Transcript PowerPoint-esitys

Health Information Systems and
Information Technology Research
Network in Kuopio:
Supporting the Healthcare Software
Service Chain
Juha Mykkänen (ed.)
University of Kuopio, HIS R&D Unit
Health Kuopio seminar
Brussels, 5 November 2004
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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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Healthcare software service chain:
Integration research in the PlugIT project
Government
Guidance,
resources
Teaching
Intl.
links
Basic
research
Applied
research
IT
support
R&D
Actors,
methods
Needs
4 research groups
Healthcare / welfare
service providers
Software
companies
Educational and
research institutions
Softw.
devel.
Sales &
support
Products,
consultation
Needs
Companies: 12 health sw,
3 infrastructure
IS
project
ISenabled
care
Communities,
citizens
Health/welfare
services
Better
life
Needs
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
Health Kuopio
Cesar ZipIT
Research and development
Data
ECG
Finstar
1980
MUSTI HIS
1985
FileMan/Kernel
Ife
HELINA
1990
1995
Computer Science
Education
•
•
•
•
•
•
Sonetti
Elämisen alkuun SerAPI
FixIT C-FixIT PlugIT Export HIS
INDEHELA
Avointa
2000
2005
Software Engineering
HI continuing educ.
HI Master’s
Wellness tech.
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
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”Welfare IT network”: Focus on healthcare
processes + software production
Welfare
technology
park
Centek: Centre for IT
education and research
Centek’s
business services
Health
Kuopio
Welfare Centek
Applied research units:
WellTeknia:
Business incubation
services
Poly Welfare
Tech Centre
Shiftec
HIS R&D
Unit
Hospital’s
R&D
Educational departments:
Health IT,
welfare tech
Tech Health Business
Design
Tech. Centre
Teknia
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Savonia
Polytechnic
IS, SE
Health
IS
Health
info mgt
Health
Computer
policy &
Science Cont educ
econ
University
of Kuopio
Univ. hospital
region, city, …
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”
Finpro
export
export
Swproj 1
proj 2
business
Techno
needs, experiences
parks
Centres of
expertise
concept, methods
General intl. sw.
export
proj 3
research
Indehela
Export HIS
General
evaluation
research
General Information
Systems and work
research
ZipIT
ZipITTSR
Natl. Health
Project
processes and
requirements
FinnEHR
General Software
Engineering research
SerAPI
Finnish health records research:
data, structures, technology and integration, interfaces,
application devl.
functionality
Coordination proj. Coordination services
(Kuntaliitto, MoH)
(Tekes)
MoH
Stakes
internationalization
results
methods
HL7
information,
collaboration,
guidance,
coordination
AvoinTA
testing services
Decision support,
mobile use, etc.
needs,
experiences
Others
MoH pilot
projects
FinnWell
R&D projects
Pilot A
Pilot B
Pilot C
Pilot D
Pilot E
activity 1 activity 2 activity 2 activity 3 activity 4
product X product Y product Z product X product Q
Other financiers
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ZipIT
Model 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:
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Savonia Polytechnic (Savonia Business)
2 companies
2 hospital districts
1 municipal social and health care centre
Duration: 2004 – 2007
Contact persons:
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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
Health care organization
services and processes
1. IT needs
busines
s
- activity networks
-information system
Software Company
Tool of
communication
2. Information management
Information system development needs
- processes, information
architecture
Activity networks
3. Requirement specification
development
-Use case descriptions
introductions
-Workflows, task descriptions
software
changes in the activities
Health care organization
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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..
– 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.
– 10-13 companies, 2-3 hospital districts, duration 2004-2007
– HIS R&D Unit, Shiftec, Dept. of CS, University of Kuopio
– Contact: [email protected]
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AVOINTA: Open Integration Testing
Environment – goals
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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:
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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
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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 ongoing 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 participate
Contact 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 Shanghai
Technology 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 software
Software export / acquisition service chain
Supplier country: Finland
User country: PR China, Shanghai
Government
Software product company
Healthcare organization
Laws, rules, control,
resources, standards
Management
Mediator, e.g.
trading house
Management
Local solution provider
Management
Management
In-house
IS support
Software
development
International
marketing,
support, etc.
Software
marketing
Consultancy ,
localization,
distribution
Computersupported
healthcare
activity
Information
system
development
Citizens
Needs
Products,
know-how
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Imported
and local
parts
Localized
package
System in use
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!
[email protected]
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