University of Groningen

An e-health driven national healthcare ecosystem Schiza, Eirini

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E. C. Schiza, K. C. Neokleous, N. Petkov, and C. N. Schizas. A patient centered electronic health: ehealth system development. Technology and Health Care, 23(4): 509–522, 2015a.

E. C. Schiza, G. Panos, C. David, N. Petkov, and C. N. Schizas. Integrated electronic health record database management system: A proposal. In ICIMTH, pages 187– 190, 2015b. BIBLIOGRAPHY 127

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Participation in Projects

• "Electronic Health Record (EHR) at National Level" project. The project aims to determine the limitations of the local infrastructure and identify the threats that compromise the future deployment of a National EHR in Cyprus. The project is under the Framework Programme for Research, Technological De- velopment and Innovation 2009-2010 of the Research Promotion Foundation (RPF Cyprus).

• “New e-Health Services for the European Reference Network on Rare Anaemias” (“e- ENERCA”) is funded by the European Commission’s Exec- utive Agency for Health and Consumers under the call for proposals 2012 – second program of community action in the filed of health (2008-2013). The general objective of e-ENERCA project is to assure the access of professionals and patients to the same level of services, independently from the country of practise and the origin of the patient. For this, several e-health information and communication technologies tools will be developed, aiming to compre- hensively collect clinical and epidemiological data across Europe and to share knowledge and expertise among Member States with specific measures fore- seen to include the New EU member states.

• "Future Internet Social and Technological Alignment Research (FI-STAR)" project targets towards the enrichment of the FI-STAR framework for use in the health care domain, the EHR-EN proposal addresses the following objec- tives: (i) to build the epSOS (patient summary), EHR (electronic health record), and PACS (picture archiving and communications system) FI-STAR platform enablers that will facilitate the deployment of innovative applications and value added services in the health care sector; (ii) to validate and evaluate the epSOS, EHR, and PACS FI-STAR platform enablers by developing proof- of-concept collaboration scenarios, which will finally prove and demonstrate the usability, applicability and adaptability of the proposed enablers.

• "Connecting Europe Facility 2014-2020 (CEF) - Deployment of Generic Cross Border eHealth Services in Cyprus" project. This individual application to CEF eHealth Generic Services and foreseen service deployment plan emerges from the Member States (MS) deep understanding that the key success fac- tor to achieve meaningful health benefits, relies on matching service avail- ability with known population cross-border flows, based on a common time plan. Following very closely the activities of the epSOS and EXPAND projects and participating as observers in a number of meetings both the University of Cyprus (UCY) and the Ministry of Health (MOH) are fully committed to place Cyprus in the map for converging and pursuing EU-wide interoper- ability for cross-border healthcare. Most importantly UCY (in collaboration with MOH) developed the epSOS content creator open source code enabler that passed also related IHE profiles under the FI-STAR EU FP7 Future In- ternet ICT project. In particular Cyprus receives close to 1.5 million tourists from EU-28 countries with more than 50% from UK, and 17% from Sweden, Greece and Germany, and experiences outflows for search for work opportu- nities mainly in UK. Cyprus will prepare, test, deploy (Patient Summary in 2018 and the ePrescription in 2019) and operate the National Contact Point for eHealth (NCPeH), according to best practices and sound experience, prop- erly connected with the already available national infrastructure. The NCPeH will streamline nationwide service provision of these two services endorsed by the eHealth Network and governed by the eHealth Operational Manage- ment Board. UCY acts as mandated by MOH to assure the seamless provision of cross border service within the National Health System (NHS). This invest- ment will allow the NHS to broaden the level of care provided to European citizens visiting Cyprus, in line with the 2011/24/EU directive, as well as to better support Cypriot citizens’ health information needs while travelling in EU.

