eHealth - the eu policy perspective (2012)
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eHealth – The EU policy perspective 18 September 2012 HelsIT Marc Lange Secretary General
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eHealth
–
The EU policy
perspective
18 September 2012 HelsIT
Marc Lange
Secretary General
18
September
2012
European Health TELematics
A cross-(any)border and multidisciplinary
collaboration forum
Sustainable and large scale eHealth deployment
requires engagement and synergies
2 HelsIT
Some of our Publications
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September
2012
3
Empowering the Citizens
Ethics and eHealth
Deploying eHealth and Telemedicine
Policy lessons learned
HelsIT
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September
2012
Our Activities
4 HelsIT
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September
2012
Our platform enables an overview
5 HelsIT
HelsIT 18
September
2012
6
An EU policy vision for eHealth
Three axes
To have an impact on the health care systems:
• A holistic approach
Because eHealth has to be an “open” system:
• An interoperability framework
To answer the demand for quality and accessible
care, cost containment and face the challenges of
chronic diseases and an ageing population
• New models of care + Evidence
An EU Policy vision (...)
Why eHealth
Council Conclusions on Safe and efficient healthcare through eHealth (December 1st, 2009)
[...]
7. RECOGNISES the importance of eHealth as a tool to improve quality and patient safety, to modernise national healthcare systems, to increase their effectiveness and make them more accessible to all and better adapted to meet the individual needs of patients, health professionals and the challenges of an ageing society;
8. RECOGNISES the need for further political leadership and to integrate eHealth into health policy in order to develop eHealth services on the basis of public health needs;
[...]
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September
2012
7 HelsIT
A h
olistic
a
pp
ro
ach
Foundation eHealth infostructure
Patient identification and patient data discovery
Data structures and value sets EHR, EMR, PHR, other
Clinical terminologies and classifications and codifications
Data and knowledge management tools
HCP Authorization, authentication and rights management
Consent management and access control
Data interoperability and accessibility
Data bases and Registries
eHealth Governance
Market development, new business models, and incentives
Privacy, quality and safety policies
Legislative and regulatory framework
Financing, Resource allocation and reimbursement models
eHealth leadership, policy and strategy
EU & National Stake-holder collaboration
Fostering standards adoption
Monitoring, evaluation
Sustainable Healthcare Sharing Information and Knowledge for
Better Health
eH
eal
th S
erv
ice
s
Pat
ien
t su
mm
arie
s
Elec
tro
nic
pre
scri
bin
g
Ch
ron
ic C
are
Man
agem
ent
Co
mm
un
ity
serv
ices
, A
AL
Rar
e d
isea
ses
Oth
er n
atio
nal
pri
ori
ties
e.g.
, Dat
a an
alys
is &
agg
rega
tio
n
Kn
ow
led
ge m
anag
emen
t, e
tc.
Common EU priorities
National priorities
Foundation ICT infrastructure
Mobile and fixed Electronic Communication Infrastructures
ICT processing and storage services
ICT Professional and technical support; Training
Access to ICT Networks, equipment and facilities
6 June 2012 2012 UPMC Symposium 8
HelsIT 18
September
2012
9
An EU policy vision for eHealth
Three axes
To have an impact on the health care systems:
• A holistic approach
Because eHealth has to be an “open” system:
• An interoperability framework
To answer the demand for quality and accessible
care, cost containment and face the challenges of
chronic diseases and an ageing population
• New models of care + Evidence
The 4 Cs of Healthcare
• Continuity of Care
• Collaboration
• Communication
• In a Confidential environment
2012 UPMC Symposium 6 June 2012
An interoperability framework
Jurisdiction # 1 Jurisdiction # 2
Function A
Organisational
Semantic
Technical
Political / Legal
Function A
Organisational
Semantic
Technical
Political / Legal IOp
Ag
reem
en
t In
terfa
ce
; Ma
pp
ing
; Tra
nsla
tion
...
