eHP background 20080612 Kuopio Korpela

Document Sample
eHP background 20080612 Kuopio Korpela Powered By Docstoc
					  China-Finland                 Chinese universities’ visit to Kuopio
eHealth Partnership                       12 June 2008

  www.uku.fi/ehp




                                China-Finland
                          Research Collaboration in
                         Health Information Systems:
                          e-Health Partnership project
                            中芬数字化医疗合作项目
                               高明 Mikko Korpela, Adjunct Prof
                                     University of Kuopio,
                           Healthcare Information Systems R&D Unit

                      Finnish Agency for Technology and Innovation Tekes
                                      grant no. 40210/07
   China-Finland
 eHealth Partnership




     Outline of the presentation
     ● Historical background of health and wellness
       informatics in Kuopio
     ● Historical background of e-health partnership
       ○ Roots of China-Finland e-health collaboration
       ○ Export HIS, 2004-2006
       ○ eHP Finland, 2006-2007
       ○ China-Finland (MOST-KTM) S&T agreement
     ● China-Finland eHP, 2007-2008
     ● Future plans: UbiHealth, 2009-2011



www.uku.fi/ehp Korpela     12 June 2008   2
   China-Finland
 eHealth Partnership


        Health informatics research and
        education in the Kuopio region: Roots
                                                                                  Health Kuopio
Research and development                                           Sonetti       Cesar ZipIT
                                                                     Elämisen alkuun SerAPI
Data    Finstar        MUSTI HIS         FileMan/Kernel        FixIT C-FixIT PlugIT Avointa eHP
ECG                                    Ife     HELINA                INDEHELA          Exp.HIS
         1980           1985           1990             1995             2000            2005

                                         Computer Science              Software Engineering
University: Medicine, health and social sciences                            HI Master’s
                                                                   HI continuing educ.
Polytechnic: EDP, nursing, electronics, design                             Health IT spec.
Education                                                                       Wellness tech. postgr


 •     Key partner in national hospital information system development in 1980s
 •     The only “buffet” of health informatics education in Finland
 •     Healthcare IT is now a regional and national priority
 •     Int'l health IT: Africa, international standards → China

www.uku.fi/ehp Mikko Korpela                  28 Nov 2006      3
    China-Finland
  eHealth Partnership




      Project cluster in health and wellness
      informatics research in Kuopio

                                         Wellness IT research cluster
                        INDEHELA                 Beginning
                         Methods
                                                  of Life               PlugIT
       International research projects
             ICT for Health                 Healthcare processes and sofware production
                                                                                                     2004
                        INDEHELA
        Export HIS                               ActAD-HIS      ZipIT            SerAPI    Avointa
                          Context
  eHealth Partners                                                                                   2007
            Finland                           Äippä
 China-Finland eHP
                        INDEHELA                                     My-           SOLEA
        UbiHealth         South                                    Wellbeing                SICOPS   2010




www.uku.fi/ehp Korpela                           12 June 2008      4
   China-Finland
 eHealth Partnership



      Roots of China-Finland e-health
      collaboration in summer 2003
   Technology Centre Teknia and the City of Kuopio have well
  established relations in Shanghai
   A medical device company found few clinical health
  information systems in China to integrate with
   Finland has a long tradition of using information systems in
  healthcare, but few companies are exporting their products
   How can existing know-how, companies and software
  products from Finland be pooled together for exports?
        →
  Phase 1: Concept development in Shanghai
www.uku.fi/ehp Korpela       12 June 2008   5
                              Export HIS objectives
                              Software export / acquisition service chain
          Supplier country: Finland                                             User country: PR China, Shanghai
                                          Government                           Government
        Research and dev. projects                                                                       Healthcare organization
                                      Laws, rules, control,                      Laws, rules, control,      Management
                                     resources, standards                        resources, standards
              Know-how
                                          Mediator, e.g. Teknia,
         Software product company         trading house, etc.              Local solution provider
          Management                        Management                      Management


                                                                                                                 In-house
                                                                                                                 IS support

                                                                                                                              Computer-
                                                                                                   Information                supported
          Software                               International                    Consultancy ,
                                                                                                   system                     healthcare
          development   Software                 marketing,                       localization,
                                                                                                   development                activity         Citizens
                        marketing                support, etc.                    distribution

