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COMARCH HEALTHCARE

COMARCH E-HEALTH SOLUTIONS


AGENDA

1. COMARCH HEALTHCARE – GENERAL INFORMATION

2. COMARCH E-HEALTH PLATFORM

3. REMOTE MEDICAL CARE

4. REGIONAL PLATFORMS AND „HEALTH CITY”

5. INTERNET OF THINGS (IoT)

6. ELECTRONIC HEALTH RECORD (EHR)

7. HOSPITAL INFORMATION SYSTEM (HIS)


COMARCH HEALTHCARE – GENERAL INFORMATION
PRODUCTS AND SERVICES

Portfolio Facts and Figures

▪ Hospital Information System (HIS) ▪ Over 280 medical units use our systems
▪ Radiology Software (RIS) (including 80 hospitals)
▪ Electronic Health Record (EHR) ▪ 30,000 users utilize our
▪ Regional Platforms (HIS, ERP, BI, EHR) solutions on a daily basis
▪ Remote Medical Care ▪ Our systems serve about 2,500,000 patients
a year
▪ “Health City” - IT service platform for cities
and regions comprising a set of collaborating ▪ In 2016 e-Care Remote Medical Center
applications and IT systems. provided services to 3,500 patients
▪ Our solutions support
the medical sector 24/7/365
KEY SOLUTIONS

MEDICAL REMOTE MEDICAL


HIS DOCUMENTATION RIS CARE

Comarch Optimed Comarch EHR Comarch RIS Remote Cardiology Care


Comarch ERP Comarch Concierge Comarch Teleradiology Remote Maternity Care
Comarch BI Comarch Mednote Comarch DICOM Viewer Remote Care for Seniors
STRATEGIC DEVELOPMENT

Important numbers Markets

▪ Income – approx. 15 million EUR per year ▪ Poland (Home Market)


▪ Number of employees – 500
All EME markets, where new regulations for EHR
Clients and Telehealth are introduced, with particular
emphasis on:
▪ All types of hospitals
▪ Clinics ▪ DACH (strong ability of Comarch Group)
▪ Health Centers ▪ UK (huge investments in Healthcare sector)
▪ Regions ▪ Nordics (market developed in the field of
telemedicine)
▪ Individual Medical Practice
▪ Middle East (mature and rapidly developing
▪ Laboratories market with high demands)
▪ Patients
MEDICAL CENTRE

iMed24 Medical Centre, located in Krakow,


Poland, is a part of Comarch Healthcare division.
The Centre is the natural environment for the
development of the company’s solutions for the
healthcare market.

▪ Over 100 physicians


▪ Over 30 specialist clinics
▪ 20 comfortable doctor's offices
▪ Remote Medical Care services
▪ Medical care 24/7/365
COMARCH HEALTHCARE – AN UNIQUE EXAMPLE OF BUSINESS
TO FOSTER INNOVATION

25 years of ▪ Expertise and resources


comprehensive experience ▪ Know-how
on wide IT&Tech market
End to End software
▪ Advanced R&D
provider and devices
▪ Own production line
producer

Perfect combination of ▪ Own Medical Centre iMed24


Technology & advanced ▪ Team of qualified experts in
clinical knowledge medicine and public health
COMARCH E-HEALTH PLATFORM
COMARCH E-HEALTH PLATFORM

Comarch cloud-based e-Health Platform for managing relationships between patients


and big parts of the health care industry offers unique services enabling to perform
a day-to-day activities by various medical stakeholders, including hospital groups, regional
platforms, medical centers, nursing homes and private specialist clinics.
EXAMPLES OF USE
PATIENT-CENTERED CARE

▪ Remote registration for visits


▪ Possibility to order prescriptions, referrals
and laboratory tests remotely
▪ Access to test results and recommendations from
previous visits
▪ Consultations and advice provided online (chat, audio,
video)
▪ Secure contact mailbox for communication with the
doctor
▪ Health Diary and patient self-care (tailored medical
knowledge base)
MANAGING HEALTHCARE FACILITIES

