Life after PlugIT in Kuopio;Research projects in FINNWELL- program (TEKES)

Anneli Ensio, Research DirectorUniversity of KuopioDepartment of Health Policy and Management, Shiftec30.8.2004

Life after PlugIT in Kuopio?

• Formal acceptance of PlugIT’s results by HL7 Finland and the National Health Project

• Support to companies and healthcare organizations in making use of PlugIT’s results – integration implementation, requirements analysis and evaluation services available

• Training and education in information systems and information management in social and health care

• National Health Project’s subprojects – core data sets• Cluster of new research proposals to Tekes’ new

FinnWell programme

Behind PlugIT: ”welfare IT network”Focus on healthcare processes + software production

HealthKuopio

Welfare technology park

Centek: Centre for IT education and research

HIS R&D Unit

Shiftec Poly Welfare Tech Centre

Hospital’s R&D

WellTeknia: Business incubation

services

Health info mgt

IS, SE

Computer Science

Health IT, welfare tech

Tech, health, informatics,

design

Health policy &

econ

Welfare Centek Centek’s business services

Health IS

Teknia Savonia Polytechnic

University of Kuopio

Univ. hospital region, city, …

Cont educ

Cluster of new research projects to support the “year 2007 target”

Decision support, mobile use, etc.

General intl. sw. research

Indehela

General evaluation research

General Information Systems and work

research

General Software Engineering research

product Y activity 1 product X

Pilot A Pilot B activity 2

product Z product X activity 2 activity 3 Pilot C Pilot D Pilot E

product Q

MoH pilot projects

activity 4

FinnWell R&D projects

experiences

results needs, methods guidance,

coordination

information, collaboration,

Coordination proj. Coordination services (Kuntaliitto, MoH) (Tekes)

Others

Stakes

HL7

MoH

Natl. Health Project

Other financiers

AvoinTA testing services

export proj 1

export proj 2

export proj 3

needs, experiences

concept, methods

Finpro Sw-

business Techno parks

Centres of expertise

ZipIT-TSR

Export HIS

FinnEHR Finnish health records research: data, structures, technology and

functionality

SerAPI integration, interfaces,

application devl.

ZipIT processes and requirements

internationalization

SerAPI: SERvice-based architecture and web services in healthcare Application Production and IntegrationContact: Juha Mykkänen, HIS R & D Unit, University of Kuopio

• Background– differences and changes in healthcare applications, processes, health

systems, local requirements - require adaptability in systems Service-oriented architecture (SOA)– heterogeneity of application technologies, integration needs Web services

• Objectives– Choose information system and integration needs which can be

solved using application services and interfaces– reduce overlapping work and information, simplify maintenance,

effective and repeatable integration– Offer service interfaces in new generation software products and

integration solutions– Choose/develop an architecture, development model and methods

and tools to design and implement healthcare software in service architecture

– Continue application interface and integration work of the PlugIT project, participate in HL7 Finland and HL7 International Common Services

SerAPI viewpoints: how to produce, provide, consume and manage services to..

– 8-11 companies, 2-3 hospital districts, duration 2004-2007– Contact: juha.mykkanen@uku.fi, HIS R & D Unit, University of Kuopio

– Effectively support changing processes and workflows of healthcare organizations..

– with adaptive, reusable and efficiently developed application products and integration solutions…

– based on open and coherent services, architecture and infrastructure.

AVOINTA - Open integration testing environment

Goals of Open Testing Environment• Creation of common methods and ways of action

to test system integration, interfaces and their conformance with open specification.Agreement on contracts, work flows etc.

