China-Finland Research

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Chinese universities visit to Kuopio 12 June 2008
China-Finland Research Collaboration in
Health Information Systems eHealth Partnership
project ???????????
?? Mikko Korpela, Adjunct Prof
University of Kuopio, Healthcare Information
Systems RD Unit
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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) ST agreement
• China-Finland eHP, 2007-2008
• Future plans UbiHealth, 2009-2011

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Health informatics research and education in the
Kuopio region Roots

• 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

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Project cluster in health and wellness
informatics research in Kuopio
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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

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Export HIS objectivesSoftware export /
acquisition service chain

• 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

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Export HIS objectivesSoftware export /
acquisition service chain
Needs in Shanghai healthcare?
Products and knowhow in Finland
How to link together?

• 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

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Export HIS www.centek.fi/exporthisHow to export
Finnish healthcare softwarePhase 1 Concept
development in Shanghai

• Institution in charge HIS RD 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
• Linkages with authorities, companies, hospitals,
  experts
• China-Finland Health IT Summit Forum, Beijing,
  March06
• Proposals for further collaboration
• Tekes e-Health Partners Finland
• KTM-MOST with MoH China-Finland e-health
  partnership (umbrella)
• KTM-MOST with SHB Digital hospital guidelines

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e-Health Partners Finland (2006/12007/3)

• 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

Korpela et al. 2006, China Health Information
Forum, Shanghai
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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

Korpela et al. 2006, China Health Information
Forum, Shanghai
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Expected outcomes of eHP project
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China-Finland ST programmeMoHeHP
China-Finland e-Health

• Umbrella project for China-Finland collaboration
  in the field of health information technology
  (e-health)
• 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 ST programme
• Expected duration 2006 2009
• No funding for Chinese part from MOST in 2006

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China-Finland ST programmeSMHBeHP 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 ST programme
• Chinese funding from Shanghai ST and Pudong Distr

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China-Finland e-Health Partnership
(2007/62008/12)

• 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

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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

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China-Finland eHP in a project cluster
Commercial application
Shenkang Medical link project
Cn-Fi eHealth Education, CIMO
SMHB project Approved, 12/2006-11/2008
Related project in Finland MyWellbeing
(OmaHyvin-vointi)
Other information sharing pilots
China-Finland eHP Approved in 9/2007 for
6/2007-12/2008
Pudong regional information system pilot
National EHR project in Finland, other
development projects
MoH work groups Approved, started
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Pudong pilot case setting
Study before, after, future regional info
sharing
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Future plans UbiHealth (2009-2011)

• Ubiquitous citizen-centred e-health services
  Development, evaluation and acceptance
• ????????????????
• ??????????????
• Research plan to the MOTIVE programme of Academy
  of Finland and NSFC
• Univ. Kuopio, HIS RD 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.)

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Future plans UbiHealth (2009-2011)

• Univ. Kuopio (coordinator), Univ. Tampere