Science and technology

How radical transparency is remodeling open supply healthcare software program

At Tidepool, the place I work as a Community and Clinic Success Manager, the corporate’s mission is to make diabetes software program extra accessible, significant, and actionable. Operating within the open is how we obtain that. Tidepool’s diabetes administration software program is an open supply platform free for each clinicians and folks impacted by diabetes. And, as a result of the corporate is a nonprofit, it additionally operates based on the transparency guidelines that govern 501(c)(3) organizations.

This strategy signifies that open supply healthcare software program could be pushed by the individuals most affected by it—within the case of Tidepool, the diabetes neighborhood. The options that come from this course of put the wants of particular person customers first, from the design section to implementation.

Radical transparency in healthcare

Tidepool has developed an ecosystem of merchandise that combine diabetes information from over 60 totally different insulin pumps, blood glucose meters, and steady glucose screens right into a single, intuitive person interface. People with diabetes, their care groups, and clinicians can view and analyze information then focus on potential remedy changes. Diabetes administration instruments range enormously from individual to individual, so a device-agnostic platform is essential to accessing information to assist preserve good management, particularly for individuals with diabetes who require insulin to handle their blood glucose ranges.

An ethos of openness can transcend making supply code open. Tidepool’s worker handbook is offered for others to make use of and even copy as a begin for their very own operations. Likewise, its kanban boards used to handle venture duties are publicly obtainable. If somebody within the diabetes or improvement neighborhood needed to see what was occurring in an upcoming dash, they might dig in and observe a activity from evaluation and improvement, to evaluation and testing, right through to approval and deployment. Tidepool’s Git repositories present a supply of fact for all its services in an effort to see each single pull request, peer evaluation, and launch.

[ Watch the Open Source Stories film: Opening the Loop: Autonomy, Access, and Insulin ]

Radical transparency additionally means making Tidepool’s Quality Management System publicly obtainable for inquiring minds who wish to know the way the corporate operates. That approach, different builders can doubtlessly construct out their very own set of normal working procedures for confidently navigating a regulated trade. Tidepool publishes assembly minutes with the FDA, so anybody can observe together with the paperwork introduced to the company for regulatory-related conferences in addition to the company’s response.

This philosophy of radical transparency that takes benefit of open supply software program has some highly effective unintended effects. For instance, teams internationally fork Tidepool’s code and spin up situations of the platform localized to areas in South America, Europe, Asia, Australia, and Africa. The firm has contributed to exterior initiatives and repositories via the course of its personal improvement work whereas additionally benefiting from the work of open supply contributors. Tidepool has verified and accepted a whole lot of pull requests from open supply contributors who assist add new options or catch extra edge circumstances. Those builders who take the time to make open supply healthcare software program higher have the chance to enhance the lives of a whole lot of 1000’s of individuals.

Open supply software program improvement benefiting the neighborhood

The most up-to-date improvement from these contributions is a community-driven venture known as Tidepool Loop, an interoperable automated insulin dosing software that was submitted to the FDA in December 2020. The venture leverages open supply work pioneered by the DIY diabetes neighborhood and champions of the #WeAreNotReady motion—a name to motion for builders and entrepreneurs within the diabetes neighborhood to construct and champion open supply, standards-based, interoperable options for diabetes administration. It began with DIY Loop—a community-driven venture that turned an iPhone right into a controller for an automatic insulin dosing system for individuals with diabetes. Tidepool then forked that supply code and, from that unimaginable basis, developed this first-of-its-kind app.

This venture is revolutionary for a lot of causes, however chief amongst them is how it began with extremely motivated members of the diabetes neighborhood trying to higher their very own lives or the lives of the individuals they look after. The sensible realities of open supply software program improvement imply firms like Tidepool can construct upon earlier work, and features of Tidepool Loop’s improvement can, in flip, profit the DIY neighborhood.

This complete strategy is centered round Tidepool’s philosophy of radical transparency. Not each person of open supply healthcare software program goes to concentrate to each single line of code, however open and clear operations show our group’s dedication to the communities it serves.


You can be taught extra about Tidepool and its work to make diabetes information extra accessible, significant, and actionable on its website.

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