Agenda Minutes 3

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Board of Directors Meeting (telephone conference)

AGENDA

Open Source Medical Software

Friday, May 12, 2006 at 5 PM (EST), 2 PM West coast time:

1. Call to order

2. Additions to agenda

3. Go over financial and organizational status

- Form 1023 - Completed and pending approval.

- Donations - We need to plan requests for donations so that this can commence once the 501(c)(3) status is completed

- Grants

Collaboration with other groups increases the chances of success

Pat Sanchez - Women's Health Initiative, Santa Fe, New Mexico. I have spoken with Pat Sanchez who was quite helpful. I have proposed that we consider filing a joint federal grant proposal to the Bureau of Primary Health Care. With Women's Health Services as the primary recipient. She is thinking it over.

I have started working on a grant proposal to GlaxoSmithKline Foundation of North Carolina.

I have been coordinating a project with Jain Suvienay of Mumbai(Bombay) India. Jain Suveinay works for Dr. R D Lele at the Lilavati Hospital in Mumbai. Mumbai is a city of 20,000,000 people with a 48.8% indigent rate and a rate of HIV 160 x greater than the rest of India. The current idea will be to contact the World Health Organization and make a joint application with these parties.

- Jain Suveinay is requesting a lot of features and will need a lot more money than he realizes

I am going to work on approaching some of the wealthier families in Hickory, NC for private donations. These private will not be as worried about whether we have a confirmed 501(c)(3) letter or whether the letter is “pending”.

I have working with a local grant writer who runs our cancer registry and local tumor board. She has raised enough money this year that she has given away $55,000 in local grants and has another $35,000 left over for her to forward to the national organization.

- I am beginning to actively solicit funds locally and will need a checking account soon to be able start depositing funds. I have discussed this with an attorney here locally who feels it will be safe to proceed like this. We can refer to the project as 501(c)(3) “pending”. The 501(c)(3) letter will likely arrive before the end of the year (when any of these individuals would be filing their taxes).

- I will investigate what kind of account we need with Bank Of America (as discussed last year). I will likely donate some cash personally to get this account set up.

4. Software Development - PHP 5 - MySQL 5 - User forms - Calendar - Integration of Billing inside of OpenEMR - FreeB 2 integration with OpenEMR (X12 progress) - Practice Management module that is an integral part of OpenEMR. - Cosmetic appearance * Web Designer - Thomas Yueh (CSS, Frames, Color Scheme Selection) - SVN - Migration plans to (at least) W3C HTML 4.01 transitional, and doing away with frames and smarty - future AJAX support in the framework - A discussion on a new design approach for contributed modules

5. MirrorMed – Fred Trotter (this section was discussed via e-mail conversation on 5-11-2006. These email comments will be attached to the minutes.)

- I spoke at length with Fred Trotter. He doing “his own thing” right now and considerably more latitude since the last time we spoke. Uversa's structure was a lot more like Walt Pennington. As MirrorMed he has a lot more freedom.

- He would like to see a functional merger of the OpenEMR project and MirrorMed. We discussed potential solutions. He is willing to give significant concessions. This includes using the OpenEMR name or giving the MirrorMed name to Open Source Medical Software.

- He expressed concerns about our project not having clear legal access to the OpenEMR name. Since Synitech created the name and Walt Pennington owns the copyright there is some legal risk to this using this name. The cleanest solution would be to convince Walt Pennington to give/sell the OpenEMR copyright to Open Source Medical Software. We would also need to convince Synitech to give up any legal claim to the OpenEMR brand name.

- The www.openemr.net name is currently not resolving and has not been visible for a while.

- oemr.org is number 2 on Google for searches for openemr. Try it!

- Fred Trotter prefers giving revision access to professional developers. He does not in any way want to imply any lack of confidence in our current developers. His approach to quality control has been a lot like ours.

- Advantages to a merger

MirrorMed is late PHP 4 and PHP 5, this is a object oriented system

OpenEMR still as a lot of PHP3 code. While its working it not as extensible as the newer PHP versions

FreeB 2 is PHP based and already working

Working calendaring

Fred Trotter has independent funding sufficient to keep him busy and allows him to work on structural aspects of the project that usual customers are not interested in funding. Like refactoring the code base. Like wise he does not represent a financially competing interest.

- Fred's suggestion would be:

to set up SVN access on the same site with two branches. One for OpenEMR and one for MirrorMed.

The current developers would have access to the entire code base.

