The document discusses e-health business models and experiences in the Lower Silesia region of Poland. It outlines several strengths of the region including a well-developed ICT sector and strong academic centers. It also summarizes Poland's national e-health strategy from 2009-2015 and several specific e-health projects implemented in the Lower Silesia region, including the creation of a diagnostic imaging center, implementation of teleradiology, and two regional e-health projects. The main challenges discussed are integrating different health systems and creating standardized electronic medical records across the country.
An Algorithm for In-Place Vision-Based Skewed 1D Barcode Scanning in the CloudVladimir Kulyukin
The document presents an algorithm for in-place, vision-based scanning of skewed 1D barcodes using a cloud-based system. The algorithm does not require alignment of the smartphone camera with the barcode. It is implemented in a distributed system with a smartphone app frontend and a 4-node Linux cluster backend for image recognition and data storage. The algorithm was evaluated on over 500 videos of grocery products and results are presented.
De la ePrescription la eHealth – strategia eHealth Slovacia-ehealth-8iulie2010Agora Group
The document discusses Slovakia's national ePrescription approach and eHealth strategy. It outlines the milestones in developing the strategy, including establishing stakeholder requirements and feasibility studies. The strategy involves implementing ePrescription and other priority projects in waves from 2010-2011 and beyond. Key elements are developing a national health portal, electronic patient records, and supporting efficient prescribing and medication management while improving health outcomes and reducing costs.
The presentation discusses Telkom's implementation of healthcare IT solutions in Indonesia. It provides an overview of Telkom's business portfolio and status as the largest telecom company in Indonesia. It then discusses Indonesia's current healthcare landscape, including fragmented systems and the government's goal to increase healthcare spending. The presentation outlines Telkom's healthcare information exchange and EHR plans and implementation, and notes challenges that must be addressed. It concludes with lessons learned from Telkom's healthcare IT work.
The document discusses a proposed European Patient Summary (EPS) infrastructure that would allow sharing of patient summary data across Europe at an EU-wide level. The infrastructure would need to be scalable to support 500 million citizen summaries across 5,000 health authorities and 1 million users. It would use a "Triple Space" approach with a decentralized, distributed shared space where healthcare parties can publish and access patient data while respecting different national privacy regulations and data ownership policies. The architecture is described as using ontologies to model clinical data and define subspaces within each patient summary space for administrative, clinical and private data with corresponding access control policies. Examples are given of how the EPS infrastructure could integrate with the NHS Spine system in the UK and the
Embedding and Extraction Techniques for Medical Images-Issues and Challenges csandit
New technologies in multimedia and communication fields have introduced new ways to transfer and save the medical image data through open networks, which has introduced new risks of inappropriate use of medical information. Medical images are highly sensitive hence secured transmission and reception of data is needed with minimal distortion. Medical image security plays an important role in the field of Telemedicine. Telemedicine has numerous applications in teleconsulting, teleradiology, telediagnosis, telesurgery and remote medical
education. Our work is to analyze about the different embedding techniques that can be used for embedding the personal and diagnosed details of a person within the medical images
without any visual discrepancy. Also to survey about the blind extraction algorithm utilizing genetic algorithm for optimization of the key parameters.
This document discusses ways to prepare different stakeholders, such as municipalities, regions, and government, to use information and communication technology in chronic care. It addresses infrastructure needs like broadband access and open networks. It also covers legislation around patient data privacy and security issues related to encryption. The document notes fragmentation among stakeholders and discusses challenges with public procurement processes. Overall, the goal is to empower patients and free up medical professionals by providing tools to patients.
The document provides an overview of the healthcare system in the Tuscan region of Italy. It discusses the national health service and how the Tuscan region organizes its local health authorities. It then focuses on Tuscan regional planning for chronic diseases, explaining how it uses the Chronic Care Model (CCM) within primary healthcare centers. The CCM aims to better manage chronic conditions through a proactive approach led by general practitioners, nurses and other professionals. Initial results show the CCM has reduced costs and hospital admissions while improving health outcomes and decreasing health inequalities. The presentation concludes by outlining the expansion of primary healthcare centers that implement the CCM across Tuscany.
