Consolidation of an open source modular Health Information Sharing Platform supporting organizational interoperability among actors and clinical decision support systems An innovative business case Strategies for scalability of the ICT
Runtime support, a software environment providing services for the execution of AAL applications. Development support,
The GUIDE (Gentle user interfaces for elderly people) project is creating a software framework and design tools
and the software framework is being showcased at events around Europe such as IFA 2012, a leading trade show for Consumer Electronics and Home appliances.
the platform widget is made available also on social media channels and mobile devices. Puzzled by Policy Users can compare graphically their views on immigration with national and EU immigration policies,
and their underlying software-based service platforms, are a prerequisite for the use and uptake of innovative business models and services that benefit the further development and growth of the European economy.
The project expects to provide at least 20%saving in the energy consumption of servers and network devices in comparison with a traditionally managed data centre and an additional 30%saving due to reduced cooling needs.
unused servers are turned off and automatically restarted when load increases. http://www. fit4green. eu Funded by the Seventh Framework Programme (FP7) Duration:
and software) that allow for electronic communication, data collection and processing in distributed networks (e g. Newton, 1998.
including emarketing and customer services Reduces transport for ordering and delivery of nonmaterial goods (e g. music, software);
the long term outlook is indeed bleak. Looking at some of the problems in more detail
Enterprise-wide collaboration software. Overview: The Secretaria Municipal de Saúde de Belo Horizonte (SMSA-BH), reorganised its citywide health services and defined nine health districts that each serve a certain geographic, population
Doctors use the software's instant messaging capability to consult with each other for quick questions or opinions in a secure real-time environment.
-Bearingpoint eircom Helix Health Hewlett packard Financial services IBEC IMEC Technologies Irish Software Assocation isoft Lincor Solutions MANITEX Silicon & Software systems (S3) Sláinte
Compliance and effectiveness in HF and CAD closed-loop management. In: Proceedings of Annual International Conference of the IEEE Engineering in Medicine and Biology Society.
62 Box 2. 4. Open source health ICTS...64 Box 2. 5. The progressive introduction of interoperability provides a continuum of added value...
provider AUD Australian dollar CAD Canadian dollar CCHIT Certification Commission for Healthcare Information technology CDM Chronic disease management CITL Center for Information technology Leadership CHF Congestive heart failure
while the annual cost of diabetes care dropped over the same period from an average of CAD 4 400 (Canadian dollars) to CAD 3 966 per patient.
whether between systems or between versions of the same software. It must also be gathered consistently
high-speed wireless communications network for over 97%of the region's rural private physician's offices through a CAD 1. 2 million (USD 1. 14 million) grant from the federal Primary Health care
guidelines and the use of the CDM toolkit, over the same period, the cost of diabetes care in the province dropped from an average of CAD 4 400 (Canadian dollars) to CAD 3 966 per patient.
traditional in-office installation of software/hardware, and patient management systems provided over the web via an application service provider (ASP).
MAEHC reports hardware and software costs of approximately USD 30 700, plus another USD 12 100 for support per physician.
and certified a panel of five vendors from which primary care physicians must purchase their EMR
and software start-up costs of approximately USD 15 500 plus an annual fee of almost USD 4 000 the first year, rising to almost USD 6 000 thereafter.
THE ROLE OF INFORMATION AND COMMUNICATION TECHNOLOGIES OECD 2010 Box 2. 1. Functional characteristics of an electronic health record One the basis of advice from an expert panel, in 2008
the panel reached consensus on functions that should be present to qualify the system into two functional categories, a basic system and a fully functional system.
