China-Finland Research Collaboration in Health Information Systems: e Health Partnership project

Finnish Agency for Technology and Innovation Tekes grant no. 40210/07

www.uku.fi/ehp

China-FinlandeHealth Partnership

China-Finland Research Collaboration in

Health Information Systems:

e Health Partnership project中芬数字化医疗合作项目

Chinese universities’ visit to Kuopio12 June 2008

高明 Mikko Korpela, Adjunct Prof

University of Kuopio,Healthcare Information Systems R&D Unit

www.uku.fi/ehp

China-Finland eHealth Partnership

22

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

12 June 2008Korpela

www.uku.fi/ehp


28 Nov 2006Mikko Korpela 3

Health informatics research and education in the Kuopio region: Roots

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

Cesar Elämisen alkuun

Software Engineering Computer Science

Sonetti

Health Kuopio Research and development

Education

University: Medicine, health and social sciences

Polytechnic: EDP, nursing, electronics, design

SerAPI ZipIT

Exp.HIS Avointa

eHP

Health IT spec. Wellness tech. postgr

• 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


Project cluster in health and wellness informatics research in Kuopio

12 June 2008Korpela 4

Wellness IT research cluster

PlugIT Beginning

of Life

INDEHELA Context

eHealth Partners Finland

SOLEA

SerAPI

My-Wellbeing

2004

2007

2010

Export HIS

Healthcare processes and sofware production

China-Finland eHP INDEHELA

South

INDEHELA Methods

International research projects ICT for Health

ActAD-HIS

Äippä

ZipIT Avointa

SICOPS UbiHealth

www.uku.fi/ehp


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


Export HIS objectivesSoftware 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. Teknia, trading house, etc.

Management

Software marketing

Needs

System in use

Government

Laws, rules, control, resources, standards

Localized package

Imported and local parts

Products, know-how

Service

Government

Research and dev. projects

Know-how


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


Export HIS objectivesSoftware 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. Teknia, trading house, etc.

Management

Software marketing

Needs

System in use

Government


Localized package

Imported and local parts

Products, know-how

Service

Government


Know-how


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

Needs in Shanghai

healthcare?

Products and know

how in Finland

How to link

together?


Export HIS: www.centek.fi/exporthisHow to export Finnish healthcare softwarePhase 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 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) KTM-MOST with SHB: Digital hospital guidelines

www.uku.fi/ehp



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

Kor

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www.uku.fi/ehp



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 Kor

pela

et a

l. 20

06, C

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Hea

lth In

form

atio

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orum

, Sha

ngha

i

www.uku.fi/ehp



Expected outcomes of eHP project USA

EU

Software companies Healthcare organizations

Computer-supported

healthcare Citizens

Finland China

Information system

implementation

Software develop-

ment

Consultancy , localization,

distribution

Local solution prov ider

International marketing,

support, etc.

Contractor, e.g. trading house

Needs

System in use

Gov ernment

Localized package

Imported and local

parts Products, know-how

Service

Gov ernment


Knowledge, know-how

Laws, rules, control,

resources, standards

Laws, rules, control,

resources, standards


Knowledge, know-how

Framework agreement on e-health

eHealth Partners network

Self-funded partnership

Business plan

Contracted transfer of expertise

Computer-supported

healthcare

Healthcare organizations

Contracted transfer of expertise

www.uku.fi/ehp



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. national standards development2. e-hospital guidelines3. e-hospital implementations4. 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

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China-Finland S&T programme:SMHB–eHP: e Hospital 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



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



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



China-Finland eHP in a project cluster

Other information

sharing pilots

Commercial application

Shenkang Medical link

project

Cn-Fi e Health Education, CIMO

National EHR project in Finland,

other development projects

MoH work groups:

Approved, started

Related project in Finland:

MyWellbeing (OmaHyvin-

vointi)

SMHB project:

Approved, 12/2006-11/2008

China-Finland eHP:

Approved in 9/2007 for 6/2007-12/2008Pudong

regional information system pilot

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Pudong pilot case setting

Care provision

Support services

East Hospital

Pudong CDC

Pudong District health administration

Wards, Clinics

Weifang CHC

Information use

Data transfer between systems

Data storage

Legend:

Activity

Formal organization

Need/service relationship

Care provision

Selected patient group:

Maternal health

Individual

Kingstar and other vendors

Health insurance

Study”before”,”after”,”future” regional info sharing

www.uku.fi/ehp



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



Future plans: UbiHealth (2009-2011)● Univ. Kuopio (coordinator), Univ. Tampere

ZipIT SerAPI

Related research and development projects

SOLEA

Finnish Health Care Chinese Health CareEmpirical context

Background theories TechnologiesResearch methodsTheoretical frameworks

Cn-Fi-eHP

Context Development

Contents

Prior research

CONSTRUCTION

INDEHELA-Context

eHP

National EHRproject in Finland

omaHyvinvointi

SICOPS

UbiHealth

Publications

Publications

Publications

Publications

Publi-cations

Dissertation

Dissertation

Disser-tation

INDUCTION

REFLECTION

Evaluation

Acceptance

INTER-ACTION

export-HIS

China 863, NFSC

National EHRactivities in China

China-Finland Research Collaboration in Health Information Systems: e Health Partnership project

Documents

chinese healthcare system

shanghai healthcare

ge healthcare

experts chinafinland

ehealth partners finland

local authorities

hospital information

finlanduser country