Grants/Soapnote - Revision history

Soapnote at 13:19, 28 June 2010

2010-06-28T13:19:57Z

Soapnote at 06:33, 28 June 2010

2010-06-28T06:33:15Z

Soapnote at 06:09, 28 June 2010

2010-06-28T06:09:43Z

Soapnote at 13:21, 19 June 2010

2010-06-19T13:21:20Z

Soapnote at 10:34, 14 June 2010

2010-06-14T10:34:49Z

Soapnote: Created page with '{{Grant Application |Project Title=Soapnote |applicants=Mark Morgan |contact person=Mark Morgan |coordinator=Mark Morgan |start date=2010/08/01 |end date=2011/07/31 |Affiliation=…'

2010-06-05T21:59:05Z

Created page with '{{Grant Application |Project Title=Soapnote |applicants=Mark Morgan |contact person=Mark Morgan |coordinator=Mark Morgan |start date=2010/08/01 |end date=2011/07/31 |Affiliation=…'

New page

{{Grant Application
|Project Title=Soapnote
|applicants=Mark Morgan
|contact person=Mark Morgan
|coordinator=Mark Morgan
|start date=2010/08/01
|end date=2011/07/31
|Affiliation=Seeking endorsement
|Mainurl=http://www.soapnote.org
|Affiliated=Yes
|description=There is a race on. Nearly every health organization in the United States is racing to adopt an electronic medical record-each with it's own standards. Unfortunately, each new proprietary system that is developed also locks away valuable tools that medical providers use in their day-to-day practice. An open forum for sharing of these tools, specifically clinical decision support and documentation templates is urgently needed.
|output=Blog posts containing interactive clinical documentation templates and calculators produced on the site.
|community=By empowering health care providers to share the clinical decision rules, documentation templates, checklists, and boilerplate, these tools will improve. As this tools improve, the delivery of healthcare for all will improve, as well.
|community relationship=I am a Family Medicine physician working for the Indian Health Service. I have been working on this issue on my own time since January 2009. I have previously worked as a computer programmer at the Centers for Disease Control prior to becoming a physician. I believe I am uniquely suited to create a resource that will improve healthcare delivery for all.
|measurement=I have encouraged physicians at academic medical centers to test the use of the website. It could be compared against their current practice in controlled studies OR simple usability questionnaires such as the System Usability Scale (or other measure) could be employed.
Objective usage statistics may include number of published posts, feedback, ratings, and comment counts.
|participants=For the development of the web site as a forum for exchange of information, I will be the sole developer. Regarding the development and exchange of shared content, I will solicit input from the wider primary care community via Twitter, Facebook, Delta Exchange (a web community of the American Association of Family Physicians), and doc2doc (a web community of the British Medical Journal). Collaborative features of the website will encourage their involvement and I hope the tools available on the website will recruit new users.
|impact=I feel very strongly that it is very important that clinical tools are not sequestered into proprietary systems. Ultimately, I know that the overall trend for scientific knowledge is toward openness. In this case, however, the government's very humanitarian goal of encouraging adoption of electronic medical records works against openness in some ways. The mad dash to obtain electronic efficiencies at the clinic level may have the effect of interfering with information exchange between providers. By providing an alternative such as the forum at www.soapnote.org, I believe the exchange of clinical documentation templates and calculators will be more open.
|tech needs=I do have some experience with computer programming (PHP, Python, Visual Basic, SQL Server), but I will try to keep this project as simple as possible by using Wordpress blogging software (open source) and available plugins. Where needed, I will employ some PHP code. Where coding or design is needed that is beyond my capability, I would like to use small contracts with professional programmers to accomplish necessary fixes and updates as they are needed.
|challenges=I am certain that there are multiple challenges that I am not anticipating.
First, I think there may be obstacles to contributors asserting any control of rights over the content they are authoring. Whereas many institutions encourage authors to have their works published, this seems to evaporate at the interface of formal publication vs. blog. By clarifying the issues surrounding this, a more favorable environment for information exchange will result.
A second challenge will be simply encouraging adoption of the tools. Not all medical providers are technologically savvy, but these are the people who I want to recruit to use the web site to build the content for open use: clinical documentation templates and calculators. I will try to overcome this obstacle through discourse in online forums as well as by performing live demonstrations wherever I can and by posting video demos and tutorials to the web to ease the learning curve.
|sustainability=This project will not use advertising to produce revenue to continue the project. I will use two mechanisms to cover the costs of future development and web hosting. For the cost of future development, I will use the donation site www.chipin.com, or similar fundraising tools to help defray costs. For the cost of web hosting, my web hosting service, Dreamhost, has provided me with a link to request donations that will go directly to web hosting costs.
|scalability=Any provider in any clinic on the planet who has unfettered access to the internet will also have free access to this web site and its content.
As users contribute content, the site will become more valuable as a reference.

