The document discusses e-health business models and experiences in the Lower Silesia region of Poland. It outlines several strengths of the region including a well-developed ICT sector and strong academic centers. It also summarizes Poland's national e-health strategy from 2009-2015 and several specific e-health projects implemented in the Lower Silesia region, including the creation of a diagnostic imaging center, implementation of teleradiology, and two regional e-health projects. The main challenges discussed are integrating different health systems and creating standardized electronic medical records across the country.

2. E-health business models
for chronic conditions
experiences of the Lower Silesia region
Antoni Zwiefka
Lódź 2013

3. The strengths of Lower Silesia are:
• Very well-developed ICT sector,
• Strong academic center to prepare staff
with high qualifications and
competences,
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4. The „e-Health Poland” strategy
(2009 – 2015)
1. Facilitating access to information in the field of health care.
2. Improving the efficiency of the health care system of electronic
circulation of documents.
3. The modernization of medical information system in order to analyze
the demand for implemented health services.
4. The practical implementation of IT solutions in the construction of
health care in accordance with the guidelines of the European
Commission integration to enable the Polish Republic in the area
of ​"interoperable” electronic medical record (EHR - Electronic Health
Record).
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5. Lower Silesian Diagnostic Imaging Centre
The project implemented by the Regional Hospital in Wroclaw
includes:
Creation of infrastructure for Lower Silesian Diagnostic
Imaging Centre to provide the electronic services:
1. describe radiological images sent by external medical
units
2. archiving of medical data for diagnostic imaging of
individual patients,
3. remote medical consultations.
.
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6. Teleradiology in Lower Silesia
Individual projects implemented by 21 health care facilities
include:
Purchase of equipment and implementation of ICT
communications technology for X-ray Laboratory
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7. Lower Silesian E-Health 1 Project
The project carried out by the Marshal’s Office of Lower Silesia in
Wrocław includes:
1. Pilot implementation of an electronic patient record for 19 selected
medical entities
2. Infrastructure that enables the creation of a regional electronic patient
record
3. Analytical systems for budgeting and controlling
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8. Lower Silesian e-Health 2 Project:
1. Top 10 players from the Region
2. Implementation and exchange of electronic medical records
3. Building a platform for joint publ orders
4. Implementation of ISO 27001
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9. Lower Silesian e-Health 2 Project:
The main aim - to launch platform for the exchange of electronic
medical records
Additional goal - the ability to support electronic medical records of
beneficiaries / members of the consortium
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10. Interoperability Need
The strategy for region to keep and attract
healthcare professionals in their territories?
European Union level
epSOS
Country / Poland level
e-Health Poland” strategy (2009 – 2015)
P1 / P2 Projects
Region / Lower Silesia level
Lower Silesian E-Health 1 Project
Lower Silesian E-Health 2 Project
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11. Cental- regional cooperation
The basic challenge is to
coordinate activities which deal
with central inovative industry
project integration and eHealth
regional projects within all
country.
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12. Internet access to EHR (IKP)
Providing access to information and standards developed
within the EU countries in the so-called Patient Summary that
is a minimum set of medical data that should be
made ​available for the effective implementation of medical
services to the patient in any EU country. The results were
use to build the portal IKP.
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13. Internet access to EHR (IKP)
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14. After a period of prototype access to the Patient Internet
Accounts (IKP) in Krakow and a e-Prescriptions prototype
in Leszno - working on an integrated prototype version of
progress in the enlarged number of locations.
Patient Internet Account e-Prescription
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15. Expected social benefits of the project ?
• The partnership between the patient and doctor so that
the patient would gain better knowledge of the
treatment ( self- management). Better functionality of
healthcare system in Poland, thanks to coherent
electronic system which takes into account citizens
electronic preferences.
• Effective budgetary activities and development of
information society in the area of health
• Improving
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16. Anticipated problems
• Integration of all of the systems in healthcare e.g. medical
documentation, financial, diagnostic .
• Creating medical documentation in all medical service industry in
Poland e.g. hospitals, GPs, laboratories.
• Transfer and exchange of all medical documentation, activities,
surgeries to Cental Medical Information System (CMIS= P1+P2)
• Development of regulations with the descriptions, functionality,
technical and organizational conditions .
• Building positive image among medical staff, citizens and
media. 16

17. RIGHT Project Overview
2006-2009
Reducing diagnosis and treatment risks by
leveraging knowledge and practices of Health
Care Professionals

18. Aims of RIGHT project
Patient
Local Health Care
System Units
Electronic General
Health Practitioner
Record
Specialists

