
- Large institutions (e.g. McMaster, McGill & City of Toronto)
- Independent companies (e.g. OSCAR support companies)
- User Groups (e.g. OSCAR Canada Users Society)
- Independent clinics and individual doctors
We encourage all users and organizations that are working on significant new features to inform us of what they are doing so that we can support and publicize their efforts.
Whenever possible, our intention is to be transparent about what features are currently committed (ie funded and scheduled), and which are currently planned (ie prioritized, but funding/scheduling is still being organized).
Spring Release - April, 2009 - OSCAR v9.04 (committed)
- OntarioMD CMS Spec v3.0 conformance, including improved data portability, chronic disease management, and diabetes reporting
- French OSCAR & improved internationalization
- OSCAR Measurements extensions to enable easier end user customization
- Improvements to the encounter page (additional CPP input boxes)
- Customizable CDM flow sheets and new CDM flow sheets for other diseases
- ICL lab interface
- support for OntarioMD web portal
- enhanced support for MyOSCAR, including
-> create patient myoscar account from the demographic screen
-> direct pasting of the myoscar message into eChart roll
- enhanced support for MyDrugRef, including
-> display/hide MyDrugRef messages while prescribing
-> show how many untrusted postings
Fall Release - October, 2009 - OSCAR v9.10 (planned, unless noted otherwise)
- (committed) Billing subsystem improvements and extensions, including BC specific improvements, multi-jurisdictional support allowing easier regional localizations
- Prescription subsystem improvements (workflow and functionality)
- Document handling and workflow routing enhancements, including scans delivered to inbox, improved document tagging
- Improvements to the allergy module (improved interactions)
- Reworked INR flow sheet
- Code maintenance, UI cleanup, improved documentation
Saturday, April 18, 2009
Access OSCAR Anywhere
Walk outside.
Pull your iPhone out of your pocket.
Open up Safari and navigate to your OSCAR EMR server.
Accept your certificates & enter your passwords.
Enjoy reviewing your latest lab results while sipping a coffee, on your patio, in the summer sun.
Pull your iPhone out of your pocket.
Open up Safari and navigate to your OSCAR EMR server.
Accept your certificates & enter your passwords.
Enjoy reviewing your latest lab results while sipping a coffee, on your patio, in the summer sun.
Saturday, April 4, 2009
OSCAR EMR Security
"Will my medical records be safe?" This is what is all reduces to. This is what patients are concerned about. This is what practitioners are concerned about.
Before the deployment of your EMR, you may have your medical records in locked cabinets, within a locked room, within a locked office, and within a locked building. Most, however, have their files on open shelves in a locked office, within a locked building.
In the world of paper charts, the concept of offsite access and offsite backup is usually a function of the files that you've taken home with you at the end of the day.
By computerizing your infrastructure, you will clearly gain new functionality (e.g. reviewing lab results from the Bahamas), but how does this affect the security of your medical information?
Unfortunately, all EMRs are different and thus the security of your medical records are a factor of the EMR you select and the architectural decisions made during its construction.
The good news for OSCAR users and the patients they care for is that you are in safe hands. You don't have to take our word for it. OSCAR is an open source project and as such, the security model is plainly available for anyone to look at, review, evaluate, and improve.
When you select an EMR, you should insist on reviewing or performing an independent third party security audit of their system before your entrust your records in their package. It is not acceptable to "just trust them". It is not acceptable to believe that the mechanism used to implement the security of your medical records is "a secret".
Within the security community, it is a known truism that publicly available, tested, peer-reviewed and improved security mechanisms are significantly more secure than those mechanisms that are based on the cleverness of a hidden algorithm. It is important to realize that no reputable scientist disputes this fact.
In the security world, it is what you don't know that kills you. For an example, review how Researchers Crack Medeco High-Security Locks With Plastic Keys.
It is no secret that some consumer operating systems are inherently insecure. OSCAR starts on a secure foundation. OSCAR was designed to run on the open source UNIX operating system. UNIX is a very old operating system. It was first designed in 1969 by a group of very clever folks at Bell Labs. In the 40 year history of UNIX, it has become the industrial operating system of choice due to it's flexibility, efficiency, and robust security.