|resource needs=I would like to be able to clearly encourage users of the web site to employ Creative Commons licenses to the content they contribute to the site.
|communication=RSS feed, Email, Twitter, Facebook, and the web communities of several professional societies.

|legal=Yes
}}

@@ Line 22: / Line 22: @@
 If these templates, really only a small increment of clinical knowledge, are moved into a realm of openness and free exchange, I think the impact could be tremendous to the Creative Commons mission.  Two reasons for this:  1) Visibility:  these templates are what clinicians are looking for at the point of care; and 2) Universality:  at the very most fringes there are differences, but ultimately the practice of medicine is a common practice to all communities.  Opening medicine up to the Commons improves healthcare for all.
 |tech needs=I do have some experience with computer programming (PHP, Python, Visual Basic, SQL Server), but I will try to keep this project as simple as possible by using Wordpress blogging software (open source) and available plugins.  Where needed, I will employ some PHP code.  Where coding or design is needed that is beyond my capability, I would like to use small contracts with professional programmers to accomplish necessary fixes and updates as they are needed.  As an open-source project, I would be pleased if anyone would like to adopt or modify the technology I've developed for their own use to improve collaboration in medicine.
 |challenges=I am certain that there are multiple challenges that I am not anticipating.
 First, I think there may be obstacles to contributors asserting any control of rights over the content they are authoring.  Whereas many institutions encourage authors to have their works published, this seems to evaporate at the interface of formal publication vs. blog.  By clarifying the issues surrounding this, a more favorable environment for information exchange will result.
@@ Line 29: / Line 31: @@
 From a practical standpoint, web server costs will be kept as low as possible.  There is no need to carry video or audio (beyond tutorials) and the overwhelming bulk of data at the site is simple text.
 Ultimately, I think government, industry, and trade groups may someday embrace the idea of standards and exchange in clinical templates and calculators.  For now, they do not.  There are no such entities with an interest in supporting this project and my financial resources are far more limited than my time.  Financial support would help "seed" the project and build momentum, which I believe would be self-perpetuating.
 |scalability=Any provider in any clinic on the planet who has unfettered access to the internet will also have free access to this web site and its content.  All data is managed via the Wordpress platform.  By employing this mainstream, open-source, time-tested web framework the project is assured safe growth of the data on which it depends.  And, as users contribute content, the site will become more valuable as a reference.

@@ Line 29: / Line 29: @@
 From a practical standpoint, web server costs will be kept as low as possible.  There is no need to carry video or audio (beyond tutorials) and the overwhelming bulk of data at the site is simple text.
-And, from a personal standpoint, this site represents the framework with which I practice medicine as a family physician.  So my own career is vested in not just sustaining, but growing the project.
+Ultimately, I think government, industry, and trade groups may someday embrace the idea of standards and exchange in clinical templates and calculators.  For now, they do not.  There are no such entities with an interest in supporting this project and my financial resources are far more limited than my time.  Financial support would help "seed" the project and build momentum, which I believe would be self-perpetuating.
 |scalability=Any provider in any clinic on the planet who has unfettered access to the internet will also have free access to this web site and its content.  All data is managed via the Wordpress platform.  By employing this mainstream, open-source, time-tested web framework the project is assured safe growth of the data on which it depends.  And, as users contribute content, the site will become more valuable as a reference.
@@ Line 37: / Line 37: @@
 |resource needs=I would like to be able to clearly encourage users of the web site to employ Creative Commons licenses to the content they contribute to the site.
 |communication=RSS feed, Email, Twitter, Facebook, and the web communities of several professional societies.
 |legal=Yes
 }}