19. Aims of RIGHT project
We were implementing 5 desease units
1. Depression
2. COPD –Chronic Obstractive Pulmonary Deseases
3. Diabetics
4. Hipertension
5. Hiperlipoproteinemia
These units are difficult for diagnosis, especially
for elderly people
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20. General Practitioner
RIGHT System User Interface (GUI)
Electronic
GUI
Health Record (eHR) GUI DSS GUI SIR GUI Profiler
Collaboration Module
Interface Information Profiler
Database search (individual settings) Collaboration Module
bridge
Decision
Support System
(DSS)
DSS Composer Categorized bookmarks
(Guideline preparing) document database
Clinical Guidelines
(electronic)
Knowledge sources Ontology
Clinical Guidelines
(hard copy)
Content sources (knowledge) – article databases
Health Care
Professionals Data source1 Data source2 … Data sourceN
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21. Forum
Post in an existing thread or create a new thread

22. Aims of extended RIGHT project
Patient
General Local Health Care
Practitioner System Units
Electronic
Health
Record
Specialists

23. Patient
RIGHT System User Interface (GUI)
Electronic
IKP GUI
Health Record (eHR) GUI DSS GUI SIR GUI Profiler
Collaboration Module ?
Interface Information Profiler
Database search (individual settings) Collaboration Module
bridge
Decision
Support System
(DSS)
DSS Composer Categorized bookmarks
(Guideline preparing) document database
Clinical Guidelines
(electronic)
Knowledge sources Ontology
Clinical Guidelines
(hard copy)
Patient
Content sources (knowledge) – article databases
Health Care Ilnesses
Professionals Data source1 Data source2 … Data sourceN
Knowledga
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24. Innovation Transfer
in the Medical Sector
from Clinics to Companies
(InTraMed-C2C)
Transfer Inspired by Patients’ Problems
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25. Project idea was born in Upper-Austria
Clusterland
• Bayern Innovativ GmbH , MedTech
Pharma
• Medical Valley EMN e.V.,
• Clusterland Upper-Austria,
• TIS Techno Innovation South Tyrol,
• Lower Silesian Voivodeship,
• The John Paul II Hospital,
• BSC,Business support centre ltd. Kranj,
• CVVI Center for research, innovation
and regional development,
• Budapest University of Technology and
Economics,
• University of Debrecen,

26. TARGET GROUP
• Clinics / academic hospitals,
• SME - small and medium-sized enterprises
• Research and Development Sector (R & D)
• Group health insurance companies,
• Policymakers

27. INNOVATION POTENTIAL
Clinics
have a high potential for innovation of
products,processes development and
services medical industry.
Intelectual Property (IP)
manufacturing processes
SMEs
do not have sources and opportunities for
transfer of knowledge and ideas into
products
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28. IP Protection
Value
adding Confidentiality or Nondisclosure
Ideas Agreements (Trade Secrets)
Collaborative Research Agreement
Research
Patents
Technologies
Technology Licensing
Products Agreement
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http://www.wipo.int/portal/index.html.en

29. IP Strategy
• IP Strategy should be an integral part of the overall
business strategy of an Enterprise.
• The IP strategy of an enterprise is influenced by its
creative/innovative capacity, financial resources,
field of technology, competitive environment, etc.
• Ignoring the IP system is in itself an IP strategy,
which may turn out to be very costly or even fatal.
!

30. Medical promise
Przyjmuję z szacunkiem i wdzięcznością dla moich Mistrzów nadany mi tytuł
lekarza i w pełni świadomy związanych z nim obowiązków przyrzekam:
obowiązki te sumiennie spełniać;służyć życiu i zdrowiu ludzkiemu;według
najlepszej mej wiedzy przeciwdziałać cierpieniu i zapobiegać chorobom, a
chorym nieść pomoc bez żadnych różnic, takich jak: rasa, religia, narodowość,
poglądy polityczne, stan majątkowy i inne,
everything that I can
mając na celu wyłącznie ich dobro i okazując im należny szacunek;nie
nadużywać ich zaufania i dochować tajemnicy lekarskiej nawet po śmierci
chorego;
invent and improve.
strzec godności stanu lekarskiego i niczym jej nie splamić, a do kolegów
lekarzy odnosić się z należną im życzliwością, nie podważając zaufania do nich,
jednak postępując bezstronnie i mając na względzie dobro chorych;
stale poszerzać swą wiedzę lekarską i podawać do wiadomości świata
lekarskiego wszystko to, co uda mi się wynaleźć i udoskonalić.
PRZYRZEKAM TO UROCZYŚCIE!
I Solemnly pledge!

31. Even a small idea may bring,
in result, a wide-spread valuable solution.
http://www.intramed-c2c.eu/
http://database.intramed-c2c.eu/
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32. THANK YOU
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