OSCAR uses a number of significant open source packages, including the Apache-Tomcat web applications framework, the MySQL, PostgreSQL relational databases, SSL & PGP encryption technologies, and the JAVA programming language. Each of these open source projects were designed with security in mind, have been deployed and tested on hundreds of millions of servers around the world, and have been challenged and enhanced repeatedly over the years.
OSCAR users don't access the infrastructure directly. OSCAR runs as an unprivileged application within an overall secure environment. OSCAR users access the application, the application accesses the needed infrastructure as required.
Clearly OSCAR is based on a secure, robust and tested platform, but what about the OSCAR application itself?
Let's start with the login and take if from there.
Before you connect to the server, your web browser will encrypt the data stream between you and OSCAR. If you try to access OSCAR via an unencrypted channel, your server can be configured to reject your connection, or redirect you to the encrypted one. OSCAR can be configured to force users to supply secondary passwords to gain access from any computer, or from just those machines not physically connected to your local office network. OSCAR can be configured to allow connections only from specific computers, machines that have been authorized by OSCAR administrators in advance, whether these computers are local or remote.
Once OSCAR users log in, the security doesn't stop. What you actually see as a user is dependent on what role you've been assigned.
OSCAR comes pre-configured with specific security roles for a number of typical users:
Admin
Doctor
ER_clerk
External
Locum
Nurse
Receptionist
Remote_access
Vaccine Provider
And these roles are easily expandable to meet your specific needs.
The access rights of your users are then configurable at the object level:
This gives you incredible control over who gets to see and do what, and under which circumstances.
OSCAR has a legally relevant audit trail. What this means is that everything that anyone does in OSCAR is tracked and timestamped. If a user writes a prescription, it is tracked. If a user views a chart, it is logged.
If information is accessed and modified, not only is it logged, but the modifications are tracked so that you can view both the "before" & "after" records.
OSCAR security has been designed throughout the system, and the system was designed with security in mind.
However the best security in the world is useless if users will turn it off because it gets in the way of ease of use and simplicity of operation. Once again, OSCAR has taken this challenge up.
OSCAR users typically find that a correct balance has been achieved. Layers of security prevent unauthorized access to the system, but authorized users have full and easy access to the platform, making the day to day use of the system a joy to work with.
It is nice to know that you can count on an electronic medical record system that has been designed to give you the security that you need today and into the future.
Before the deployment of your EMR, you may have your medical records in locked cabinets, within a locked room, within a locked office, and within a locked building. Most, however, have their files on open shelves in a locked office, within a locked building.
In the world of paper charts, the concept of offsite access and offsite backup is usually a function of the files that you've taken home with you at the end of the day.
By computerizing your infrastructure, you will clearly gain new functionality (e.g. reviewing lab results from the Bahamas), but how does this affect the security of your medical information?
Unfortunately, all EMRs are different and thus the security of your medical records are a factor of the EMR you select and the architectural decisions made during its construction.
The good news for OSCAR users and the patients they care for is that you are in safe hands. You don't have to take our word for it. OSCAR is an open source project and as such, the security model is plainly available for anyone to look at, review, evaluate, and improve.
When you select an EMR, you should insist on reviewing or performing an independent third party security audit of their system before your entrust your records in their package. It is not acceptable to "just trust them". It is not acceptable to believe that the mechanism used to implement the security of your medical records is "a secret".
Within the security community, it is a known truism that publicly available, tested, peer-reviewed and improved security mechanisms are significantly more secure than those mechanisms that are based on the cleverness of a hidden algorithm. It is important to realize that no reputable scientist disputes this fact.
In the security world, it is what you don't know that kills you. For an example, review how Researchers Crack Medeco High-Security Locks With Plastic Keys.
It is no secret that some consumer operating systems are inherently insecure. OSCAR starts on a secure foundation. OSCAR was designed to run on the open source UNIX operating system. UNIX is a very old operating system. It was first designed in 1969 by a group of very clever folks at Bell Labs. In the 40 year history of UNIX, it has become the industrial operating system of choice due to it's flexibility, efficiency, and robust security.
