Collaboration between research and healthcare institutions on ICT networks and services?

1. Collaboration between research and healthcare institutions on ICT networks and services? Niels Rossing, M.D. Danish Centre for Health Telematics nr@health-telematics.dk EARNEST BERLIN MAY 2006

2. The Connectivity Rationale • To realise the benefits of broadband-enabled services, public administrations, universities, schools and health centres need to be connected. The aggregation of public-sector demand increases certainty of expected revenues facilitating investment. • ------------------------------- Communication from the Commission to the Council, the European parliament, the European Economic and Social committee and the Committee of the Regions: Connecting Europe at High Speed: National Broadband Strategies, May 26, 2004 EARNEST BERLIN MAY 2006

3. The EU Rationale:eHealth and eEurope 2005 ”IST for All” • eEurope 2005: • Secure services, applications and content over an interoperable broadband infrastructure • For eHealth: • Health information networks, • on-line services • Health cards Seconded by declaration of EU Health Ministers, May 2003 EARNEST BERLIN MAY 2006

4. The Coherence Rationale • University Hospitals and Medical Research Institutions Serve the Research Environment as well as Health Care Providers EARNEST BERLIN MAY 2006

5. Health Care is Information Dense • Europe total Medical Info: 1000 PB/year • Radiology Production in 6 Copenhagen Hospitals (600.000 inhab.) • 8-10 TB/year • 150.000 packages/s • 50 MB per digital image examination • Bdwth: 1Gbps EARNEST BERLIN MAY 2006

6. Main barriers for eHealth • Lack of • Physical Infrastructure • Political Will • Interoperability • Needed Services EARNEST BERLIN MAY 2006

7. IT IT IT IT IT IT IT IT IT IT IT IT Organizing Referral Prescription Home Care Report Radiology Report Discharge Letter etc. EARNEST BERLIN MAY 2006

8. A healthcare network: Where to have storage integration and Intelligence? Pharmacy Laboratory Hospital Pharmacy Region Pharmacy net Hospital Pharmacy Hospital Central node GP-system Home Care GP GP Authorities EARNEST BERLIN MAY 2006

9. MedCom and www.sundhed.dk Sundhed.dk MedCom EARNEST BERLIN MAY 2006

10. European Health Networks • Baltic Countries, notably Estonia • Belgium • Denmark • The Netherlands • Norway • Slovenia • Spain • Sweden • UK EARNEST BERLIN MAY 2006

11. Vilnius Tallinn Denmark ??? Norway BHN Sweden The Baltic Healthcare Network EARNEST BERLIN MAY 2006

12. OtherNeeds • Grid • Advanced Imaging • Simulation – Robotic Surgery • Simulation - Training • Education • Video consultations • Advanced Home Care – Pervasive computing • Embedded Intelligence on The Network EARNEST BERLIN MAY 2006

13. Health- and Mammogrid • Grid Computing is distributed, parallel or multiple-instance computing on an Infrastructure, where compute and storage resources are claimed on-demand and shared among many applications EARNEST BERLIN MAY 2006

14. HealthGrid EARNEST BERLIN MAY 2006

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18. Remote Visualisation During Simulation EARNEST BERLIN MAY 2006

19. Intelligent Network Automated • Security and ID Management: • Confidentiality • Authentication • Data Integrity • Non-repudiation • Authorisation/Access Contro • Coding • Nomenclature and Semantics • Translation –Demo Please EARNEST BERLIN MAY 2006

20. Thank You That was all. nr@health-telematics.dk Shall we dance? EARNEST BERLIN MAY 2006

21. CISCO Demo of on-line Translation EARNEST BERLIN MAY 2006