E-health business models for chronic conditions

experiences of the Lower Silesia region

Antoni Zwiefka

Lódź 2013

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The strengths of Lower Silesia are:

• Very well-developed ICT sector,

• Strong academic center to prepare staff

with high qualifications and

competences,

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The „e-Health Poland” strategy

(2009 – 2015)

1. Facilitating access to information in the field of health care.

2. Improving the efficiency of the health care system of electronic

circulation of documents.

3. The modernization of medical information system in order to analyze

the demand for implemented health services.

4. The practical implementation of IT solutions in the construction of

health care in accordance with the guidelines of the European

Commission integration to enable the Polish Republic in the area

of "interoperable” electronic medical record (EHR - Electronic Health

Record).

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The project implemented by the Regional Hospital in Wroclaw

includes:

Creation of infrastructure for Lower Silesian Diagnostic

Imaging Centre to provide the electronic services:

1. describe radiological images sent by external medical

units

2. archiving of medical data for diagnostic imaging of

individual patients,

3. remote medical consultations.

.

Lower Silesian Diagnostic Imaging Centre

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Individual projects implemented by 21 health care facilities

include:

Purchase of equipment and implementation of ICT

communications technology for X-ray Laboratory

Teleradiology in Lower Silesia

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The project carried out by the Marshal’s Office of Lower Silesia in

Wrocław includes:

1. Pilot implementation of an electronic patient record for 19 selected

medical entities

2. Infrastructure that enables the creation of a regional electronic patient

record

3. Analytical systems for budgeting and controlling

Lower Silesian E-Health 1 Project

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Lower Silesian e-Health 2 Project:

1. Top 10 players from the Region

2. Implementation and exchange of electronic medical records

3. Building a platform for joint publ orders

4. Implementation of ISO 27001

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Lower Silesian e-Health 2 Project:

The main aim - to launch platform for the exchange of electronic

medical records

Additional goal - the ability to support electronic medical records of

beneficiaries / members of the consortium

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Region / Lower Silesia level

Lower Silesian E-Health 1 Project

Lower Silesian E-Health 2 Project

European Union level

epSOS

Country / Poland level

e-Health Poland” strategy (2009 – 2015)

P1 / P2 Projects

Interoperability Need The strategy for region to keep and attract

healthcare professionals in their territories?

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Cental- regional cooperation

The basic challenge is to

coordinate activities which deal

with central inovative industry

project integration and eHealth

regional projects within all

country.

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Providing access to information and standards developed

within the EU countries in the so-called Patient Summary that

is a minimum set of medical data that should be

made available for the effective implementation of medical

services to the patient in any EU country. The results were

use to build the portal IKP.

Internet access to EHR (IKP)

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Internet access to EHR (IKP)

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Patient Internet Account e-Prescription

After a period of prototype access to the Patient Internet

Accounts (IKP) in Krakow and a e-Prescriptions prototype

in Leszno - working on an integrated prototype version of

progress in the enlarged number of locations.

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• The partnership between the patient and doctor so that the patient would gain better knowledge of the treatment ( self- management). Better functionality of healthcare system in Poland, thanks to coherent electronic system which takes into account citizens electronic preferences.

• Effective budgetary activities and development of information society in the area of health

• Improving

Expected social benefits of the project ?

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Anticipated problems

• Integration of all of the systems in healthcare e.g. medical documentation, financial, diagnostic .

• Creating medical documentation in all medical service industry in Poland e.g. hospitals, GPs, laboratories.

• Transfer and exchange of all medical documentation, activities, surgeries to Cental Medical Information System (CMIS= P1+P2)

• Development of regulations with the descriptions, functionality, technical and organizational conditions .

• Building positive image among medical staff, citizens and media.