Migrate the features of OpenEMR that are missing in MirrorMed to MirrorMed.

Build migration scripts from the old PHP3 code to allow users of older versions to migrate to the newest version.

Stop development on the PHP3 code except for bug fixes

Use the new PHP4+5 code base to build all new features.

This would greatly accelerate the conversion of OpenEMR from a PHP3 base to the newer more extensible object oriented code of PHP 4 and 5, bring FreeB 2, and have the PHP 4 + 5 calendaring.

Our conversation was relaxed with a much more collaborative feel than our previous conversation with Fred Trotter.

6. New Clients

- Part of my goals with OSMS is to greatly enlarge the client base. I have been investigating joining the NCACHA as discussed at our last meeting. As I am successful in selling groups on OpenEMR I will need hardware and software assistance from professional vendors such as Rod Roark and Peter Walter.

We need to discuss how to distribute new client referrals.

Will you guys be willing to do some gratis work for these community health centers to help get the ball rolling?

Does anyone know any of the other vendors and have you had any kind of feed back on their relative quality?

7. Comments period

8. Adjourn

Board of Directors Meeting (telephone conference)

MINUTES

Open Source Medical Software

Friday, May 12, 2006 at 5 PM (EST), 2 PM West coast time:

1. Call to order

Members present: Sam Bowen, Andres Paglayan, Rod Roark, Non-voting members: Peter Walter

2. Additions to agenda

3. Go over financial and organizational status

- Form 1023 - Completed and pending approval.

Peter Walter - I have worked with a lot of not-for-profit organizations in my carreer. The average time to get the 501(c)(3) letter is about 8 weeks after receipt at the IRS.

- Donations - We need to plan requests for donations so that this can commence once the 501(c)(3) status is completed

Andres Paglayan - The Womens Health Services has received a $70,000 dollar grant from the City of Santa Fe. $20,000 thousand of this money was used to purchase computer hardware including 2 IBM servers and a terrabyte memory device to support the use of OpenEMR at the Womens Health Services.

I was asked by my administration “How much would it cost to duplicate the functionality of “NextGen” using Microsoft's SQL-7? They were suggesting that they might contribute up to $100,000 dollars to improve OpenEMR.

OpenEMR needs a polished user interface, improved billing and doctors want to be able to customize their personal user interface.

- Grants

Collaboration with other groups increases the chances of success

Pat Sanchez - Women's Health Initiative, Santa Fe, New Mexico. I have spoken with Pat Sanchez who was quite helpful. I have proposed that we consider filing a joint federal grant proposal to the Bureau of Primary Health Care. With Women's Health Services as the primary recipient. She is thinking it over.

I have started working on a grant proposal to GlaxoSmithKline Foundation of North Carolina.

I have been coordinating a project with Jain Suvienay of Mumbai(Bombay) India. Jain Suveinay works for Dr. R D Lele at the Lilavati Hospital in Mumbai. Mumbai is a city of 20,000,000 people with a 48.8% indigent rate and a rate of HIV 160 x greater than the rest of India. The current idea will be to contact the World Health Organization and make a joint application with these parties.

- Jain Suveinay is requesting a lot of features and will need a lot more money than he realizes

I am going to work on approaching some of the wealthier families in Hickory, NC for private donations. These private individuals will not be as worried about whether we have a confirmed 501(c)(3) letter or whether the letter is “pending”.

Sam Bowen, MD - We also expect that the 501(c)(3) letter will be received prior to the end of this tax year. I plan to ask for enough to replace the existing OSMS server. Plus enough to cover the Internet services of $238 dollars per month.

I have working with a local grant writer who runs our cancer registry and local tumor board. She has raised enough money this year that she has given away $55,000 in local grants and has another $35,000 left over for her to forward to the national organization.

- I am beginning to actively solicit funds locally and will need a checking account soon to be able start depositing funds. I have discussed this with an attorney here locally who feels it will be safe to proceed like this. We can refer to the project as 501(c)(3) “pending”. The 501(c)(3) letter will likely arrive before the end of the year (when any of these individuals would be filing their taxes).

- I will investigate what kind of account we need with Bank Of America (as discussed last year). I will likely donate some cash personally to get this account set up.

Peter Walter - Sam, why worry about all this small stuff? The people that I know know find it easier to ask for the whole amount of what they need from just one funder. My sister-in-law does a lot of fund raising through grants. She doesn't usually ask for less than $150,000. She is quite successful at this. I will talk to her and try to get some ideas.