1. НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон, София University – Industry cooperation - base for high-risk eHealth technology solutions Center of Information Society Technologies (CIST) University of Sofia

2. НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон, София eHealth CIST Establishment of eHealth systems is with high risk The eHealth Information systems do not contain high-technology risk components The obstacles for eHealth systems are more political and psychological, than technical There are many eHealthcare components that are based on new technologies, which creation is a risky process There are many critical implementation situations – new approach for very important issue (the health and the life) Who could be the universal solution provider for so diversified issues the Universities

3. НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон, София eHealth CIST Main advantages of the Universities in eHealth systems University researchers are not cheap, but they combine non-restricted thinking with applied science solutions – important for medical machines Students are without corporate culture for delivery, but there are not modeled within society or medical/IT industry constrains – for non- stanfard, new eHealth solutions Academic scientists can be not too deep into some medical or technical area, but they have multi-domain knowledge and can generate cross- domain solutions (e.g. bio-nanosensors) eHealth has to be run as a business, with multiple cross-domain specialists. An university can combine academics from different departments (including from biology, IT, financial departments) eHealth needs some testing between people, where the students youth and intelligence are real opening door approach

4. НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон, София eHealth CIST Main position of University-Industry cooperation for eHealth eHealth solutions require big budget and challengeable researchers The Industry is not keen to take high-risk projects. The universities are (why university clinics exist; why the new university clinics have good integration with university IT departments) Most of the eHealth solutions are complex and require cross-domain university knowledge with industry delivery approach Generally the eHealth solutions are high risky and are looking for high- profit. Universities are keen to do any risky projects, while the Industry is looking for less risk with high profit. Combined in the right way, both can make high-risky project with high-profit The Industry is doing their solutions in the main stream way, while the Universities can do many parallel as possible research activities in one direction (for example 20 MSc projects for one eHealth goal)

5. НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон, София eHealth CIST IMIA Electronic healthcare schema The International Medical Informatics Association plays a major global role in the application of information science and technology in the fields of healthcare and research in medical, health and bio informatics.

6. НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон, София eHealth CIST Areas for special attention from ICT point of view Clinics Labs Hospitals Holdings MedicalAdmins NationalSystem

7. НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон, София eHealth CIST European Commission positions eHealth with high priority New working environments eBusiness Networked AV systems- Home platforms S/W and distributed Systems Trust and Security Micro and nanosystems & Displays eHealth Micro-nano- optoelectronics components Embedded Systems Transport & Environment E-Government Genome informatics bio-nanosensors SoC design GMES Nano tech 3D TV Comp.-bsd design dependability Crisis mgmt ITS, eSafety KM organisations SER

8. НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон, София eHealth CIST Smart cards flexibility is a key for the eHealth solutions–from low (entrance) level services to multi-application services Interface to the Smart card Issuer Security Domain keys Application Security Domain keys SC Appl SC Appl... SC Operating System SC Appl Security Domain -1 Appl Security Domain -2 Application Domain-1 keys Card Issuer keys General Keys General Appl keys Global Platform Secure channel Application Domain- 2 keys Renewal Keys Renewal Appl keys Smart Card (SC) Global Platform (GP): u Is a Cross-industry technical specifications, used to develop secure and flexible Smart Card; u Includes Cards, Terminal and Back-end system specifications and tools; u Enables secure isolation of the applications; u Enables applications to be added or deleted dynamically from the Smart card; u Enables secure monitoring and management of access to all applications in the card.

9. НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон, София eHealth CIST Clinics eHealth Framework – with pure business principles. What is the ICT solution? Specialised Practitioners Core Practitioners Non-core services u Coffee Shop u Internet Cafe Reception Debtors Mgmt Claims Mgmt Payment Mgmt Credit Mgmt Administration Cabinet Facilities Medical equipment Practitioner Shared services Main Processes Loans Mgmt Nursing services Branding Demand generation Other revenue opport Value-added processes Accounting CRM Physical Patients accs Mgmt Clinical systems Practitioner system GP Clinical systems Practitioner system Dentist Radiologist Pathologist Physiotherapist Optometrist Dermatologist Other Med Providers Infrastructure services PABXCablingBuilding security Outdoor branding ToiletsWaiting room WardsStep down CenterClinic Alternative Core services u etc.

10. НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон, София eHealth CIST Medical Specialists IT system – very big challenge and business u GoodX is a fully integrated medical and accounting package, without need of any additional software package (it supports all types of specialist, Day clinics, Step-down clinics, Theatres, Wards, Pharmacies, full GL accounting with drill-down reports) u GoodX and its versions are available in the market from many years u GoodX uses file system with indexing files for storing data, which is inappropriate for financial system u GoodX has plan to be converted to MySQL or MS SQL Server in the future u The system does not use Database or Windows features u AccMed is an integrated medical and accounting package, and for fully integrated system it needs to add other specialised practitioner modules and provide export- import with accounting packages u AccMed is a newly developed package, which business principles are taken from "MedAD2000" - a package well popular and established in the market u AccMed uses MS SQL Server as base for the system design u The development is Windows and Databases oriented, using the main of their functions u AccMed contains integration for real time operation with the main medical switches GoodX is: AccMed is: u Does not have Corporate financial system - for the entire corporate u Based on the used file system, the financials can have incomprehensive status u Uses export-import mechanism for integration with the medical aid Switches u Weakly supports patients sensitive medical data u Does not have Corporate financial system - for the entire corporate u Needs separate modules for Dentist and GPs u Does not have modules for specialised medical practitioners u The GUI looks over engineered for medical practitioners u Use Export-Import mechanism for full accounting functionality, which does not correspond to the best practice of financial management system u Weakly supports patients sensitive medical data Issues in GoodX: Issues in AccMed: Prons and Cons about two systems – GoodX and AccMed

11. НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон, София eHealth CIST Very challengeable ICT eHealth solutions Hospital solution – like extended Clinics one higher-scalable ICT system with higher attention to Patient Record system, with Theater mgmt, Purchase-Stock control, Pharmacy, ER, Alternative- Core are Core services, extensive Security architecture, with special attention to Risk management, Regulatory compliance, Contingency planning, Staffing Medical Switch solution Medical Holdings solution Medical Administrators solution

12. НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон, София eHealth CIST In SU there is a MSc program Bio- and medical informatics since 2002-2003 academic year Analysis and medical Data processing – Images and transmission of data (DICOM standard, HL7 protocol) Bio-informatics and computational molecular biology Data bases Statistics, biometrics

13. НАЦИОНАЛНА КОНФЕРЕНЦИЯ, 17 юни 2008 г., Хотел Шератон, София eHealth CIST Q & A