• Connecting Europe Facility 2014-2020 (CEF) - Cyprus Electronic Exchange of Social Security Information «CyEESSI». The offering of high-quality and sus- tainable health care and durable social security policy achievements, is one of the highest government’s priorities as documented in the Digital Strategy for Cyprus. Aligned with this strategy, the main objective of this CEF applica- tion is to support Cyprus efforts to be part of a secure network allowing the exchange of health care and social security information which will pave the way to reach the following general objectives: (i) enable seamless exchange of health and social insurance related information over the same secure N/W with respect to the exchange of financial information easing the way of giving the citizen the information needed in a timely way; (ii) contribute to safety of information by reducing the frequency of errors and delays and by provid- ing quick access to benefits by increasing the accessibility; (iii) provide health care and social insurance and family benefits personnel with information that will increase productivity and increase of the quality of the services to public. Cyprus is committed to deploy and provide EESSI services according to the CEF 2017 call and aligned with the DG EMPL EESSI Team Guidelines and De- liverables. To achieve this goal, the exact timing and range of services that will be provided by Cyprus are reflected under the following three activi- ties: A1 Governance, Planning and Resourcing (01/03/2018 - 28/02/2020), A2 Preparation, Implementation, Service Testing and Deployment (01/03/2018 - 30/06/2019) and A3 Operation (01/04/2019 - 28/02/2020). The CyEESSI im- plementation will consist of one Access Point (AP) and three Reference Imple- mentation for National Application (RINA) installations (2 for the Ministry of Labour, Welfare and Social Insurance and 1 for the Ministry of Health). It is ex- pected that if the proposal is awarded the CyEESSI system will strengthen the protection of citizens’ rights by enabling the electronic exchange of personal social security information in the EU among Member States’ competent ad- ministrations, facilitate and speed up the decision making for the calculation and payment of social security benefits and allow a more efficient verification of data. Furthermore, due to the fact that Cyprus is a tourist destination, it is reasonable to expect that the deployment of cross border services will have an influence on economic growth. During the summer season, at least for the sickness sector, it is expected that the usage of this service will be very intense on a daily basis.

Journal Papers

• Schiza E.C., Neokleous K.C., Petkov N., Schizas C.N., A patient centered electronic health: eHealth system development. Technol Health Care. 2015;23(4):509-22. DOI: 10.3233/THC-150919. PMID: 26409913 (https://www.ncbi.nlm.nih.gov/pubmed/26409913)

• Angastiniotis M., Antoniou Z., Schiza E.C., Pattichis C.S. and Schizas C.N., "The use of eRegistries in building and upgrading services" Haematologica 2017, Vol. 102, pp. 44-48, 2017.

• Eirini C. Schiza, Theodoros Kyprianou, Nicolai Petkov, and Christos N. Schizas, "Proposal for an eHealth Based Ecosystem Serving National Healthcare", IEEE Journal of Biomedical and Health Informatics, Open access: DOI 10.1109/JBHI.2018.2834230, (https://ieeexplore.ieee.org/document/8358757/), 2018.

Book Chapter

• Schiza E.C., Foka M., Stylianides N., Kyprianou T., Schizas C. N., "Teaching and Integrating eHealth Technologies in Undergraduate / Post- graduate Curricula and Healthcare Professionals’ Education & Training", To appear in the book- Digital Innovations in Healthcare Education and Train- ing, Edited by Stathis Th. Konstantinidis, Panagiotis D. Bamidis, and Nabil Zary. isbn: 9780128131442, Elsevier (2018).

Conference and Workshop Papers

• Neokleous K.C., Schiza E.C., Pattichis C.S., Schizas C.N., A patient centered electronic health system: an example for cyprus. Stud Health Technol Inform. 2014;202:111-4.

• Schiza E.C., Panos G., David C., Petkov N., Schizas C.N., Integrated Electronic Health Record Database Management System: A Pro- posal. Stud Health Technol Inform. 2015;213:187-90. PMID: 26152988

• Antoniou Z., Schiza E.C., Neokleous K., Angastiniotis M., Pattichis C.S. and Schizas C.N., “eHealth Services for the European Reference Network on Rare Anaemias (eENERCA)’ Stud Health Technol Inform. 2015;213:153-6. PMID: 26152979

• Neofytou M.S., Neokleous K., Aristodemou A., Constantinou I., Antoniou Z., Schiza E.C., Pattichis C.S., Schizas C.N., Electronic Health Record Application Support Service Enablers. Conf Proc IEEE Eng Med Biol Soc. 2015 Aug;2015:1401-4.

• Schiza E.C., Fakas G.J., Pattichis C.S., Petkov N., Schizas C.N., Data Protection Issues of Integrated Electronic Health Records (EHR) XIV Mediterranean Conference on Medical and Biological Engineering and Computing 2016, Volume 57 of the series IFMBE Proceedings pp 787-790, 2016. • Schiza E.C., Petkov N., Schizas C.N., Cognitive Computing for Medicine - CoCoMed. COCOMED(Cognitive Computing for Medicine), 8TH-12TH January, 2017, Las Palmas De Gran Canaria

• Panos G.Z., Schiza E.C, Aristide I., Chra P., Pavlides G., and Schizas C.N., Universal electronic Health Record (U-EHR): A global medical database man- agement system. APPIS(Applications of Intelligent Systems), 8TH-12TH January, 2018, Las Pal- mas De Gran Canaria

