local healthcare services 07222007

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Local Healthcare Services Infrastructure

III International Group

Institute for Information IndustryAugust 2007



Agenda

Trend of Future Services

Technical Services

Step of Integration of Healthcare Services

Strategies and Objective Benefits

Conclusion



Trend of Future Services Future Trend of Services

– Personalization – Versatility

– Digitization

Integration of Healthcare Services – Security Service Provider

– Healthcare Service Provider

– Insurance Service Provider

Rise of Technical Services – Providing Personal one-stop Service with Different

Devices through Integrated Services on a Common ICT(Information & communication technology) Platform



Customer-Centered Healthcare Services

Insurance

Services

Security

Services

Healthcare

Services

Customers

•Single-minded, customer centric• No defense concept, customer

easily lost•High unit cost per customer



Customer-Oriented Healthcare Services

Customers

HealthcareServices

SecurityServices

Insurance

Services

Future Services

Finance、Media、 Distribution•Bidirectional minded,Customer-oriented•Defense concept, low customer

lost rate•Low unit cost percustomer



ITES Healthcare Service Platform

• A highly expandable personalized

information service platform

(broker) ， including all service log and

service process ， as a bridge between

service provider and service requester ， socalled Information Technology Enabling

Services (ITES) core service platform

• ITES core service platform could host

different service providers seamless ， lock

customer demand ， create maximum life

time value (LTV)

ITES Healthcare Service Platform

Customers

Healthcare

Services

Security

Services

Insurance

Services

F

uture Service

Finance、Media、Distribution



Service Platform

From ”Many （ Physical Network ） mono-service type

networks ”to ”Single （ Physical Network ） multi-

service type network ” - Integrate all network services, low

down cost, speed up time-to-market

More focus IP as service vehicle

Based on broadband network as service infrastructure

Major on mobility

– Human mobility

– Multiple CPE support for each person （ Services ）

– Wireless at the last mile end.

Open application platform hosting versatile service

providers



Technical Services Concept

OneOnePlatformPlatformServicesServices

User User ExperiencesExperiences

Multi-Multi-DevicesDevices

One Card

Processes Messages

Network-based Smart Card

Open Platform with IP based



Business Model of Technical Services

Physical and Virtual Channels

Customers

Integrated

Service Platform

Product

Providers

Service

Providers

Distribution

Center Finance



Participants of Technical Service

Service Provider

• Define Service Content

• Maintain Service Level

Service Platform Provider • Process Service Request

• Monitor Service Quality

Device and Channel Provider • Provide Service Environment

• Provide Service Contact



Example: Local Healthcare Infrastructure(1)

電子病歷

健保申報

Storage

Medical InformationCenter

VPNVPN

ClinicNetwork

RIS Client

PACS Client

HIS

Client

Server:

HIS

PACS

RIS

Web

Local HospitalNetwork

RIS ClientPACS Client

HIS Client

Local HospitalNetwork

RIS Client PACS Client

ClinicNetwork

RIS Client

PACS Client

Internet

轉診轉檢

影像報告查詢

Network

衛生局稽核查詢




VPN

PACS Server

HIS ServerRIS Server

SQL Server SAN

Web Server

E.C. Server

Fiber Network

HIS 工作站 RIS 工作站

PACS工作站

Lan

地方醫院/診所

醫療資料中心

地方醫院/診所

地方醫院/診所

地方醫院/診所

藥局

藥局

藥局

藥局

InternetInternet

衛生局

健保局

各大醫院所

病患住所

北市醫院




Client端

HIS

PACS

RIS

Server 端

SQLServer

DateBase

SAN

Storage

PACSServer

E.C.Server

HISServer

WebServer

RISServer

V P N

健保申報

電子病歷

報告查詢

資料交換

影像調閱

轉診轉檢

I n t e r n e t



Steps of Integration on Healthcare Services

Healthcare service will be Taiwan advanced mainstream

services with millions of customers。

Insecurity、 healthcare and insurance services, any changein service behavior (such as value-added or transform) willaffect millions of customers. How to increase revenue andlow down cost will be the major concern of these 3 service

providers. In order to integrate the above 3 services， we must work

with Smart IC card first, and integrate all service platformsthen

First – Integrate Service Information Platform with SmartIC Card

Second – Smart IC Card Oriented Service PlatformIntegration



Stategies and Objective

17 Medical Centers

70 Reginal Hospitals

310 Local Hospitals

8500 Clinics

•2, 245 C itizens

•5, 000 Credit Car ds

• 2, 3M Mobile S ubscr iber s

• 2.6 M ADSL Subscribers

•Service Areas ：healthcare 、 Security 、 Ins

urance

•Core Channels ： Reginal

Hospital 、 Clinic 、 Comm

unity Center •Core Device ： Smart IC

Card

•Objective ： Set up a cross

service platform information

infrastructure ， and provide

One-Stop in the channel

Service



Information Infrastructure

『 ITES 』 Share Services

Platform

clinicsRegional/Local

HospitalsEMR

PACS/RISPACS/RISHIS HIS

EMR

Card Issuer (Finance

Institutes)

Self payment/Non-Insurance

EMR

BillBill

Security Service Provider

Door Control 、 Service ID



Benefit (1) Card Holder

–Multi-purpose card ， no cash for (insurance) ； provide e-Perscription service to ensure safety of medicine (healthcare)

–Network-based Card application is download easily ， easy reissuedupon lost ， separate card issued and service ， enhance serviceefficiency ， dynamic door control ， double password protection

(security)–e-HMR at hand ， privacy protection (healthcare and security)

–Travel with Smart IC and credit card, which provides function of expense ， insurance ， healthcare 、 communication...services

–No card change with applying or stopping other value-added services (

cross selling﹚



Benefit (2) Healthcare service provider

–Collect information of self-payment under insurance andnon-insurance payment

–Lock customer expense behavior ， and create value-added service

–Leverage with insurance to cross sell

–Combine cash flow of physical channel and e-businessthrough Web-based POS

–Derives of finance expense service

–Provide finance services to hospitals and clinics



Benefit (3) Security Service provider

–IP-based network services to provide card holder value-added services (Triple-play over IP) 。

–With 3G wireless application and securitydevices ， provide card holder mobile care services

–Provide clinic-based care services for community residentsthrough community or building security with WiFi orWiMax

–Leverage with other service providers to provide full

spectrum of security services in order to create more safetyenvironment



Benefit (4)

Insurance service provider

–Integrate with healthcare service–Hold the biggest healthcare channel (cash

flow ， information flow and distribution))

–The best channel for the elders in the future

–Hold the information of customer expense behavior andhealth

–Leverage with other technical services by integrateplatform without card or devices replacement. Great

potential to add unlimited services in the future, and formbackbone of information services as an important strategicpartner for every conglomerate group.



Conclusion

Innovators don’t change the world.

The users of their innovations do.

(Michael Schrage MIT Media Lab)



Q&A

local healthcare services 07222007

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