) Hardware 22 800 6 364 Software & implementaion 17 200 9 091 Annual support/License 5 600 3 709 (1st year
Only 20%of physicians reported that they were willing to purchase an EMR system Those who were willing to purchase said that they would be willing to pay between CAD 255 and 415 per month.
sum Percentage of physicians Low=CAD 255 Med=CAD 415 High=CAD 575 Low=CAD 415 Med=CAD 575 High=CAD
690 Low=CAD 7 200 Med=CAD 11 200 High=CAD 15 200 Source: Keshavjee et al.
These EMR software platforms were largely incompatible with each other and were not interoperable. They had to be modified to a greater
Another area where industry collaboration is gaining traction is the development of open source health care software with several initial successes. Open source software is developed with an open code that is made available
open source could provide a possible reference point 1. The term open standard as used here refers to the nature of the standard's development with multi-stakeholder input and broad industry recognition;
and the high level of access to its specifications for ready promulgation in a variety of hardware and software.
The term open standard is coupled sometimes with open source with the idea that a standard is not truly open
if it does not have a complete free/open source reference implementation available. 64 CHAPTER 2
Making open source software such as EHRS available as an option for physicians offers significantly lower upfront costs.
This, however, does not mean free software for everyone, nor it necessarily implies higher guarantees of reliability and quality than commercial products.
The success of any open source software depends on the community of developers who participates in its development (California Health care Foundation, 2006.
Recently, a growing chorus of policy makers have been advocating government support for more open source development of EHRS (see Box 2. 4). Even
) Box 2. 4. Open source health ICTS Examples of open source software that have been developed and are being deployed widely, include EMR software such as OSCAR, Freemed, Vista and other software such as Medline, Epi-X and others.
To this effect, a 2002 NHS Information Authority paper on Open source Software and the NHS concluded:
Open source health care applications would provide healthy competition to the existing closed source commercial market, encouraging innovation whilst promoting compatibility and interoperation.
This ultimately will lead to systems that are lower cost, better quality and more responsive to changing clinical and organisational requirements (Smith, 2002).
More recently in the United states, the success of the open source Vista EHR software developed by the US Veterans Administration,
Several law makers there have proposed legislation calling for grant programmes to support open source EHR development as well as encouraging federal agencies to evaluate implementations of open source technologies for their own use.
In another sign of increasing support for open source software, the Certification Commission for Healthcare Information technology (CCHIT) has created recently three separate pathways to electronic health records certification.
but the other two pathways were created with open source developers in mind, making their software potentially eligible under incentive programmes with funding guidelines calling for such certification.
CHAPTER 2. WHAT PREVENTS COUNTRIES FROM IMPROVING EFFICIENCY THROUGH ICTS? 65 IMPROVING HEALTH SECTOR EFFICIENCY:
California Health care Foundation (2006), Open source Software: A Primer for Health care Leaders, ihealth Reports. Center for Democracy & Technology (2008), Comprehensive Privacy and Security:
Smith, C. 2002), Open source Software and the NHS: White paper. National Health Service Information Authority, available at:
It also encourages incremental compliance by software suppliers with the National e-Health Transition Authority (NEHTA) standards and specifications,
Most practices had computer software and hardware to perform administrative and clinical functions, and most (78.3%)had speed a high Internet connection.
A total of CAD 108 million was committed for 2006-12, to be disbursed gradually over the duration of the programme.
The toolkit is based a web software developed by the B c. Health Ministry with a Health Canada's Primary Health care Transition Fund grant.
MOA time is compensated at CAD 20/hour as an expense to the GP. Direct payments to spur use of the CDM Toolkit To spur the use of the CDM Toolkit,
since the inception of the programme in 2003, received a onetime payment of CAD 7 500.
a complex care e-mail/telephone follow up management fee at a rate of CAD 15 (payable up to a maximum of four times per year/per patient) was made also available.
whose patient panels consist of at least a minimum threshold of low-income individuals and families who cannot afford health care costs.