@@ Line 16: / Line 16: @@
 Objective usage statistics may include number of published posts, feedback, ratings, and comment counts.
 |participants=For the development of the web site as a forum for exchange of information, I will be the sole developer.  Regarding the development and exchange of shared content, I will solicit input from the wider primary care community via Twitter, Facebook, Delta Exchange (a web community of the American Association of Family Physicians), and doc2doc (a web community of the British Medical Journal).  Collaborative features of the website will encourage their involvement and I hope the tools available on the website will recruit new users.
-|impact=I feel very strongly that it is very important that clinical tools are not sequestered into proprietary systems.  Just as there are currents driving the exchange of research information, there are also economic forces driving content to locations where it can be monetized.  Ultimately, I feel that the overall trend for scientific knowledge is toward openness.  In this case, however, the government's very humanitarian goal of encouraging adoption of electronic medical records works against openness in some ways.  The mad dash to obtain electronic efficiencies at the clinic level may have the effect of interfering with information exchange between providers.  By providing an alternative such as the forum at www.soapnote.org, I believe the exchange of clinical documentation templates and calculators will be more open.
+|impact=I feel very strongly that it is very important that clinical tools are not sequestered into proprietary systems.  Just as there are currents driving the exchange of research information, there are also economic forces driving content to locations where it can be monetized.  Ultimately, I feel that the overall trend for scientific knowledge is toward openness.  In this specific case, however, the government's very humanitarian goal of encouraging adoption of electronic medical records works against openness in some ways.  The mad dash to obtain electronic efficiencies at the clinic level may have the effect of interfering with information exchange between providers.  By providing an alternative such as the forum at www.soapnote.org, I believe the exchange of clinical documentation templates and calculators will be more open.
 |tech needs=I do have some experience with computer programming (PHP, Python, Visual Basic, SQL Server), but I will try to keep this project as simple as possible by using Wordpress blogging software (open source) and available plugins.  Where needed, I will employ some PHP code.  Where coding or design is needed that is beyond my capability, I would like to use small contracts with professional programmers to accomplish necessary fixes and updates as they are needed.  As an open-source project, I would be pleased if anyone would like to adopt or modify the technology I've developed for their own use to improve collaboration in medicine.
 |challenges=I am certain that there are multiple challenges that I am not anticipating.
@@ Line 22: / Line 26: @@
 A second challenge will be simply encouraging adoption of the tools.  Not all medical providers are technologically savvy, but these are the people who I want to recruit to use the web site to build the content for open use:  clinical documentation templates and calculators.  I will try to overcome this obstacle through discourse in online forums as well as by performing live demonstrations wherever I can and by posting video demos and tutorials to the web to ease the learning curve.
 |sustainability=This project will not use advertising to produce revenue to continue the project.  I will use two mechanisms to cover the costs of future development and web hosting.  For the cost of future development, I will use the donation site www.chipin.com, or similar fundraising tools to help defray costs.  For the cost of web hosting, my web hosting service, Dreamhost, has provided me with a link to request donations that will go directly to web hosting costs.
 |scalability=Any provider in any clinic on the planet who has unfettered access to the internet will also have free access to this web site and its content.
-As users contribute content, the site will become more valuable as a reference.
+From a practical standpoint, web server costs will be kept as low as possible.  There is no need to carry video or audio (beyond tutorials) and the overwhelming bulk of data at the site is simple text.
 |resource needs=I would like to be able to clearly encourage users of the web site to employ Creative Commons licenses to the content they contribute to the site.
 |communication=RSS feed, Email, Twitter, Facebook, and the web communities of several professional societies.
 |legal=Yes
 }}