▪ Integrated information systems for management of


the operations of healthcare facilities
▪ Possibility to implement telemedical services,
including telemetry system for hospitals
▪ Access to EHR from various periods
▪ Pre-defined appropriate procedures for any medical
document
▪ Possibility to integrate with systems offered by
various manufacturers
▪ Medical data security
REMOTE MEDICAL CARE

▪ Patient care plan


▪ 24-hour monitoring medical center
▪ Remote diagnostics, early detection of medical
threats
▪ Remote rehabilitation
▪ Teleradiology
▪ Telemetry system for hospitals
▪ Remote Cardiac Care, Remote Maternity Care,
Remote Care for Seniors
SOFTWARE ARCHITECTURE
REMOTE MEDICAL CARE
REMOTE MEDICAL CARE

Permanent Monitoring of the Patients Condition


and Modern Diagnostics Without Leaving Home

• Provision of the SOFTWARE and HARDWARE for healthcare


and remote care

• Components of Remote Medical Care:

▪ Telemedicine equipment

▪ e-Care application with WEB interface

▪ Provision of medical services


BENEFITS OF REMOTE MEDICAL CARE

For the Medical Unit For the Patient


Shortening the length of hospitalization and reducing Reducing waiting time for admission into hospital
the use of hospital beds and shortening hospital stay

The possibility of continued treatment in a home


Taking a load off medical staff
environment

Increasing patient adherence to medical Increased sense of safety through easier


recommendations and faster contact with the medical staff

Increasing the effectiveness of treatment Shortened response time to life and health threats

Convenient access to patients medical data Improving effectiveness of time-limited therapy

Improvement of image and boost of institutional


Easier and safer access to patients own medical data
reputation
REMOTE MEDICAL CARE
MULTIDEVICE / MULTIVENDOR PLATFORM
COMARCH E-CARE PLATFORM

Comarch e-Care Platform

• The platform allows permanent remote


monitoring of the patient’ health, and
receives and processes medical data
and data from measurement devices
controlling specific vital signs.

• Support for medical staff in


the performance of pre-determined
procedures.
REMOTE MEDICAL CARE - DEVICES

Comarch Personal Medical Comarch homeCTG


Assistant (PMA)
Comarch Home Medical Assistant (HMA)

Pocket device
(event ECG)
Comarch Comarch Life Bracelet
Hospital Telemetry Assistant (HTA)
Comarch CardioVest
COMARCH E-CARE PLATFORM Holter Mobile
App App

...

Maternity Pulmonological Cardiac Elderly


Care Care Care Care

Hospital
Comarch e-Care Platform Telemetry
REGIONAL
PLATFORM Comarch Medical Algorithms Platform
E-CARE - COMARCH SERVER INFRASTRUCTURE
E-CARE – MODULAR ARCHITECTURE

Comarch Comarch gateway Comarch server Web

Pentavox Pentavox Comarch server Web


server

SXT
Comarch gateway Comarch server Web

BREAS HMA Comarch server Web


REMOTE MEDICAL CARE CENTRE

A key element of the remote care system is the Remote


Medical Care Centre, where medical staff monitor round-
the-clock the patients health status.

Remote Medical Care Centre

• Brings together qualified medical staff: paramedics,


midwives, doctors of different specializations, dieticians
and physiotherapists
• Monitors patients health around the clock, including on
holidays
• Intervenes in the case of automatically detected
anomalies, parameterized individually for each patient
(exceeded norms and alarm values), as well as on
every request of the patient (triggered by, e.g., the use
of the “SOS Button” alarm device)
REMOTE CARDIAC CARE

• Detection of cardiac abnormalities, including:


tachycardia and bradycardia, ventricular tachycardia,
ventricular fibrillation and flutter, atrial fibrillation and
atrial flutter or ineffective pacemaker stimulation.

• Used both in the case of patients during a hospital stay


as well as in the case of health checks for patients
undergoing cardiac rehabilitation at home.

