- KonferenzbeitragBalancing of Benefits and Disadvantages using IT-integration to support the health care value-added chain(European Conference on eHealth 2007, 2007) Konrad, Walser; Peter, Haas; Hein, Andreas; Thoben, Wilfried; Appelrath, Hans-Jürgen; Jensch, PeterThe implementation of national eHealth interoperability platforms is one answer to the problematic financial situation of health care systems in many places. Using IT-supported integration between IT systems and processes of health care institutions should make the health care value-added chain more effective and more transparent. This article will present the capabilities for interoperability in the integration of added-value in connection with the benefits and disadvantages, which arise from the various players (with diverse characteristics in some circumstances). A better consideration of the balancing of disadvantages or benefits of the IT-supported integration in health care value-added chain can lead to increased preparedness on behalf of the health care institutions to the development and financing of interoperability platforms.
- KonferenzbeitragA Comprehensive Modeling Language for Clinical Processes(European Conference on eHealth 2007, 2007) Faerber, Matthias; Jablonski, Stefan; Schneider, Tobias; Hein, Andreas; Thoben, Wilfried; Appelrath, Hans-Jürgen; Jensch, PeterIn this paper we present a comprehensive modeling language for clinical processes that integrates requirements from the medical, organizational and economical dimension into a single clinical process model. The design of this modeling language is heavily influenced by the experiences we made when documenting the processes at several clinics in Germany. Thus, we introduce the features of this modeling language by examples. We show that extensibility is one of the key features of this type of domain specific language and describe the principle idea of its implementation in the second part of the paper.
- KonferenzbeitragOn the “pathway” towards ICT-support for a better and sustainable healthcare(European Conference on eHealth 2007, 2007) Cabitza, Federico; Sarini, Marcello; Hein, Andreas; Thoben, Wilfried; Appelrath, Hans-Jürgen; Jensch, PeterThis paper focuses on clinical pathways, a tool that physicians are introducing to support the management of patients’ illness trajectories. We undertook a six months long observational study in an intensive care unit of an important Italian teaching hospital and we acknowledged with physicians the importance of relying on well-agreed and properly defined clinical pathways in daily care practice. As a result of this study, we propose a roadmap on how to participatorily design a computer-based system supporting practitioners’ decisions on the basis of the integration between clinical data and the indications reported in clinical pathways.
- KonferenzbeitragProject Management and Planning Issues Confronting Collaborative Research Projects: A Case Study in eHealth(European Conference on eHealth 2007, 2007) Sargent, Jason; Burgess, Lois; Eklund, Peter; Hein, Andreas; Thoben, Wilfried; Appelrath, Hans-Jürgen; Jensch, PeterThis paper describes the first hand experiences of the electronic point of care (ePOC) project team and the project management and research and development issues that emerged over the course of a collaborative 3 year eHealth project. The paper highlights that despite the best of intentions by project managers, researchers and decelopers, a technologically innovative concept is no guarantee of project success. Issues beyond the project team's control that occured during the life of the ePOC project included industry partner restructures, changes in data feeder systems and evolving health messaging standards. A series of proactive mitigation strategies deployed by the project team illustrate how the process of adopting a dynamic systems project management approach can help address unforeseen issues as they arise and derive maximum benefits to all stakeholders.
- KonferenzbeitragGoals and Challenges for the realization of a European wide eHealth infrastructure(European Conference on eHealth 2007, 2007) Thiel, Andreas; Eichelberg, Marco; Wein, Berthold; Namli, Tuncay; Dogac, Asuman; Hein, Andreas; Thoben, Wilfried; Appelrath, Hans-Jürgen; Jensch, PeterA number of Electronic Health Record (EHR) standards and frameworks have been developed to assist with the interoperability and integration of distributed EHR information. Ideally, all EHR systems would adopt common and systematized hierarchies of component names, use multi-lingual clinical coding systems with perfect cross-mappings and use identical reference models for measurements. However, this has not been realized yet. Not only do a number of international health information standards exist, such as CEN EN 13606, HL7 and GEHR, but each country, state, division, hospital and vendor usually has their own “standard clinical data model”. Since it is not realistic to expect to have a single universally accepted clinical data model that will be adhered to all over Europe and that the clinical practice, terminology systems and EHR systems are all a long way from such a complete harmonisation. This paper presents some results of the RIDE project; a project that will address the interoperability of eHealth systems with special emphasis on semantic interoperability. The paper describes relevant goals for the development of the eHealth sector in Europe that have been identified in the project as common requirements for many eHealth applications and names the technical and organisational challenges accompanying these goals.
