Juha Mykkänen (ed.) University of Kuopio, HIS R&D Unit Health Kuopio seminar
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Transcript of Juha Mykkänen (ed.) University of Kuopio, HIS R&D Unit Health Kuopio seminar
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Juha Mykkänen (ed.)
University of Kuopio, HIS R&D Unit
Health Kuopio seminar
Brussels, 5 November 2004
Health Information Systems and Information Technology Research Network in Kuopio: Supporting the Healthcare Software Service Chain
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In this presentation
• Healthcare software service chain
• Research cluster on health IS and IT in Kuopio
• Projects and activities
• Contacts
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Needs
Softw. devel.
Sales & support
R & D
Applied research
Basic research
Teach-ing
Software companies
Healthcare / welfare service providers
IS-enabled
care
IS project
IT support
Educational and research institutions
Health/welfare services
Better life
Needs
Products, consultation
Needs
Actors, methods
Intl. links
Government
Guidance, resources
Communities, citizens
Healthcare software service chain:Integration research in the PlugIT project
4 research groups Companies: 12 health sw, 3 infrastructure
6 hospital districts, 2 municipalities
• National R&D project in Finland: Healthcare application integration• Oct 2001 – Aug 2004, 2 M€, National Technology Agency TEKES• Results: Interfaces, integration methods, centre of expertise
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The road to PlugIT and beyond: Health informatics in the Kuopio region
• University of Kuopio established in mid 1970s• Medical university → interest in health informatics research• Key partner in national hospital information system development in
1980s• The only “smorgasbord” of health informatics education in Finland• Healthcare IT is now a regional priority• Company / technology centre viewpoint in Mr. Vartiainen’s presenation
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
Wellness tech.
Cesar Elämisen alkuun
Software Engineering Computer Science
Sonetti Health Kuopio
SerAPI ZipIT
Export HIS
Research and development
Education
Avointa
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”Welfare IT network”: Focus on healthcare processes + software production
Tech
HealthKuopio
Welfare technology park
Centek: Centre for IT education and research
HIS R&D Unit
Shiftec Poly Welfare Tech Centre
Hospital’s R&D
WellTeknia: Business incubation
services
Health IT, welfare tech
Health
Welfare Centek Centek’s business services
Tech. Centre Teknia
Savonia Polytechnic
University of Kuopio
Univ. hospital region, city, …
Applied research units:
Educational departments:
Business Design
Health info mgt
IS, SE
Computer Science
Health policy &
econ
Health IS
Cont educ
• IT education and research by university and polytechnic → Centek• Healthcare IT education and research network within Centek’s umbrella
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Cluster of new research projects to support the “year 2007 target”
Decision support, mobile use, etc.
General intl. sw. research
Indehela
General evaluation research
General Information Systems and work
research
General Software Engineering research
product Y activity 1 product X
Pilot A Pilot B activity 2
product Z product X activity 2 activity 3 Pilot C Pilot D Pilot E
product Q
MoH pilot projects
activity 4
FinnWell R&D projects
experiences
results needs, methods guidance,
coordination
information, collaboration,
Coordination proj. Coordination services (Kuntaliitto, MoH) (Tekes)
Others
Stakes
HL7
MoH
Natl. Health Project
Other financiers
AvoinTA testing services
export proj 1
export proj 2
export proj 3
needs, experiences
concept, methods
Finpro Sw-
business Techno parks
Centres of expertise
ZipIT-TSR
Export HIS
FinnEHR Finnish health records research: data, structures, technology and
functionality
SerAPI integration, interfaces,
application devl.
ZipIT processes and requirements
internationalization
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ZipITZipITModel for connecting, "zipping together" the methods of work and IS development
Institution in charge: University of Kuopio, Shiftec, Dept. of Computer Science, HIS R&D Unit
Project partners:
• Savonia Polytechnic (Savonia Business)• 2 companies• 2 hospital districts• 1 municipal social and health care centre
Duration: 2004 – 2007
Contact persons: • Anneli Ensio, Research Director, [email protected]• Maritta Korhonen, [email protected]• Marika Toivanen, [email protected]
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ZipIT: Work and IS development in parallel
1. IT needs- activity networks
-information system
Activity networksdevelopment
-Workflows, task descriptions
services and processes
introductions
Software Company
changes in the activitiessoftware
Health care organization
Health care organization
2. Information managementInformation system development needs
- processes, informationarchitecture
business
Tool of communication
3. Requirement specification-Use case descriptions
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SerAPI: Service-oriented Architecture and Web services in Healthcare Application Production and Integration
• Background– differences and changes in healthcare applications,
processes, health systems, local requirements - require adaptability in systems
Service-oriented architecture (SOA)– heterogeneity of application technologies, integration needs Web services
• Objectives– Choose information system and integration needs which can
be solved using application services and interfaces– reduce overlapping work and information, simplify
maintenance, effective and repeatable integration– Offer service interfaces in new generation software products
and integration solutions– Choose/develop an architecture, development model and
methods and tools to design and implement healthcare software in service architecture
– Continue application interface and integration work of the PlugIT project, participate in HL7 Finland and HL7 International Common Services
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SerAPI viewpoints: how to produce, provide, consume and manage services to..