ranging from USD 27 214 to 36 212 over five years (Figure 3. 2). It should be noted that the US incentives in this figure are compared to costs associated with in-office installation of EHR software/hardware
USD 1. 10 CAD. 86 CHAPTER 3. ALIGNING INCENTIVES WITH HEALTH SYSTEM PRIORITIES IMPROVING HEALTH SECTOR EFFICIENCY:
systemic fiscal cost-benefit after ten years is actually negative at CAD 1. 5 billion,
By year 20, the systemic (national) savings is estimated at almost CAD 20 billion. This is further supported by a 2007 study by Pricewaterhouse Coopers of nearly 2 000 hospitals in the United states,
Annual Meeting, Powerpoint presentation at AHRQ Annual Meeting, Bethesda, Maryland. CHAPTER 4. ENABLING A SECURE EXCHANGE OF INFORMATION 97 IMPROVING HEALTH SECTOR EFFICIENCY:
as well as meeting software and hardware compatibility requirements. However, though the MAEHC had done an extensive job researching the vendors and making final selections based on strict criteria,
Certification addresses the full range of products open source, selfdeveloped, modular, and other vendor. Home-developed systems and open source developers, often don't understand why they need to go through the expense of detailed certification processes
and possibly developing unneeded functionalities for the sole purpose of meeting certification criteria. 5. http://healthit. hhs. gov/portal/server. pt/gateway/PTARGS 0 11113 881027 0 0 18/CA SUMMARY 071409
. pdf, accessed January 2010 104 CHAPTER 4. ENABLING A SECURE EXCHANGE OF INFORMATION IMPROVING HEALTH SECTOR EFFICIENCY:
http://healthit. hhs. gov/portal/server. pt? open=512&objid=1269&&pageid=1650 1&mode=2&in hi userid=11113&cached=true, accessed January 2010.
Reducing the risk of data loss in physician offices caused by human, hardware or software failure.
In a strategic planning document, Canada Health Infoway in 2006 reported a rough assessment of total investment costs per capita to establish a fully functional EHR system that ranged from an estimated CAD 133
in Canada as of 2009 to CAD 570 per enrolee in Kaiser permanente (United states) in 2005.
7. 2009, exchange rate CAD 1. 10; 8. Source: Department of health and Ageing, Australia; 9. 2009-10, exchange rate AUD 1. 19;
Through March 2010, exchange rate CAD 1. 10; 12. NAO, through December 2015, exchange rate GBP 0. 61;
Department of health and human services (2009), Public-Private Initiatives, HHS, Washington, D c.,http://healthit. hhs. gov/portal/server. pt?
pragmatic progress and promising potential, Powerpoint presentation to OECD Expert Meeting on ICT in the Health Sector, Paris. Riksrevisjonen (Office of the Auditor General of Norway)( 2008), Riksrevisjonens
The University of Western australia's Centre for Software Practice (UWA Centre) provided dedicated technical support under a not-for-profit partnership agreement.
and found that most practices had the computer software and hardware to perform administrative and clinical functions,
Background and benefits The Great Southern Managed Health Network (GSMHN) was established in 2007 as a not-for-profit association between the Great Southern General Practice Network (GSGPN) and the University of Western australia (UWA) Centre for Software Practice.
It was acknowledged that the UWA Centre for Software Practice had been a critical, if not major factor in the successful implementation of the project, both for the enthusiastic dedication of its staff, the not for profit nature of the partnership and the extensive expertise in software
Adoption of the chronic disease management (CDM) toolkit The CDM self evaluation toolkit is based a web software developed by the B c. Health Ministry.
Physician Connect began in 2004 with a CAD 1. 2 million Primary Health care Transition Fund (PHTCF) grant.
With diabetes alone, one of the most common chronic diseases in the province and steadily increasing, the direct cost of providing health care services for people with complications is approximately CAD 776 million each year.
direct health care costs to treat patients with diabetes in British columbia are forecasted to rise 78%,reaching an estimated cost of CAD 1. 38 billion.
Provided complete no-cost EHR systems to physician practices coupled with practice management software to link all clinical and administrative practice functions in one seamless health ICT solution.
traditional in-office installation of software/hardware and installation through an external application service provider (ASP.
i e. in the databases of the health care provider or regional databases and will be accessed through the central search engine
IPF has invited also experts from European innovation support agencies to participate in peer review panels and as hosts for peer reviews.
