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Chinese universities’ visit to Kuopio 12 June 2008. 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. Outline of the presentation. - PowerPoint PPT Presentation
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Finnish Agency for Technology and Innovation Tekes grant no. 40210/07
www.uku.fi/ehp
China-FinlandeHealth Partnership
China-Finland Research Collaboration in
Health Information Systems:
e Health Partnership project中芬数字化医疗合作项目
Chinese universities’ visit to Kuopio12 June 2008
高明 Mikko Korpela, Adjunct Prof
University of Kuopio,Healthcare Information Systems R&D Unit
www.uku.fi/ehp
China-Finland eHealth Partnership
22
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
12 June 2008Korpela
www.uku.fi/ehp
China-Finland eHealth Partnership
28 Nov 2006Mikko Korpela 3
Health informatics research and education in the Kuopio region: Roots
1980 1985 1990 1995 2000 2005
Data ECG
Finstar MUSTI HIS FileMan/Kernel FixIT C-FixIT INDEHELA Ife HELINA
PlugIT
HI continuing educ. HI Master’s
Cesar Elämisen alkuun
Software Engineering Computer Science
Sonetti
Health Kuopio Research and development
Education
University: Medicine, health and social sciences
Polytechnic: EDP, nursing, electronics, design
SerAPI ZipIT
Exp.HIS Avointa
eHP
Health IT spec. 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
China-Finland eHealth Partnership
Project cluster in health and wellness informatics research in Kuopio
12 June 2008Korpela 4
Wellness IT research cluster
PlugIT Beginning
of Life
INDEHELA Context
eHealth Partners Finland
SOLEA
SerAPI
My-Wellbeing
2004
2007
2010
Export HIS
Healthcare processes and sofware production
China-Finland eHP INDEHELA
South
INDEHELA Methods
International research projects ICT for Health
ActAD-HIS
Äippä
ZipIT Avointa
SICOPS UbiHealth
www.uku.fi/ehp
China-Finland eHealth Partnership
Roots of China-Finland e-health collaboration in summer 2003
12 June 2008Korpela 5
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
12 June 2008Korpela 6
Export HIS objectivesSoftware export / acquisition service chain
Software product company
In-house IS support
Healthcare organization
Management
Computer-supported healthcare activity Citizens
Supplier country: Finland User country: PR China, Shanghai
Information system development
Management
Software development
Consultancy , localization, distribution
Local solution provider
Management
International marketing, support, etc.
Mediator, e.g. Teknia, trading house, etc.
Management
Software marketing
Needs
System in use
Government
Laws, rules, control, resources, standards
Localized package
Imported and local parts
Products, know-how
Service
Government
Research and dev. projects
Know-how
Laws, rules, control, resources, standards
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
Produce a plan for an actual export / acquisition project, if feasible
12 June 2008Korpela 7
Export HIS objectivesSoftware export / acquisition service chain
Software product company
In-house IS support
Healthcare organization
Management
Computer-supported healthcare activity Citizens
Supplier country: Finland User country: PR China, Shanghai
Information system development
Management
Software development
Consultancy , localization, distribution
Local solution provider
Management
International marketing, support, etc.
Mediator, e.g. Teknia, trading house, etc.
Management
Software marketing
Needs
System in use
Government
Laws, rules, control, resources, standards
Localized package
Imported and local parts
Products, know-how
Service
Government
Research and dev. projects
Know-how
Laws, rules, control, resources, standards
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
Produce a plan for an actual export / acquisition project, if feasible
Needs in Shanghai
healthcare?
Products and know
how in Finland
How to link
together?
12 June 2008Korpela 8
Export HIS: www.centek.fi/exporthisHow to export Finnish healthcare softwarePhase 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) KTM-MOST with SHB: Digital hospital guidelines
www.uku.fi/ehp
China-Finland eHealth Partnership
12 June 2008Korpela 9
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
Kor
pela
et a
l. 20
06, C
hina
Hea
lth In
form
atio
n F
orum
, Sha
ngha
i
www.uku.fi/ehp
China-Finland eHealth Partnership
12 June 2008Korpela 10
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 Kor
pela
et a
l. 20
06, C
hina
Hea
lth In
form
atio
n F
orum
, Sha
ngha
i
www.uku.fi/ehp
China-Finland eHealth Partnership
12 June 2008Korpela 11
Expected outcomes of eHP project USA
EU
Software companies Healthcare organizations
Computer-supported
healthcare Citizens
Finland China
Information system
implementation
Software develop-
ment
Consultancy , localization,
distribution
Local solution prov ider
International marketing,
support, etc.
Contractor, e.g. trading house
Needs
System in use
Gov ernment
Localized package
Imported and local
parts Products, know-how
Service
Gov ernment
Research and dev. projects
Knowledge, know-how
Laws, rules, control,
resources, standards
Laws, rules, control,
resources, standards
Research and dev. projects
Knowledge, know-how
Framework agreement on e-health
eHealth Partners network
Self-funded partnership
Business plan
Contracted transfer of expertise
Computer-supported
healthcare
Healthcare organizations
Contracted transfer of expertise
www.uku.fi/ehp
China-Finland eHealth Partnership
12 June 2008Korpela 12
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 development2. e-hospital guidelines3. e-hospital implementations4. 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
China-Finland eHealth Partnership
12 June 2008Korpela 13
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
China-Finland eHealth Partnership
12 June 2008Korpela 14
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
China-Finland eHealth Partnership
12 June 2008Korpela 15
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
China-Finland eHealth Partnership
12 June 2008Korpela 16
China-Finland eHP in a project cluster
Other information
sharing pilots
Commercial application
Shenkang Medical link
project
Cn-Fi e Health Education, CIMO
National EHR project in Finland,
other development projects
MoH work groups:
Approved, started
Related project in Finland:
MyWellbeing (OmaHyvin-
vointi)
SMHB project:
Approved, 12/2006-11/2008
China-Finland eHP:
Approved in 9/2007 for 6/2007-12/2008Pudong
regional information system pilot
www.uku.fi/ehp
China-Finland eHealth Partnership
12 June 2008Korpela 17
Pudong pilot case setting
Care provision
Support services
East Hospital
Pudong CDC
Pudong District health administration
Wards, Clinics
Weifang CHC
Information use
Data transfer between systems
Data storage
Legend:
Activity
Formal organization
Need/service relationship
Care provision
Selected patient group:
Maternal health
Individual
Kingstar and other vendors
Health insurance
Study”before”,”after”,”future” regional info sharing
www.uku.fi/ehp
China-Finland eHealth Partnership
12 June 2008Korpela 18
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
China-Finland eHealth Partnership
12 June 2008Korpela 19
Future plans: UbiHealth (2009-2011)● Univ. Kuopio (coordinator), Univ. Tampere
ZipIT SerAPI
Related research and development projects
SOLEA
Finnish Health Care Chinese Health CareEmpirical context
Background theories TechnologiesResearch methodsTheoretical frameworks
Cn-Fi-eHP
Context Development
Contents
Prior research
CONSTRUCTION
INDEHELA-Context
eHP
National EHRproject in Finland
omaHyvinvointi
SICOPS
UbiHealth
Publications
Publications
Publications
Publications
Publi-cations
Dissertation
Dissertation
Disser-tation
INDUCTION
REFLECTION
Evaluation
Acceptance
INTER-ACTION
export-HIS
China 863, NFSC
National EHRactivities in China