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E-Health@Grid: The Akogrimo Approach, & (first) lessons learned
Prof. Dr. Stefan KirnUniversität Hohenheim
- GridAsia, Shanghai, Feb 21, 2006 -
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Presentation Outline
1. Akogrimo Overview2. E-Health Supply Chain3. Relevance of Mobility4. Validation Scenario: Emergency Services
Management 5. Lessons Learned: From Validation Scenarios to
Value Chains
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Access to Knowledge through the Grid in a mobile World - Facts
A European Research Project with a duration of ~3 years and an overall effort of ~1200 PM and an overall budget of 10,5 M€
13 Partners from industry and academia including 3 Telecom Operators and large IT service providers TelCos: Telefónica I+D, Telenor, Portugal Telecom
through IT-Aveiro IT Industry: ATOSOrigin, Datamat SMEs: CRMPA, BOC Research: RUS and HLRS, UPM, UniZh, CCLRC, NTUA,
UHOH Project Start: July 2004 Info: http://www.mobilegrids.org
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The Akogrimo Vision
To produce a breakthrough in current practices for Grids with the creation of a distributed,
mobile and pervasive environment to make it a
business proposition for Telecom Operators and Service Providers
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Akogrimo Approach: Validation Scenarios
Visionary ScenariosVisionary Scenarios
Validation Scenarios: E-Health, E-Learning, Disaster Mgmt.Validation Scenarios: E-Health, E-Learning, Disaster Mgmt.
Open GridOpen GridService Service
ArchitectureArchitecture
- Use Cases- Use Cases- Functional - Functional
ReuqirementsReuqirements
Mobility of Mobility of Grid ResourcesGrid Resources
KnowledgeKnowledgeOrientationOrientation
-Knowledge-Knowledge-based Systemsbased Systems- Semantic Web- Semantic Web
ChallengesChallenges
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E-Health Supply Chain
Relevance of “mobility” Individualisation of health services
Mobility of health services (e. g. medical knowledge)
Miniaturisation of medical products
Shifting of the notion of “health”: decoupling from “illness” and “disease” extension to “wellness”
Industrialisation of the health sector / the processes in the health sector
Health services as a location factor
But also: Patients’ increasing privacy concerns
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Healthcare Supply Chain Simulation System
(Referring) Physicians
Ambulance
Reception Ward
Clinics and Wards
Gastro-Enterology
CancerClinic
Internal Medicine
Surgery Ward ……
Intensive Care Unit
Cardiological Laboratory
Transport Service
Operating Theatre
Surgery Block
OPPlanning
Surgery Department
Emergency Department
Radiology & Radiotherapy
Conv, CT, MRT Radio-diagnosis
Radio-therapy ……
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Mobile Grid Resources as Service Providers and Service Customers
(Referring) Physicians
Ambulance
Reception Ward
Clinics and Wards
Gastro-Enterology
CancerClinic
Internal Medicine
Surgery Ward ……
Intensive Care Unit
Cardiological Laboratory
Transport Service
Operating Theatre
Surgery Block
OPPlanning
Surgery Department
Emergency Department
Radiology & Radiotherapy
Conv, CT, MRT Radio-diagnosis
Radio-therapy ……
Mobile IntensiveCare Unit / Ambulance
Patient
Mobile Monitoring
Medical Experts
AttendingPhysicianFirst
Responder
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E-Health Validation Scenario
Heart Monitoring and EmergencyVirtual Organization
Grid Equipment /Solution Provider
EmergencyOperator
Medical Expert
Ambulance
Patient
NetworkOperator
HMES /Service Provider
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Heart Monitoring and Emergency Service – Short Specification
Medical Emergency Scenario extended towards permanent monitoring and introduction of services offered by the police
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How it works ...
Zur Anzeige wird der QuickTime™ Dekompressor „TIFF (LZW)“
benötigt.