Some future growth sectors Deloitte (a) Pwc (b) IBIS World (c) Outlook Economics (d) Mckinsey (e) Gas Food & beverage processing Pharmaceuticals, biotech & medical
d) Outlook Economics (2014, unpublished), AUS-M. Distribution services includes wholesale and retail trade, transport,
Reflecting the highly skilled, innovative nature of the Australian economy, professional, scientific and technical industries accounted for more than 7 per cent of value add in 2011-12 (Australian Workforce and Productivity Agency, 2013.
construction-related items such as formwork and scaffolding, windows and concrete wall panels; and a range of other building-related products.
sells, implements and supports financial services software globally. The firm's applications and consulting services help to administer financial products for the investment, superannuation, pensions, life insurance and private wealth industries.
and its software is used to manage more than A$2. 5 trillion in assets. Further proposals Proposal 8:
and advanced activities such as software development and business consulting. Successful entrepreneurs often start small and then grow their businesses.
Analysis of China's food demand to 2050, conference paper, 44th ABARES Outlook conference. Australian Bureau of Agricultural and Resource Economics and Sciences.
http://online. wsj. com/news articles/SB1000 1424052702303887804579501411932558776 Outlook Economics. 2014 unpublished. Aus-M. Canberra: Outloook Economics.
Report of the Expert Panel. Canberra: Commonwealth of australia. World bank. 2014a). ) World bank Data. Retrieved August 2014, from Gross capital formation(%of GDP:
There are also search engines that help to find courses, for example the Course Locator (there is a charge) http://www. thecourselocator. co. uk/.Innovation Support Agencies and Programmes Department for Trade and Industry:
The district was seeking a health check of their technology systems for hardware, software and network infrastructure as well as IT policies, procedures and organisational structure.
Software tools to hold a brainstorming session. Conceptdraw MINDMAP, Conceptual Map software. Brainstorming forms The forms of brainstorming are:
classical brainstorming and advanced brainstorming Classical Brainstorming is the brainstorming until now discussed. Advanced brainstorming is a better brainstorming session
Brainstorming software tools: brainstorming toolbox, software to generate conceptual maps; Creative thinking techniques: random word technique, random picture technique, False Rules technique, scamper method, analogies, role play, Alexander technique more info.
Conclusions Brainstorming is not the only method to generate ideas. However, brainstorming is the first and simplest of these methods.
For example the chat room software"msn messenger"(free from Microsoft) can be very powerful in allowing people in remote sites to have online conversations.
Microsoft Net meeting-another free software application-is a simpler alternative. Video: One of the best ways to transfer knowledge is through the use of stories.
and use an Advantage/Disadvantage Table in order to compare the two current flat panel television technologies.
Product Engineering where product plans are transformed into blueprints or CAD-drawings then into prototypes and ultimately into real parts and components.
EMP packages hardware and software into one product which monitors all energy inputs and costs, providing instant access to information on energy usage, power quality, billing
rapid prototyping (RP) refers to a class of technologies that can automatically construct physical models from Computer-aided design (CAD) data.
A software package"slices"the CAD model into a number of thin (0. 1 mm) layers,
1. Create a CAD model of the design 2. Convert the CAD model to STL format 3. Slice the STL file into thin cross-sectional layers 4. Construct the model one
layer atop another 5. Clean and finish the model CAD Model Creation: First, the object to be built is modeled using a Computer-aided design (CAD) software package.
Solid modelers, such as Pro/ENGINEER, tend to represent 3-D objects more accurately than wire-frame modelers such as Autocad,
The designer can use a preexisting CAD file or may wish to create one expressly for prototyping purposes.
The various CAD packages use a number of different algorithms to represent solid objects. To establish consistency, the STL (stereolithography,
therefore, is to convert the CAD file into STL format. This format represents a three-dimensional surface as an"Innosupport:
The preprocessing software slices the STL model into a number of layers from 0. 01 mm to 0. 7 mm thick,
Each PR machine manufacturer supplies their own proprietary preprocessing software. Layer by Layer Construction: The fourth step is the actual construction of the part.
