НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон,...
Transcript of 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
НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел “Шератон” , София
eHea
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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
НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел “Шератон” , София
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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
НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел “Шератон” , София
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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)
НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел “Шератон” , София
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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.
НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел “Шератон” , София
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Areas for special attention from ICT point of view
Clinics Labs HospitalsHoldings MedicalAdmins
NationalSystem
НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел “Шератон” , София
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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
НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел “Шератон” , София
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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.
НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел “Шератон” , София
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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.
НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел “Шератон” , София
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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”
НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел “Шератон” , София
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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
НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел “Шератон” , София
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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
НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел “Шератон” , София
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Q & A