Comarch Personal Medical


Assistant (PMA)
REMOTE CARDIAC CARE
REMOTE CARDIAC CARE
REMOTE CARDIAC CARE
General Features
• Long-term ECG analysis (7 days and more)
• Examination management
• Multiple views (Page, Superimposition, Patient Diary and more)
• Measurement tools
• Result charts, tables and extensive reports
• Multi display support
• Modern UI design
• Support for themes and extensive UI configuration

Analysis
• Tachycardia and bradycardia
• Interval in atrial fibrillation
• Ventricular tachycardia, fibrillation and flutter
• Atrial fibrillation and flutter
• Beats clustering
• HR and HRV analysis
• ST and QT intervals analysis

Architecture
• Client-Server Architecture
• Remote access (VPN)
REMOTE MATERNITY CARE

• Non-invasive CTG examination in patients home which


allows full monitoring of the child heart rate and uterine
contractions

• After the exam, measurements are sent to the Remote


Medical Care Centre and evaluated by
a gynaecologist or midwife.

• The exam is to be performed on women in the last


trimester of pregnancy.

Comarch homeCTG
REMOTE MATERNITY CARE
REMOTE MATERNITY CARE

General functions
• Portable device for home use
• Allows CTG examination of high quality signal
• Passive, acoustic based (no energy emitted)
• Build in speaker for hearing fetus heartbeat

Tele-functions
• Autonomous data transmission (SIM on-board)
• Displays examination feedback on screen

Integration with Comarch e-Care


• Certified CTG Viewer
• Example of integrating a third-party device
REMOTE CARE FOR SENIORS

• Remote consultation services for seniors with primary


care physicians, physiotherapists, dieticians,
psychologists and other medical professionals.

• Tests can be performed by patients themselves, their


caregivers or medical staff.

• Tests may be performed at home (for one patient), as


well as in nursing homes or centres with numerous
patients (group-oriented services).

Comarch Home Medical


Assistant (HMA)
REMOTE CARE FOR SENIORS
REMOTE CARE FOR SENIORS
General Features
• Portable device for home use
• CE mark Class IIa
• Hub for short-range communication with medical devices (BT,
USB)
• Tablet interface
• Transmits collected medical data to e-Care Center
• Redundant network interfaces (ethernet, GPRS)
• Power backup (internal UPS)
• Build in microphone and speaker
• Triple user interface (voice prompts, keypad, Android tablet GUI)

Integration with Medical Devices


• Blood pressure, Scales, Pulsoximeter, Holter pulse oximeter,
Thermometer, Peakflowmeter, Spirometer, Glucometer,
Pulmonary ventilator

Tele-functions
• Contact request (audio and video call)
• Remote medical measurements
• Remote applications (reminders, auto-interview, rehabilitation)
REMOTE PATIENT CARE

General Features
▪ Ability to run on smartphone and tablet (Android)
▪ CE mark Class IIa
▪ Always with the patient
▪ Integrated with medical devices (Pulseoxymeter, thermometer,
peak flow meter, blood pressure monitor, glucometer)
▪ Possibility to submit questionnaires
▪ Collecting of data through BT
▪ Security: restricted access to application – PIN Code

For patient
▪ Two way text messaging with the Monitoring Center
▪ Designed for elder patients (large font)
▪ Reminder for patients: integrated with system notification
center and with system calendar
▪ Ability to send video message to patient from Monitoring
Center
COMARCH CARDIOVEST
CARDIOVASCULAR DISEASES
SEVERE CONSEQUENCES FOR HEALTH VEST

▪ Well known but growing issue,


▪ 1st cause of death globally,
▪ Higher ischemic stroke risk,
▪ Direct correlation with neurological disorders,
▪ Significant financial and social burden.
HOW TO SOLVE THIS PROBLEM?