OSCAR uses a number of significant open source packages, including the Apache-Tomcat web applications framework, the MySQL, PostgreSQL relational databases, SSL & PGP encryption technologies, and the JAVA programming language. Each of these open source projects were designed with security in mind, have been deployed and tested on hundreds of millions of servers around the world, and have been challenged and enhanced repeatedly over the years.
OSCAR users don't access the infrastructure directly. OSCAR runs as an unprivileged application within an overall secure environment. OSCAR users access the application, the application accesses the needed infrastructure as required.
Clearly OSCAR is based on a secure, robust and tested platform, but what about the OSCAR application itself?
Let's start with the login and take if from there.
Before you connect to the server, your web browser will encrypt the data stream between you and OSCAR. If you try to access OSCAR via an unencrypted channel, your server can be configured to reject your connection, or redirect you to the encrypted one. OSCAR can be configured to force users to supply secondary passwords to gain access from any computer, or from just those machines not physically connected to your local office network. OSCAR can be configured to allow connections only from specific computers, machines that have been authorized by OSCAR administrators in advance, whether these computers are local or remote.
Once OSCAR users log in, the security doesn't stop. What you actually see as a user is dependent on what role you've been assigned.
OSCAR comes pre-configured with specific security roles for a number of typical users:
And these roles are easily expandable to meet your specific needs.
The access rights of your users are then configurable at the object level:
This gives you incredible control over who gets to see and do what, and under which circumstances.
OSCAR has a legally relevant audit trail. What this means is that everything that anyone does in OSCAR is tracked and timestamped. If a user writes a prescription, it is tracked. If a user views a chart, it is logged.
If information is accessed and modified, not only is it logged, but the modifications are tracked so that you can view both the "before" & "after" records.
OSCAR security has been designed throughout the system, and the system was designed with security in mind.
However the best security in the world is useless if users will turn it off because it gets in the way of ease of use and simplicity of operation. Once again, OSCAR has taken this challenge up.
OSCAR users typically find that a correct balance has been achieved. Layers of security prevent unauthorized access to the system, but authorized users have full and easy access to the platform, making the day to day use of the system a joy to work with.
It is nice to know that you can count on an electronic medical record system that has been designed to give you the security that you need today and into the future.
Wednesday, April 1, 2009
McMaster Family Health Team Wins Award
The Ontario College of Family Physicians recently announced the 2008 Family Practices of the Year. Along with The Centre for Family Medicine Family Health Team, Kitchener, and the Victoria Family Medical Centre, London, McMaster Family Health Team, Hamilton was recognized.
The McMaster Family Health Team is one of the most advanced family practices in the country and their facility is truly an amazing operation to visit.
Congratulations to Dr. David Chan, Dr. David Price, and the rest of the McMaster Family Health Team.
The McMaster Family Health Team is one of the most advanced family practices in the country and their facility is truly an amazing operation to visit.
The McMaster Family Health Team provides care to 27,400 patients with two large primary care teams consisting of 28 physicians, 15 nurses, 6 social workers, 2 dieticians, 1 lactation consultant and numerous support staff. They also educate 64 Family Medicine residents at the two teaching sites.
Congratulations to Dr. David Chan, Dr. David Price, and the rest of the McMaster Family Health Team.
Friday, March 20, 2009
OSCAR & OntarioMD CMS v3.0
The OSCAR team has spent this last week going through OntarioMD's CMS Specification v3.0 conformance testing.
Official results are pending, but our team is very confident about the outcome.
Once achieved, the certification as a CMS v3.0 compliant application will mark another major milestone in the life of the OSCAR open source project.
CMS Specification v3.0 introduces requirements to provide better functionality to support chronic disease management, to enhance querying and reporting capabilities within CMSs, and to connect CMSs to the comprehensive knowledge resources available on the OntarioMD.ca physician website. It also includes refinements to existing requirements to better serve the needs of the healthcare community.
