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Roundtable Discussion

Jenn-Hwan Tarng & Chi-Hung Lin*
General Director, Service Systems Technology Center,
Industrial Technology Research Institute (ITRI)
*Commissioner, Department of Health, Taipei City Government

Copyright 2013 ITRI 工業技術研究院
End-to-End Tele-healthcare Solution Architecture (ITRI)
and Cloud Service Models
Community

caregiver
Customer/Patient

physician

Value-added services

Cloud Service Models :
 MaaS
 PaaS
 CaaS
 IaaS
 SaaS
 Call Center Services
Copyright 2013 ITRI 工業技術研究院

2
Health Cloud Planning in Taiwan
Hospital service
efficiency
improvement

Personal knowledge/
habits improvement
Health Preventive Care
Cloud
Preventive

At Risk

sub-acute
diseases

care

PHR

Patient
Instructions

Medicare Cloud

chronic
diseases

Personal Health
Data Cloud

acute
diseases

PMR

EMR
Long-term
care

Home
care

Institutional
care

Care services
propagation

Community
care

Healthcare Cloud

Health data valueadded services

PCR
Copyright 2013 ITRI 工業技術研究院

Source: Ministry of Health, Taiwan (ROC)

3
Taipei Policy Design of Health Cloud
1. The issue of privacy protection
• The role played by the governmental domain
• The use of pseudo-ID (as privacy shield)
• The core value of doctor-patient relationship
2. Technology for humanity
• Cloud computing
• Wireless sensing
• Ultra wideband (UWB) sensing
• Computer/human interface technologies
3. The hub-based network approaches
• Delivery, delivery, delivery
• Focus on service availability/accessibility in the
community
• The hub’s cluster effect for industry development
Copyright 2013 ITRI 工業技術研究院

Source: Department of Health, Taipei City Government

4
Taipei Health Card / National Health Insurance IC Card
Triggering Health Cloud Services

preventive care

Combined with
EASY card

Social

Copyright 2013 ITRI 工業技術研究院

Source: Department of Health, Taipei City Government 5
Challenges of Health Cloud Adoption
• Medical liability

• Privacy-preserve security protection of patient record
• Practical clinical use V.S. customer compliance
• System interoperability/scalability
• Health Cloud is multidisciplinary complex system


domain knowledge, Information flow, service process, and
cash flow.

• Who’s going to pay
 The payment system for preventive medical care in general is
not in place yet in Taiwan

• A PPP model is needed

Copyright 2013 ITRI 工業技術研究院

6

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Chinese taipei ct012 1366641392

  • 1. Roundtable Discussion Jenn-Hwan Tarng & Chi-Hung Lin* General Director, Service Systems Technology Center, Industrial Technology Research Institute (ITRI) *Commissioner, Department of Health, Taipei City Government Copyright 2013 ITRI 工業技術研究院
  • 2. End-to-End Tele-healthcare Solution Architecture (ITRI) and Cloud Service Models Community caregiver Customer/Patient physician Value-added services Cloud Service Models :  MaaS  PaaS  CaaS  IaaS  SaaS  Call Center Services Copyright 2013 ITRI 工業技術研究院 2
  • 3. Health Cloud Planning in Taiwan Hospital service efficiency improvement Personal knowledge/ habits improvement Health Preventive Care Cloud Preventive At Risk sub-acute diseases care PHR Patient Instructions Medicare Cloud chronic diseases Personal Health Data Cloud acute diseases PMR EMR Long-term care Home care Institutional care Care services propagation Community care Healthcare Cloud Health data valueadded services PCR Copyright 2013 ITRI 工業技術研究院 Source: Ministry of Health, Taiwan (ROC) 3
  • 4. Taipei Policy Design of Health Cloud 1. The issue of privacy protection • The role played by the governmental domain • The use of pseudo-ID (as privacy shield) • The core value of doctor-patient relationship 2. Technology for humanity • Cloud computing • Wireless sensing • Ultra wideband (UWB) sensing • Computer/human interface technologies 3. The hub-based network approaches • Delivery, delivery, delivery • Focus on service availability/accessibility in the community • The hub’s cluster effect for industry development Copyright 2013 ITRI 工業技術研究院 Source: Department of Health, Taipei City Government 4
  • 5. Taipei Health Card / National Health Insurance IC Card Triggering Health Cloud Services preventive care Combined with EASY card Social Copyright 2013 ITRI 工業技術研究院 Source: Department of Health, Taipei City Government 5
  • 6. Challenges of Health Cloud Adoption • Medical liability • Privacy-preserve security protection of patient record • Practical clinical use V.S. customer compliance • System interoperability/scalability • Health Cloud is multidisciplinary complex system  domain knowledge, Information flow, service process, and cash flow. • Who’s going to pay  The payment system for preventive medical care in general is not in place yet in Taiwan • A PPP model is needed Copyright 2013 ITRI 工業技術研究院 6