An Algorithm for In-Place Vision-Based Skewed 1D Barcode Scanning in the CloudVladimir Kulyukin
The document presents an algorithm for in-place, vision-based scanning of skewed 1D barcodes using a cloud-based system. The algorithm does not require alignment of the smartphone camera with the barcode. It is implemented in a distributed system with a smartphone app frontend and a 4-node Linux cluster backend for image recognition and data storage. The algorithm was evaluated on over 500 videos of grocery products and results are presented.
De la ePrescription la eHealth – strategia eHealth Slovacia-ehealth-8iulie2010Agora Group
The document discusses Slovakia's national ePrescription approach and eHealth strategy. It outlines the milestones in developing the strategy, including establishing stakeholder requirements and feasibility studies. The strategy involves implementing ePrescription and other priority projects in waves from 2010-2011 and beyond. Key elements are developing a national health portal, electronic patient records, and supporting efficient prescribing and medication management while improving health outcomes and reducing costs.
The presentation discusses Telkom's implementation of healthcare IT solutions in Indonesia. It provides an overview of Telkom's business portfolio and status as the largest telecom company in Indonesia. It then discusses Indonesia's current healthcare landscape, including fragmented systems and the government's goal to increase healthcare spending. The presentation outlines Telkom's healthcare information exchange and EHR plans and implementation, and notes challenges that must be addressed. It concludes with lessons learned from Telkom's healthcare IT work.
The document discusses a proposed European Patient Summary (EPS) infrastructure that would allow sharing of patient summary data across Europe at an EU-wide level. The infrastructure would need to be scalable to support 500 million citizen summaries across 5,000 health authorities and 1 million users. It would use a "Triple Space" approach with a decentralized, distributed shared space where healthcare parties can publish and access patient data while respecting different national privacy regulations and data ownership policies. The architecture is described as using ontologies to model clinical data and define subspaces within each patient summary space for administrative, clinical and private data with corresponding access control policies. Examples are given of how the EPS infrastructure could integrate with the NHS Spine system in the UK and the
Embedding and Extraction Techniques for Medical Images-Issues and Challenges csandit
New technologies in multimedia and communication fields have introduced new ways to transfer and save the medical image data through open networks, which has introduced new risks of inappropriate use of medical information. Medical images are highly sensitive hence secured transmission and reception of data is needed with minimal distortion. Medical image security plays an important role in the field of Telemedicine. Telemedicine has numerous applications in teleconsulting, teleradiology, telediagnosis, telesurgery and remote medical
education. Our work is to analyze about the different embedding techniques that can be used for embedding the personal and diagnosed details of a person within the medical images
without any visual discrepancy. Also to survey about the blind extraction algorithm utilizing genetic algorithm for optimization of the key parameters.
This document discusses ways to prepare different stakeholders, such as municipalities, regions, and government, to use information and communication technology in chronic care. It addresses infrastructure needs like broadband access and open networks. It also covers legislation around patient data privacy and security issues related to encryption. The document notes fragmentation among stakeholders and discusses challenges with public procurement processes. Overall, the goal is to empower patients and free up medical professionals by providing tools to patients.
The document provides an overview of the healthcare system in the Tuscan region of Italy. It discusses the national health service and how the Tuscan region organizes its local health authorities. It then focuses on Tuscan regional planning for chronic diseases, explaining how it uses the Chronic Care Model (CCM) within primary healthcare centers. The CCM aims to better manage chronic conditions through a proactive approach led by general practitioners, nurses and other professionals. Initial results show the CCM has reduced costs and hospital admissions while improving health outcomes and decreasing health inequalities. The presentation concludes by outlining the expansion of primary healthcare centers that implement the CCM across Tuscany.
On the application of multi-agent systems in Health CareAntonio Moreno
1) The document discusses applying multi-agent systems to healthcare, including areas like medical data management, decision support, planning, and remote care.
2) It describes the K4Care project, which developed an agent-based home care system with services like admitting patients, creating care plans, and applying individual intervention plans.
3) The K4Care system uses ontologies and procedural knowledge to coordinate care among actors like doctors and nurses. Agents execute care plans and adapt their behavior based on patient information.
The document summarizes a study that developed a composite index to benchmark electronic health (eHealth) deployment across acute hospitals in Europe. The index assessed eHealth across four areas: infrastructure, applications, health information exchange, and security/privacy. It was based on survey data from over 1,000 hospitals across 12 European countries and analyzed factors like computer systems, electronic health records, picture archiving, telemedicine, and cross-border health information exchange. The goal was to distill a complex reality into a manageable form to inform evidence-based eHealth policymaking at the European level.