The CMS Specification also prepares certified Offerings for e-Health initiatives such as the Ontario Laboratory Information System (OLIS) and the provincial Diabetes Registry.
Official results are pending, but our team is very confident about the outcome.
Once achieved, the certification as a CMS v3.0 compliant application will mark another major milestone in the life of the OSCAR open source project.
Wednesday, March 18, 2009
OSCAR - The #1 Open Source EMR in Canada
OSCAR users may believe it to be an obvious statement, considering the large number of clinics and doctors that rely on OSCAR everyday in support of their delivery of world class patient care, but OSCAR is the #1 open source EMR in Canada.
OSCAR powered clinics can be found across this great, multicultural land, from Prince Edward Island on the Atlantic Ocean, across 6,000 kilometers of lands and lakes to Vancouver Island on the Pacific.
There is a French version of OSCAR being developed in Quebec, and there is a Portuguese version of OSCAR that was developed in Brazil.
OSCAR EMR is spreading everyday! Recently, OSCAR has been gaining a global footprint.
To illustrate, the map below shows the global downloads of the OSCAR installation tutorial in the last couple weeks.
What this graphic shows is that on average, every day, someone in the US is reading about installing OSCAR. Every second day, someone in India and someone else Mexico is doing the same. Once a week, someone in Argentina and Austria is giving it a go.
OSCAR powered clinics can be found across this great, multicultural land, from Prince Edward Island on the Atlantic Ocean, across 6,000 kilometers of lands and lakes to Vancouver Island on the Pacific.
There is a French version of OSCAR being developed in Quebec, and there is a Portuguese version of OSCAR that was developed in Brazil.
OSCAR EMR is spreading everyday! Recently, OSCAR has been gaining a global footprint.
To illustrate, the map below shows the global downloads of the OSCAR installation tutorial in the last couple weeks.
What this graphic shows is that on average, every day, someone in the US is reading about installing OSCAR. Every second day, someone in India and someone else Mexico is doing the same. Once a week, someone in Argentina and Austria is giving it a go.
Wednesday, March 11, 2009
How Much Can Open Source Save You?
As it turns out - lots! In a recent report (via Ars Technica), the Gendarmerie Nationale identified significant cost savings as a result of moving towards open source applications and platforms:
Interestingly, the Gendarmerie noted that their migration to open source was less troublesome than the alternative:
OSCAR EMR users have long experienced the benefit of open source software including reduced support costs, and more robust and secure infrastructure.
France's Gendarmerie Nationale, the country's national police force, says it has saved millions of dollars by migrating its desktop software infrastructure away from Microsoft Windows and replacing it with the Ubuntu Linux distribution.
The Gendarmerie began its transition to open source software in 2005 when it replaced Microsoft Office with OpenOffice.org across the entire organization. It gradually adopted other open source software applications, including Firefox and Thunderbird. After the launch of Windows Vista in 2006, it decided to phase out Windows and incrementally migrate to Ubuntu.
Since 2004, [...] the Gendarmerie has saved up to €50 million on licensing and maintenance costs as a result of the migration strategy.
Interestingly, the Gendarmerie noted that their migration to open source was less troublesome than the alternative:
[Gendarmerie Lieutenant-Colonel Xavier Guimard] believes that the move from Windows to Ubuntu posed fewer challenges than the organization would have faced if it had updated to Windows Vista.
"Moving from Microsoft XP to Vista would not have brought us many advantages and Microsoft said it would require training of users," said Lt. Col. Guimard. "Moving from XP to Ubuntu, however, proved very easy. The two biggest differences are the icons and the games. Games are not our priority."
OSCAR EMR users have long experienced the benefit of open source software including reduced support costs, and more robust and secure infrastructure.
Wednesday, March 4, 2009
myOSCAR - A Secure OSCAR EMR Adjunct For Personal Health Records
myOSCAR is a Personal Health Record solution that has the nice quality of being able to tightly integrate with the OSCAR EMR that you've deployed in your practice.
The practitioner sets the level of information to share with the patient, then the systems work securely together to keep the data synchronized, saving time and effort for both the practice and the patient.