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(First) Lessons Learned: Value Chain Analysis
Considers single participants in a value chain only. Not enough analytical significance to rebuild the
consolidated value chain later.
InboundLogistics Operations
OutboundLogistics Marketing Service
Primary Activities
SupportActivities
Firm Infrastructure
Human Resource Management
Technology Development
Procurement
Margin
Margin
[Port1985][Port1985]
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New Methodology: Disaggregation & Re-Configuration of Value Networks
BusinessActivities via
conventional BCI
Business Activitiesvia conventional
BCI and theMobile Grid
BusinessActivities via
the Mobile Grid
Exclusive Service Providers
GridOperator
GridSolutionProvider
Shared Service Providers
DeviceProvider
Business Support
Distribution channels
ServiceIntegrators
ContentProvider
GridSoftwareProvider
NetworkServiceProvider
The Mobile Grid
SolutionProvider
PaymentProvider
PaymentClearingProvider
UserAcces
Provider
NetworkOperator
NetworkEquipmentProvider
Conventional BCI
Plug-inEquipmentProvider
LocalResourceProvider
Caption
Business Interaction
GridService
Aggregator
GridResourceProvider
Representation of complex relationships
Business Collaboration Infrastructure
Extensive independence from process logic order
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Dis-Aggregation of Value Chains and Value Network Consolidation
Network Technology Provision
GridService
Aggregator
NetworkServiceProvider
Solution(Service)Provider
DeviceProvider
AccesProvider*
GridResourceProvider
NetworkOperator
NetworkEquipmentProvider
User
ContentProvider
Plug-inEquipmentProvider
PaymentProvider*
PaymentClearingProvider*
GridSolutionProvider
LocalResourceProvider
GridTechnologyProvision
Extended Mobile Device Infrastructure Provision
Business via conventional BCI and Mobile Grid
Business via Mobile Grid
Business via conventional BCI
Proposal for Business Partner Integration
Participants in the Value Network
Internal Value Chain
Information Flow
Border of Business Collaboration via theMobile Grid
Caption * Interaction with almost every role
GridOperator
GridSoftwareProvider
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Mobile Grid-based Supply Chain Architecture
B2CBusiness-to-Consumer
Business-to-BusinessB2B
Patient AccessProvider
NetworkOperator as
Grid Operator
HealthServiceProvider
Mobile Phone Seller
CryptographyService Provider
Translation Provider
Hospital Locator
Trust Provider
Evidence- & Experience-based Medicine Information Provider
Bio-Signal Software Provider
LocationProvider
CommunicationSoftware Provider
Emergency Car Locator
EmergencyCar
Provider
Customer
Configurator
Vendor
Producer
Supplier
Logistics Service Provider
HeartAttack
Specialist
Hospital
NetworkOperator,also asNetworkService Provider
NetworkEquipment Provider
GridResourceProviders
GridEquipment Provider
B2CBusiness-to-Consumer
Business-to-BusinessB2B
Patient AccessProvider
NetworkOperator as
Grid Operator
HealthServiceProvider
Mobile Phone Seller
CryptographyService Provider
Translation Provider
Hospital Locator
Trust Provider
Evidence- & Experience-based Medicine Information Provider
Bio-Signal Software Provider
LocationProvider
CommunicationSoftware Provider
Emergency Car Locator
EmergencyCar
Provider
Customer
Configurator
Vendor
Producer
Supplier
Logistics Service Provider
HeartAttack
Specialist
Hospital
NetworkOperator,also asNetworkService Provider
NetworkEquipment Provider
GridResourceProviders
GridEquipment Provider
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Customer (Patient) Orientation
