healthcare, meet open source

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Healthcare, Meet Open Source

www.tolvenhealth.com www.tolven.org

Neil Cowles

Chief Executive Officer

Tolven Inc.

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Agenda

• Open Source Software• What is Open Source Software

• The History of Open Source

• Commoditization of Technology• The Adoption of Open Source Technology

• The Value of Open Source

• Advantages of Open Source

• Industry-Specific Open Source Solutions

• Questions

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Open Source Software

“You do not really understand something unless you can explain it to your grandmother.”

Albert EinsteinNobel Prize Laureate in Physics

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What is Open Source Software

• Open source software is software whose source code is openly published and is usually available at no charge

• Just like proprietary software, even though open source software can be freely downloaded, there can be fees associated with• Maintenance• Integration• Support

• Currently, there are over 180,000* active open source projects today

Reference: Black DuckOpen Source Rookies of the Year for 2008

What is Open Source Software

It’s the place that Product Specialists, Programmers, Technical Writers, and many other software professionals

head to innovate

outside the confines

of their day jobs

and technical

constraints…..

5Reference: The Total Growth of Open Source Amit Deshpande and Dirk Riehle SAP Research, SAP Labs LLC

What is Open Source Software

• Open source is not a business model

• It is a development and distribution model

• Open source software companies opt for business strategies that best fits their marketplace

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The History of Open Source

“Everything that is really great and inspiring is created by the individual who can labor in freedom.”

Albert Einstein

Nobel Prize Laureate in Physics

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The History of Open Source

• In the beginning “All software was free……”

• Back in 1960, IBM provided software that was “libre” (free)• Software could be freely shared with others• Shipped with source code• Software could be modified and enhanced

• By the early 1970s, software was “unbundled”• Proprietary licensing was introduced• Software shipped without the source code• Modification and enhancements were restricted• Restricted redistribution

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The History of Open Source

• 1970 – 1980• Richard Stallman (formally MIT Lab) developed a GNU (General Public

License) operating system

• University of California Berkley – BSD UNIX

• 1980 – 1990• Extensions to UNIX

• Dependent on AT&T Unix License

• A number of other “tooling projects”

• 1991• Bill Jolitz introduced an encumbered version of BSD Unix

• Linus Torvalds implemented the first Linux Kernel

The History (Future) of Open Source

10Gartner: December 2008

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Credible Open Source Projects are not….

“Consultants have credibility because they are not dumb enough to work at your company.

Scott Adams

Credible Open Source Projects are not…

• The “wild west” of the software programming world• High levels of control

• Willing to suffer fools• Community member have to prove

themselves and earn respect

• Undirected• There’s usually a clear roadmap

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Commoditization of Technology

“Obstacles are those frightful things you see when you take your eyes off your goal.”

Henry FordFounder of the Ford Motor Company

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• Historically software companies have developed

• Operating system tools and extensions• Delivery systems• Print management• Access management

• Database components and technology• Resilience, back-up and failover• Analytics

• Development Tools• Source code maintenance tools

• End user applications• Administrative and clinical applications

Commoditization of Technology

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Commoditization of Technology

Application Delivery

Firefox, Internet Explorer MIDLET

Platform Technologies

CRM, Sales Force Automation, Healthcare

Data Base

PostgreSQL , Oracle, Microsoft SQL

Operating Systems

Linux, Windows, Unix, Solaris

Com

mod

itizi

ng t

he

tech

nolo

gyR

educing the barriers to entry

Development Tools

Eclipse, .NET, Delphi, Android

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• Database• MySQL has gained 14% market share in overall

database usage (Oracle has 41%)

• PostgreSQL and other open source databases are also growing market share

• Operating Systems• IDC report for Q1 2007 says that Linux holds 12.7%

of the overall server market

The Adoption of Open Source Technology

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• Mozilla• In December 2008, Firefox is reported to have 21.1%

market share

• Apache• The Apache HTTP server has over 70% market share

• Open Office• Leading analyst firms estimate Open Office market

share at 10% in the U.S.

The Adoption of Open Source Technology

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• A survey conducted by Gartner Research found that more than 85% of firms have knowingly adopted open source software, with the rest set to follow suit by 2010

The Adoption of Open Source Technology

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The Value of Open Source

• Zimbra• Acquired by YAHOO! for $350M

• MySQL• Acquired by Sun for $1B

• JBoss• Acquired by Red Hat for $ 350M

• Jaba• Acquired by Cisco for undisclosed amount

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Advantages of Open Source

“Better to keep your mouth shut and appear stupid than to open it and remove all doubt.”

Mark Twain

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The Advantages of Open Source

• Total cost of ownership

• Quality

• Ability to modify and enhance

• Drive innovation

• No vendor lock-in

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The Advantages of Open Source

• Collaboration provides better solutions

• More eyes on the code

• Try before you “buy”

• “It does what it says on the tin”

The Advantages of Open Source

• "How has open-source software met your organization's expectations in the following areas?”• Reduced costs...87% (met or exceeded expectations).• Improved quality...92%• Eased integration and customization...86%• Quickened the pace of innovation...82%• Improved support...84%• Standards compliance...91%• Decreased time to market...82%

23Gartner: December 2008

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Industry-Specific Open Source Solutions

“Innovation is the specific instrument of entrepreneurship. The act that endows resources with a new capacity to create wealth.”

Peter F. Drucker

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Industry-Specific Open Source Solutions

• Higher Education (Sakai)

• Customer Relationship Management (CRMSugar)

• Government• United Kingdom

"We waste a fortune on proprietary computer software because of paying for licenses and promises up front and not demanding value” (Steve Shine, Ingres)

• United StatesNumerous Bills being brought to Congress relating to the adoption of open source technologies in the United States (e.g., Rockefeller)

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Healthcare-Specific Open Source Solutions

• Numerous robust open source solutions in healthcare

• Acute Sector• OpenVista, WorldVista xxVista

• Ambulatory Care• ClearHealth, OpenMRS

• Health Information Exchange• BrowserSoft

• Life Sciences• OpenClinica

• Integration• Mirth, Bostech, Sun ESB

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Healthcare-Specific Open Source Solutions

• Numerous robust open source solutions in healthcare

• Acute Sector• Clinical Data Management

• Ambulatory Care• Physician Office

• Health Information Exchange• Data Aggregation Solution

• Life Sciences• Electronic Data Capture

• Integration• Partner with Mirth, Bostech and Sun

•Standards based secure clinical data repository

•Care Provider, Consumer and Researcher solutions

•Rapid application development environment

•Applications framework to support “App-Store”

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Summary

“We make a living by what we get, we make a life by what we give.”

Winston Churchill

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Summary

• The software industry initially started with the premise that software should be free and is now returning to its roots

• Open source technologies are starting to dominate many industries

• Industry-specific open source solutions are changing the paradigm of information and technology procurement and adoption

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Questions

Neil Cowles

President and Chief Executive Officer

Tolven Inc.

neil.cowles@tolven.org

www.tolven.org

www.tolvenhealth.com