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China-Finland
eHealth Partnership
Chinese universities’ visit to Kuopio
12 June 2008
www.uku.fi/ehp
China-Finland
Research Collaboration in
Health Information Systems:
eHealth Partnership project
中芬数字化医疗合作项目
高明 Mikko Korpela, Adjunct Prof
University of Kuopio,
Healthcare Information Systems R&D Unit
Finnish Agency for Technology and Innovation Tekes
grant no. 40210/07
China-Finland
eHealth Partnership
Outline of the presentation
● Historical background of health and wellness
informatics in Kuopio
● Historical background of e-health partnership
○ Roots of China-Finland e-health collaboration
○ Export HIS, 2004-2006
○ eHP Finland, 2006-2007
○ China-Finland (MOST-KTM) S&T agreement
● China-Finland eHP, 2007-2008
● Future plans: UbiHealth, 2009-2011
www.uku.fi/ehp Korpela
12 June 2008
2
China-Finland
eHealth Partnership
Health informatics research and
education in the Kuopio region: Roots
Research and development
Data
ECG
Finstar
1980
MUSTI HIS
1985
FileMan/Kernel
Ife
HELINA
1990
Health Kuopio
Sonetti
Cesar ZipIT
Elämisen alkuun SerAPI
FixIT C-FixIT PlugIT Avointa eHP
INDEHELA
Exp.HIS
1995
2000
Computer Science
University: Medicine, health and social sciences
Software Engineering
HI Master’s
HI continuing educ.
Health IT spec.
Wellness tech. postgr
Polytechnic: EDP, nursing, electronics, design
Education
•
•
•
•
2005
Key partner in national hospital information system development in 1980s
The only “buffet” of health informatics education in Finland
Healthcare IT is now a regional and national priority
Int'l health IT: Africa, international standards → China
www.uku.fi/ehp Mikko Korpela
28 Nov 2006
3
China-Finland
eHealth Partnership
Project cluster in health and wellness
informatics research in Kuopio
Wellness IT research cluster
INDEHELA
Methods
International research projects
ICT for Health
Beginning
of Life
PlugIT
Healthcare processes and sofware production
2004
Export HIS
INDEHELA
Context
eHealth Partners
Finland
China-Finland eHP
UbiHealth
ActAD-HIS
ZipIT
SerAPI
Avointa
2007
Äippä
MyWellbeing
INDEHELA
South
www.uku.fi/ehp Korpela
12 June 2008
4
SOLEA
SICOPS
2010
China-Finland
eHealth Partnership
Roots of China-Finland e-health
collaboration in summer 2003
 Technology Centre Teknia and the City of Kuopio have well
established relations in Shanghai
 A medical device company found few clinical health
information systems in China to integrate with
 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
www.uku.fi/ehp Korpela
12 June 2008
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Export HIS objectives
Software export / acquisition service chain
Supplier country: Finland
User country: PR China, Shanghai
Government
Government
Research and dev. projects
Healthcare organization
Laws, rules, control,
resources, standards
Know-how
Software product company
Management
Mediator, e.g. Teknia,
trading house, etc.
Management
Laws, rules, control,
resources, standards
Management
Local solution provider
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



Imported
and local
parts
Localized
package
System in use
Service
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 / acquisition project, if feasible
Korpela
12 June 2008
6
Export HIS objectives
Software export / acquisition service chain
Supplier country: Finland
User country: PR China, Shanghai
Government
Government
Research and dev. projects
Healthcare organization
Laws, rules, control,
resources, standards
Know-how
Software product company
Management
Mediator, e.g. Teknia,
trading house, etc.
Management
Products
and knowSoftware
Software
how in
development
marketing
Finland


Management
Local solution provider
Management
How to
link Consultancy ,
International
marketing,
localization,
support, etc.together?
distribution
In-house
IS support
Needs in
ComputerInformation
supported
Shanghai
system
healthcare
development
activity
Citizens
healthcare?
Needs
Products,
know-how

Laws, rules, control,
resources, standards
Imported
and local
parts
Localized
package
System in use
Service
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 / acquisition project, if feasible
Korpela
12 June 2008
7
Export HIS: www.centek.fi/exporthis
How to export Finnish healthcare software
Phase 1: Concept development in Shanghai
Institution in charge: HIS R&D Unit, University of Kuopio
Project partners: 10 companies
 AtBusiness, FD Systems, GE Healthcare, Duodecim, Mawell,
Medikro, Medixine, Mega-Elektroniikka, Mylab, Physiotools
 Technology Center Teknia, UKu Health Policy and Mgt. Dept.
