The document summarizes a roundtable discussion on tele-healthcare solutions and cloud service models between Jenn-Hwan Tarng from the Industrial Technology Research Institute and Chi-Hung Lin from the Taipei City Government Department of Health. It outlines Taiwan's plans for a health cloud, including using cloud computing and wireless sensing technologies to improve healthcare access and efficiency. It also discusses Taipei's policy design for a health cloud, focusing on privacy protection, technology enabling better care, and using a hub-based network. Challenges of adopting a health cloud are noted, such as ensuring privacy, interoperability, and developing payment systems for preventive care.

1. Roundtable Discussion
Jenn-Hwan Tarng & Chi-Hung Lin*
General Director, Service Systems Technology Center,
Industrial Technology Research Institute (ITRI)
*Commissioner, Department of Health, Taipei City Government
Copyright 2013 ITRI 工業技術研究院

2. End-to-End Tele-healthcare Solution Architecture (ITRI)
and Cloud Service Models
Community
caregiver
Customer/Patient
physician
Value-added services
Cloud Service Models :
 MaaS
 PaaS
 CaaS
 IaaS
 SaaS
 Call Center Services
Copyright 2013 ITRI 工業技術研究院
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3. Health Cloud Planning in Taiwan
Hospital service
efficiency
improvement
Personal knowledge/
habits improvement
Health Preventive Care
Cloud
Preventive
At Risk
sub-acute
diseases
care
PHR
Patient
Instructions
Medicare Cloud
chronic
diseases
Personal Health
Data Cloud
acute
diseases
PMR
EMR
Long-term
care
Home
care
Institutional
care
Care services
propagation
Community
care
Healthcare Cloud
Health data valueadded services
PCR
Copyright 2013 ITRI 工業技術研究院
Source: Ministry of Health, Taiwan (ROC)
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4. Taipei Policy Design of Health Cloud
1. The issue of privacy protection
• The role played by the governmental domain
• The use of pseudo-ID (as privacy shield)
• The core value of doctor-patient relationship
2. Technology for humanity
• Cloud computing
• Wireless sensing
• Ultra wideband (UWB) sensing
• Computer/human interface technologies
3. The hub-based network approaches
• Delivery, delivery, delivery
• Focus on service availability/accessibility in the
community
• The hub’s cluster effect for industry development
Copyright 2013 ITRI 工業技術研究院
Source: Department of Health, Taipei City Government
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5. Taipei Health Card / National Health Insurance IC Card
Triggering Health Cloud Services
preventive care
Combined with
EASY card
Social
Copyright 2013 ITRI 工業技術研究院
Source: Department of Health, Taipei City Government 5

6. Challenges of Health Cloud Adoption
• Medical liability
• Privacy-preserve security protection of patient record
• Practical clinical use V.S. customer compliance
• System interoperability/scalability
• Health Cloud is multidisciplinary complex system

domain knowledge, Information flow, service process, and
cash flow.
• Who’s going to pay
 The payment system for preventive medical care in general is
not in place yet in Taiwan
• A PPP model is needed
Copyright 2013 ITRI 工業技術研究院
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