When deployed together, the OSCAR EMR + myOSCAR PHR combination delivers an excellent platform for both improved patient care and practice management.
Sunday, March 1, 2009
Upcoming OSCAR Users Event
The BC OSCAR User Group invites you to come and hear about Free / Open Source software and how physicians and midwives are driving the OSCAR (Open Source Clinical Application Resource) Electronic Medical Record in BC.
There will be a presentation by Dr David Chan, from McMaster University, OSCAR’s founder, and the OSCAR user community in BC. OSCAR users will demonstrate the EMR including use with voice recognition software, tools for maternity and newborn care, leading chronic disease management tools, prescribing tools, billing and much more!
OSCAR is an open-source (free), Canadian web-based EMR, developed and driven by its users. Users pay no licensing costs and have the freedom to choose who provides support. There are a large number of users in Ontario, British Columbia, Quebec, PEI, and recently Alberta. It has won several prestigious awards for IT innovation.
Where:
BC Women’s Hospital
Lecture theatre room D308
(Use the entrance off Heather St & 29th; enter through doors under BC Women’s Health Centre sign, proceed up one floor via elevators, and follow hallway to your right as you exit elevators.)
When:
Thursday, March 26, 2009 – 6:30 pm to 9:00pm
Cost:
Free
For more information, and to RSVP, please visit the OCUS website.
There will be a presentation by Dr David Chan, from McMaster University, OSCAR’s founder, and the OSCAR user community in BC. OSCAR users will demonstrate the EMR including use with voice recognition software, tools for maternity and newborn care, leading chronic disease management tools, prescribing tools, billing and much more!
OSCAR is an open-source (free), Canadian web-based EMR, developed and driven by its users. Users pay no licensing costs and have the freedom to choose who provides support. There are a large number of users in Ontario, British Columbia, Quebec, PEI, and recently Alberta. It has won several prestigious awards for IT innovation.
Where:
BC Women’s Hospital
Lecture theatre room D308
(Use the entrance off Heather St & 29th; enter through doors under BC Women’s Health Centre sign, proceed up one floor via elevators, and follow hallway to your right as you exit elevators.)
When:
Thursday, March 26, 2009 – 6:30 pm to 9:00pm
Cost:
Free
For more information, and to RSVP, please visit the OCUS website.
Friday, February 20, 2009
Info For New Users
There are two different types of new OSCAR users:
The Self Starter - Getting Installed
If you are trying to get yourself up and running, then you will need to install OSCAR on a UNIX server. There are instructions available for those that are technically savvy.
A second option for the self starter is to acquire OSCAR preinstalled from the OSCAR Canada Users Society.
The OSCAR server is a machine that will attach to your network and sit in a corner or a closet in your office. It is good practice to ensure your OSCAR server is powered via an Uninterruptible Power Supply (750 Volt-Amps should be adequate for a simple installation). It is also recommended to consider a robust backup strategy. Because of the nature of the system, it is quite easy to configure an automated process that provides both local and remote backups.
Typically, OSCAR is not accessed directly on the server machine, but over your local area network via the web browser of your various office computers.
If your office has internet access, then you will be able to access OSCAR from your computer at home as well. Remote access is greatly simplified when your office internet has a fixed IP address. If your office is internet enabled, then you will need to ensure that you properly review and understand your computer security.
OSCAR works with Macs, PCs, and Unix workstations (virtually any modern computer with a web browser). Some doctors configure their offices with a computer in every room, while others opt for using an ultralight laptop that they carry with them instead of the traditional paper patient chart.
If you do use your laptops and desktops with a wireless network, please purchase a modern router with the latest encryption standards, as currently all but the WPA2 AES standard have been hacked.
OSCAR will work with voice recognition software, but many doctors recommend the PC version of Dragon Voice over its Mac cousin.
OSCAR can electronically generate prescriptions and other forms and documents, so it is a good idea to have network capable laser printers available in convenient locations. Wired network printers tend to start printing quicker than their wireless brethren, so this may be a useful consideration.