@@ Line 1: / Line 1: @@
 {{Grant Application
-|Project Title=Soapnote
+|Project Title=Soapnote - shared evidence in clinical practice
 |applicants=Mark Morgan
 |contact person=Mark Morgan
@@ Line 9: / Line 9: @@
 |Mainurl=http://www.soapnote.org
 |Affiliated=Yes
-|description=There is a race on.  Nearly every health organization in the United States is racing to adopt an electronic medical record-each with it's own standards.  Unfortunately, each new proprietary system that is developed also locks away valuable tools that medical providers use in their day-to-day practice.  An open forum for sharing of these tools, specifically clinical decision support and documentation templates is urgently needed.
+|description=There is a race on.  Nearly every health organization in the United States is racing to adopt an electronic medical record-each with it's own standards.  Unfortunately, each new proprietary system that is developed also locks away valuable tools that medical providers use in their day-to-day practice.  An open forum for sharing of these tools, specifically clinical decision support and documentation templates (as well as the evidence that supports them) is urgently needed.
-|output=Blog posts containing interactive clinical documentation templates and calculators produced on the site.
+|output=Blog posts containing interactive clinical documentation templates and calculators produced on the site.  Posts with annotations of medical evidence.  Rights attribution for all content.
 |community=By empowering health care providers to share the clinical decision rules, documentation templates, checklists, and boilerplate, these tools will improve.  As this tools improve, the delivery of healthcare for all will improve, as well.
-|community relationship=I am a Family Medicine physician working for the Indian Health Service.  I have been working on this issue on my own time since January 2009.  I have previously worked as a computer programmer at the Centers for Disease Control prior to becoming a physician.  I believe I am uniquely suited to create a resource that will improve healthcare delivery for all.
+|community relationship=I am a Family Medicine physician working for the Indian Health Service.  I have been working on this issue on my spare time since January 2009.  I have previously worked as a computer programmer at the Centers for Disease Control prior to becoming a physician.  I believe I am uniquely suited to create a resource that will improve healthcare delivery and exchange of knowledge.
 |measurement=I have encouraged physicians at academic medical centers to test the use of the website.  It could be compared against their current practice in controlled studies OR simple usability questionnaires such as the System Usability Scale (or other measure) could be employed.
 Objective usage statistics may include number of published posts, feedback, ratings, and comment counts.
 |participants=For the development of the web site as a forum for exchange of information, I will be the sole developer.  Regarding the development and exchange of shared content, I will solicit input from the wider primary care community via Twitter, Facebook, Delta Exchange (a web community of the American Association of Family Physicians), and doc2doc (a web community of the British Medical Journal).  Collaborative features of the website will encourage their involvement and I hope the tools available on the website will recruit new users.
-|impact=I feel very strongly that it is very important that clinical tools are not sequestered into proprietary systems.  Ultimately, I know that the overall trend for scientific knowledge is toward openness.  In this case, however, the government's very humanitarian goal of encouraging adoption of electronic medical records works against openness in some ways.  The mad dash to obtain electronic efficiencies at the clinic level may have the effect of interfering with information exchange between providers.  By providing an alternative such as the forum at www.soapnote.org, I believe the exchange of clinical documentation templates and calculators will be more open.
+|impact=I feel very strongly that it is very important that clinical tools are not sequestered into proprietary systems.  Just as there are currents driving the exchange of research information, there are also economic forces driving content to locations where it can be monetized.  Ultimately, I feel that the overall trend for scientific knowledge is toward openness.  In this case, however, the government's very humanitarian goal of encouraging adoption of electronic medical records works against openness in some ways.  The mad dash to obtain electronic efficiencies at the clinic level may have the effect of interfering with information exchange between providers.  By providing an alternative such as the forum at www.soapnote.org, I believe the exchange of clinical documentation templates and calculators will be more open.
-|tech needs=I do have some experience with computer programming (PHP, Python, Visual Basic, SQL Server), but I will try to keep this project as simple as possible by using Wordpress blogging software (open source) and available plugins.  Where needed, I will employ some PHP code.  Where coding or design is needed that is beyond my capability, I would like to use small contracts with professional programmers to accomplish necessary fixes and updates as they are needed.
+|tech needs=I do have some experience with computer programming (PHP, Python, Visual Basic, SQL Server), but I will try to keep this project as simple as possible by using Wordpress blogging software (open source) and available plugins.  Where needed, I will employ some PHP code.  Where coding or design is needed that is beyond my capability, I would like to use small contracts with professional programmers to accomplish necessary fixes and updates as they are needed.  As an open-source project, I would be pleased if anyone would like to adopt or modify the technology I've developed for their own use to improve collaboration in medicine.
 |challenges=I am certain that there are multiple challenges that I am not anticipating.
 First, I think there may be obstacles to contributors asserting any control of rights over the content they are authoring.  Whereas many institutions encourage authors to have their works published, this seems to evaporate at the interface of formal publication vs. blog.  By clarifying the issues surrounding this, a more favorable environment for information exchange will result.