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SoberIT Software Business and Engineering Institute UBI-SERV START-UP WORKSHOP 19TH MAY 2009 Ubiquitous Services and Technologies for Healthcare, Wellbeing and Public Safety in China and Finland Agile Citizen-centric Health Matti Hämäläinen & Timo Itälä Software Business and Engineering Institute (SoberIT) Department of Computer Science and Engineering – CSE Helsinki University of Technology (Aalto University)

Itälä: Agile Citizen-centric Health

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Timo Itälä, senior researcher, SoberIT / TKKAgile Citizen-centric Health

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Page 1: Itälä: Agile Citizen-centric Health

SoberITSoftware Business and Engineering Institute

UBI-SERV START-UP WORKSHOP 19TH MAY 2009

Ubiquitous Services and Technologies for Healthcare, Wellbeing and Public Safety in China and Finland

Agile Citizen-centric Health

Matti Hämäläinen & Timo ItäläSoftware Business and Engineering Institute (SoberIT)

Department of Computer Science and Engineering – CSEHelsinki University of Technology

(Aalto University)

Page 2: Itälä: Agile Citizen-centric Health

SoberITSoftware Business and Engineering Institute

SoberIT ISSEG & Healthcare information systems research: eHealth Research and teaching areas

Enterprise Application Integration (EAI)

Enterprise Architecture Frameworks (EA)

Service Oriented Computing and Architecture (SOC/SOA)

Mobile services, Mashups, Information and Value Networks, Digital Ecosystems

Service design and engineering (International Masters Program)

Expertise Regional information systems for healthcare and social care

HL7 OpenCDA document architecture for national interoperability

Stakes, Data Warehousing for national statistics

Research projects OmaHyvinvointi (MyWellbeing)- universities, companies and service providers

SOLEA (Service Oriented Locally Adapted Enterprise Architecture) –health and industry tracks

User Driven Service Innovation Environments (Living Labs, e.g. OtaSizzle/SizzleLab) 2

Page 3: Itälä: Agile Citizen-centric Health

SoberITSoftware Business and Engineering Institute

Primary Care(Municipality)

Occupational health (private)

Pharmacy

Homecare

Primary Care

Tax auhorities

Bank

InsuranceChildren daycare

Rehabilitation

School

Homeservice

Cleaning

Child health care

Citizen as an active collaborator with the service providers? MyWellBeing – project approach based on a “Dual Model”

Specialized Care

Page 4: Itälä: Agile Citizen-centric Health

SoberITSoftware Business and Engineering Institute

Actively involving users - a necessity for addressing the big challenges in society: health, environment, energy, traffic, …

County Hospital

Central Township Hospital

Small Township Hospital

Village Clinic

Amount of local and personal knowledge and complementary resources

Citizen Communities

Doctors and Nurses

CitizensCollaborative Knowledge

Citizen Communities

Citizens

”Citizens are the biggest underutilized resource in service innovation and delivery”.

Page 5: Itälä: Agile Citizen-centric Health

SoberITSoftware Business and Engineering Institute

The "dual model” aims at helping to combine the two perspectives:

Corporate/public service <–> Users/citizensEnterprise Architecture (EA) <–> Citizen Architecture (CA)

Systems Architecture

Information Architecture

Infrastructure & Technology Architecture

Business Architecture

IT Gover-nance

Enterprise Information Systems

Citizen 2.0Web 2.0

?

Page 6: Itälä: Agile Citizen-centric Health

SoberITSoftware Business and Engineering Institute

Layers of Integration – Research Topics

6

Business Process Layer

Information Layer

Systems and Technology Layer

Business and Benefit Model Layer

Secu

rity, P

rivacy

Who uses, who pays, who benefits, who learns?Is there benefit for every constituent? Citizens, professionals, organizations?

What are the business processes?Professionals? Citizens?

Information models? Semantics: Codes, vocabularies, ontologies, unique identifiersSyntax layer, presentation of data

Application layer

Transportation layer

Govern

an

ce

Page 7: Itälä: Agile Citizen-centric Health

SoberITSoftware Business and Engineering Institute

How to roll out the services for millions of citizens?

Economies of large scale: The more users, the bigger benefits

Self reinforcing feedback loop: the more we use the citizen services the more it makes sense to use it

Who provides the platform? Who provides the services? How is the content

created and used? Who are the first users?

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Doctors and Nurses

CitizensCollaborative Knowledge

Citizen Communities

Page 8: Itälä: Agile Citizen-centric Health

SoberITSoftware Business and Engineering Institute

An extreme case for citizen participation: – an unexpected, situational and urgent need for emergent IS

“Casualty statistics after 2008 Sichuan: this kind of data is underestimated at beginning because of the limited available information. This may result in wrong decisions and hence cause major problems in the rescue effort. The disaster events are extreme examples of needs to combine the information, services and resources provided by individual citizens, communities and NGOs with those of officials at various administrative levels.”-> Call for “dual model” and user driven services creation

Source: The New York Times

Page 9: Itälä: Agile Citizen-centric Health

SoberITSoftware Business and Engineering Institute

Diabetes

Glucose

Mother & newborn care…

Chronic diseaseOther …

Diabetes

Glucose

Taking Services Innovation to New Areas – and then Back:When "good enough” is better than “very good”.

Page 10: Itälä: Agile Citizen-centric Health

SoberITSoftware Business and Engineering Institute

Case in elderly care and international collaboration: Active Life Village / Active Life Home concept to Expo and Shanghai(City of Espoo/Active Life Village & Laurea & TKK + TongjiU & SWUFE team)

The idea is to demonstrate the concept and the services at Expo 2010 and enable collaboration with Chinese partners in the area of wellbeing and health, intelligent homes, and regional health and wellbeing services targeting esp. elderly -before, during and after the Shanghai World Expo 2010.

This is aimed at being done by:

a) Implementing an adapted demonstration of the Active Life Home concept in the VIP section (3rd florr) of the Finnish “Kirnu” pavillion.

b) carrying out joint development, adaptation and research activities with key Chinese research partners, e.g Tongji University, SWUFE and BUPT.

c) Identifying potential site at Shanghai to be one “home node” node in the Active Life Village concept –and bridging the sites in Espoo/Finland and Shanghai/China for joint research activities.

adapt

bridge

Page 11: Itälä: Agile Citizen-centric Health

SoberITSoftware Business and Engineering Institute

Challenges of eHealth and citizen centric approach

How to change the ”mental models” of the citizens and the professionals (doctors, nurses) so that the citizens woul and could actively participate in their wellbeing services?

How the citizen can manage the multitude of different systems and user interfaces?

Who should be responsible for developing the citizen centric architecture and enforcing that to be implemented?

How the different groups of citizens and their needs should be addressed?

What should the economical model be: Who is using, who is getting the benefit, who is paying and who is learning?

How to make the roll out of eServices nationwide in a few years?

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Page 12: Itälä: Agile Citizen-centric Health

SoberITSoftware Business and Engineering Institute

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Contacts:

Prof. (pro tem) Matti Hämälä[email protected]

Senior Researcher Timo Itälä[email protected]

Software Business and Engineering Institute (SoberIT)Department of Computer Science and Engineering – CSEHelsinki University of Technology(Aalto University)