Scanning documents into OSCAR is also supported. Many users recommend purchasing a dedicated departmental workgroup scanner (such as the Fujitsu ScanSnap or Visioneer Patriot).
OSCAR supports automatic electronic lab uploads from a number of different sources, and each comes with different infrastructural requirements. Gamma, for example, allows you to log into their website and download the current batch of lab files, so naturally you will need internet access for this to work. Lifelabs and CML both have a dialup modem configuration that requires a WinXP computer and a dedicated phone line. Other labs such as ICL and Excelleris have their own specialized requirements. You will need to check to see specifically what your lab needs before investing in infrastructure.
Depending on province, OSCAR may support your local billing environment. In Ontario, for example, a computer with a modem is needed to access OHIP's EDT. You can also put your billing files on a floppy disk and send it to the government, although, finding a computer with a floppy drive these days is non-trivial.
Once OSCAR is up and running, you may wish to consult with the OSCAR User Manual to help you learn the bits and bobs.
Now That You Are Up And Running
Not everyone wants to install and configure OSCAR themselves. There are a number of OSCAR support companies that are happy to deliver a soup to nuts solution, train you and your staff, and support you through your migration to electronic medical records.
Once you are installed, trained, and feeling comfortable with OSCAR, there are many ways for you to enhance your environment and engage with the OSCAR community.
You may consider joining the OSCAR Canada Users Society. The OCUS has regular meetings in various locations across Canada. The national users group is also a good place to find out more about your regional and local OSCAR communities.
A number of OSCAR users participate in lively discussions on improving their patient care and best practice strategies when using OSCAR. The easiest way to engage with other users is to join the mailing list, introduce yourself, and join the discussion. (Please note that the main national users mailing list is the oscarmcmaster-bc-users list which is linked above.)
If you are an OSCAR user with a flair for the technical details and a desire to contribute code to the project, than a second discussion list is available for you.
Many users have made available their own contributions, in the form of user installable extensions to OSCAR. By browsing the resources, you will be able to find new forms, drawing packages, report templates, and queries.
There are also resources to show you how to build your own extensions.
After you've used OSCAR for a while, you may start thinking about improvements you'd like to see in the solution. If this is the case, then the thing to do is to check and see if what you are thinking is already on the wishlist. You may also consider making a donation specifically geared towards accelerating a specific piece of functionality.
Remember, the easiest way to engage with the OSCAR community is to register with the OCUS and join the discussion.
- those that are trying to get themselves up and running
- those that have gotten help to get up and running and are now looking to improve their skills
The Self Starter - Getting Installed
If you are trying to get yourself up and running, then you will need to install OSCAR on a UNIX server. There are instructions available for those that are technically savvy.
A second option for the self starter is to acquire OSCAR preinstalled from the OSCAR Canada Users Society.
The OSCAR server is a machine that will attach to your network and sit in a corner or a closet in your office. It is good practice to ensure your OSCAR server is powered via an Uninterruptible Power Supply (750 Volt-Amps should be adequate for a simple installation). It is also recommended to consider a robust backup strategy. Because of the nature of the system, it is quite easy to configure an automated process that provides both local and remote backups.
Typically, OSCAR is not accessed directly on the server machine, but over your local area network via the web browser of your various office computers.
If your office has internet access, then you will be able to access OSCAR from your computer at home as well. Remote access is greatly simplified when your office internet has a fixed IP address. If your office is internet enabled, then you will need to ensure that you properly review and understand your computer security.
OSCAR works with Macs, PCs, and Unix workstations (virtually any modern computer with a web browser). Some doctors configure their offices with a computer in every room, while others opt for using an ultralight laptop that they carry with them instead of the traditional paper patient chart.
If you do use your laptops and desktops with a wireless network, please purchase a modern router with the latest encryption standards, as currently all but the WPA2 AES standard have been hacked.
OSCAR will work with voice recognition software, but many doctors recommend the PC version of Dragon Voice over its Mac cousin.
OSCAR can electronically generate prescriptions and other forms and documents, so it is a good idea to have network capable laser printers available in convenient locations. Wired network printers tend to start printing quicker than their wireless brethren, so this may be a useful consideration.