                                                                                                                 Needs


                                     Products,                     Imported                  Localized     System in use             Service
                                     know-how                      and local                 package
                                                                   parts


   Study recent developments in Chinese healthcare system and analyse Hospital
    Information Systems needs in Shanghai
   Evaluate the applicability of Finnish healthcare systems know-how and software to
    the Chinese market and establish contacts with local authorities and companies
                      an 2008
    Produce a plan forJuneactual export / acquisition project, if feasible
     Korpela        12                                                             6
                              Export HIS objectives
                              Software export / acquisition service chain
           Supplier country: Finland                                            User country: PR China, Shanghai
                                          Government                           Government
        Research and dev. projects                                                                       Healthcare organization
                                      Laws, rules, control,                      Laws, rules, control,      Management
                                     resources, standards                        resources, standards
              Know-how
                                          Mediator, e.g. Teknia,
         Software product company         trading house, etc.              Local solution provider
           Management                       Management                      Management



         Products                                                                                             In-house
                                                                                                              IS support
                                                                How to                                          Needs in
               and                                                                                                  Computer-
                                                 International   link Consultancy ,                Information  Shanghai
                                                                                                                    supported
        know-how
          Software
          development Software                   marketing,           localization,
                                                 support, etc.together?
                                                                                                   system
                                                                                                   development
                                                                                                                    healthcare
                      marketing                                       distribution                             healthcare?
                                                                                                                    activity   Citizens

        in Finland                                                                                            Needs


                                     Products,                     Imported                  Localized     System in use      Service
                                     know-how                      and local                 package
                                                                   parts


   Study recent developments in Chinese healthcare system and analyse Hospital
    Information Systems needs in Shanghai
   Evaluate the applicability of Finnish healthcare systems know-how and software to
    the Chinese market and establish contacts with local authorities and companies
                      an 2008
    Produce a plan forJuneactual export / acquisition project, if feasible
     Korpela        12                                                             7
           Export HIS: www.centek.fi/exporthis
           How to export Finnish healthcare software
           Phase 1: Concept development in Shanghai

          Institution in charge: HIS R&D Unit, University of Kuopio
          Project partners: 10 companies
           AtBusiness, FD Systems, GE Healthcare, Duodecim, Mawell,
          Medikro, Medixine, Mega-Elektroniikka, Mylab, Physiotools
           Technology Center Teknia, UKu Health Policy and Mgt. Dept.
          Duration: Phase 1, June 2004 – Sept 2005 → March 2006
          Funding: 290 000 €, Tekes/European Regional Dev. Fund
          Main outcomes:
           Seminar in Shanghai & Guangzhou, April 2005
            Linkages with authorities, companies, hospitals, experts
            China-Finland Health IT Summit Forum, Beijing, March’06
            Proposals for further collaboration
                 Tekes: e-Health Partners Finland
                 KTM-MOST with MoH: China-Finland e-health partnership
                (umbrella)
Korpela          KTM-MOST with SHB: Digital hospital guidelines
          12 June 2008                                                 8
   China-Finland
 eHealth Partnership




                                                                           Korpela et al. 2006, China Health Information Forum, Shanghai
     e-Health Partners Finland (2006/1–2007/3)
      ● Exporting international-level research-based expertise
      ● Leading edge research, industry & healthcare partners:
           ○ Univ. Tampere, Univ. Kuopio, VTT Information Technology
           ○ 14 companies: Teknia, Agfa Gevaert, Duodecim, FD Systems,
             GE Healthcare, GoodIT, Intensium, Mawell, Medici Data,
             Mediconsult, Mylab, Prowellness, WM-data, YT Tieto
           ○ Cities of Kuopio and Tampere, hospital districts of North
             Savo, Pirkanmaa, Satakunta
           ○ Liaison with Ministry of Social Affairs and Health & STAKES
           ○ Funding from Finnish Agency for Technology and Innovation
             Tekes and EU/European Regional Development Fund ERDF
           ○ Open to expansion in the next phase

www.uku.fi/ehp Korpela              12 June 2008   9
   China-Finland
 eHealth Partnership




