The document proposes a patient-oriented cloud computing solution called Smart Healthcare Services. It discusses how integrating e-health, smart items like RFID and wireless sensors, and cloud computing can help address issues in healthcare like rising costs and chronic disease management. Smart items can monitor patients' health remotely and the cloud allows healthcare providers to access and analyze the collected data to enhance services and care. The proposed framework would use sensors to monitor patients at home and the cloud to store and share health information, allowing for improved care while reducing costs and increasing access and satisfaction.

1. Smart Healthcare Services: A patient oriented cloud computing solution
Authors:
Marco Opazo Basaez1 , Daniel Arias Aranda1
Sarfaraz Ghulam2 , Vladimir Stantchev2
1Department of Business Management, University of Granada
2Institute of Information Systems, SRH Hochschule Berlin, Germany
III International Conference on Business Servitization (Bilbao, Spain), Servitization 2014

2. Aim of the paper “Review the route towards smart healthcare services provision” emphasizing the role of three fundamental actors : a) e-Health
•Internet of Things b) Smart items technology
•(RFID – WSN) c) Cloud Computing
• Service models and deployments But, what are smart healthcare services ? “Smart healthcare services refers to measuring user's living conditions and health status using small sensing devices and collecting their data under daily life”
•Allows people to do their normal daily routines, occupations and activities while receiving appropriate, timely and high-quality ubiquitous healthcare services, without any limitations of time and space.

3. Why are they (SHS) important? Healthcare systems all over the world are facing an uphill struggle trying to successfully manage a difficult landscape characterized by:
•Increasing demand for healthcare services
•Uneven quality of service
•Rising healthcare costs
•Growing burden of chronic diseases
•Increasing aging society
•Reduced number of healthcare professionals “to innovate and extend health care services that impact the ways in which a person’s health is managed”

4. a) E-Health the adoption of information and communication technologies (ICTs) within the healthcare sector led to the concept of electronic health or e-healthcare The main goal of e-healthcare is to assure the effective communication and collaboration between patients and healthcare providers in a more efficient and cost- effective manner the main benefit of e-healthcare refers to the use of internet for a fast dissemination of health related information such as electronic medical records (EMR), a complete patient record from cradle-to-grave. Nevertheless, new uses of e-health and internet in health care services are mainly focused on the integration and interconnectivity between growing numbers of very small mobile sensors devices based on a new emerging technology denominated internet of things (IoT)

5. Internet of things (IoT)
Refers to a novel paradigm that introduces smart items i.e. wireless sensor networks (WSN) and radio frequency identification (RFID) devices for many applications in order to optimize resources extending service offering and service design
In a IoT domain, Internet connectivity of smart items can be used to remotely determine their state so that information systems can collect up-to-date information on physical objects and processes’, enabling the “observation” of real world attributes
internet of things (IoT) will give rise to extensive varieties of hybrid products (smart items) that provide both, conventional physical functions and information services. If a particular object (i.e. patient) becomes an access point for relevant services, the smart item will provide sensible and reliable information vital for decision making.

6. b) Smart Item technology By a smart item we refer to a device capable to provide data about itself, about the object it is associated with, and its surroundings in a timely fashion wireless communication. Radio Frequency identification (RFID)
•RFID is a wireless tracking technology which utilizes radio waves for collecting and transferring data, with the capability of sending and receiving information without human involvement Wireless Sensor Network (WSN)
•WSNs are intelligent network application systems that autonomously sense, collect, integrate and transmit data by incorporating the latest technological achievements in micro-electronics, network and communications

7. From a service perspective, the integration of smart items as a means to extend e- healthcare scope adopts a particular servitization strategy define as Product service System (PSS)
“Refers to an integrated product and service offering that delivers value in use, where both the product and the service are considered as one single offering” (Baines et al., 2007)
In the e-healthcare servitization “shift” services will be provided through critical smart items (i.e. WSN-RFID), used as medical devices (products) capable to offer constant care by means of diagnosing and monitoring health conditions (services)
In PSS terms, WSN-RFID devices would be the product in the offering and its classification will depend on the level of technical support for services offered by the provider (commonly healthcare institutions) and the services associated for those devices. Nevertheless, depending on the agreement between providers and patients; these devices could take the form of product-oriented, use-oriented or results-oriented PSS.

8. An important feature of smart items lie in their capability to enhance informatization i.e. information which can be exploited and transmitted through servitization, or what is the same information as a service (Opresnik et al., 2013) Once extracted, data from patients requires to be analyzed using e.g. data mining or business intelligence techniques, with this information healthcare institutions may not only enhance existing services, but also discover usage habits of the product, new needs or identify changes in pattern usage. As a result, data provided by a smart item can be returned back to the patient in the form of information as service e.g. recommending personalized best practices related to a product usage

9. C) Cloud computing This new paradigm is transforming rapidly the way IT infrastructure is being delivered and consumed offering users and businesses computing resources designed and governed in the form of services reclassifying IT from an expensive “capital expenditure” to a pay-as-you-go “operating expenditure” (Venters and Whitley, 2012) • Software as a Service (SaaS) • Platform as a Service (Paas) • Infrastructure as a Service (IaaS) cloud service provider (CSP) is the one who maintain and manage all the computing resources that are offered to the end user in the form of services • Private Cloud • Community cloud • Public cloud • Hybrid Cloud

10. Benefits of cloud adoption
•By adopting Cloud computing healthcare institutions may focus more on increasing quality of delivered healthcare services instead of managing their own IT
•reducing or even eliminating the high-cost of technical departments to support and operate the in-house infrastructures
•benefit for smaller hospitals, community care and physician practices, which can now implement advanced IT infrastructures and services to support their healthcare operations without facing high initial and operational costs
•convergence with technologies such as mobile computing, wireless networks, and sensor technologies
•facilitates information sharing (internally and externally) and provides anywhere/anytime access to medical data (PHR, EMR, EHR) among healthcare institutions involved in the care process

11. Cloud based framework for smart healthcare services

12. •The target group for smart healthcare services is compound by patients with a strong need for home care. This type of patients mostly suffers from chronic diseases, long-term conditions, and physical disabilities (Sung and Chang, 2014)
•The smart items selected for the architecture are principally sensors (WSN) for detecting electrical, thermal, optical, chemical, genetic, and other signals with physiological origin, capable to estimate features indicative of a person’s health status (Ko et al., 2010; Rehman et al., 2013)
•the new e-healthcare landscape empowered by the integration of WSN-RFID smart items and cloud computing allows to collect, process, and store high volume of sensitive patient information on a timely basis. Once collected, healthcare institutions may use the information provided in the form of health parameters to enhance existing services , offer new ones (Davidsson et al. 2009), and accelerating service innovation (Yuriyama et al., 2011)

13. Conclusion this technological infrastructure promises to transform medical practice and disease prevention by empowering healthcare institutions with smart items for remote patient monitoring and seamless communication with medical professionals; eliminating time-wasting procedures, reducing health costs, improving quality of service and patients satisfaction.

14. Thank you !!
III International Conference on Business Servitization (Bilbao, Spain), Servitization 2014