MUTUAL COOPERATION
TO FOSTER INNVATION
CARDIOVEST

▪ Long term ECG monitoring


▪ Prophylaxis
▪ Diagnostics
▪ Advanced algorithms
▪ Non-invasive monitoring
▪ Wireless and comfortable
CARDIOVEST SOLUTION ELEMENTS

1 ECG Vest

2 Sensor Recorder

Dock Transmission
3
Station
CARDIOVEST SOLUTION ELEMENTS

1 ECG Vest

▪ Allows recording of ECG signal


▪ Comfortable carrying (light, body-fit)
▪ Biocompatible materials
▪ Special material electrodes, that ensure high
recording quality.
CARDIOVEST SOLUTION ELEMENTS

2 Sensor Recorder

▪ Battery life is over 24h


▪ Self operating
▪ Wireless
▪ Small in size
▪ Minimum weight
CARDIOVEST SOLUTION ELEMENTS

3 Dock Transmission
Station
▪ Station transmitting data from the Recorder
to the Remote Care Center
▪ Wide range of communication capabilities
with Monitoring Center (3G, WiFi, LAN)
▪ Maintenance-free
CARDIOVEST SOLUTION ELEMENTS

▪ CMAP - Comarch Medical Analysis


Platform – detection among others of:
▪ Tachycardia
▪ Bradycardia
▪ Pause
▪ Atrial fibrillation
▪ Used algorithms – time and personnel
recourses saving solution
HOW CARDIOVEST ELEMENTS WORKS TOGETHER?
COMARCH BRACELET OF LIFE

• Portable device for the seniors


• SOS Emergency Button
• Fall detection sensor
• Maximum simplicity
• Bluetooth/GSM
• Wear time sensors
• Integration with Comarch Beacons
HOW IT WORKS?

▪ Portable device for the seniors


▪ SOS Emergency Button
▪ Fall detection sensor
▪ Maximum simplicity
▪ Bluetooth/GSM
▪ Wear time sensors
▪ Integration with Comarch Beacons
COMARCH ELECTRONIC LIFE CARD

Electronic Life Card, dedicated to seniors and


chronically ill patients, consists of two elements.

These are a beacon acting as a carrier of data


on the patient’s state of health, and a dedicated
application where this information is read.
BRACELET OF LIFE IN USE

How it works?
▪ Life Card is a personalized device containing a carrier of data pertaining to the
given patient.
▪ A physician or paramedic reading the information from the Life Card via a mobile
device (smartphone or tablet) obtains complete information on the patient.
▪ It is particularly important when direct contact with the patient is impossible, for
example when they are unconscious. Thus the rescuers are able to take relevant
decisions and render immediate help to the patient.
BRACELET OF LIFE IN USE

Advantages
▪ Rapid transfer of medical data to medical staff
▪ Increased sense of security for the patient, due
the reduction in the potential for error during
rescue actions
▪ Alarm button triggers immediate action by
rescuers
▪ Notifying the immediate family by sending
an SMS about the emergency call

Beneficiaries
▪ Seniors
▪ People with chronic conditions
BENEFICIARIES

Patients with Diabetics Patients with Seniors, patients


cardiological and disturbed at risk of loss of
neurological balance and consciousness
problems motor activity
SPECIFICATIONS

▪ Size 1.3 inches (32mm) diameter,0.4 inches (10mm)


thickness
▪ Weight .3 ounces (8 grams)
▪ Durability Waterproof up to 1 meter for 30 minutes (IP 67)
▪ Battery Life up to one year depending on use
▪ Battery Type: Pre-inserted and replaceable CR2032
battery (commonly available at most drugstores)
▪ Range Bluetooth 4.0 technology allows for a range of up
to 75 feet indoors and up to 300 feet outdoors between
the Life Bracelet and smartphone
▪ Supported Phones: Android 4.3 or higher with Bluetooth
LE capability.
HOSPITAL TELEMETRY SOLUTION

Portable device for hospital use


with PC App that allows real time
monitoring of patients via Wi-Fi
infrastructure. Patient location
is known by scanning Comarch
Beacon. Automaticaly updates HIS
data and supports call-for-help
function

