Slide title In CAPITALS 50 pt Slide subtitle 32 pt Integrated Healthcare Information System Darko Gvozdanović, M.Sc.E.E. Department manager e-health

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Agenda Healthcare challenges Ericsson addressing the challenges Integrated Healthcare Information System Conclusion

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Healthcare Challenges Increasing Health Care costs Demographic change Scarce Resources Chronic Diseases Adverse Events Healthcare Systems Trends and Projections

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Healthcare – Crisis drives development Costs are skyrocketing due too inefficiencies, closed systems and decentralized processes and fragmented application of ICT technology. WE Country example (NL): –12% of GDP today used for Healthcare, if nothing changes 18% in 2020 –In % of working population is needed in healthcare if trends continues –2.5% of hospitalization due too avoidable medication errors costs 300 M a year (Institute Dutch Apothecary) – persons have chronically heart problems and increases with 10% per year. –High complexity, high overhead, low efficient usage of capacity (beds – MRI scanners)

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Increasing Health Care costs Demographic change Scarce Resources Chronic Diseases Adverse Events Healthcare Systems Trends and Projections eHealth Services, Mobile Data and Remote Access Mobile Field Force Monitoring devices & sensors Increased communication capabilities Increased no. of subscribers Fiber, VDSL2 2G/GPRS/3G Gbyte HSPA >100 Mbit/s with LTE Multiple service support (Voice, broadband, TV...) Ericsson Addressing the Challenges Tools Healthcare divide

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System General Practitioner Offices Health Protection Institutes Controlled Cost Hospitals Laboratories Networked and aggregated data Increased quality of service Mobile patient data Ambulance and 112 service Telemedicine Ericsson Addressing the Challenges Processes Patient medical data Resurces admin data Patient admin data Patient in the center of the system

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Electronic HealhCare Record - EHCR Electronic Patient Register - EPR Health Resources Register - HRR HC Agent Health communication network Integrated Healthcare Information System Integrated Healthcare Information System

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Integrated Healthcare Information System - IHCIS IHCIS is comprehensive ICT enterprise platform that can support various healthcare delivery processes –Open standards: HL7v3, CEN ENV –Ultimate data security and privacy Being the platform, IHCIS makes building different healthcare services easy –Physician application, e – booking, mobile access to medical information (community nursing), mobile access to immunization record, medical documentation access (for doctors committee)… –Data mining, Business intelligence, Evidence based medicine (anonymous nation health record is available) –Public health processes support

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System ISDN Delivering Services with IHCIS Process interoperability Semantic interoperability IHCIS Users Technology and Communication Physician Laboratory Pharmacy HRR EPR EHCR HC agent Physician application Pharmacy application Laboratory application ADSL GPRS/ /UMTS HL7v3 / ENV interface HL7v3 / ENV interface HL7v3 / ENV interface HL7v3 / ENV interface IHCIS

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Electronic Healthcare Record EPR EHCR HRR Healthcare Agent Integrated healthcare Information System Central system for patients electronic healthcare records management –Comprehensive patient care record (anamnesis, allergies, diagnosis, medications, procedures, referrals) –International healthcare terminology (e.g. ICD10) –ENV 13606:2000 with HL7v3 standard EPR

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Electronic Patient Record EHCR EPR HRR Healthcare Agent Integrated healthcare Information System Patient data management –Patient demographics and administrative data –Health insurance information –Assigned physicians relationship management –User-friendly interface and platform independence –HL7v3 standard compliance

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Healthcare Resources Register EPR EHCR Healthcare Agent Integrated healthcare Information System HRR Health resources data management –Health resources profiles - doctors, nurses, healthcare facilities, diagnostic devices, etc) –Access rights –License management (digital certificates) –User-friendly interface and platform independence –HL7v3 standard compliance EPR

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Benefits for healthcare stakeholders Physicians, nurses and other healthcare professionals –Data accuracy and timeliness –Efficient working time management –Collaboration and knowledge sharing –Computer aided decision support

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Benefits for healthcare stakeholders Healthcare Insurers and Payers –Electronic invoicing and communication services –Continuous quality monitoring –Fee for service - better managing case costing –Paperless document flow (improvement in performance and data quality)

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Benefits for healthcare stakeholders Public Health –Emergency awareness with respect to: infections diseases, adverse reaction to drugs, increases in water born infections –Monitoring health trends (area, office, province or total population) –Diseases registries

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Benefits for healthcare stakeholders Hospitals Insight to the patients healthcare record Optimization of business processes Integrating with other healthcare stakeholders

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Benefits for healthcare stakeholders Health authorities –Validate drug & procedure efficiency –Better healthcare system management –Potential revenue by selling analysis and trend medical data to pharmaceutical companies, laboratories and research companies

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Benefits for healthcare stakeholders Patient –Medical record ownership –Efficient communication and person mobility –Active participation in diagnostics and decision making processes –Better quality of life

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Integrated Healthcare IS Benefits Structured view and creation of the health solution Organizational efficiency and control Immediate and continuous information availability Controlled and focused actions Health campaigns for prevention Controllable care system Continuous predictability Population health care Drugs Investments Efficient resource utilization Improved Healthcare provision quality

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System Contact Information Ericsson Nikola Tesla Krapinska 45, P.O. Box 93 HR Zagreb Croatia WWW:

Top right corner for field-mark, customer or partner logotypes. See Best practice for example. Slide title 40 pt Slide subtitle 24 pt Text 24 pt Bullets level pt © Ericsson Nikola Tesla d.d.Integrated Healthcare Information System