– 10-13 companies, 2-3 hospital districts, duration 2004-2007– HIS R&D Unit, Shiftec, Dept. of CS, University of Kuopio– Contact: [email protected]
– Effectively support changing processes and workflows of healthcare organizations..
– with adaptive, reusable and efficiently developed application products and integration solutions…
– based on open and coherent services, architecture and infrastructure.
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AVOINTA: Open Integration Testing Environment – goals
• To agree on common methods and practices to test system integration, interfaces and their conformance with specification in Health Information systems
• Specification of testing environment• Testing services:
– web-based testing service specification for regional health care systems (using both CDA R1 and CDA R2)
– testing service for context management and common services against PlugIT and HL7 specifications
– safeguard testing service (PKI architecture)• A common test data library with standard testing
material (patient journals)• duration: 09 / 2004 – 04 / 2006
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AVOINTA: Open Integration Testing Environment – overview
• Organisation of the project– VTT (Technical Research Centre of Finland) Information
Technology, in Tampere• contact: [email protected]
– Centek/University of Kuopio • contact: [email protected], [email protected]• Groups: HIS R&D Unit, Shiftec, Software Engineering
– Prime Solutions Ltd., in Vantaa• contact: [email protected]
• Use of open APIs and implementation of PKI architecture are building pressure for the interoperability of systems (CDAr1, CDAr2, PlugIT, PKI)
• Conformance of an implemented interface needs to be tested against the specification
• Individual applications and regional information systems need testing environment for their interfaces and integration needs– gives feedback for software developers and developers of
specification– increases probability that products are implemented correctly
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FinnEHR: Finnish Electronic Health Record research and development
Background: • The national data requirements and structure for
EPRs have been defined in 2003 as a part of on-going National Health Project
• The core elements in electronic patient records will be piloted in regional projects during 2004-2007 in several health districts in Finland
Purpose:• to enhance the national health information
infrastructure through evaluation and research
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FinnEHR research and development
Aims• to model the reuse of clinical and health related data
of EPRs e.g. for quality improvement, resource allocation and national statistics
• to test the model of clinical minimum data set for benchmarking the delivery of health services from consumers’ and professionals’ perspectives
Institution in charge: University of Kuopio, Dept. of Health Policy and Management
• Shiftec and HIS R&D Unit participateContact persons: • Kaija Saranto, Research Director,
[email protected]• Kristiina.Hä[email protected]• [email protected]
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Export HIS:How to export Finnish healthcare software
• 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 ShanghaiTechnology Centre Teknia and the City of Kuopio have well established relations in Shanghai
→ 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 project, if feasible
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Export HIS:How to export Finnish healthcare softwareSoftware 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. trading house
Management
Software marketing
Needs
System in use
Government
Laws, rules, control, resources, standards
Localized package
Imported and local parts
Products, know-how
Service
• Phase 1 duration: June 2004 – September 2005• Institution in charge: HIS R&D Unit, University of Kuopio• 6 companies, Technology Center Teknia, Health Policy and Mgt. Dept.• Research Director [email protected],
Project Manager [email protected]
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Summary
• Kuopio has a long tradition and a multidisciplinary approach to health IS/IT research and development
• International networking within the EU– projects with similar interests wanted– R&D contacts in your region– contact directly our project of interest– discussion in the workshop: focus, goals,
pan-European viewpoint
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Thank you / Merci / Dank u / Danke schön / Gracias / Tak / Efharisto / Grazie / Obrigado / Tack / Dêkuji / Tänan / Paldies / Achiu / Köszönöm / Grazzi / Dziekuje / Dakujem / Hvala / Kiitos!