HIS
Optimed
Server

Comarch
Hospital Telemetry Assistant (HTA)
HOSPITAL TELEMETRY SOLUTION

General Features
• Portable device for hospital use
• PC App allow real time monitoring
• Data transmission over Wi-Fi infrastructure
• Patient location by scanning Comarch Beacon
• Automatic update of EPR and HIS
• Tablet App for alarm notification and vital signs data
• Alarm button

Parameters
• ECG 5 or 10 leads
• Thermometer
• Pulsoximeter
• Detect patient fall
REMOTE MEDICAL CENTER
REMOTE MEDICAL CENTER

Efficient Patient Care Based on the Provision of Telemedicine Services and Electronic Health Record

▪ Remote Medical Center makes it possible to offer medical services remotely.

▪ The solution does not replace traditional healthcare, but is complementary to it, offering an extended range of services
without the need for employing additional medical staff.

▪ The implementation of cost-effective telemedicine solutions improves work efficiency, which allows more patients
to be handled at the same time.

▪ Owing to the application of telecommunication tools that offer continuous health monitoring, as well as prophylactic and
control tests at home, Remote Medical Center improves the efficiency of treatment and provides patients with a greater
sense of safety by assuring permanent contact with qualified medical staff.

▪ Apart from quick and secure access to electronic medical documentation, doctors can offer tele-consultations to patients,
and can consult other specialists, at any time and place, leading to savings in terms of time and money. Thus, the services
offered supplement treatment perfectly, particularly in the case of patients who require the continuous supervision
of a specialist doctor or long-term care.
SERVICES OFFERED BY REMOTE MEDICAL CENTER
TELECONSULTATIONS

▪ Online consultations (chat, audio or video) between the


patient and qualified medical staff including doctors of various
specializations, paramedics, nurses, midwives, dieticians,
psychologists, occupational therapists, and physiotherapists.

▪ These are offered where there is no need for another visit


to the center (e.g. for the interpretation of results, planning
further treatment, or training).

▪ Such consultations can be performed ad hoc, where the


patient waits in a queue, or by appointment.

▪ During consultations, file exchange (e.g. with test results)


is possible.
REGIONAL PLATFORMS AND „HEALTH CITY”
HEALTH CITY

Modern Medical Solutions for Regions


and Cities

• Service and information technology platform,


consisting of a set of mutually interconnected
applications and IT systems

• Patient-centric platform for implementing regional


health policies
HEALTH CITY CONCEPT

The main assumption of the project is to provide residents with life-long comprehensive healthcare
from birth, while simultaneously shaping medical services available in the city.
COMPONENTS OF THE HEALTH CITY PLATFORM

LOCAL LAYER CITY LAYER

• HIS/EHR • EHR
• HIS/HOSPITAL TELEMETRY • Analytics platform
• HIS/RIS/PACS
• EDCS (Electronic Document Circulation System)

SERVICE LAYER

Services for Patients Services for Seniors Services for Parents Services for Residents
• Register of medical • Telecare for seniors • School health prevention • Health promotion
services • SOS Emergency Button programme • Loyalty program
• Cardiac telecare • Activation Center • Environmental surveys • Prevention programs
• Analysis of medical data • Personal child health
• Central registration record
• Medical records
• Evaluation of medical
service quality
COMARCH REGIONAL PLATFORM
Regional Layer
Regional Business Remote care
Intelligence
Management Portal
(report viewer)
Regional EHR Registry Teleradiology
(searchable metadata
index)
Medical Concierge
Visit registration, Lab Results,
Online consultations, PHR, …

Integration with
ENTERPRISE SERVICE BUS medical equipment

LIS
LIS

RIS/ … RIS/
Other local systems PACS
PACS
ERP, EOD, HD+BI
HIS
HIS Local EHR Repository Local EHR Repository

Local Layer
INTERNET OF THINGS (IoT)
INTEGRATION WITH IoT
USE OF BEACONS IN HOSPITALS
USE OF BEACONS IN HOSPITALS
INTEGRATION WITH IoT
eCare Solution (medical plane) Field Service Maintenance (technical/SLA plane)

Vertical Applications Breas related events


For predictive maintenance
Comarch IoT Platform (Application
Enablement Platform)

Option1: HMA to to IoT Breas technical information


Option1: HMA to do IoT
USB

Option2: Comarch BLE Module


Comarch BLE Module to IoT Hub
Comarch IoT Hub

Option3: Comarch BLE Module Comarch Mobile SDK


to smartphone
COMARCH ELECTRONIC LIFE CARD

Electronic Life Card, dedicated to seniors and


chronically ill patients, consists of two elements.

