Agenda Minutes 9

Board of Directors Meeting (telephone conference)

AGENDA

Open Source Medical Software

Friday, May 13, 2008 at 1 PM (EDT)

Andres Paglayan Rod Roark James Perry (Tekkno Genius) Mark Leeds, DO Michiel Bosman, MD Samuel T. Bowen, MD Proposed New member:David Herman - Certified Public Accountant

1. Call to order

2. Additions to agenda

3. Discussion and vote on new proposed member: David Herman Certified Public Accountant

I have been working with David Herman who has been helping with the US Federal taxes. He has recommended that we file a pf-990 - 501(c)(3) applied.

We have already have tax exempt status in the State of North Carolina and do not need to file state income taxes.

David Hermann, has expressed in joining our Board. He has an interest in the open source movement and has been helping me work on the tax exempt status for about 2 years. I would like to nominate Mr. Hermann to join our board of directors.

4. Go over financial and organizational status

- Form 1023

- Taxes - David Herman has recommended filing pf990.

- Finances - Currently non-existent. Well, not quite, but we don't have much cash. To date OSMS has been existing off of volunteer donations in the amount of about 1/2 million dollars donated in terms of time and donated software.

- sale of pre-packaged software

- Donations

- Grants

- Financial Statement

- Organizational status Executive Business Committee Software Development Committee

Ultimately, as OSMS grows I think we ought to consider splitting the meetings up into two groups.

A business group to work on legal issues, business issues, fund raising, grants etc. and growing the organization as a business and working solvency including funding of software products.

The second issues to work on software guidance and software issues. A lot of meetings are totally consumed with software issues and we don't necessarily get that much done to grow the organization as a business.

5. Marketing

a. Are any major players using and/or are aware of OpenEMR?

b. What are we doing to actively promote OpenEMR

6. Software Development

- Installation needs to be easier - packages (Debian, Ubuntu, RPM, MSE)

- PostgreSQL (one single database instead of two?)

- Internationalization

- calendar

- Staying concurrent to avoid forks

- Road Map

- User forms

- Integration of Billing inside of OpenEMR

- Practice Management module that is an integral part of OpenEMR.

7. Comments period

8. Adjourn Board of Directors Meeting (telephone conference) AGENDA Open Source Medical Software Friday, May 13, 2008 at 1 PM (EDT)

1. Call to order Members present: Andres Paglayan Rod Roark James Perry (Tekkno Genius) Samuel T. Bowen, MD Proposed New member:David Herman - Certified Public Accountant

Members absent: Mark Leeds, DO Michiel Bosman, MD

2. Additions to agenda

Rod Roark discussed his recent project with IPPF, International Planned Parenthood Federation. IPPF is the large multinational organization that has been referenced in the lst two board of directors meetings. IPPF appears to be very commited to open source software and have been working closely with Rod Roark to make modifications to OpenEMR that are useful to their world wide project.

IPPF has started using OpenEMR in Barbados about the first of May, 2008. A second pilot project is planned for Indonesia that should begin in about two weeks. This looks to be a really big step up for OSMS to be working with IPPF and another big step for open source software.

I have asked Rod Roark to get permission to make a press release announcing their pilot projects. Rod feels that IPPF will likely want to write the press release for us to use.

3. Discussion and vote on new proposed member: David Herman Certified Public Accountant

I have been working with David Herman who has been helping with the US Federal taxes. He has recommended that we file a pf-990 - 501(c)(3) applied. We have already have tax exempt status in the State of North Carolina and do not need to file state income taxes.

David Hermann, has expressed in joining our Board. He has an interest in the open source movement and has been helping me work on the tax exempt status for about 2 years. I would like to nominate Mr. Hermann to join our board of directors.

David Herman discussed his training, qualifications with the Board of Directors over a ten minute period.

After discussion was ended, David Herman was elected unanimously to the Board of Directors.