                                                                                 Korpela et al. 2006, China Health Information Forum, Shanghai
      e-Health Partners Finland
      www.uku.fi/ehp
   ● Areas of international-level expertise:
        ○   Interoperability and integration
        ○   Standardization: Software services, structured core data
        ○   Architectures: National, regional, hospital-wide & SOA
        ○   Evaluation: Health information systems, methods and theories
        ○   Activity-driven methods for requirements analysis
        ○   Clinical decision support
   ● Drawing from research & development projects:
        ○   National EHR: Structured data, architecture, security, legislature
        ○   SerAPI: Service-oriented architecture and web services
        ○   ZipIT: Combining work development with systems development
        ○   MedMan: Medication management in patient information systems
        ○   EBMeDS: Evidence-based medical decision support
   ● Main directions: China, USA, EU
www.uku.fi/ehp Korpela               12 June 2008   10
   China-Finland
 eHealth Partnership



      Expected outcomes of eHP project
                                                                                USA
                                                                              EU
                   Gov ernment            Finland                           China                    Gov ernment


         Laws, rules, control,               Framework agreement on e-health                            Laws, rules, control,
        resources, standards                                                                            resources, standards
   Research and dev. proj ects                                                                       Research and dev. proj ects
                                                  eHealth            Self-funded partnership
                                                  Partners
                                                  network             Contracted
       Knowledge, know-how                                            transfer of                       Knowledge, know-how
                                Business          Contractor, e.g.     expertise
     Healthcare          Softw are  plan          trading house        Local solution prov ider      Healthcare organizations
     organizations       companies
      Computer-            Software          International                   Consultancy ,      Information           Computer-
      supported            develop-           marketing,                      localization,       system              supported
      healthcare            ment             support, etc.                     distribution   implementation          healthcare          Citizens
                                                              Contracted
                                                              transfer of
                                                               expertise                                   Needs

                                                                                                        System in use           Service
                                                               Imported                  Localized
                                      Products,                and local                 package
                                      know-how                 parts




www.uku.fi/ehp Korpela                                          12 June 2008           11
   China-Finland
 eHealth Partnership


      China-Finland S&T programme:
      MoH–eHP: China-Finland e-Health
      ● Umbrella project for China-Finland collaboration in
        the field of health information technology (e-health)
           1.   national standards development
           2.   e-hospital guidelines
           3.   e-hospital implementations
           4.   human resources development for e-healthcare

      ● Chinese organization: Ministry of Health / Center for
        Health Statistics and Information, Wang Caiyou
      ● Approved in China-Finland S&T programme
      ● Expected duration: 2006 – 2009
      ● No funding for Chinese part from MOST in 2006

www.uku.fi/ehp Korpela               12 June 2008   12
   China-Finland
 eHealth Partnership


      China-Finland S&T programme:
      SMHB–eHP: e-Hospital Guidelines
      ● Guidelines for EPR/EHR and interoperability in digital
        hospital (part of China-Finland e-Health Partnership)
      ● Development of internationally compatible guidelines
        for the general architecture, structured electronic
        patient/health record (EPR/EHR), integration
        standards as well as methods of implementation,
        evaluation and human resources development for
        digital hospital (“e-hospital”) in China
      ● Chinese organization: Shanghai Municipal Health
        Bureau / Health Information Center, Fan Qiyong
      ● Approved in China-Finland S&T programme
      ● Chinese funding from Shanghai S&T and Pudong Distr
www.uku.fi/ehp Korpela         12 June 2008   13
   China-Finland
 eHealth Partnership



     China-Finland e-Health Partnership
     (2007/6–2008/12)
      ● Univ. Kuopio (coordinator), Univ. Tampere
      ● 6 companies: Conceptia, eHIT, GoodIT, Mawell,
        Mylab, Teknia, Tietotarha
      ● Funding 288 000 € from Finnish Agency for
        Technology and Innovation Tekes (85%) and
        companies (15%)
      ● Four themes – testing methods developed previously:
           ○   Needs and Requirements
           ○   Architecture, Interoperability, Standards
           ○   Data Set Definition for EHR
           ○   Evaluation

www.uku.fi/ehp Korpela                 12 June 2008   14
   China-Finland
 eHealth Partnership