This document discusses plans to develop an electronic health record (eHR) system in Hong Kong called CMS III & eHR. The goals are to improve integrated care, support evidence-based practice, and facilitate information sharing across public and private healthcare settings. Challenges include high patient volumes, an aging population, and currently using paper records. Opportunities include increasing public awareness and more capabilities in the existing CMS system. CMS III will improve quality, efficiency and management. The vision is for a system that supports care delivery, improves outcomes, and facilitates community-wide data sharing. Development will be government-led through a multi-phase process with public-private partnerships.
Multi-agent systems applied in Health CareAntonio Moreno
This document discusses the application of multi-agent systems in healthcare. It provides an overview of some projects developed by ITAKA, including a web-based platform for home care services and a system for managing clinical guidelines. It also outlines some research challenges in using agents for healthcare, such as standardization, security, and integration with existing systems. Overall, the document argues that agents are well-suited for coordinating distributed healthcare tasks and knowledge, but challenges remain in adoption due to technical and organizational issues.
This document summarizes ECDC projects and collaborations on digital surveillance. It discusses two proof-of-concept studies: 1) Surveillance of pan-drug resistance which would use laboratory and electronic health record data through existing networks like WHONet. 2) Surveillance for priority diseases using electronic health records to describe cases with more complete risk factor data than currently available. The document outlines opportunities and challenges for these studies and proposes a multi-year implementation model to engage countries, address obstacles, and establish sustainable EU data flows and analyses.
The document discusses Access Health Digital's Social Entrepreneurship Accelerator (SEA) program and key objectives. The SEA program aims to accelerate adoption of India's National Digital Health Blueprint (NDHB) standards and drive a federated technology model across stakeholders. It will provide mentorship and technical support for implementing minimum viable products based on NDHB standards. The SEA program also aims to help position compliant products for relevant opportunities and provide early adopters with a "stamp of confidence". Access Health Digital intends to facilitate the SEA community in these areas to help transition the healthcare industry to a standardized, secure model.
The Veneto region of Italy faces challenges of an aging population, rising healthcare costs, and budget constraints. It is addressing these issues through local telemedicine and eHealth initiatives that aim to [1] rationalize the hospital network, [2] reorganize territorial health services, and [3] invest in innovation and ICT. Examples of projects include connecting general practitioners to hospitals, sharing patient records across regions, and remote patient monitoring for disease management. The goals are to improve care quality, reduce costs, and empower healthcare workers through technology.
I was coordinator of the software development of a project in the European Commission’ Telematic Applications Programme, DG XIII entitled “The Black Sea Tele Diab System (BSTD)”. The project was the result of a collaboration between members of the BSTD consortium, made up of the following partners: University of Sheffield (project coordinator) and University of Hull, UK; Research Institute and Diabetes Center, Greece; Institute of Diabetes, Nutrition and Metabolic Diseases, “N. Paulescu” and the Romanian Society Clinical Engineering and Medical Computing, Bucharest, Romania; Gorky State Medical University, Ukraine; Centre for Pathology, Chisinau, Moldova.
This system was carefully constructed and developed to meet the requirements to encourage clinicians to abandon paper records in favor of a fully-computerized healthcare record system and to promote the electronic exchange of healthcare information between clinicians and scientists in countries of the Black Sea area. The system was developed using a modular design and object oriented method approach. It was developped based on the Good European Health Record (GEHR) Architecture that faithfully preserving the data as originally intended, as well as permitting analysis of the data, which can come from many sources using an XML exchange method.
The GEHR structure is very comprehensive, data items being stored in a number of related tables that are held in a MS Access database. The software for the system has been developed in Microsoft Visual C++ and when combined with the database, it provides an application that is fast and well integrated with the Windows environment. Development of the system has followed a stepwise approach with validation of the architecture and the incorporation of feedback from users at each key stage.
There are five major work areas: patient records, reports, graphs, Diabetes Aggregated Data (DAD) and administration. Each of these contains a number of individual application/functions which are serviced by the relational tables that store the patient details, clinical measurements, doctors and user information. The Patient Records Function offers options for the management of the EHCRs (creation/correction/visualisation), such as: registration of a new patient and entry of the first record or sheet; the recording of a new sheet; the correction/visualisation of the sheet; the recording of data about the patient’s death, etc. The System Administration Function allows: Definition of the health care facility; definition of persons as users or system managers; management of passwords and access rights for the users; definition of measurement units; limited customisation of the user interface.