These are a beacon acting as a carrier of data on the


patient’s state of health, and a dedicated application
where this information is read.
COMARCH ELECTRONIC LIFE CARD

How it works?

▪ Life Card is a personalized device containing a carrier of data pertaining to the given patient.

▪ A physician or paramedic reading the information from the Life Card via a mobile device (smartphone or tablet) obtains
complete information on the patient.

▪ It is particularly important when direct contact with the patient is impossible, for example when they are unconscious.
Thus the rescuers are able to take relevant decisions and render immediate help to the patient.
COMARCH ELECTRONIC LIFE CARD

Advantages Beneficiaries

▪ Rapid transfer of medical data to medical staff ▪ Seniors


▪ Increased sense of security for the patient, due ▪ People with chronic conditions
the reduction in the potential for error during
rescue actions
▪ Alarm button triggers immediate action by
rescuers
▪ Notifying the immediate family by sending
an SMS about the emergency call
ELECTRONIC HEALTH RECORD (EHR)
COMARCH EHR

Archiving Medical Documents and


Searching for Data via a Web Browser

• IT system used for managing e-documentation in


all kinds of medical service facilities

• Efficient gathering and processing of medical data


owing to central access to documents originating
from various systems

• Designed to assist physicians in making


diagnoses and saving time for both patients and
medical staff
ELECTRONIC HEALTH RECORD

Comarch Medical Concierge Comarch Mednote

Multichannel, Communication Platform for Patients, Modern Application for Managing the GPs Office
Ensuring Continuity of Medical Care
▪ Web application which provides physician with all
▪ Effective doctor-patient communication outside necessary medical information and minimizes the time
the hospital environment, medical clinic or GP's office spent on medical procedures and formalities
through online video calls and secure inbox ▪ Efficient conduct of patient medical history
▪ Constant online access to patient health records and a significant reduction in costs associated with
and remote monitoring of patient health status the need to securely store long medical records
▪ Personalized recommendations for the patients ▪ Availability from the Cloud
▪ Multiple services available online, which shorten waiting ▪ Keep and manage electronic medical
lines at medical facilities documentation
HOSPITAL INFORMATION SYSTEM (HIS)
COMARCH OPTIMED

Patient-Centric Software

▪ Comprehensive management of the


hospital's medical and administrative
processes
▪ Allows for optimizing of the patient care
in the hospital
▪ Facilitates access to medical data from
different sources
COMARCH ERP

Comprehensive management of the hospital's


administrative processes

▪ Increases the productivity through business


processes automatization
▪ Supports monitoring of the profitability
of institution, budget execution, cost control
and clinical analytics
▪ Assists in human resources and payroll
management
▪ Accelerate the administrative decision
making processes
COMARCH BI

Supports financial management, medical


procedures, reporting and tracking of the
patient flow at hospitals

▪ Allows for planning of the operating and


treatment costs in the hospital
▪ Optimizes purchases and inventory
management in hospital pharmacy
▪ Allows for monitoring of the current state of
the hospital, providing data that facilitate
prompt decision making
CASE STUDIES
TELEMEDICINE FOR PUBLIC HOSPITAL

Cardiology:
▪ 8 PMA used everyday for 24h holter examination and
telemonitoring
▪ Hospitalized patients after AMI
▪ More than 100 examination/ month

Maternity Care:
▪ 5 homeCTG
▪ 24h/7days remote care provided by iMed24
▪ Listening to the child’s heart anytime
TELEMEDICINE FOR DEDICATED TELEMEDICINE CENTER

