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  16th International Conference on E-health
Networking, Application & Services
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Heynote and Panels
Keynote Speakers

1. The Interoperability Explosion: Where We Are and Where We Are Headed
The healthcare delivery systems in Canada, the US, and around the world, are seeing unprecedented transformation, including but not limited to a historic infusion of government and private funding to establish an eHealth infrastructure that truly meets clinical and non-clinical needs in a “meaningful” way.  Not surprisingly, healthcare IT professionals are rapidly expected to play an every-increasing strategic role in this process. The number one challenge for IT and IM professionals today is “interoperability”… the ability to move clinical and non-clinical information ubiquitously to wherever and whenever it is needed… no matter whether locally, regionally, nationally and internationally.  Most incentive funding in many parts of the developed world is specifically targeted at ensuring that an electronic health record can be accessed and added to at any point of care, no matter where it is delivered.
While we have come so very far over the past 10 years, experts agree that there is still much to be done.  Adding to this is the realization that, after incentive funds are exhausted, a continuing interoperability program must be sustainable.  This has profound impact socially, politically, and financially. While we have many examples of “success” around the world, it is not clear that we have yet arrived at a clear “best practice”.  This necessitates that the IM/IT industry carefully follows today’s initiatives, but keeps a watchful eye on the needs of tomorrow.
Mr. Michael Nusbaum, BASc, MHSA, FHIMSS will discuss interoperability’s current state, issues and initiatives, and to formulate a vision for the future. Michael is a global expert in healthcare interoperability, and is an active Board member of IHE International.  This presentation will address a clear and common understanding of today’s initiatives, coupled with a shared vision of challenges requiring attention over the next 10 years.
Name and Affiliation
Michael H. Nusbaum, BASc, MHSA, FHIMSS
President, MH Nusbaum & Associates Ltd.
Victoria, BC Canada

Short Bio
Michael H. Nusbaum is a management consultant who has been practising in the health care industry his entire career.  With a broad background in health services administration, coupled with strong education and experience in information management and information technologies, Michael brings a wealth of knowledge and expertise to a project.  Amongst a number of subject matter domains, Michael is a recognized expert in healthcare IT standards and interoperability.  Over the past decade, he has contributed as:
  • IHE International Board Member
  • IHE International, IT Infrastructure Domain Planning Committee co-Chair
  • IHE Canada, President
  • HIMSS EHR Steering Committee Chair
  • Facilitator and Technical Writer, Healthcare IT Standards Panel (HITSP)
  • ISO/TC215 Canadian Advisory Committee (domestic lead on all ISO/TC215 WG2/7 items)
  • ISO/TC215 Liaison Officer for IHE International
  • Joint Initiative Council member, representing IHE International
  • Project Manager, Infoway Standards Collaboration Process (SCP)
  • Standards Collaborative Technical Subcommittee (TSC) – ISO Constituency representative
  • Standards Collaborative Coordinating Committee (SCCC) – ITAC/Health representative
  • Standards Collaborative Steering Committee (SCSC) – IHE Canada Head of Delegation
  • ITAC/Health Interoperability and Standards Committee co-Chairpan-Canadian Standards Group Chair – Client Registry & Provider Registry

2. Patient-centric health informatics, from concepts to practice: Portuguese Patient Portal and EU-wide efforts
Patient at the heard of all we do? In IT? In healthcare informatics? Really??? I don’t think so?” This keynote will explore the following questions: i) why is conventional healthcare informatics not (yet) looking at patients first? ii) how is patient-centric health informatics different from previous health informatics? Iii) why do we have to worry about this and do it fast? iv) what added value is there for organizations in a really patient-centric approach to health informatics? v) are there examples?
By exploring these questions, this keynote will highlight the main pillars/concepts of patient informatics, like Eletronic Patient Records (EPRs), Patient Portal, Patient-programed informatics, Patient vocabularies, Patient Registries made by Patients, Implementing patient-centric ehealth projects. The example, from the PPP- Portuguese Patient Portal, will be used to illustrate some of these concepts, as well as explain some of the challenges and lessons learnt.  The patient-centric national eprescrition module will serve to explain how these approaches can be conflicting with status quo in organizations and professional groups.
As EXPAND project coordinator ( the speaker is equipped with an updated picture of most EU-wide efforts/projects on cross-border ehealth efforts. A brief description of Trilium bridge, epSOS, eSENS, and EXPAND as well as a discussion of the EU eHealth roadmap will be part of this keynote.
Name and Affiliation

Prof.  Henrique Martins, MD(Lisbon), MPhil, PhD(Cambridge)
CEO of SPMS.EPE Shared Services of the Ministry of Health, Portugal
Assistant Professor, Faculty of Health Sciences, Universidade da Beira Interior, Portugal
Health Executive education Coordinator at the Catholic Lisbon Business School.
Internist Physician, Fernando Fonseca Hospital, Lisbon, Portugal.
Chairmen, Shared Services of the Ministry of Health (SPMS), Portugal

hort Bio
Prof. Martins is an Internal Medicine Specialist. He obtained his PhD degree from the Judge Business School, University of Cambridge with a thesis on “The use of Mobile ICT in clinical Settings”. He holds a Master in Management from the University of Cambridge and a Masters in HIV/AIDS from the University of Barcelona. He has several publications in the area of Mobile computing in healthcare and many conference presentations/keynotes in the area of eHealth. 
He currently works at the Ministry of Health as Adjunct for Health IT to the Health Secretary of State and is President and CEO of the Shared Services of the Portuguese Ministry of Health (SPMS), being responsible for the new Health Information Sharing Platform for Electronic Health Records and for nationwide efforts on complete electronic prescription and Clinical informatics. He is the representative for Portugal at the European eHealth Network as well as the National EpSOS projecto Coordinator ( He additionally works as CMIO – Chief Medical Information Officer at the Hospital Fernando Fonseca, and coordinates the Center for Investigation and Creativity in Informatics (, where he supervises projects in robotics, mobile computing and database exploration and intelligent systems. He teaches health management, leadership and medical informatics in Portugal and abroad.