Duration: Phase 1, June 2004 – Sept 2005 → March 2006
Funding: 290 000 €, Tekes/European Regional Dev. Fund
Main outcomes:
 Seminar in Shanghai & Guangzhou, April 2005
Korpela
 Linkages with authorities, companies, hospitals, experts
 China-Finland Health IT Summit Forum, Beijing, March’06
 Proposals for further collaboration
 Tekes: e-Health Partners Finland
 KTM-MOST with MoH: China-Finland e-health partnership
(umbrella)
 2008
KTM-MOST with SHB: Digital hospital guidelines
12 June
8
e-Health Partners Finland (2006/1–2007/3)
● Exporting international-level research-based expertise
● Leading edge research, industry & healthcare partners:
○ Univ. Tampere, Univ. Kuopio, VTT Information Technology
○ 14 companies: Teknia, Agfa Gevaert, Duodecim, FD Systems,
GE Healthcare, GoodIT, Intensium, Mawell, Medici Data,
Mediconsult, Mylab, Prowellness, WM-data, YT Tieto
○ Cities of Kuopio and Tampere, hospital districts of North
Savo, Pirkanmaa, Satakunta
○ Liaison with Ministry of Social Affairs and Health & STAKES
○ Funding from Finnish Agency for Technology and Innovation
Tekes and EU/European Regional Development Fund ERDF
○ Open to expansion in the next phase
www.uku.fi/ehp Korpela
12 June 2008
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Korpela et al. 2006, China Health Information Forum, Shanghai
China-Finland
eHealth Partnership
e-Health Partners Finland
www.uku.fi/ehp
● Areas of international-level expertise:
○
○
○
○
○
○
Interoperability and integration
Standardization: Software services, structured core data
Architectures: National, regional, hospital-wide & SOA
Evaluation: Health information systems, methods and theories
Activity-driven methods for requirements analysis
Clinical decision support
● Drawing from research & development projects:
○
○
○
○
○
National EHR: Structured data, architecture, security, legislature
SerAPI: Service-oriented architecture and web services
ZipIT: Combining work development with systems development
MedMan: Medication management in patient information systems
EBMeDS: Evidence-based medical decision support
● Main directions: China, USA, EU
www.uku.fi/ehp Korpela
12 June 2008
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Korpela et al. 2006, China Health Information Forum, Shanghai
China-Finland
eHealth Partnership
China-Finland
eHealth Partnership
Expected outcomes of eHP project
Gov ernment
USA
EU
China
Finland
Framework agreement on e-health
Laws, rules, control,
resources, standards
Research and dev. proj ects
Computersupported
healthcare
Business
Softw are
plan
Contractor, e.g.
trading house
companies
Software
development
Laws, rules, control,
resources, standards
Self-funded partnership
eHealth
Partners
network
Knowledge, know-how
Healthcare
organizations
Gov ernment
Contracted
transfer of
expertise
Knowledge, know-how
Local solution prov ider
International
marketing,
support, etc.
Consultancy ,
localization,
distribution
Products,
know-how
www.uku.fi/ehp Korpela
12 June 2008
Healthcare organizations
Information
sy stem
implementation
Contracted
transfer of
expertise
Imported
and local
parts
Research and dev. proj ects
Computersupported
healthcare
Needs
Localized
package
11
System in use
Service
Citizens
China-Finland
eHealth Partnership
China-Finland S&T programme:
MoH–eHP: China-Finland e-Health
● Umbrella project for China-Finland collaboration in
the field of health information technology (e-health)
1.
2.
3.