▪ Medical facility owned by Comarch


▪ 50 PMA teleholter and telemonitoring
▪ Over 1500 patient after 1.5 years of active
monitoring service with cardiac problems
▪ 10 CTG
▪ Over 100 patients and more than 350
examinations
▪ Several medical interventions including calling an
ambulance, changing treatment strategy, medical
consultation and other
COMARCH EHR – MALOPOLSKA MEDICAL INFORMATION SYSTEM

Medical Data Exchange Platform providing services for


patients and medical units across the region
▪ Pilot implementation – full functional scope, limited to 3 entities
▪ Document Repositories implemented in 3 large hospitals
▪ Central Document Registry (index) shared among the participants
▪ Online appointment scheduling system
▪ Identity management and e-signatures for the region
▪ Consistent consent management across all units
▪ Information Portal

Secure and fully transparent (automated) document retrieval from remote medical facilities

Strong foundation for a longitudinal medical record for each patient in Malopolska
COMARCH HIS – COPERNICUS (GDAŃSK)

▪ 5th largest Polish hospital


▪ Project worth about €2 million
▪ Delivery of integrated solution: HIS/RIS/LIS/EHR
▪ Documentation created in all hospital departments including:
▪ Inpatient care
▪ Outpatient care
▪ Emergency department
▪ Project metrics
▪ Over 1.000 active users
▪ Over 300 different form templates filled regularly by personnel
▪ Over 250 different print templates in regular use
▪ Over 300.000 actions documented every month
▪ Over 2.500 actions documented for most treated patients
REGIONAL PLATFORM FOR PODLASKIE VOIVODSHIP
36 Healthcare units
▪ 1 193 348 citizens
▪ Marshal's Office of Podlaskie ▪ about 12 000 km2
▪ 25 medical entities ▪ about 70 km distance
▪ 10 district offices ▪ between cities
▪ ca. 8700 employees
Many forms of business and ownerships
▪ District and provincial hospitals
▪ Emergency Ambulance Service
▪ Marshal's Office of Podlaskie
▪ Private medical centers
Delivery and implementation of integrated systems
▪ Regional Platform: Regional Registry System, Regional EHR, Patient Portal, e-
Registration, Managerial Portal, BI, Regional Integration Layer
▪ Local Systems: ERP, HIS, EHR, DMS, BI
PARTNERSHIP WITH MEDICAIR
MEDICAIR – BUSINESS MODEL 1

HOSPITAL

▪ Purchase of devices ▪ Apply for public tenders ▪ Patient engagement


▪ Purchase of sw and cloud ▪ Install the solution at patients’ ▪ Data monitoring and analysis
service home using internal monitoring center
(nurses and physicians)
▪ Service support (first line in Italy ▪ Perform training for nurses,
and second line in Poland) physicians and patients
▪ First line technical support for
hospitals and patients
▪ “non clinical” support for data
management
MEDICAIR – BUSINESS MODEL 2

HOSPITAL
Private
Companies

▪ Consultant activity to develop ▪ On site installation ▪ Clinical data managing


the monitoring protocol and and technical support ▪ Patient engagement
operational workflow ▪ Clinical service (in the future ▪ Sales and marketing activity
▪ Comarch solution optimization when the Medicare clinic will
on specific project requirements be ready)
▪ ICT and devices supplier ▪ Sales and marketing activity
▪ Technical and service support
CENTRO CARDIOLOGICO MONZINO

We provided: Services:

Long term ECG Holter


PMAs
examination (7-14 days)

Home ECG tele-monitoring


e-Care platform
(3 months patient monitoring
at home)

Comarch Holter software


and Comarch holter web App
CENTRO CARDIOLOGICO MONZINO – BUSINESS MODEL

▪ Consultant activity ▪ Patient engagement


▪ Device and ICT solution provider ▪ Clinical monitoring and examination
▪ On site training and service support description
THANK YOU!