НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон,...

НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел “Шератон” , София

University – Industry cooperation -

base for high-risk eHealth technology solutions

Center of Information Society Technologies (CIST)University of Sofia


eHea

lth

CIST

Establishment of eHealth systems is with high risk

The eHealth Information systems do not contain high-technology risk components

The obstacles for eHealth systems are more political and psychological, than technical

There are many eHealthcare components that are based on new technologies, which creation is a risky process

There are many critical implementation situations – new approach for very important issue (the health and the life)

Who could be the universal solution provider for so diversified issues

the Universities


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Main advantages of the Universities in eHealth systems

University researchers are not cheap, but they combine non-restricted thinking with applied science solutions – important for medical machines

Students are without corporate culture for delivery, but there are not “modeled” within society or medical/IT industry constrains – for non-stanfard, new eHealth solutions

Academic scientists can be not too deep into some medical or technical area, but they have multi-domain knowledge and can generate cross-domain solutions (e.g. bio-nanosensors)

eHealth has to be run as a business, with multiple cross-domain specialists. An university can combine academics from different departments (including from biology, IT, financial departments)

eHealth needs some testing between people, where the student’s youth and intelligence are real “opening door” approach


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Main position of University-Industry cooperation for eHealth

eHealth solutions require big budget and challengeable researchers

The Industry is not keen to take high-risk projects. The universities are (why university clinics exist; why the new university clinics have good integration with university IT departments)

Most of the eHealth solutions are complex and require cross-domain university knowledge with industry delivery approach

Generally the eHealth solutions are high risky and are looking for high-profit. Universities are keen to do any risky projects, while the Industry is looking for less risk with high profit. Combined in the “right way”, both can make high-risky project with high-profit

The Industry is doing their solutions in the “main stream way”, while the Universities can do many parallel as possible research activities in one direction (for example 20 MSc projects for one eHealth goal)


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IMIA Electronic healthcare schema

The International Medical Informatics Association plays a major global role in the application of information science and technology in the fields of healthcare and research in medical, health and bio informatics.


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Areas for special attention from ICT point of view

Clinics Labs HospitalsHoldings MedicalAdmins

NationalSystem


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European Commission positions eHealth with high priority

New working environments

eBusiness

Networked AV systems-Home platforms

S/W and distributed Systems

Trust and Security

Micro and nanosystems & Displays

eHealth

Micro-nano-optoelectronics components

Embedded Systems

Transport & Environment

E-Government

Genome informatics

bio-nanosensors

SoC design

GMES

Nano tech3D T

V

Com

p.-

bsd

desi

gn

depe

ndab

ility

Crisis mgmt

ITS,eSafety

KM

org

anis

ati

ons

SER


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Smart cards flexibility is a key for the eHealth solutions–from low (entrance) level services to multi-application services

Interface to the Smart card

Issuer Security Domain

keys

Application Security Domain

keys

SC Appl

SC Appl...

SC Operating System

SC Appl

ApplSecurity

Domain -1Appl

Security Domain -2

Application Domain-1 keys

Card Issuer keys

General Keys

General Appl keys

Global Platform

Secure channel

Application Domain-2 keys

Renewal Keys

Renewal Appl keys

Smart Card (SC)

Global Platform (GP):Is a Cross-industry

technical specifications, used to develop secure and flexible Smart Card;

Includes Cards, Terminal and Back-end system specifications and tools;

Enables secure isolation of the applications;

Enables applications to be added or deleted dynamically from the Smart card;

Enables secure monitoring and management of access to all applications in the card.


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Clinic’s eHealth Framework – with pure business principles. What is the ICT solution?

Specialised Practitioners

Core Practitioners

Non-core services

Coffee Shop

Internet Cafe

Rec

eptio

n

Deb

tors

Mgm

tC

laim

s M

gmt

Pay

men

t M

gmt

Cre

dit

Mgm

t

Adm

inis

trat

ion

Cab

inet

Fac

ilitie

sM

edic

al

equi

pmen

tPractitioner Shared services

Main Processes

Loan

s M

gmt

Nur

sing

se

rvic

esB

rand

ing

Dem

and

gene

ratio

n

Oth

er r

even

ue

oppo

rt

Value-added processes

Acc

ount

ing

CR

M

Physical

Pat

ient

s ac

cs

Mgm

t

Clinical systems

Practitioner system

GP

Clinical systems

Practitioner system

Dentist

Radiologist

Pathologist

Physiotherapist

Optometrist

Dermatologist

Other Med Providers

Infrastructure services

PABX Cabling Building security Outdoor branding Toilets Waiting room

WardsStep down Center Clinic

Alternative Core services

etc.


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Medical Specialists’ IT system – very big challenge and business

GoodX is a fully integrated medical and accounting package, without need of any additional software package (it supports all types of specialist, Day clinics, Step-down clinics, Theatres, Wards, Pharmacies, full GL accounting with drill-down reports)

GoodX and its versions are available in the market from many years

GoodX uses file system with indexing files for storing data, which is inappropriate for financial system

GoodX has plan to be converted to MySQL or MS SQL Server in the future

The system does not use Database or Windows features

AccMed is an integrated medical and accounting package, and for fully integrated system it needs to add other specialised practitioner modules and provide export-import with accounting packages

AccMed is a newly developed package, which business principles are taken from "MedAD2000" - a package well popular and established in the market

AccMed uses MS SQL Server as base for the system design

The development is Windows and Databases oriented, using the main of their functions

AccMed contains integration for real time operation with the main medical switches

GoodX is: AccMed is:

Does not have Corporate financial system - for the entire corporate

Based on the used file system, the financials can have incomprehensive status

Uses export-import mechanism for integration with the medical aid Switches

Weakly supports patients sensitive medical data

Does not have Corporate financial system - for the entire corporate

Needs separate modules for Dentist and GPs Does not have modules for specialised medical

practitioners The GUI looks over engineered for medical practitioners Use Export-Import mechanism for full accounting

functionality, which does not correspond to the best practice of financial management system

Weakly supports patients sensitive medical data

Issues in GoodX:

Issues in AccMed:

Prons and Cons about two systems – “GoodX” and “AccMed”


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Very challengeable ICT eHealth solutions

Hospital solution – like extended Clinic’s one•higher-scalable ICT system•with higher attention to Patient Record system,•with Theater mgmt, Purchase-Stock control, Pharmacy, ER, Alternative-

Core are Core services, •extensive Security architecture,•with special attention to Risk management, Regulatory compliance, Contingency planning , Staffing

Medical Switch solution

Medical Holdings solution

Medical Administrators solution


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In SU there is a MSc program “Bio- and medical informatics” since 2002-2003 academic year

• Analysis and medical Data processing – Images and transmission of data (DICOM standard, HL7 protocol)

• Bio-informatics and computational molecular biology

• Data bases

• Statistics, biometrics


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Q & A

НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон,...

Documents

ehealth ehealth solutions

ehealth information

ehealth cist areas

ehealth goal slide

financial departments

ehealth cist main advantages

bionanosensors ehealth

new university clinics