4.
national standards development
e-hospital guidelines
e-hospital implementations
human resources development for e-healthcare
● Chinese organization: Ministry of Health / Center for
Health Statistics and Information, Wang Caiyou
● Approved in China-Finland S&T programme
● Expected duration: 2006 – 2009
● No funding for Chinese part from MOST in 2006
www.uku.fi/ehp Korpela
12 June 2008
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China-Finland
eHealth Partnership
China-Finland S&T programme:
SMHB–eHP: eHospital Guidelines
● Guidelines for EPR/EHR and interoperability in digital
hospital (part of China-Finland e-Health Partnership)
● Development of internationally compatible guidelines
for the general architecture, structured electronic
patient/health record (EPR/EHR), integration
standards as well as methods of implementation,
evaluation and human resources development for
digital hospital (“e-hospital”) in China
● Chinese organization: Shanghai Municipal Health
Bureau / Health Information Center, Fan Qiyong
● Approved in China-Finland S&T programme
● Chinese funding from Shanghai S&T and Pudong Distr
www.uku.fi/ehp Korpela
12 June 2008
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China-Finland
eHealth Partnership
China-Finland e-Health Partnership
(2007/6–2008/12)
● Univ. Kuopio (coordinator), Univ. Tampere
● 6 companies: Conceptia, eHIT, GoodIT, Mawell,
Mylab, Teknia, Tietotarha
● Funding 288 000 € from Finnish Agency for
Technology and Innovation Tekes (85%) and
companies (15%)
● Four themes – testing methods developed previously:
○
○
○
○
Needs and Requirements
Architecture, Interoperability, Standards
Data Set Definition for EHR
Evaluation
www.uku.fi/ehp Korpela
12 June 2008
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China-Finland
eHealth Partnership
Original objectives of Cn-Fi eHP project
● Implement the objectives of the plan approved to the
China-Finland Science and Technology Agreement
● + Information sharing / regional health info network
● Participate in MoH national work groups to ensure
national compatibility and to contribute nationally
● Participate in international standards development to
ensure international compatibility and to contribute
internationally
● Draw experience from similar research and
development conducted in parallel in Finland,
contribute back to Finland by application experience
www.uku.fi/ehp Korpela
12 June 2008
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China-Finland
eHealth Partnership
China-Finland eHP in a project cluster
Commercial application
Shenkang
Medical link
project
SMHB
project:
Other
information
Approved,
sharing pilots
12/200611/2008
Pudong
regional
information
system pilot
Cn-Fi eHealth
Education, CIMO
Related project
in Finland:
MyWellbeing
China-Finland eHP:
(OmaHyvinvointi)
Approved in 9/2007
for 6/2007-12/2008
MoH work
groups:
Approved,
started
www.uku.fi/ehp Korpela
12 June 2008
National EHR project
in Finland,
other development
projects
16
China-Finland
eHealth Partnership
Pudong pilot case setting
Pudong District
health administration
Legend:
Formal
organization
Pudong CDC Health insurance
Activity
Study
”before”,
”after”,
”future”
regional
info
sharing
www.uku.fi/ehp Korpela
Need/service
relationship
Individual
East Hospital
Data transfer
between systems
Data storage
Weifang CHC
Wards,
Clinics
Support
services
Information use
Care
provision
Care
provision
Kingstar and other vendors
12 June 2008
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Selected
patient group:
Maternal health
China-Finland
eHealth Partnership
Future plans: UbiHealth (2009-2011)
● Ubiquitous citizen-centred e-health services:
Development, evaluation and acceptance
● 以市民为中心的普适性电子健康服务：
开发与评估方法、用户接受研究
● Research plan to the MOTIVE programme of
Academy of Finland and NSFC
○
○
○
○
Univ. Kuopio, HIS R&D Unit
Univ. Tampere, Dept. of Computer Sciences
Fudan Univ., Dept. of Info Management & Info Systems
National Key Lab of Health Technology Assessment,
Ministry of Health (Fudan Univ.)
www.uku.fi/ehp Korpela
12 June 2008
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China-Finland
eHealth Partnership
Future plans: UbiHealth (2009-2011)
Background theories
Research methods
Theoretical frameworks
Technologies
● Univ. Kuopio (coordinator), Univ. Tampere
Acceptance
CONSTRUCTION
Contents
INTER- Evaluation
ACTION
Context
Related research and
development projects
Prior
research
INDUCTION
Development
REFLECTION
UbiHealth
omaHyvinvointi
SICOPS
ZipIT
export-HIS
Empirical context
www.uku.fi/ehp Korpela
SOLEA
Cn-Fi-eHP
National EHR
National EHR
project in Finland activities in China
SerAPI
eHP
Finnish Health Care
INDEHELA- China 863,
Context
NFSC
Chinese Health Care
12 June 2008
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cations
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