Top-
Down
Bottom
-up
10
HelsIT 18
September
2012
11
An EU policy vision for eHealth
Three axes
To have an impact on the health care systems:
• A holistic approach
Because eHealth has to be an “open” system:
• An interoperability framework
To answer the demand for quality and accessible
care, cost containment and face the challenges of
chronic diseases and an ageing population
• New models of care + Evidence
New models of care +
Evidence
6 June 2012
Quality
of
Life
€10,000 €1,000 €100 €10 €1 Adapted from Intel
Specialty Clinic
Community Hospital
ICU
Acute Care
Assisted
Living
Skilled
Nursing Facility
Residential Care
Independent,
Healthy Living Prevention
Chronic Disease
Management Doctor’s
Office
Tele-homecare & mobile care
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The Landscape (...)
How eHealth?
The three ages of eHealth:
• discovery (1989-1999)
• acceptance (1999-2009)
• deployment (2009-2019)
… and eventually a fourth age
when the “e” prefix is no longer needed
and IT is an integral part of
delivering, managing and receiving care.
www.ehtel.org/publications/ehtel-briefing-papers
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September
2012
13 HelsIT
EU Policy instruments
Information Society
• Digital Agenda for Europe
Legal framework for cooperation on eHealth
• Directive on Patient’s Right in Cross Border healthcare
European Innovation partnership on
• Active and Health Ageing
Funding programmes
• From R&D to Policy Support: the CIP ICT-PSP
• A proposal for “Connecting Europe Facility” and
“Horizon 2020”
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2012
14 HelsIT
18 September 2012 15 HelsIT
Digital Agenda for Europe
18 September 2012 15 HelsIT
What
• DAE - EC Communication, adopted in May 2010
– Flagship Initiative of EU 2020 Strategy Sustainable growth
• Strategy “to deliver sustainable economic and social benefits from a digital single market
What
Digital Agenda for Europe
18 September 2012 16 HelsIT
eHealth actions in DAE
18 September 2012 17 HelsIT
e.g. SUSTAINS
& PALANTE [comments from EHTEL]
e.g. Renewing Health,
CommonWell &
MOMENTUM [comments from EHTEL]
KA 13 Undertake pilot actions to equip Europeans
with secure online access to their medical
health data by 2015 and to achieve by 2020
widespread deployment of telemedicine
services;
EMPOWERING
eHealth actions in DAE
18 September 2012 18 HelsIT
On the basis of the
lessons learned
from epSOS [comments from EHTEL]
KA14 Propose a recommendation defining a
minimum common set of patient data for
interoperability of patient records […] by 2012
CONTINUITY OF CARE +
INTEROPERABILITY
EU Policy instruments
Information Society
• Digital Agenda for Europe
Legal framework for cooperation on eHealth
• Directive on Patient’s Right in Cross Border healthcare
European Innovation partnership on
• Active and Health Ageing
Funding programmes
• From R&D to Policy Support: the CIP ICT-PSP
• A proposal for “Connecting Europe Facility” and
“Horizon 2020”
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September
2012
19 HelsIT
Cooperation on eHealth – legal
framework
Directive on patients’ rights in cross-border healthcare
(2011-24)
Article 14: eHealth
1. The Union shall support and facilitate cooperation and
the exchange of information among Member States […].
