Itälä: Agile Citizen-centric Health

UBI-SERV START-UP WORKSHOP 19TH MAY 2009 Ubiquitous Services and Technologies for Healthcare, Wellbeing and Public Safety in China and Finland Agile Citizen-centric Health Matti Hämäläinen & Timo Itälä Software Business and Engineering Institute (SoberIT) Department of Computer Science and Engineering – CSE Helsinki University of Technology (Aalto University)

SoberIT ISSEG & Healthcare information systems research: eHealth
Research and teaching areas
Enterprise Application Integration (EAI)
Enterprise Architecture Frameworks (EA)
Service Oriented Computing and Architecture (SOC/SOA)
Mobile services, Mashups, Information and Value Networks, Digital Ecosystems
Service design and engineering (International Masters Program)
Expertise
Regional information systems for healthcare and social care
HL7 OpenCDA document architecture for national interoperability
Stakes, Data Warehousing for national statistics
Research projects
OmaHyvinvointi (MyWellbeing)- universities, companies and service providers
SOLEA (Service Oriented Locally Adapted Enterprise Architecture) –health and industry tracks
User Driven Service Innovation Environments (Living Labs, e.g. OtaSizzle/SizzleLab)

Citizen as an active collaborator with the service providers? MyWellBeing – project approach based on a “Dual Model” Primary Care (Municipality) Occupational health (private) Pharmacy Homecare Primary Care Tax auhorities Bank Insurance Children daycare Rehabilitation School Homeservice Cleaning Child health care Specialized Care

Actively involving users - a necessity for addressing the big challenges in society: health, environment, energy, traffic, … County Hospital Central Township Hospital Small Township Hospital Village Clinic Citizen Communities Citizens ” Citizens are the biggest underutilized resource in service innovation and delivery”. Amount of local and personal knowledge and complementary resources Doctors and Nurses Citizens Collaborative Knowledge Citizen Communities

The "dual model” aims at helping to combine the two perspectives: Corporate/public service <–> Users/citizens Enterprise Architecture (EA) <–> Citizen Architecture (CA) ? Systems Architecture Information Architecture Infrastructure & Technology Architecture Business Architecture IT Gover-nance Enterprise Information Systems Citizen 2.0 Web 2.0

Layers of Integration – Research Topics Business Process Layer Information Layer Systems and Technology Layer Business and Benefit Model Layer
Who uses, who pays, who benefits, who learns? Is there benefit for every constituent? Citizens, professionals, organizations?
What are the business processes ? Professionals? Citizens?
Information models ? Semantics: Codes, vocabularies, ontologies, unique identifiers Syntax layer, presentation of data
Application layer
Transportation layer
Security, Privacy Governance

How to roll out the services for millions of citizens?
Economies of large scale: The more users, the bigger benefits
Self reinforcing feedback loop: the more we use the citizen services the more it makes sense to use it
Who provides the platform?
Who provides the services?
How is the content created and used?
Who are the first users?
Doctors and Nurses Citizens Collaborative Knowledge Citizen Communities

An extreme case for citizen participation: – an unexpected, situational and urgent need for emergent IS Source: The New York Times “ Casualty statistics after 2008 Sichuan: this kind of data is underestimated at beginning because of the limited available information. This may result in wrong decisions and hence cause major problems in the rescue effort. The disaster events are extreme examples of needs to combine the information, services and resources provided by individual citizens, communities and NGOs with those of officials at various administrative levels.” -> Call for “dual model” and user driven services creation

Taking Services Innovation to New Areas – and then Back: When "good enough” is better than “very good”. Diabetes Glucose M other & newborn care … Chronic disease Other … Diabetes Glucose

Case in elderly care and international collaboration: Active Life Village / Active Life Home concept to Expo and Shanghai (City of Espoo/Active Life Village & Laurea & TKK + TongjiU & SWUFE team) The idea is to demonstrate the concept and the services at Expo 2010 and enable collaboration with Chinese partners in the area of wellbeing and health, intelligent homes, and regional health and wellbeing services targeting esp. elderly -before, during and after the Shanghai World Expo 2010. This is aimed at being done by: a) Implementing an adapted demonstration of the Active Life Home concept in the VIP section (3 rd florr) of the Finnish “Kirnu” pavillion. b) carrying out joint development, adaptation and research activities with key Chinese research partners, e.g Tongji University, SWUFE and BUPT. c) Identifying potential site at Shanghai to be one “home node” node in the Active Life Village concept –and bridging the sites in Espoo/Finland and Shanghai/China for joint research activities. adapt bridge

Challenges of eHealth and citizen centric approach
How to change the ”mental models” of the citizens and the professionals (doctors, nurses) so that the citizens woul and could actively participate in their wellbeing services?
How the citizen can manage the multitude of different systems and user interfaces ?
Who should be responsible for developing the citizen centric architecture and enforcing that to be implemented?
How the different groups of citizens and their needs should be addressed?
What should the economical model be: Who is using, who is getting the benefit, who is paying and who is learning?
How to make the roll out of eServices nationwide in a few years?

Contacts: Prof. (pro tem) Matti Hämäläinen [email_address] Senior Researcher Timo Itälä [email_address] Software Business and Engineering Institute (SoberIT) Department of Computer Science and Engineering – CSE Helsinki University of Technology (Aalto University)

Itälä: Agile Citizen-centric Health

by Iiro Jantunen on May 20, 2009

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