RIGHT Project Overview 2006-2009

Reducing diagnosis and treatment risks by

leveraging knowledge and practices of Health

Care Professionals

Aims of RIGHT project

Electronic Health Record

Patient

General Practitioner

Specialists

Local Health Care System Units

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We were implementing 5 desease units

1. Depression

2. COPD –Chronic Obstractive Pulmonary Deseases

3. Diabetics

4. Hipertension

5. Hiperlipoproteinemia

These units are difficult for diagnosis, especially

for elderly people

Aims of RIGHT project

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Content sources (knowledge) – article databases

Electronic

Health Record (eHR)

General Practitioner

RIGHT System User Interface (GUI)

GUI DSS GUI SIR GUI Profiler GUI

Collaboration Module

Database

Data source1 Data source2 Data sourceN …

Decision

Support System

(DSS)

Interface

bridge

Clinical Guidelines (electronic)

DSS Composer (Guideline preparing)

Clinical Guidelines (hard copy)

Categorized

document database

Knowledge sources Ontology

Profiler (individual settings) Collaboration Module

Information

search

bookmarks

Health Care

Professionals

Forum

Post in an existing thread or create a new thread

Aims of extended RIGHT project

Electronic Health Record

Patient

General Practitioner

Specialists

Local Health Care System Units

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Content sources (knowledge) – article databases

Electronic

Health Record (eHR)

Patient

RIGHT System User Interface (GUI)

GUI DSS GUI SIR GUI Profiler GUI

Collaboration Module

Database

Data source1 Data source2 Data sourceN …

Decision

Support System

(DSS)

Interface

bridge

Clinical Guidelines (electronic)

DSS Composer (Guideline preparing)

Clinical Guidelines (hard copy)

Categorized

document database

Knowledge sources Ontology

Profiler (individual settings) Collaboration Module

Information

search

bookmarks

Health Care

Professionals

IKP

Ilnesses

Knowledga

?

Patient

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Innovation Transfer in the Medical Sector

from Clinics to Companies

(InTraMed-C2C) Transfer Inspired by Patients’ Problems

• Bayern Innovativ GmbH , MedTech

Pharma

• Medical Valley EMN e.V.,

• Clusterland Upper-Austria,

• TIS Techno Innovation South Tyrol,

• Lower Silesian Voivodeship,

• The John Paul II Hospital,

• BSC,Business support centre ltd. Kranj,

• CVVI Center for research, innovation

and regional development,

• Budapest University of Technology and

Economics,

• University of Debrecen,

Project idea was born in Upper-Austria

Clusterland

TARGET GROUP

• Clinics / academic hospitals,

• SME - small and medium-sized enterprises

• Research and Development Sector (R & D)

• Group health insurance companies,

• Policymakers

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INNOVATION POTENTIAL

Clinics have a high potential for innovation of products,processes development and

services medical industry.

Intelectual Property (IP) manufacturing processes

SMEs do not have sources and opportunities for

transfer of knowledge and ideas into products

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IP Protection

Ideas

Research

Technologies

Products

Patents

Collaborative Research Agreement

Confidentiality or Nondisclosure

Agreements (Trade Secrets)

Technology Licensing

Agreement

Value

adding

http://www.wipo.int/portal/index.html.en

IP Strategy

• IP Strategy should be an integral part of the overall business strategy of an Enterprise.

• The IP strategy of an enterprise is influenced by its creative/innovative capacity, financial resources, field of technology, competitive environment, etc.

• Ignoring the IP system is in itself an IP strategy, which may turn out to be very costly or even fatal.

!

Przyjmuję z szacunkiem i wdzięcznością dla moich Mistrzów nadany mi tytuł

lekarza i w pełni świadomy związanych z nim obowiązków przyrzekam:

obowiązki te sumiennie spełniać;służyć życiu i zdrowiu ludzkiemu;według

najlepszej mej wiedzy przeciwdziałać cierpieniu i zapobiegać chorobom, a

chorym nieść pomoc bez żadnych różnic, takich jak: rasa, religia, narodowość,

poglądy polityczne, stan majątkowy i inne,

mając na celu wyłącznie ich dobro i okazując im należny szacunek;nie

nadużywać ich zaufania i dochować tajemnicy lekarskiej nawet po śmierci

chorego;

strzec godności stanu lekarskiego i niczym jej nie splamić, a do kolegów

lekarzy odnosić się z należną im życzliwością, nie podważając zaufania do nich,

jednak postępując bezstronnie i mając na względzie dobro chorych;

stale poszerzać swą wiedzę lekarską i podawać do wiadomości świata

lekarskiego wszystko to, co uda mi się wynaleźć i udoskonalić.

PRZYRZEKAM TO UROCZYŚCIE!

Medical promise

everything that I can

invent and improve.

I Solemnly pledge!

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http://www.intramed-c2c.eu/

http://database.intramed-c2c.eu/

Even a small idea may bring,

in result, a wide-spread valuable solution.

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THANK YOU