Scanning documents into OSCAR is also supported. Many users recommend purchasing a dedicated departmental workgroup scanner (such as the Fujitsu ScanSnap or Visioneer Patriot).
OSCAR supports automatic electronic lab uploads from a number of different sources, and each comes with different infrastructural requirements. Gamma, for example, allows you to log into their website and download the current batch of lab files, so naturally you will need internet access for this to work. Lifelabs and CML both have a dialup modem configuration that requires a WinXP computer and a dedicated phone line. Other labs such as ICL and Excelleris have their own specialized requirements. You will need to check to see specifically what your lab needs before investing in infrastructure.
Depending on province, OSCAR may support your local billing environment. In Ontario, for example, a computer with a modem is needed to access OHIP's EDT. You can also put your billing files on a floppy disk and send it to the government, although, finding a computer with a floppy drive these days is non-trivial.
Once OSCAR is up and running, you may wish to consult with the OSCAR User Manual to help you learn the bits and bobs.
Now That You Are Up And Running
Not everyone wants to install and configure OSCAR themselves. There are a number of OSCAR support companies that are happy to deliver a soup to nuts solution, train you and your staff, and support you through your migration to electronic medical records.
Once you are installed, trained, and feeling comfortable with OSCAR, there are many ways for you to enhance your environment and engage with the OSCAR community.
You may consider joining the OSCAR Canada Users Society. The OCUS has regular meetings in various locations across Canada. The national users group is also a good place to find out more about your regional and local OSCAR communities.
A number of OSCAR users participate in lively discussions on improving their patient care and best practice strategies when using OSCAR. The easiest way to engage with other users is to join the mailing list, introduce yourself, and join the discussion. (Please note that the main national users mailing list is the oscarmcmaster-bc-users list which is linked above.)
If you are an OSCAR user with a flair for the technical details and a desire to contribute code to the project, than a second discussion list is available for you.
Many users have made available their own contributions, in the form of user installable extensions to OSCAR. By browsing the resources, you will be able to find new forms, drawing packages, report templates, and queries.
There are also resources to show you how to build your own extensions.
After you've used OSCAR for a while, you may start thinking about improvements you'd like to see in the solution. If this is the case, then the thing to do is to check and see if what you are thinking is already on the wishlist. You may also consider making a donation specifically geared towards accelerating a specific piece of functionality.
Remember, the easiest way to engage with the OSCAR community is to register with the OCUS and join the discussion.
Thursday, February 5, 2009
OSCAR User Interview: Dr. Robbie Coull
Dr. Robbie Coull, Charlottetown, PEI
I'm a UK trained GP recently moved to Charlottetown, PEI. I'm based in a community health center and I am currently building up my practice.
I've noticed that you've written a book for Locums. What can you tell us about that?
When I started doing locum work in 1998, I set up a website with my calendar and CV for practices. I added a 'how to' section for new locums about a year later, and it grew over time. Finally, it grew so big that I decided to tidy it up and publish it as a 'publish on demand' paperback.
POD is great because you can publish a niche book for a couple of hundred dollars and then people can buy it through Amazon or any other bookseller. The cost of printing and shipping it is only around $15 per book, and it's all handled by the POD company who pay you the profits each month. It's become the textbook for locum GPs in the UK - largely because it's the only textbook for locum GPs in the UK!
When I got the OSCAR user manual printed by Staples I was taken aback to find it cost about $120. If I get the time, I'd love to write an OSCAR handbook and POD publish it - should save users a lot of money on printing out huge PDF.
Is there an EMR community in PEI?
The government here went down the road of commissioning an EMR from a local company. Sadly, to not put too fine a point on it, the resulting EMR was useless. As a result, almost no one is using EMRs in PEI. I think I know of two other doctors using one on the island.
Hopefully, OSCAR can change that!
What brought you to OSCAR?
I heard about OSCAR from Jel Coward, now a GP in Pemberton, BC. I knew Jel online through the UK Pre-Hospital Care discussion lists.
Is being the first OSCAR user in PEI a bit of a challenge?