1. The document discusses integrating health information systems (IHIS) to improve healthcare management and outcomes.
2. IHIS would include major components like health insurance information systems, electronic health records, e-prescribing, and health cards to better coordinate patient care and payment across providers.
3. The long-term vision is for interconnected electronic systems that optimize medical resources while ensuring patient privacy and standardized, high-quality data.
This document discusses electronic health records (EHRs) and the importance of ensuring continuous availability of clinical systems that store and manage patient health information electronically. Key points include:
1) EHRs improve patient care by providing immediate access to accurate patient information, but their implementation also increases dependence on underlying systems, so downtime can negatively impact care.
2) Unplanned computer downtime was once seen as a nuisance, but is now a risk event as clinical automation grows. Continuous availability of clinical systems like CPOEs is required to avoid compromising patient care.
3) Tape-based backups are no longer sufficient for healthcare IT systems that have replaced paper records, as restoring from tape can take
The document discusses the Internet of Things (IoT), which is a network of physical objects embedded with sensors, software and other technologies that enables them to connect and exchange data. IoT allows objects to be remotely monitored and controlled via existing network infrastructure, creating opportunities to directly integrate the physical world with computer systems to improve efficiency. IoT refers to a wide variety of connected devices including medical implants, farm animal tags, sensors in cars and environmental monitoring devices.
Review of Interoperability techniques in data acquisition of wireless ECG dev...iosrjce
The document reviews various techniques for improving interoperability in data acquisition from wireless electrocardiogram (ECG) devices. It discusses standards like ISO/IEEE 11073, HL7, and IEEE 21451 that facilitate data exchange between medical devices, body area networks, and health information systems. The review finds that both retrospective and anticipatory interoperability mechanisms are needed for wireless ECG as telecommunication technologies advance, especially with 5G, to ensure the right patient information reaches healthcare providers.
The document discusses a project called CRS-SISS that aims to integrate medical information nationally and regionally in Italy. The project involves implementing an electronic healthcare system in Lombardy that allows sharing of medical records, prescriptions, and documents across healthcare providers using smart card identification. The system is meant to improve healthcare quality, make administrative processes more efficient, and enable monitoring of the healthcare system. The project has led to cost savings, time savings for citizens, and increased usage of electronic health records among professionals in Lombardy. Lessons learned include that upgrading hospital information systems was more costly than the initial project development, and that security and privacy protection require significant resources.
Claudio Beretta, Dirigente Convenzionato, in charge of innovation technologies and European projects and Luciano Bresciani, Direzione Generale Sanità. Regione Lombardia. Italia
This document summarizes the transition from clinical information systems to health grids and the future of health research infrastructure. It discusses trends like rising populations in Asia, increasing resource scarcity, and the need for multidisciplinary and open collaboration. Health grids are presented as enabling virtual collaborations across institutions. Key areas like medical imaging, computational models, and genomic medicine are highlighted. Adoption challenges and requirements like reliable, usable infrastructure are also summarized.
The future of healthcare: a seamless integration of technology into the patie...Matteo Penzo
The healthcare world is evolving: the traditional provider-patient relationship is shifting towards a more complex system in which caregivers and patients are active part of the health path.
The shifting of healthcare business models and ubiquitous connectivity are changing the way technology is perceived in most healthcare systems: we are moving from a world where technology is visible and perceived as a must have, to a world where technology will be ubiquitous and transparent to the patients.
On the application of multi-agent systems in Health CareAntonio Moreno
1) The document discusses applying multi-agent systems to healthcare, including areas like medical data management, decision support, planning, and remote care.
2) It describes the K4Care project, which developed an agent-based home care system with services like admitting patients, creating care plans, and applying individual intervention plans.
3) The K4Care system uses ontologies and procedural knowledge to coordinate care among actors like doctors and nurses. Agents execute care plans and adapt their behavior based on patient information.
