Innovation

Defining an Open Platform – The Reformation of Digital Health

On the 31 October 1517 Martin Luther nail his “Ninety-Five Theses” on to the door of a chapel in Wittenberg, Germany and started the Reformation. 500 years later on the 32 October 2017 Apperta published “Defining an Open Platform”. Being the modest folk we are it contains a mere eight principles and we launched it…

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Open Digital Platform Challenge Fund

Many  will be aware of the proposal that Tony Shannon and I have been promoting to persuade the decking to allocate 1% of the money they plan to spend on an “Open Digital  Platform Challenge Fund” to stimulate the development of an open digital ecosystem based on open standards. We have had a positive response…

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Hiding the Onions – Interop and Open Platforms

Follow @WoodcoteEwan With McKinsey telling us that open platforms can save more that 11% of total health care costs, we really have to sweep away the barriers and make it happen. This means moving to an open platform architecure meeting the principles I described in my last blog, which require open standards, open data and open APIs. While…

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Sticking to the Knitting

Follow @WoodcoteEwan I’ve written about this before, but have become increasing concerned that the pressure on NHS organisation to generate revenue outside of their core business is a dangerous distraction, acts as a barrier to the diffusion of innovation within the NHS and acts against the best interest of patients and taxpayers. A distraction because…

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openEHR a Game Changer Comes of Age

Follow @WoodcoteEwan I’ve been watching openEHR over more than fifteen years, and although I have always been impressed by its potential to enable us to do things differently, I must admit it has been a slow burn, and take up has been limited, particularly in the UK where it was invented. However, due to some…

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Farewell to “Ruthless Standardisation”

Follow @WoodcoteEwan “Ruthless Standardisation” was the failed mantra of the NHS National Programme for IT. The Programme is dead, but in some places this view still persist but it is time to consign it to history as something else that “seemed a good idea at the time” In a previous blog I said “Standards are…

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PHRs – An important but limited role

There is a lot of interest around PHRs at the moment at senior levels within the NHS, but there seems to be a lack of clarity the role PHRs might play in the UK If we are to make progress we have to develop a shared understanding of what we are hoping to achieve, what…

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What makes an Open Source community?

There has been a lot of interest in the role of Open Source software in the UK over recent months, initially stimulated by NHS interest in the American VistA Open Source EHR, but now taking on a broader scope including some of the exciting home grown initiatives. Included amongst these are a number of projects that…

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"Wicked" Barriers to Innovation and Adoption

Sometimes we just have to JUST DO IT! In the NHS we have too high a tolerance for inaction and too little tolerance for honourable failure. I’ve just come back from the Healthcare Innovation Expo in Manchester, where there was much talk about the need to encourage innovation. I’m all for that but I think it’s…

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