- KonferenzbeitragMeta-Orchestration of E-Services for Process-oriented Coordination in Healthcare Networks(European Conference on eHealth 2007, 2007) Purucker, Jörg; Schicker, Günter; Affes, Firas; Bodendorf, Freimut; Hein, Andreas; Thoben, Wilfried; Appelrath, Hans-Jürgen; Jensch, PeterCoordination in healthcare networks becomes more and more important to enable integrated care scenarios and to increase quality and efficiency in treatment processes. After identification of shortfalls in existing concepts and solutions a process-oriented approach is introduced which enhances integrated care scenarios by IT-driven coordination of interorganizational treatment processes – the concept of process-based e-service logistics. The concept is guided by process orientation, service orientation and individualization. A meta-orchestration approach is presented that implements the concept of process-based e-service-logistics by execution of individual treatment processes, identification of coordination tasks between network actors, and dynamic allocation of e-services.
- Editiertes BuchEuropean Conference on eHealth 2007(2007) Hein, Andreas; Thoben, Wilfried; Appelrath, Hans-Jürgen; Jensch, Peter
- KonferenzbeitragNew solutions in the direction of medical and pharmaceutical information in Ukraine(European Conference on eHealth 2007, 2007) Lendyak, Artur; Hein, Andreas; Thoben, Wilfried; Appelrath, Hans-Jürgen; Jensch, PeterToday in Ukraine can be noticed the rash development of medicine and pharmacy, which demands new ways of transformation in systems of medical and pharmaceutical information in this country. The work was based on the study of the project Doctor.UA. In 2003 was opened four-years test project, which was named Pre-Doctor.UA and it in simplified form modelled Doctor.UA. In this work the results of activity of Pre-Doctor.UA were drew up on the base of following methods: statistical analyses, usability-testing, interviewing the visitors. Using the Internet in building new sustainable systems of medical and pharmaceutical information in Ukraine proved its practicability.
- KonferenzbeitrageHealth and Tourism(European Conference on eHealth 2007, 2007) Heuwinkel, Kerstin; Hein, Andreas; Thoben, Wilfried; Appelrath, Hans-Jürgen; Jensch, PeterInternational tourist arrivals worldwide reached 842 million in 2006. Many travellers fall ill while being abroad. The WHO advises travellers to get information about the destination especially when they have been ill before. In case of illness information, e.g. about doctors and hospitals, and communication, e.g. with relatives or the family doctor, are important. Although the combination of eHealth and tourism suggests itself, neither information nor medical science answer the question which information people in case of illness while being abroad need and which media might be suitable. In this paper, we present a survey on information needs of travellers and the role of the internet. Furthermore, we studied the acceptance of mobile eHealth services and the willingness to pay.
- KonferenzbeitragCARA-D: Data Elements for a Computer based Cancer Risk Assessment System(European Conference on eHealth 2007, 2007) Yang, Gi-Chul; Oh, Haeng-Un; Hein, Andreas; Thoben, Wilfried; Appelrath, Hans-Jürgen; Jensch, PeterData elements are important part of a computer based cancer risk assessment system. The selection of the data elements are more important for the system built based on Case Based Reasoning (CBR) technology. The system CARA is a computer based cancer risk assessment system that adapts CBR technology. The data elements and an overall architecture that can assure high performance of the CARA are described in this article.