4. Go over financial and organizational status

- Form 1023

Currently our application is in a pile of other applications in Washington, D.C. with a techincal specialist. We have not heard back yet. David Herman and myself have been working on a letter to provide a supplemental letter to try to bolster our chances with this application.

- Taxes

David Herman has recommended filing pf990 and to continue operating as a not-for-profit. This includes proceeding with raising money.

- Finances

Currently non-existent. Well, not quite, but we don't have much cash. To date OSMS has been existing off of volunteer donations in the amount of about 1/2 million dollars donated in terms of time and donated software.

- sale of pre-packaged software

Preinstalled software would be very valuable for the project. Using pre-installed Ubuntu, Knoppix, .deb, .rpm, and .mse packages are "value added" and can be sold to help raise money for the corporation.

- Donations

Activately donations on SourceForge and oemr.org.

- Grants

I have been discussing grant writing with a an experiened grant writer in my area, Forrest Toms. Mr. Toms has important connections in our state government that may bo interested in our project.

He also suggested considering writing grants to Kate B. Reynolds Foundation and the Zia Smith Reynolds foundation because they have a history of supporting health care institutions in North Carolina.

He also feels that we should investigate the Golden Health Foundation. This is the health found that was awarded as the class action suit against the tobacco compaines for injuring the health of residents of North Carolina. My argument is that this found is notoriously difficult to win the grant and then to adminstrate.

- Financial Statement

Unchanged from the last board meeting. There have no receipts, and no expenditures.

I have asked David Herman to consider taking over the financial reports as the most competent person to do so.

- Organizational status

Ultimately, as OSMS grows I think we ought to consider splitting the meetings up into two groups.

A business committee to work on legal issues, business issues, fund raising, grants etc. and growing the organization as a business and working solvency including funding of software products.

The second software committee to work on software guidance and software issues. A lot of meetings are totally consumed with software issues and we don't necessarily get that much done to grow the organization as a business.

A useful division would be for the business committee Sam Bowen, Rod Roark, Michiel Bosman and David Herman. For the software committee Rod Roark, Andres Paglayan, James Perry and Mark Leeds. Each committee would meet quarterly with an annual full board meeting.

Decisions concerning legal issues, changes in the corporate bylaws, or issues with legal risk that affect the board should still be voted on by the full board.

5. Marketing

a. Are any major players using and/or are aware of OpenEMR?

No.

b. What are we doing to actively promote OpenEMR

Currently we are trying to promote the oemr.org wen page on the internet. In general we come up number one on the first page od "Google" with the search terms "free electronic medical records" and "free medical records."

6. Software Development

- Installation needs to be easier - packages (Debian, Ubuntu, RPM, MSE)

- PostgreSQL (one single database instead of two?)

Recent discussions on the forums about using PostgreSQL as a single database. This would make installation a lot easier to get the entire pacakge working.

Rod Roark feels that it would be more important to get all of the billing portions integrated into the OpenEMR using the MySQL database.

He is in favor of database independence and being albe to use either MySQL or PostgreSQL as the backend. - Internationalization

- calendar

- Staying concurrent to avoid forks

- Road Map

- User forms

- Integration of Billing inside of OpenEMR

Integration of billing inside of OpenEMR still depends on being able to print HCFA 1500 forms from inside OpenEMR. This would make OpenEMR independent of FreeB.

OpenEMR will continue to maintain the links to SQL-Ledger that a number of practices are already using.

In the furture we will also want to be able to export financial data to SQL-Ledger, QuickBooks and PeachTree software packages.

- Practice Management module that is an integral part of OpenEMR.

7. Comments period

As previously discussed we need very much to be able to keep track of how many instatllations of OpenEMR that we have. Andres Paglayan feels that this would be very easy to include a script that helps send a ping to an OSMS server to count installations. We should include a check box to allow the installation registration to be voluntary. We have Andres to complete this for us.

8. Adjourn