The document summarizes a study that developed a composite index to benchmark electronic health (eHealth) deployment across acute hospitals in Europe. The index assessed eHealth across four areas: infrastructure, applications, health information exchange, and security/privacy. It was based on survey data from over 1,000 hospitals across 12 European countries and analyzed factors like computer systems, electronic health records, picture archiving, telemedicine, and cross-border health information exchange. The goal was to distill a complex reality into a manageable form to inform evidence-based eHealth policymaking at the European level.
This document discusses plans to develop an electronic health record (eHR) system in Hong Kong called CMS III & eHR. The goals are to improve integrated care, support evidence-based practice, and facilitate information sharing across public and private healthcare settings. Challenges include high patient volumes, an aging population, and currently using paper records. Opportunities include increasing public awareness and more capabilities in the existing CMS system. CMS III will improve quality, efficiency and management. The vision is for a system that supports care delivery, improves outcomes, and facilitates community-wide data sharing. Development will be government-led through a multi-phase process with public-private partnerships.
Multi-agent systems applied in Health CareAntonio Moreno
This document discusses the application of multi-agent systems in healthcare. It provides an overview of some projects developed by ITAKA, including a web-based platform for home care services and a system for managing clinical guidelines. It also outlines some research challenges in using agents for healthcare, such as standardization, security, and integration with existing systems. Overall, the document argues that agents are well-suited for coordinating distributed healthcare tasks and knowledge, but challenges remain in adoption due to technical and organizational issues.
This document summarizes ECDC projects and collaborations on digital surveillance. It discusses two proof-of-concept studies: 1) Surveillance of pan-drug resistance which would use laboratory and electronic health record data through existing networks like WHONet. 2) Surveillance for priority diseases using electronic health records to describe cases with more complete risk factor data than currently available. The document outlines opportunities and challenges for these studies and proposes a multi-year implementation model to engage countries, address obstacles, and establish sustainable EU data flows and analyses.
The document discusses Access Health Digital's Social Entrepreneurship Accelerator (SEA) program and key objectives. The SEA program aims to accelerate adoption of India's National Digital Health Blueprint (NDHB) standards and drive a federated technology model across stakeholders. It will provide mentorship and technical support for implementing minimum viable products based on NDHB standards. The SEA program also aims to help position compliant products for relevant opportunities and provide early adopters with a "stamp of confidence". Access Health Digital intends to facilitate the SEA community in these areas to help transition the healthcare industry to a standardized, secure model.
The Veneto region of Italy faces challenges of an aging population, rising healthcare costs, and budget constraints. It is addressing these issues through local telemedicine and eHealth initiatives that aim to [1] rationalize the hospital network, [2] reorganize territorial health services, and [3] invest in innovation and ICT. Examples of projects include connecting general practitioners to hospitals, sharing patient records across regions, and remote patient monitoring for disease management. The goals are to improve care quality, reduce costs, and empower healthcare workers through technology.
I was coordinator of the software development of a project in the European Commission’ Telematic Applications Programme, DG XIII entitled “The Black Sea Tele Diab System (BSTD)”. The project was the result of a collaboration between members of the BSTD consortium, made up of the following partners: University of Sheffield (project coordinator) and University of Hull, UK; Research Institute and Diabetes Center, Greece; Institute of Diabetes, Nutrition and Metabolic Diseases, “N. Paulescu” and the Romanian Society Clinical Engineering and Medical Computing, Bucharest, Romania; Gorky State Medical University, Ukraine; Centre for Pathology, Chisinau, Moldova.
This system was carefully constructed and developed to meet the requirements to encourage clinicians to abandon paper records in favor of a fully-computerized healthcare record system and to promote the electronic exchange of healthcare information between clinicians and scientists in countries of the Black Sea area. The system was developed using a modular design and object oriented method approach. It was developped based on the Good European Health Record (GEHR) Architecture that faithfully preserving the data as originally intended, as well as permitting analysis of the data, which can come from many sources using an XML exchange method.
The GEHR structure is very comprehensive, data items being stored in a number of related tables that are held in a MS Access database. The software for the system has been developed in Microsoft Visual C++ and when combined with the database, it provides an application that is fast and well integrated with the Windows environment. Development of the system has followed a stepwise approach with validation of the architecture and the incorporation of feedback from users at each key stage.