2. The objectives of the eHealth network shall be to:
(a) work towards delivering sustainable economic and social
benefits of European eHealth systems and services and
interoperable applications […]
(b) draw up guidelines on […]
(c) support Member States in developing common identification
and authentication measures to facilitate transferability of
data in cross-border healthcare
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2012
20 HelsIT
World eID - Nice (FR)
eHealth Governance Initiative and
eHealth Network play an important role
21
eHealth Network of MS
Art. 14 Directive on Patients Rights (2011)
Joint Action + Thematic Network
eHealth Governance Initiative
epSOS project
(Patient summary /
ePrescription)
SemanticHealthNet
project
STORK project
(eIdentification within
eHealth domain)
eHealth EIF
project
CALLIOPE Network
Interoperability
Roadmap
eHR QTN project SmartPersonalHealth
project
HITCH project
••• 21
EU Policy instruments
Information Society
• Digital Agenda for Europe
Legal framework for cooperation on eHealth
• Directive on Patient’s Right in Cross Border healthcare
European Innovation partnership on
• Active and Health Ageing
Funding programmes
• From R&D to Policy Support: the CIP ICT-PSP
• A proposal for “Connecting Europe Facility” and
“Horizon 2020”
18
September
2012
22 HelsIT
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2012
23 HelsIT
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2012
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European Innovation Partnership
on Active and Healthy Ageing
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2012
25
Active and Health Ageing (…)
EU Policy instruments
Information Society
• Digital Agenda for Europe
Legal framework for cooperation on eHealth
• Directive on Patient’s Right in Cross Border healthcare
European Innovation partnership on
• Active and Health Ageing
Funding programmes
• From R&D to Policy Support: the CIP ICT-PSP
• A proposal for “Connecting Europe Facility” and
“Horizon 2020”
18
September
2012
26 HelsIT
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2012
27
Competitiveness and Innovation
Framework Programme (CIP)
A funding programme for
reinforcing the competitiveness and innovation
capabilities of the EU economy (2007 - 2013)
• Three operational programmes
• Information Communication Technologies Policy Support
Programme (ICT-PSP)
• Funding goes mainly to pilot actions, involving both public
and private organisations, for validating in real settings,
innovative and interoperable ICT based services
• eGovernment,
• eHealth, with projects such as epSOS, Renewing Health,
SUSTAINS …
• …
HelsIT
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28
1) Prevention and health promotion
3.1 Integrated care services
3.3 Digital skills 3.5 Telemedicine
3.7 Community Building
Framework Conditions / Communication and awareness
3.4 Fall prevention
3.6 Interoperability
3.2 Independent living
2) Care and cure
3) Independent living and social
inclusion
CIP ICT-PSP Work programme
for 2012
HelsIT
Connecting Europe Facility
••• 30
Connecting Europe Facility:
What is it?
Falls under the Multiannual Financial Framework (MFF) 2014-2020
Common Fund Instrument for trans-EU network (TEN) to:
Accelerate deployment of infrastructures needed at EU level
Enhance cross-border connections and tap existing gaps (e.g. tackle single market
fragmentation through pan-EU ICT networks/services)
Promote territorial ‘convergence’ connecting the centre-periphery
Through financial tools:
Grants and procurements
New Innovative tools
Based on the same principles underpinning the MFF 2014-2020:
Result-focused, simplification, conditionality, leveraging investment
HelsIT
••• 31
CEF for Telecommunications & ICT
Funding will cover digital service infrastructures and broadband
Objectives:
Digital services
Promote the interconnection and interoperability of national public services on-line
Increase the percentage of citizens and businesses using public services on-line
Make more public services available across borders
Broadband
Accelerate the deployment of fast and ultrafast broadband networks and their uptake (SMEs)
Increase the # of households having subscribed for broadband connections above 100 Mbps
Improve the level of broadband and ultrafast broadband coverage/availability
Investments targeted towards development, implementation, as well as the costs of running the infrastructure at European level.
HelsIT
Industrialisation – our To Do list
2012 UPMC Symposium 6 June 2012 32
Deploying an eHealth infrastructure
• Identification, Authentication, Authorisation
• Semantic: terminologies, codifications, data repositories
Creating evidence about service impact
• Quality care
• Cost efficiency
• Organisational efficiency
• Quality of life
Building capacities
• Methods for successful deployment
of services in routine care
• An engaged stakeholder community
6 June 2012
A decade of eHealth
Thank you for your attention
More on some EU-wide projects
• www.calliope-network.eu
• www.i2-health.eu
• www.ehgi.eu
• www.epsos.eu
• www.renewinghealth.eu
• www.telemedicine-momentum.eu
For continuing the discussion
• www.ehtel.org
Marc Lange
Secretary general
EHTEL Association M.E.P.S. 50, rue d’Arlon
B-1000 Brussels Belgium
Tel: +32 (0)2 230 15 34
Fax: +32 (0)2 230 84 40
Mobile: +32 (0)475 27 71 45
www.ehtel.eu
2012 UPMC Symposium 33
