1. eHealth Partners Finland Finnish Agency for Technology and Innovation Tekes grants no. 40140/06 and 70030/06 www.uku.fi/ehp Needs analysis at pilots by joint work at Pudong China-Finland e-health project ’ s workshop Jiechen Jiang, Researcher, UKU September 6th 2007 Tekes, Helsinki J iechen.jiang@uku.fi

2. eHealth Partners Finland www.uku.fi/ehp Joint work at Pudong ●Interviews/Surveys ●Workshops (Doctors, Nurses, Public Health Providers, Managers and CIO etc)  Workshop at each pilot hospital  Shared workshop  Brainstorming ●Project meetings (Monthly)

3. eHealth Partners Finland www.uku.fi/ehp The Target ● The main target for Pudong Newarea is to establish regional health information system ● To fulfill the information sharing between all the healthcare organizations ● To meet the needs from the government, hospital and citizen Based on Integrated EHR system and Data Center

4. eHealth Partners Finland www.uku.fi/ehp

5. eHealth Partners Finland www.uku.fi/ehp Needs from Government 1 ● To have the unique identification number for patient ● To have decision support system for real-time statistics analysis for healthcare management ● Public health information system integrates with EHR ● The patient information needs to be integrated from different recources, Integrated EHR system can be shared between all the health organizations

6. eHealth Partners Finland www.uku.fi/ehp Needs from Government 2 ● Based on the Personal/Family Health Record to evaluate the health status of the elders and make the diagnosis on the health status at the community ● To set up the platform for information sharing between hospitals and to secure the exchanged data ● To reduce the duplicated tests and cost ● Regional healthcare information sharing in order to offer high quality health service for the patients

7. eHealth Partners Finland www.uku.fi/ehp Needs from Health Providers 1 ● The integration with different systems (EHR, Doctor workstation and other systems) within hospital ● Wireless doctor workstation at ward ● Evidence based decision support system is needed for health providers, also including Chinese traditional medicine

8. eHealth Partners Finland www.uku.fi/ehp Needs from Health Providers 2 ● The doctor knows health status of his patient, e.g. patient history information, patient basic information, test results, drugs usage, treatment, diagnosis and discharge summary etc ● To have effective communication system between health providers (especially between Pubic heatlh providers and GP)

9. eHealth Partners Finland www.uku.fi/ehp Needs from Citizen ● Online checking the health status by citizen ● Registration and reservation Center for citizen ● Homecare service needs more information technology (video telecommunication) for health providers to have better communication between patient and health providers

10. eHealth Partners Finland www.uku.fi/ehp Needs for regional information sharing ● Information sharing and seamless patient care between healthcare organizations based on the electronic personal health record (EHR) ● To have Tele-consultation between Health organizations for communication, academic workshop and training ● Network and connection between the central of heath center and its stations

11. eHealth Partners Finland www.uku.fi/ehp Needs for regional information sharing ● To send E-version of lab test result report by SMS and the test report can be printed out at any health organizations. ● Patient registration at one health organization is available at any other health organization, and the reservation information can be found at any place.

12. eHealth Partners Finland www.uku.fi/ehp Needs for regional information sharing ● To fulfill the two-way referral system between Communtity Health Center and General hospita, Maternal Healthcare management case as a pilot ● Standard workflow and information flow of the two-way referral system should be built, and the effective feedback system is needed between health organizations ● Standards, to unify the interface standards for data exchange at pilot hospitals based on HL7

13. eHealth Partners Finland www.uku.fi/ehp The model of data exchanging

14. eHealth Partners Finland www.uku.fi/ehp The core structured data set (2003) Identifiers ISO OID patient encounter episode care chains organisation department Care related medication procedures problems & diagnoses Independent forms & documents: statements & certificates, Care will, A, B1, B2, Driver's licence,... imaging nursing physiological measurements risks laboratory health behaviour functionality summaries care plan required by the ministry for EPR software by the end of 2007 Jari Porrasmaa, 2005, CDA experiences from Finland

15. eHealth Partners Finland www.uku.fi/ehp Uniform for all medical specialities Uniform data for all dentistry units and software Extensions of the core dataset for different specialities: Psychology, occupational health, dentistry, emergency care,... structured data for dentistry Core dataset Jari Porrasmaa, IHIC 2006, A document oriented approach to building a national EHR -applying CDA R2 in Finland

16. eHealth Partners Finland www.uku.fi/ehp