There are five major work areas: patient records, reports, graphs, Diabetes Aggregated Data (DAD) and administration. Each of these contains a number of individual application/functions which are serviced by the relational tables that store the patient details, clinical measurements, doctors and user information. The Patient Records Function offers options for the management of the EHCRs (creation/correction/visualisation), such as: registration of a new patient and entry of the first record or sheet; the recording of a new sheet; the correction/visualisation of the sheet; the recording of data about the patient’s death, etc. The System Administration Function allows: Definition of the health care facility; definition of persons as users or system managers; management of passwords and access rights for the users; definition of measurement units; limited customisation of the user interface.
1. The document discusses integrating health information systems (IHIS) to improve healthcare management and outcomes.
2. IHIS would include major components like health insurance information systems, electronic health records, e-prescribing, and health cards to better coordinate patient care and payment across providers.
3. The long-term vision is for interconnected electronic systems that optimize medical resources while ensuring patient privacy and standardized, high-quality data.
This document discusses electronic health records (EHRs) and the importance of ensuring continuous availability of clinical systems that store and manage patient health information electronically. Key points include:
1) EHRs improve patient care by providing immediate access to accurate patient information, but their implementation also increases dependence on underlying systems, so downtime can negatively impact care.
2) Unplanned computer downtime was once seen as a nuisance, but is now a risk event as clinical automation grows. Continuous availability of clinical systems like CPOEs is required to avoid compromising patient care.
3) Tape-based backups are no longer sufficient for healthcare IT systems that have replaced paper records, as restoring from tape can take
The document discusses the Internet of Things (IoT), which is a network of physical objects embedded with sensors, software and other technologies that enables them to connect and exchange data. IoT allows objects to be remotely monitored and controlled via existing network infrastructure, creating opportunities to directly integrate the physical world with computer systems to improve efficiency. IoT refers to a wide variety of connected devices including medical implants, farm animal tags, sensors in cars and environmental monitoring devices.
Review of Interoperability techniques in data acquisition of wireless ECG dev...iosrjce
The document reviews various techniques for improving interoperability in data acquisition from wireless electrocardiogram (ECG) devices. It discusses standards like ISO/IEEE 11073, HL7, and IEEE 21451 that facilitate data exchange between medical devices, body area networks, and health information systems. The review finds that both retrospective and anticipatory interoperability mechanisms are needed for wireless ECG as telecommunication technologies advance, especially with 5G, to ensure the right patient information reaches healthcare providers.
The document discusses a project called CRS-SISS that aims to integrate medical information nationally and regionally in Italy. The project involves implementing an electronic healthcare system in Lombardy that allows sharing of medical records, prescriptions, and documents across healthcare providers using smart card identification. The system is meant to improve healthcare quality, make administrative processes more efficient, and enable monitoring of the healthcare system. The project has led to cost savings, time savings for citizens, and increased usage of electronic health records among professionals in Lombardy. Lessons learned include that upgrading hospital information systems was more costly than the initial project development, and that security and privacy protection require significant resources.
Claudio Beretta, Dirigente Convenzionato, in charge of innovation technologies and European projects and Luciano Bresciani, Direzione Generale Sanità. Regione Lombardia. Italia
This document summarizes the transition from clinical information systems to health grids and the future of health research infrastructure. It discusses trends like rising populations in Asia, increasing resource scarcity, and the need for multidisciplinary and open collaboration. Health grids are presented as enabling virtual collaborations across institutions. Key areas like medical imaging, computational models, and genomic medicine are highlighted. Adoption challenges and requirements like reliable, usable infrastructure are also summarized.
The future of healthcare: a seamless integration of technology into the patie...Matteo Penzo
The healthcare world is evolving: the traditional provider-patient relationship is shifting towards a more complex system in which caregivers and patients are active part of the health path.
The shifting of healthcare business models and ubiquitous connectivity are changing the way technology is perceived in most healthcare systems: we are moving from a world where technology is visible and perceived as a must have, to a world where technology will be ubiquitous and transparent to the patients.
Similar to A. zwiefka e health business models for chronic conditions- lower silesia region (20)
Stan przygotowań do wdrożenia elektronicznej dokumentacji medycznej perspek...
A. zwiefka e health business models for chronic conditions- lower silesia region
1.