  Original objectives of Cn-Fi eHP project
      ● Implement the objectives of the plan approved to the
        China-Finland Science and Technology Agreement
      ● + Information sharing / regional health info network
      ● Participate in MoH national work groups to ensure
        national compatibility and to contribute nationally
      ● Participate in international standards development to
        ensure international compatibility and to contribute
        internationally
      ● Draw experience from similar research and
        development conducted in parallel in Finland,
        contribute back to Finland by application experience

www.uku.fi/ehp Korpela        12 June 2008   15
   China-Finland
 eHealth Partnership



      China-Finland eHP in a project cluster
                                                              Commercial application

                         Shenkang            Cn-Fi e-Health
                         Medical link       Education, CIMO
                           project
                                  SMHB                          Related project
                  Other          project:                         in Finland:
               information                                       MyWellbeing
                             Approved,
              sharing pilots                 China-Finland eHP:  (OmaHyvin-
                              12/2006-
                               11/2008       Approved in 9/2007      vointi)
                                             for 6/2007-12/2008
                       Pudong
                       regional
                     information
                     system pilot                             National EHR project
                                            MoH work
                                                                   in Finland,
                                             groups:
                                                               other development
                                            Approved,
                                                                    projects
                                             started


www.uku.fi/ehp Korpela                        12 June 2008     16
   China-Finland
 eHealth Partnership


   Pudong pilot case setting
                  Pudong District                             Legend:
                  health administration                            Formal              Information use
                                                                   organization
                            Pudong CDC Health insurance
                                                                                       Data transfer
                                                                   Activity            between systems

                                                                   Need/service
                                                                   relationship        Data storage
                                                                   Individual

   Study                      East Hospital                   Weifang CHC

   ”before”,                               Wards,
                                           Clinics
                                                                                       Selected
   ”after”,                     Support
                                services
                                           Care
                                           provision
                                                                        Care
                                                                        provision
                                                                                    patient group:
                                                                                    Maternal health

   ”future”
   regional
   info                       Kingstar and other vendors

   sharing
www.uku.fi/ehp Korpela                         12 June 2008   17
   China-Finland
 eHealth Partnership




     Future plans: UbiHealth (2009-2011)
      ● Ubiquitous citizen-centred e-health services:
         Development, evaluation and acceptance
      ● 以市民为中心的普适性电子健康服务:
           开发与评估方法、用户接受研究
      ● Research plan to the MOTIVE programme of
        Academy of Finland and NSFC
           ○   Univ. Kuopio, HIS R&D Unit
           ○   Univ. Tampere, Dept. of Computer Sciences
           ○   Fudan Univ., Dept. of Info Management & Info Systems
           ○   National Key Lab of Health Technology Assessment,
               Ministry of Health (Fudan Univ.)
www.uku.fi/ehp Korpela             12 June 2008   18
   China-Finland
 eHealth Partnership



     Future plans: UbiHealth (2009-2011)
      Background theories       Theoretical frameworks          Research methods              Technologies

      ● Univ. Kuopio (coordinator), Univ. Tampere                                                         Publica
                                                                                                          Publica
                                                                                                         Publica
                                                      Acceptance                                        Publica
                                                                                                         Publi-
               CONSTRUCTION                                                                                  tions
                                                                                                            tions
                                                                                                           tions
                                                                                                          tions
                                                                                                        cations
                                         Contents
                                                       INTER- Evaluation
                                                       ACTION                     INDUCTION

                                             Context         Development
                                                                                                        Dissertatio
                                                                                                        Dissertatio
                                                                                                        Disser-
                                                                                                            nn
                                                                                                         tation
 UbiHealth                                            REFLECTION



   Related research and       omaHyvinvointi           SOLEA     National EHR       National EHR
   development projects                      SICOPS            project in Finland activities in China


                                     ZipIT     Cn-Fi-eHP                   INDEHELA- China 863,
    Prior                                                      SerAPI
    research                                                                 Context   NFSC
                        export-HIS      eHP


    Empirical context           Finnish Health Care                Chinese Health Care


www.uku.fi/ehp Korpela                                   12 June 2008       19

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:4
posted:6/25/2012
language:
pages:19