Record ECG
Transmit ECG
Analyze ECG
Initiate emergency call
Talk to emergency centre
Wait for emergency medical service
Get first aid & diagnosis
Go to hospital
Get further diagnosis
Treat disease
Store signal sequence on special mobile device
Transmit signal sequence by mobile device
Store signal sequenceon mass storage
Analyze signal sequenceby HPC resources
Search for nearest emergency car
Search for ideal routeto adequate hospital
Translate communication
Localize patient
Authenticate patient
Lookup patient data
Inform hospital
Analyze bio-signals
Customer process Information Logistics Processes
Register as User Transmit patient ID
Lookup cardiologist
Search for ideal route of emergency car
Analyze patient data
Payment Transaction Clearing
PatID
Ready
ECG
ECG
ECG
ECG
ECG ECG
Result
PatID
PatLoc
PatLoc
PatLocECarLoc
ECarRoute
PatLoc
Search for most adequate hospital
PatLoc HospLoc
HospRoute
PatDat
PatDat
PatDat
CardID
Result
Prognose
Original
Translation
PatRelDat
PatRelDat
BioSig
Result
PayOrd ClrOrd
UserMgmt
Set customer accountPatID
UserMgmt
Depl
PatID
Depl, RMD
MDL, RMD, HMES MDL, MAS, HSimDSS, HMES
MPRL, URL
DNav, TrSurv, TrafCont
UserMgmt, RMD
URL, RMD, HMES
VEHRS, MAS, HMES
MPRL, VEHRS
VEHRS, MAS
DNav, TrSurv, TrafContMPRL, URL, URC, HMES
VoIP, UserMgmt, URC, VEHRS, VEE, RMD, HMES
RMD, MAS, HMES
UserMgmt
Schedule patient
HSimDSS
PatRelDat
Trans, VoIP
Record ECG
Transmit ECG
Analyze ECG
Initiate emergency call
Talk to emergency centre
Wait for emergency medical service
Get first aid & diagnosis
Go to hospital
Get further diagnosis
Treat disease
Store signal sequence on special mobile device
Transmit signal sequence by mobile device
Store signal sequenceon mass storage
Analyze signal sequenceby HPC resources
Search for nearest emergency car
Search for ideal routeto adequate hospital
Translate communication
Localize patient
Authenticate patient
Lookup patient data
Inform hospital
Analyze bio-signals
Customer process Information Logistics Processes
Register as User Transmit patient ID
Lookup cardiologist
Search for ideal route of emergency car
Analyze patient data
Payment Transaction Clearing
PatID
Ready
ECG
ECG
ECG
ECG
ECG ECG
Result
PatID
PatLoc
PatLoc
PatLocECarLoc
ECarRoute
PatLoc
Search for most adequate hospital
PatLoc HospLoc
HospRoute
PatDat
PatDat
PatDat
CardID
Result
Prognose
Original
Translation
PatRelDat
PatRelDat
BioSig
Result
PayOrd ClrOrd
UserMgmt
Set customer accountPatID
UserMgmt
Depl
PatID
Depl, RMD
MDL, RMD, HMES MDL, MAS, HSimDSS, HMES
MPRL, URL
DNav, TrSurv, TrafCont
UserMgmt, RMD
URL, RMD, HMES
VEHRS, MAS, HMES
MPRL, VEHRS
VEHRS, MAS
DNav, TrSurv, TrafContMPRL, URL, URC, HMES
VoIP, UserMgmt, URC, VEHRS, VEE, RMD, HMES
RMD, MAS, HMES
UserMgmt
Schedule patient
HSimDSS
PatRelDat
Trans, VoIP
Zoom
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Summary: Business Implications
Mobile Grid technologies implicate changes in current value chains and networks Extend the user base through the integration of mobile
technical resources and human actors More efficient resource usage across applications and
organizations Economics of scale and scope Shifting of transactions and production costs New quality levels Changing market entry barriers
Concept of Virtual Organization is aimed at B2B collaboration scenarios
Rip up traditional intra-enterprise value chains and succeeding reconfiguration to inter-enterprise value networks
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Contact
Prof. Dr. Stefan Kirn
Universität HohenheimInformation Systems II
D-70593 StuttgartGermany
Thank you !