2. E-health business models
for chronic conditions
experiences of the Lower Silesia region
Antoni Zwiefka
Lódź 2013
3. The strengths of Lower Silesia are:
• Very well-developed ICT sector,
• Strong academic center to prepare staff
with high qualifications and
competences,
3
4. The „e-Health Poland” strategy
(2009 – 2015)
1. Facilitating access to information in the field of health care.
2. Improving the efficiency of the health care system of electronic
circulation of documents.
3. The modernization of medical information system in order to analyze
the demand for implemented health services.
4. The practical implementation of IT solutions in the construction of
health care in accordance with the guidelines of the European
Commission integration to enable the Polish Republic in the area
of "interoperable” electronic medical record (EHR - Electronic Health
Record).
4
5. Lower Silesian Diagnostic Imaging Centre
The project implemented by the Regional Hospital in Wroclaw
includes:
Creation of infrastructure for Lower Silesian Diagnostic
Imaging Centre to provide the electronic services:
1. describe radiological images sent by external medical
units
2. archiving of medical data for diagnostic imaging of
individual patients,
3. remote medical consultations.
.
5
6. Teleradiology in Lower Silesia
Individual projects implemented by 21 health care facilities
include:
Purchase of equipment and implementation of ICT
communications technology for X-ray Laboratory
6
7. Lower Silesian E-Health 1 Project
The project carried out by the Marshal’s Office of Lower Silesia in
Wrocław includes:
1. Pilot implementation of an electronic patient record for 19 selected
medical entities
2. Infrastructure that enables the creation of a regional electronic patient
record
3. Analytical systems for budgeting and controlling
7
8. Lower Silesian e-Health 2 Project:
1. Top 10 players from the Region
2. Implementation and exchange of electronic medical records
3. Building a platform for joint publ orders
4. Implementation of ISO 27001
8
9. Lower Silesian e-Health 2 Project:
The main aim - to launch platform for the exchange of electronic
medical records
Additional goal - the ability to support electronic medical records of
beneficiaries / members of the consortium
9
10. Interoperability Need
The strategy for region to keep and attract
healthcare professionals in their territories?
European Union level
epSOS
Country / Poland level
e-Health Poland” strategy (2009 – 2015)
P1 / P2 Projects
Region / Lower Silesia level
Lower Silesian E-Health 1 Project
Lower Silesian E-Health 2 Project
10
11. Cental- regional cooperation
The basic challenge is to
coordinate activities which deal
with central inovative industry
project integration and eHealth
regional projects within all
country.
11
12. Internet access to EHR (IKP)
Providing access to information and standards developed
within the EU countries in the so-called Patient Summary that
is a minimum set of medical data that should be
made available for the effective implementation of medical
services to the patient in any EU country. The results were
use to build the portal IKP.
12
14. After a period of prototype access to the Patient Internet
Accounts (IKP) in Krakow and a e-Prescriptions prototype
in Leszno - working on an integrated prototype version of
progress in the enlarged number of locations.
Patient Internet Account e-Prescription
14
15. Expected social benefits of the project ?
• The partnership between the patient and doctor so that
the patient would gain better knowledge of the
treatment ( self- management). Better functionality of
healthcare system in Poland, thanks to coherent
electronic system which takes into account citizens
electronic preferences.
• Effective budgetary activities and development of
information society in the area of health
• Improving
15
16. Anticipated problems
• Integration of all of the systems in healthcare e.g. medical
documentation, financial, diagnostic .
• Creating medical documentation in all medical service industry in
Poland e.g. hospitals, GPs, laboratories.
• Transfer and exchange of all medical documentation, activities,
surgeries to Cental Medical Information System (CMIS= P1+P2)
• Development of regulations with the descriptions, functionality,
technical and organizational conditions .