Actually, it's a life saver! I trained on a DOS based EMR, and I've never worked without one. So going back to paper was the challenge. OSCAR has allowed me to keep my sanity.
Can you describe the OSCAR set up that you have?
I think the British system of 'one room consulting' suits EMRs better because you stay by the computer and the patient comes to you. So I've set up a consulting room with an Ubuntu computer and laser printer and I bring the patients in one at a time.
I also have a wifi box, wifi printer, and an Acer Aspire netbook with Ubuntu on it which I can take into the examination rooms. This is useful for the walk-in clinic where multi-room consulting is more efficient.
You are showing other doctors OSCAR in your area. What type of interest are you discovering?
People here are very interested in OSCAR. I don't think they can get their head round the idea that the software is free to use, and many of them have never used an EMR so it's quite a steep curve.
My biggest problem is that things that I think are obvious are not clear to doctors that have never used a fully-featured EMR.
Do you have any advice for doctors that haven't taken the EMR plunge?
Are you nuts? What are you waiting for?
Seriously, though: get in touch with someone nearby who uses OSCAR and beg them to help you get yours set up. Today.
In addition to practicing medicine, Dr. Coull writes a blog for OSCAR users. This blog can be found at http://blog.oscarpei.net/. The "Locum Doctor Survival Guide" can be ordered online.
I'm a UK trained GP recently moved to Charlottetown, PEI. I'm based in a community health center and I am currently building up my practice.
I've noticed that you've written a book for Locums. What can you tell us about that?
When I started doing locum work in 1998, I set up a website with my calendar and CV for practices. I added a 'how to' section for new locums about a year later, and it grew over time. Finally, it grew so big that I decided to tidy it up and publish it as a 'publish on demand' paperback.
POD is great because you can publish a niche book for a couple of hundred dollars and then people can buy it through Amazon or any other bookseller. The cost of printing and shipping it is only around $15 per book, and it's all handled by the POD company who pay you the profits each month. It's become the textbook for locum GPs in the UK - largely because it's the only textbook for locum GPs in the UK!
When I got the OSCAR user manual printed by Staples I was taken aback to find it cost about $120. If I get the time, I'd love to write an OSCAR handbook and POD publish it - should save users a lot of money on printing out huge PDF.
Is there an EMR community in PEI?
The government here went down the road of commissioning an EMR from a local company. Sadly, to not put too fine a point on it, the resulting EMR was useless. As a result, almost no one is using EMRs in PEI. I think I know of two other doctors using one on the island.
Hopefully, OSCAR can change that!
What brought you to OSCAR?
I heard about OSCAR from Jel Coward, now a GP in Pemberton, BC. I knew Jel online through the UK Pre-Hospital Care discussion lists.
Is being the first OSCAR user in PEI a bit of a challenge?
Actually, it's a life saver! I trained on a DOS based EMR, and I've never worked without one. So going back to paper was the challenge. OSCAR has allowed me to keep my sanity.
Can you describe the OSCAR set up that you have?
I think the British system of 'one room consulting' suits EMRs better because you stay by the computer and the patient comes to you. So I've set up a consulting room with an Ubuntu computer and laser printer and I bring the patients in one at a time.
I also have a wifi box, wifi printer, and an Acer Aspire netbook with Ubuntu on it which I can take into the examination rooms. This is useful for the walk-in clinic where multi-room consulting is more efficient.
You are showing other doctors OSCAR in your area. What type of interest are you discovering?
People here are very interested in OSCAR. I don't think they can get their head round the idea that the software is free to use, and many of them have never used an EMR so it's quite a steep curve.
My biggest problem is that things that I think are obvious are not clear to doctors that have never used a fully-featured EMR.
Do you have any advice for doctors that haven't taken the EMR plunge?
Are you nuts? What are you waiting for?
Seriously, though: get in touch with someone nearby who uses OSCAR and beg them to help you get yours set up. Today.
In addition to practicing medicine, Dr. Coull writes a blog for OSCAR users. This blog can be found at http://blog.oscarpei.net/. The "Locum Doctor Survival Guide" can be ordered online.
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