The Digital Transformation of

Healthcare in the EU and

implications for top level hospitals

Ioana Gligor Head of Unit

European Reference Networks and Digital Health

European Commission

Overview

• Digital single market: priorities

• ERNs: digital, research, genomics, AI

• Funding opportunities

Health Priorities in the Digital Single Market Strategy

Commission: Mid-Term Review of the Digital Single Market Strategy, May 2017

eHDSI: Better citizens’ access to their health data

The eHealth Digital Service Infrastructure

(eHDSI) enables exchange of patient data

across borders

• Patient Summary provides access to health

professionals to verified key health data of a

patient during an unplanned care encounter

while abroad

• ePrescription enables patients to receive

equivalent medication while abroad to what

they would receive in their home country

Cross-Border Possibilities to Help Patients with

a Rare Disease

European Reference

Network

Local Healthcare

Provider

Centre of Expertise

Centre of Expertise

Local Healthcare

Provider

Centre of Expertise

Remote monitoring

and follow-up

Virtual clinical/tumour

boards

Remote guidance and

Diagnosis

Secure exchange of Patient

information, databases/registries

Tele-radiology

Tele-surgery

Tele-imaging

Tele-dermatology

Tele-consultation

….

Remote

training

European Reference Network's IT Tools

ERN Collaboration

Platform

2017

2018

2019…

Training

Knowledge sharing

e-learning

Website

Rare disease registries

(ERNs, CHAFEA, JRC)

Clinical Patient

Management System

Operational since: June November

Registries for ERNs Supported by grants from the EU Health Programme

• 5 projects ongoing (2018-2020)

ERKNet: ERKReg project (ERKNet Registry for Rare Kidney Diseases)

MetabERN: U-IMD (Unified European Registry for Inherited Metabolic Disorders)

Endo-ERN: EuRRECa (European Registries for rare Endocrine Conditions)

ERN-LUNG: RD Registry Data Warehouse

ERN PaedCan: PARTNER (Paediatric Rare Tumours Network-European Registry)

• 2019 call to support the 19 other ERNs

Research – European Joint Programme (EJP) co-fund

for Rare Diseases

Global Personalised Medicine Initiatives (Genomic data)

United States

1 million genomes and € 3.8 billion

planned investment

China 100 million genomes

and € 7.9 billion planned investment

France 235.000 genomes

UK 100.000 genomes

Estonia Planned 50.000

genomes Denmark Finland

1 million genomes accessible in the EU by 2022 through a

secure and trusted data infrastructure privacy & security

by design

PROPOSED EU ACTION

Pooling health data for research and personalised

medicine

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• Access to federated network of genomic datasets at

national / regional level

• Working streams include governance; ethical, legal

aspects; standards and data requirements,

sequencing practices; federated secure,

interoperable and privacy-respecting framework;

health economics stakeholders; use cases.

• ERNs: involved in WG on rare diseases

Towards access to at least one million genomes in the EU by 2022

Communication Artificial Intelligence for Europe

• Boost EU’s technology and industrial capacity and AI uptake

• Address AI's socioeconomic impact

• Ensure an appropriate ethical and legal framework

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AI – converging intelligences

• ERNs and AI: genomics, possibly cancer images

• Clinical applications

• Health systems applications

• AI and patients

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Funding opportunities digital health 2021-2027

Digital Europe Programme Horizon Europe

and Connecting Europe Facility

European Social Fund + European Regional

and European Globalisation Development Fund

Adjustment Fund

InvestEU Programme

REGIONAL DEVELOPMENT AND COHESION

A strengthened link with the European Semester

A simplified framework and less red tape for the beneficiaries

of the funds

A more tailored approach to regional development

Source: European Commission

Electronic health records Medical clouds Interoperability etc

!!! Negotiation of operational programmes

Inside the EU

InvestEU Programme

Horizon Europe: evolution not revolution

The Commission proposal for a € 100 billion research and innovation funding programme for seven years (2021-2027)

Foster all forms of innovation and

strengthen market deployment

Strengthen the impact of R&I

in supporting EU policies

Support the creation and diffusion

of high-quality knowledge

Optimise the Programme’s delivery for impact in a strengthened ERA

Strengthening the European Research Area

Reforming and Enhancing the European R&I system Sharing excellence

Pillar 1 Open Science

European Research Council

Marie Skłodowska-Curie Actions

Research Infrastructures

Pillar 3 Open Innovation

European Innovation Council

European innovation ecosystems

European Institute of Innovation

and Technology

Pillar 2 Global Challenges and

Industrial

Competitiveness

• Health (7.7 bn)

• Inclusive and Secure Society

• Digital and Industry (15 bn)

• Climate, Energy and Mobility

• Food and natural resources

Joint Research Centre C

luste

rs

Digital Europe programme – what? Reinforcing digital capacities. Ensuring their best use.

Funding: Connecting Europe Facility (CEF)

Transport

Energy

DIGITAL (€3 billion for the EU budget 2021-2027)

Supporting development of high-performance infrastructure in

3 areas

MFF post 2020 – Reform Support Programme

Reform Delivery Tool

Financial support available to all Member States

European Semester reform challenges

Technical support

Tailored technical expertise available to all Member States

Continuation of the SRSP

Wider scope for intervention

Convergence Facility

Financial and technical support to Member States committed to adopt the euro

Reforms to prepare for participation in the euro area

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Thank you!

DigitalSingleMarket@DSMeu

EU_Health@EU_Health

DG Health and Food Safety

http://ec.europa.eu/health/ehealth/policy/index_en.htm