Baxi sent its CAD files to the AMSYS Sunderland sintering facility by e-mail. Once these had been received, it took only a few days to produce the prototypes (as opposed to three weeks using a traditional model maker.
Instead designs will be downloaded from CAD and sent direct to the bureau, saving time and money in the process."
For example, computer software can be tested furniture can be tested, store environments can be tested, dog food can be tested,
The units are measured carefully and CAD drawings produced. The aim is to achieve as close a shape to the original as possible.
and CAD drawings made. Prototypes of the new design are made and these are tested thoroughly, both for their physical dimensions but also their acoustic properties.
It should be stated that most production strategies are supported by sophisticated software programmes such as MRP, MRPII, ERP, etc.
The current system for inventory and scheduling tyre-building machines used a basic Excel spreadsheet that was in use for some time
The spreadsheet was handfed data from manual tyre counts. The new system will automate data collection to allow better management of machines, shifts,
Solution The engine manufacturer with the help of external consultants designed a solution with a multi-tiered software architecture that abstracts the functionality according to the business requirements.
These include computer software; any drawing, map, chart or plan; photographs and films; architectural works;
or software products owned by others in any of its publications, brochures, databases or websites? Does your company own the rights to any computer software?
If you answered yes to any of the above, then you may wish to find out more about copyright issues.
For example literary works include software, and artistic works include any drawing, map, chart or plan. The only absolute requirement is that the work is new,
Its activities are focused on the software and the Internet business. It develops, implements and distributes software management systems in the field of accounting, logistics, process tracking, communication, human resources and CRM.
Enterprise S. also offers web solutions including application provider web hosting, web and application development services.
software and web pages produced by the company. Finally the registration of his products'trademarks remains on his list of things to do next.
A typical example is the use of a commercial software product. Exclusive License A license is said to be exclusive
For example if a software vendor fails to deliver sufficient quantities of its products to a distributor,
accomplished through design, development, installation and servicing of software and systems for industrial processes as well as automation and IT integration in organisational processes (ISO9001 certified).
and monitoring of industrial processes, internet/intranet software and technology and systems engineering. The competitive environment of the applied research in ICT sectors is highly dynamic and subject to a rapid technological evolution.
the firm does not exclude the use of this intellectual property tool for future activities in particular in relation to software programmes.
Therefore, when software intensive solutions are involved Eidon relies on copyright protection. Eidon's original software is protected by copyright.
Access rights to software, based normally on an exclusive license model, do not usually include access to the source code,
which may be granted only in exceptional cases and can be made subject to separate agreements. Eidon's standard R&d contract is an interesting mix of different IP tools,
e g. a software product or Internet service would best be advertised on the Internet on related websites, through email campaigns or dedicated computer literature or publications.
either away"by the search engines or too variable to be useful (e g. planet or planets);
*The wildcard tells the search engine to match all characters after it, preserving keyword slots and increasing coverage by 50%or more;
Simple way to ensure the search engines evaluate your query in the way you want, from left to right e g.("
"issue query to full Boolean search engine or metasearcher-full-Boolean engines give you this control;
and standard search engines never find it. Traditional search engines create their indices by spidering or crawling surface Web pages.
To be discovered, the page must be linked static and to other pages. Traditional search engines can not"see
"or retrieve content in the deep Web-those pages do not exist until they are created dynamically as the result of a specific search.
Because traditional search engine crawlers can not probe beneath the surface, the deep Web has heretofore been hidden.
To put these findings in perspective one has to consider that the search engines with the largest number of Web pages indexed (such as Google) index no more than sixteen per cent of the surface Web.
when they use such search engines, Internet searchers are therefore searching only 0. 03%--or one in 3,
networks and software resulting in a significant improvement of the performance of Tetra pak Processing UK's food processing plant.