Awards

• Best Student Paper Award: Schiza E.C., Panos G., David C., Petkov N., Schizas C.N., Integrated Electronic Health Record Database Management System: A Pro- posal. ICIMTH 2015, July. pp. 187-190

Participation in Workshops

• MEDICON 2016(XIV Mediterranean Conference On Medical And Biological Engineering And Computing), 31ST March -2ND April , 2016, Paphos, Cyprus

• ICIMTH(International Conference On Informatics, Management And Tech- nology In Healthcare), 9TH-11TH July, 2015, Athens, Greece.

• COCOMED(Cognitive Computing for Medicine), 8TH-12TH January, 2017, Las Palmas De Gran Canaria

Volunteering in Conferences

• eHealth Week 2015 – Riga (11th-13th May 2015) - volunteer helper & network- ing

• eHealth Week 2016 – Amsterdam, The Netherlands (8th-10th June 2016) - vol- unteer helper & networking

• eHealth Week 2017 – Malta (10th-12th May 2017) - volunteer helper & net- working

Curriculum Vitae

Profile

Eirini Schiza was born in Nicosia, Cyprus in 1988. She ob- tained a BSc in Computer Science from the University of Sus- sex in 2010 and MSc in Computer Science – Multimedia Appli- cations and Virtual Environments from the University of Sus- sex in 2011. She is a PhD Candidate in the area of eHealth in the Johan Bernoulli Institute for Mathematics and Computer Science of the University of Groningen – The Netherlands. She is also mentored by the academics of the eHealth Laboratory of the University of Cyprus. She is expected to graduate in 2018. Eirini is researcher at the eHealth Laboratory and the Compu- tational Intelligence Laboratory Lab, Department of Computer Science, University of Cyprus since 2013. She worked as a spe- cial scientist and system developer during 2010 to 2012 with Unilogic Ltd, a software com- pany in Cyprus, specializing on eHealth systems. Since 2016 she has been attached to the EU funded project namely eENERCA, responsible for the design of an electronic health record system for national healthcare centers. Her research interests are eHealth and supporting technologies, computational intelligent medical applications, multimedia applications and virtual environments.

Education

• PhD Candidate (since Nov 2013) - Johan Bernoulli Institute for Mathematics and Com- puter Science of University of Groningen – The Netherlands.

• MSc in Computer Science – Multimedia Applications and Virtual Environments (2011) University of Sussex, Brighton

• BSc in Computer Science (2010) - University of Sussex, Brighton Skills

C, C++, C#, Pascal, PHP, HTML, XHTML, Ajax, CSS, JavaScript, SQL, Computer Graphics (Unity, Unreal), Python

Experience

University of Cyprus, Department of Computer Science (2013-2018) Researcher Assistant Duties (2013-2018)

• Member of the team of research projects, cyEHR "Electronic Health Record (EHR) at National Level", eENERCA "New eHealth services for the European reference network on rare anaemias", "Future Internet Social and Technological Alignment Research (FI- STAR)", "Connecting Europe Facility 2014-2020 (CEF) - Deployment of Generic Cross Border eHealth Services in Cyprus" project and Connecting Europe Facility 2014-2020 (CEF) - Cyprus Electronic Exchange of Social Security Information «CyEESSI»,

Teaching Assistant Duties (2014-2018)

• Undergraduate course CS041 - eHealth and Medical Informatics. (School of Medicine, UCY) • Undergraduate course CS042 - eHealth and Medical Informatics Seminar Series. (School of Medicine, UCY) • Undergraduate course CS241 - System Analysis and Design Methods (Department of Computer Science, UCY) • Post graduate course CS679 - eHealth. (Department of Computer Science, UCY) • Help in the supervision of BSc on eHealth related project: (2013-2014) - Elena Damianou with thesis title ’What is Electronic Health?-Website’ (2014-2015) - Stephanie Constantinou with thesis title ’Electronic Health Record’ - Christiana David with thesis title ’Web portal for Electronic Health Record’ (2015-2016) - Sotiroula Afxenti with thesis title ’Implementation of eHealth system: Pediatric’ - Evanthia Andreou with thesis title ’Implementation of eHealth system: Gynecology’ - Anna Georgiou with thesis title ’Breast Cancer Blog’ (2016-2017) - Demetris Demetriades with thesis title ’Interoperable EHR : Neurology’ - Christina Solomou with thesis title ’Interoperable EHR: Cardiology’ - Rafaella Sofokleous with thesis title Interoperable EHR: Gynecology’ • Help in the supervision of MSc, on eHealth related project: (2014-2015) - Nicolas Katsaris with thesis title ‘Electronic Health Record of a child with educational material’.