3. Emerging trends for decentralized e-health services in smart cities
Societies globally are undergoing fundamental and unprecedented demographic changes. Similarly cities are experiencing intrinsic structural changes. Today many nations in Europe and worldwide are facing the impact of these challenges that in some cases exhibit interactions that amplify the effects. Governments and local authorities are seeking for solutions by setting policies to mitigate the anticipated effects. In some cases information and communications technologies (ICT) can support such policies by providing the infrastructure for the implementation and provisioning of various services to citizens in an effective and cost efficient way and at the same time enable citizen participation. Among various dimensions that typically are associated with smart cities, like mobility, environment, living, etc. the integration of health care is a primary objective since the cost of health care is currently increasing faster than the GDP in most countries.
Europe has mobilized a significant part of its industry in a Public-Private-Partnership on Future Internet (FI-PPP), which is a European programme for Internet-enabled innovation. The FI-PPP will accelerate the development and adoption of Future Internet technologies in Europe, advance the European market for smart infrastructures, and increase the effectiveness of business processes through the Internet.
In this context the FI-STAR project establishes early trials of services and applications in the health care sector by building on top of Future Internet Technologies developed in the programme. The project’s ambition is to augment smart cities infrastructures by creating a sustainable ecosystem for all user groups in the global health care and adjacent markets based on FI-PPP specifications.
FI-STAR is a unique opportunity to deliver standardised and certified software including a safe, secure and resilient platform, taking advantage of all Cloud Computing benefits and guaranteeing the protection of sensitive and personal data. The presentation will provide an insight on the current status and the anticipated future trends for decentralized e-health services in smart cities.
Name and Affiliation
Anastasius Gavras,
FI-STAR Project Coordinator
Programme Manager, Eurescom, Germany

Short Bio
Anastasius Gavras has more than 20 years of professional experience in academic and industry research. He joined Eurescom, the leading organisation for managing collaborative R&D in telecommunications, more than 12 years ago as programme manager, focusing on the areas of management of networks & systems, security and middleware. In these areas he has managed a large number of studies and projects on topics which are of concern to the Eurescom member community of European telecom network operators and the European telecom industry at large. He has served as coordinator of several RTD projects under the European framework programmes and has experience in standardisation among others in OMG and ITU-T for which he has served as rapporteur.
His current interests are large scale testbed federations for enabling future Internet research and experimentation among others in the context of the Public-Private Partnership on Future Internet (FI-PPP). In the context of the FI-PPP he is the project co-ordinator of an early trial project in the health sector. Furthermore he is interested in innovation on top of future Internet platforms and the evolution of the future networks in general. He is a steering board member of the FI-PPP and is actively involved from their inception, both in the Future Internet Assembly (FIA) and the Future Internet Research and Experimentation (FIRE) initiative. He is author or co-author of several papers and articles in the area and is co-editor of all four FIA books so far. He is member of the editorial board of the Eurescom mess@ge magazine and has authored several articles for the magazine, typically with a techno-socio-economic dimension.


4. Emergent eHealth Technologies for Neuromodulation Therapies
The increase in life expectancy and the low birth rates have created an unprecedented situation in the human history: the pervasive, profound and enduring aging of world human population. This situation is expected to generate deep social, economical and political challenges. For example, neurodegenerative diseases, which have a high prevalence in population over 60 years old and no cure so far, are not only a personal and a family tragedy, but threats to have a devastating social and economic impact on the societies. Despite the vast knowledge acquired in the last decades regarding the molecular and cellular aspect of neurodegenerative disorders, we are still far from having efficient therapies, for example, for Alzheimer´s disease, the most prevalent neurodegenerative disorder among the older population. Levodopa, the best therapy for the second most prevalent neurodegenerative disorder, Parkinson's disease, was discovered some 5 decades ago, and although it presents adverse effects in the long-terms, it is still the golden standard for treating Parkinson's disease. Therapies based in neuromodulation with electrical stimulation of the nervous system have been systematically used since 3 decades ago. This modality of therapy has the advantage of being dynamically controlled and thus, has the option of avoiding secondary effects and maximize the therapeutic effects. Currently, neuromodulation therapies are a standard way to treat Parkinson' disease, and they are being tested not only for other neurodegenerative disorders, but for several other neurological disorders as well. The presentation will provide the state-of-the-art of the neuromodulation for neurological disorders and explore the future trends on this field.
Name and Affiliation
Edgard Morya
Research Coordinator
Edmond and Lily Safra International Institute of Neuroscience of Natal (ELS-IINN)
Natal-RN, Brazil

Short Bio
Dr. Edgard Morya is the Research Coordinator at the Edmond and Lily Safra International Neuroscience Institute of Natal. Bachelor in Physiotherapy from the University of São Paulo (1996). PhD in Human Physiology at the Institute of Biomedical Sciences, University of São Paulo (2003) and Postdoctoral Fellow in Human Physiology at the Institute of Biomedical Sciences, University of São Paulo (2006) in collaboration with The Netherlands Research Institute for Fundamentals and Clinical Human Movement Sciences, Vrije University Amsterdam (2004) and Laboratorio di Ergonomia Cognitiva da Università di Roma La Sapienza (2004-2006). His research areas of interest include: motor control, rehabilitation, plasticity, learning, EMG, EEG, psychophysics, perception-action, neurophysiology, virtual reality, eye-tracker.







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