• Planning and Specification of Testing Environment for regional health care systems

• Testing Services:- web-based testing service

(using both CDA R1 and CDA R2)- testing service for context management and

common services (PlugIT and HL7 specifications)- safeguard testing service (PKI architecture)

• A common test data library with standard testing material (patient journals)

AVOINTA - Open integration testing environment

• Motivation: • pressure for the interoperability of systems

(CDAr1, CDAr2, PlugIT, PKI)• conformance of an implemented interface

needs to be tested against the specification• testing environment for interfaces and integration

needs (regional information systems, individual applications)

• research and development of integration profiles

AVOINTA - Open integration testing environment

Institution in charge: VTT information Technology

Project partners: • University of Kuopio; HIS R&D Unit, Software Engineering,

Shiftec• Prime solutions Ltd.• 8 software companies, 3 hospital districts

Project duration: Sept. 2004 – Dec. 2005

Contact persons:• Vesa.Pakarinen@vtt.fi• Anne.Eerola@uku.fi

• Hannu.Virkanen@uku.fi

Export HIS:How to export Finnish healthcare software

• 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• Technology Park Teknia and the City of Kuopio have well established relations in Shanghai in healthcare technology

• → 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 exports project, if feasible

• Already started by a visit to Beijing and Shanghai in August

Export HIS:How to export Finnish healthcare softwarePhase 1: Concept development in Shanghai

Project information:• Phase 1 duration: June 2004 – September 2005• Proposed size: 4.5 person years• May be funded by European Regional Development Fund (EAKR) → no industry funding required, but more local industry in Board

Institution in charge: University of Kuopio, HIS R&D Unit

Contact persons:• Mikko Korpela, Research Director, Mikko.Korpela@uku.fi• Matti Sipilä, Project Manager, Matti.Sipila@uku.fi

Project partners, represented in the Project Board:• 3 software companies now, doors open for others• University of Kuopio, Dept. of Health Policy and Management• Helsinki University of Technology, SoberIT• Technology Park Teknia

ZipIT, ZipIT, Zip-model for developing the work and information systems in parallel

In co-operation with the projects of

• The Finnish Work Environment FundAnja.Mursu@uku.fi

• Savonia Polytechnic (Savonia Business)Maritta.Korhonen@savonia-amk.fi

Work and IS development in parallel

1. IT needs- activity networks

-information system

Activity networksdevelopment

-Workflows, task descriptions

services and processes

introductions

Software Company

changes in the activitiessoftware

Health care organization

Health care organization

2. Information managementInformation system development needs

- processes, informationarchitecture

business

The tool of communication

3. Requirement specification-Use case descriptions

ZipITZipIT Zip-model for developing the work and information systems in parallel

Institution in charge: University of Kuopio, Shiftec, Dept. of Computer Science, HIS R & D Unit

Project partners: • Savonia polytechnic (Savonia Business)• Työsuojelurahasto• 2 companies• 2 hospital districts• 1 city/ social and health care• Duration: 2004 – 2007

Contact persons: • Anneli Ensio, Research Director, Anneli.Ensio@uku.fi• Maritta Korhonen, Maritta.Korhonen@savonia-amk.fi• Marika Toivanen, Marika.Toivanen@uku.fi

FinnEHR Research

Aims• to enhance the national health information

infrastructure through evaluation and research

• to strengthen client and consumer centered eHealth services

• to advance patient’s involvement in the delivery of care by the means of IT

• throughout the research technology, processes and management are approached from patient, health care and IT professionals perspectives

FinnEHR Finnish Electronic Health Record Research

Institution in charge: University of Kuopio (Dept. of Health Policy and Management, University of Kuopio, HIS R& D Unit)

Project partners: • Oulu University, Dept. of Nursing and Health Administration • FinnTelemedicum • 6-8 companies• 4-6 Hospital Districts

Duration: 2004-2008

Contact persons: • Kaija Saranto Research Director, Kaija.Saranto@uku.fi

Kristiina.Häyrinen@uku.fiJari.Porrasmaa@uku.fi

Decision support, mobile use, etc.

Our service development proj.

results, methods

needs, experiences

AvoinTA testing services

Export HIS

FinnEHR Finnish health records research: data, structures, technology and

functionality

SerAPI integration, interfaces,

application devl.

ZipIT processes and requirements

internationalization

Our product development proj.

Which pragmatic research does your practical project need?

Pragmatic research is needed to support the national objectives