Unilogic Ltd (2010-2012)

Special Scientist/System Developer

Nicosia New General Hospital and IBM Cyprus (summer of 2009 & 2010)

Helpdesk – IT’s work shadow.

Publications

Journal Papers

• Schiza E.C., Neokleous K.C., Petkov N., Schizas C.N., A patient centered electronic health: eHealth system development. Technol Health Care. 2015;23(4):509-22. DOI: 10.3233/THC-150919. PMID: 26409913, https://www.ncbi.nlm.nih.gov/pubmed/26409913 • Angastiniotis M., Antoniou Z., Schiza E.C., Pattichis C.S. and Schizas C.N., "The use of eRegistries in building and upgrading services" Haematologica 2017, Vol. 102, pp. 44-48, 2017. • Eirini C. Schiza, Theodoros Kyprianou, Nicolai Petkov, and Christos N. Schizas, "Pro- posal for an eHealth Based Ecosystem Serving National Healthcare", IEEE Journal of Biomedical and Health Informatics, Open access: DOI 10.1109/JBHI.2018.2834230, https://ieeexplore.ieee.org/document/8358757/, 2018.

Book Chapter

• Schiza E.C., Foka M., Stylianides N., Kyprianou T., Schizas C. N., "Teaching and Integrating eHealth Technologies in Undergraduate / Postgraduate Curricula and Healthcare Professionals’ Education & Training", To appear in the book- Digital Innovations in Healthcare Education and Training, Edited by Stathis Th. Konstantinidis, Panagiotis D. Bamidis, and Nabil Zary. isbn: 9780128131442, Elsevier (2018).

Conference and Workshop Papers

• Neokleous K.C., Schiza E.C., Pattichis C.S., Schizas C.N., A patient centered electronic health system: an example for cyprus. Stud Health Technol Inform. 2014;202:111-4. • Schiza E.C., Panos G., David C., Petkov N., Schizas C.N., Integrated Electronic Health Record Database Management System: A Proposal. Stud Health Technol Inform. 2015;213:187-90. PMID: 26152988 • Antoniou Z., Schiza E.C., Neokleous K., Angastiniotis M., Pattichis C.S. and Schizas C.N., “eHealth Services for the European Reference Network on Rare Anaemias (eEN- ERCA)’ Stud Health Technol Inform. 2015;213:153-6. PMID: 26152979 • Neofytou M.S., Neokleous K., Aristodemou A., Constantinou I., Antoniou Z., Schiza E.C., Pattichis C.S., Schizas C.N., Electronic Health Record Application Support Service Enablers. Conf Proc IEEE Eng Med Biol Soc. 2015 Aug;2015:1401-4. • Schiza E.C., Fakas G.J., Pattichis C.S., Petkov N., Schizas C.N., Data Protection Issues of Integrated Electronic Health Records (EHR) XIV Mediterranean Conference on Medical and Biological Engineering and Computing 2016, Volume 57 of the series IFMBE Proceedings pp 787-790, 2016. • Schiza E.C., Petkov N., Schizas C.N., Cognitive Computing for Medicine - CoCoMed. COCOMED(Cognitive Computing for Medicine), 8TH-12TH January, 2017, Las Palmas De Gran Canaria • Panos G.Z., Schiza E.C, Aristide I., Chra P., Pavlides G., and Schizas C.N., Universal electronic Health Record (U-EHR): A global medical database management system. APPIS(Applications of Intelligent Systems), 8TH-12TH January, 2018, Las Pal- mas De Gran Canaria

Attended

Conferences • MEDICON 2016(XIV Mediterranean Conference On Medical And Biological Engineer- ing And Computing), 31ST March -2ND April , 2016, Paphos, Cyprus • ICIMTH(International Conference On Informatics, Management And Technology In Healthcare), 9TH-11TH July, 2015, Athens, Greece • COCOMED(Cognitive Computing for Medicine), 8TH-12TH January, 2017, Las Palmas De Gran Canaria • eHealth Week 2015 – Riga (11th-13th May 2015) - volunteer helper & networking • eHealth Week 2016 – Amsterdam, The Netherlands (8th-10th June 2016) -> volunteer helper & networking • eHealth Week 2017 – Malta (10th-12th May 2017) - volunteer helper & networking