• Building positive image among medical staff, citizens and
media. 16
17. RIGHT Project Overview
2006-2009
Reducing diagnosis and treatment risks by
leveraging knowledge and practices of Health
Care Professionals
18. Aims of RIGHT project
Patient
Local Health Care
System Units
Electronic General
Health Practitioner
Record
Specialists
19. Aims of RIGHT project
We were implementing 5 desease units
1. Depression
2. COPD –Chronic Obstractive Pulmonary Deseases
3. Diabetics
4. Hipertension
5. Hiperlipoproteinemia
These units are difficult for diagnosis, especially
for elderly people
19
20. General Practitioner
RIGHT System User Interface (GUI)
Electronic
GUI
Health Record (eHR) GUI DSS GUI SIR GUI Profiler
Collaboration Module
Interface Information Profiler
Database search (individual settings) Collaboration Module
bridge
Decision
Support System
(DSS)
DSS Composer Categorized bookmarks
(Guideline preparing) document database
Clinical Guidelines
(electronic)
Knowledge sources Ontology
Clinical Guidelines
(hard copy)
Content sources (knowledge) – article databases
Health Care
Professionals Data source1 Data source2 … Data sourceN
20
22. Aims of extended RIGHT project
Patient
General Local Health Care
Practitioner System Units
Electronic
Health
Record
Specialists
23. Patient
RIGHT System User Interface (GUI)
Electronic
IKP GUI
Health Record (eHR) GUI DSS GUI SIR GUI Profiler
Collaboration Module ?
Interface Information Profiler
Database search (individual settings) Collaboration Module
bridge
Decision
Support System
(DSS)
DSS Composer Categorized bookmarks
(Guideline preparing) document database
Clinical Guidelines
(electronic)
Knowledge sources Ontology
Clinical Guidelines
(hard copy)
Patient
Content sources (knowledge) – article databases
Health Care Ilnesses
Professionals Data source1 Data source2 … Data sourceN
Knowledga
23
24. Innovation Transfer
in the Medical Sector
from Clinics to Companies
(InTraMed-C2C)
Transfer Inspired by Patients’ Problems
24
25. Project idea was born in Upper-Austria
Clusterland
• Bayern Innovativ GmbH , MedTech
Pharma
• Medical Valley EMN e.V.,
• Clusterland Upper-Austria,
• TIS Techno Innovation South Tyrol,
• Lower Silesian Voivodeship,
• The John Paul II Hospital,
• BSC,Business support centre ltd. Kranj,
• CVVI Center for research, innovation
and regional development,
• Budapest University of Technology and
Economics,
• University of Debrecen,
26. TARGET GROUP
• Clinics / academic hospitals,
• SME - small and medium-sized enterprises
• Research and Development Sector (R & D)
• Group health insurance companies,
• Policymakers
27. INNOVATION POTENTIAL
Clinics
have a high potential for innovation of
products,processes development and
services medical industry.
Intelectual Property (IP)
manufacturing processes
SMEs
do not have sources and opportunities for
transfer of knowledge and ideas into
products
27
28. IP Protection
Value
adding Confidentiality or Nondisclosure
Ideas Agreements (Trade Secrets)
Collaborative Research Agreement
Research
Patents
Technologies
Technology Licensing
Products Agreement
28
http://www.wipo.int/portal/index.html.en
29. IP Strategy
• IP Strategy should be an integral part of the overall
business strategy of an Enterprise.
• The IP strategy of an enterprise is influenced by its
creative/innovative capacity, financial resources,
field of technology, competitive environment, etc.
• Ignoring the IP system is in itself an IP strategy,
which may turn out to be very costly or even fatal.
!
30. Medical promise
Przyjmuję z szacunkiem i wdzięcznością dla moich Mistrzów nadany mi tytuł
lekarza i w pełni świadomy związanych z nim obowiązków przyrzekam:
obowiązki te sumiennie spełniać;służyć życiu i zdrowiu ludzkiemu;według
najlepszej mej wiedzy przeciwdziałać cierpieniu i zapobiegać chorobom, a
chorym nieść pomoc bez żadnych różnic, takich jak: rasa, religia, narodowość,
poglądy polityczne, stan majątkowy i inne,
everything that I can
mając na celu wyłącznie ich dobro i okazując im należny szacunek;nie
nadużywać ich zaufania i dochować tajemnicy lekarskiej nawet po śmierci
chorego;
invent and improve.
strzec godności stanu lekarskiego i niczym jej nie splamić, a do kolegów
lekarzy odnosić się z należną im życzliwością, nie podważając zaufania do nich,
jednak postępując bezstronnie i mając na względzie dobro chorych;
stale poszerzać swą wiedzę lekarską i podawać do wiadomości świata
lekarskiego wszystko to, co uda mi się wynaleźć i udoskonalić.
PRZYRZEKAM TO UROCZYŚCIE!
I Solemnly pledge!
31. Even a small idea may bring,
in result, a wide-spread valuable solution.
http://www.intramed-c2c.eu/
http://database.intramed-c2c.eu/
31