Implementing an Enterprise resource planning Software system Better stock management Better warehouse management Larger product rotation (First in, First Out) Accounting Warehousing Sales Financial Logistics Commercial"Innosupport:
when undertaking atna. www. trainingneedsanalysis. co. uk/tna article1. htm Sirius Concepts Ltd provides diagnostic software for economic
www. sircon. co. uk/sirius-software/your focus. asp Trainingzone is one of the UK's most popular site for corporate training professionals with an online network of 50,000 members.
otherwise the search engine may not be able to perceive the real key word. Example-Links The most widely used and well known search engines:"
"Innosupport: Supporting Innovation in SMES"-12.1. Literature searches page 249 of 271 http://www. google. com http://www. alltheweb. com http://www. msn. com http://www. yahoo
but in order to find the required information it is advisable as the first step to use the Internet search engine,
or phrase of the sought information (in case of a search engine) select from the offered/obtained information
LZA EI, 2003.206 lpp Web links The most widely used and well known search engines: http://www. google. com http://www. alltheweb. com http://www. msn. com http://www. yahoo. com Databases http://www. census
Foreign language competence page 262 of 271 Presentation using transparencies Powerpoint presentation Design of documentation for the customer Rhetorical skills Negotiation skills Technical skills for searching for information/patents
23 6-Implications and Research Outlook...23 7-Summary...25 LIST OF ANNEXES References BARRIERS TO INNOVATION IN SMES:
Challenges associated with the chances of global innovation are discussed in Chapter 5. Chapter 6 entails general implications and research outlook.
The starting salary of a software developer working for the German software firm SAP in India was reported at 8, 000 euros per annum in 2004,
For instance, Hirschfeld (2005) reports several incidences of intercultural nuisances in Indo-German software development work.
and Research Outlook As the discussion above has demonstrated, global innovation activities, especially, the internationalization of R&d, may lead to a mitigation of the effects of innovation barriers faced by SMES in their home country.
OECD Science, Technology and Industry Outlook 2006, Organisation for Economic Co-operation and Development, Paris. Preuß, R. 2007:
Where appropriate, a Panel Review will be organised remotely. Applicants can provide during the electronic proposal submission up to three names of persons that should not act as an evaluator in the evaluation of their proposal for potential competitive reasons9. 7 The Director-General responsible may decide to open the call up
important information on development over time (panel data) and for the whole population are lacking.
measure, and report intangible assets (ICT skills, organisation, software and networks, intellectual property rights) so that new and small firm assets can be managed more effectively
This is especially true for new technology-based firms that are not only more numerous than in the past (especially in areas such as nanotechnology, biotechnology, software and new materials) but also play an increasingly important role as innovation agents.
The rapid growth of software and business method patenting also increases small business costs and the likelihood of infringement.
the panel used by Parisi, Schiantarelli and Sembenelli is tilted towards medium and large firms much more than the original Mediocredito-Capitalia sample.
and Griffith, Huergo, Mairesse and Peters (2006) on four European countries. 3 Although the Mediocredito-Capitalia survey is not a panel itself,
we end up with an unbalanced panel of 9, 674 observations on 7, 375 firms, of which only 361 are present in all three waves.
Table 1 contains some descriptive statistics, for both the unbalanced and the balanced panel. Not surprisingly, in both cases, the firm size distribution is skewed to the right for both groups of firms, with an average of around 50 and 53 employees respectively.
out of 361 firms in our balanced panel, 34%invest in R&d in every period under examination.
fewer than 5 per cent of the firms and about 10 per cent of the observations are balanced in the panel).
In the bottom panel of the table, we report an alternative specification of the productivity equation without investment.
Evidence from a Panel of British Manufacturing Firms, Institute for Fiscal Studies, working paper N. W93/19.
Evidence from a Panel of Manufacturing Firms in France, Germany, and Italy, International Journal of Industrial Organization, Vol. 24 (5), pp. 971-993.
Overtext Web Module V3.0 Alpha
Copyright Semantic-Knowledge, 1994-2011