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Towards an European eHealth High Level Governance

Michèle THONNET

Ministry of Labour, Employment and Health

Paris, France eHGI Mainstream &Roadmap chair

epSOS-eHGI Athens 2011-11-10

MS-EU co-operation : Policy & Strategy



HEALTH is a national prerogative

subsidiarity is key but challenges are the same in each M.S.

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EU level

– – – – –

:

a volontarist collaboration between M.S.

supported by the E.C.

confirmed by the « eHealth action plan » declined on diverse « join » initiatives & Reco design through dedicated groups & official doc

2002-2011:

a new era in legal and policy framework for EU Cooperation on eHealth

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Communication on Quality criteria for a web site Communication on the eHAP Recommendation on cross-border interoperability of electronic health record systems Communication on telemedicine healthcare systems and society for the benefit of patients, eHealth Standardisation Mandate 403

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----------------------------------------------------------------------------------- EU Council conclusion through eHealth on safe and efficient healthcare – December 2009 Adoption of the Directive border healthcare - 2011 on patients’ rights in cross-

eHR Modelling: an input for collaboration (2007) 4

Interoperability

RECOMMENDATION REVIEW – Interoperability is considered for the purpose of “integrated, connected and interoperable continuity of care for Europe”: • • • • Political Organisational Semantic Technical/ standards 5 5

other EU current initiatives : EC & MS

  Health –

Europe 2020: “Sustainable health”; Innovative Union

Standardisation & new partnerships –

IT Standardisation mandate

– – –

Digital Agenda for Europe (DAE) European Innovative Partnership (EIP) AHA Connecting Europe Facility,…

 eHealth M.S. and stakeholders voluntary cooperation – –

epSOS (cross border patient services) CALLIOPE (eHealth Roadmap) eHealth High Level Governance

AN EU eHEALTH INTEROPERABILITY ROADMAP

What:

possible future actions at EU level

For what:

To accelerate eHealth deployment

Who:

Health care community

How

: Use Cases, alternatives, maturity and opportunities, building on what is shown to work 1 st stop Barcelona 2010 2 nd step Mai 2011 Budapest

WHERE?

FOR WHAT PUPROSE?

WHO BENEFITS?

WHAT’S AT STAKE?

A proposal for a common EU Roadmap for eHealth 7 7

Adoption of a common working model

Sustainable Healthcare Sharing Information and Knowledge for Better Health

Common EU priorities

Foundation eHealth infostructure

Patient identification and patient data discovery Clinical terminologies and classifications and codifications HCP Authorization, authentication and rights management Consent management and access control

Foundation ICT infrastructure

Mobile and fixed Electronic Communication Infrastructures Access to ICT Networks, equipment and facilities National priorities Data structures and value sets EHR, EMR, PHR, other Data and knowledge management tools Data interoperability and accessibility Data bases and Registries ICT processing and storage services ICT Professional and technical support; Training eHealth Governance policy and strategy EU & National Stake holder collaboration Privacy, quality and safety policies Legislative and regulatory framework Fostering standards adoption Market development, new business models, and incentives Financing, Resource allocation and reimbursement models Monitoring, evaluation 8 8

Recommendations and Outlook

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propositions

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provide concrete input to decision making

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support of the eHealth high level governance process www.calliope-network.eu

Political priorities

Directive on patients rights in cross border Healthcare : eHealth article (14)

The Union shall support and facilitate cooperation and the exchange of information among Member States working within a voluntary network connecting national authorities responsible for eHealth designated by the Member States.

Art 14:

2. The objectives of the eHealth network shall be to:

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(a) work towards delivering sustainable economic and social benefits of European eHealth systems and services and interoperable applications , with a view to achieving a high level of trust and security, enhancing continuity of care and ensuring access to safe and quality healthcare;

 (b) draw up guidelines on

▌ : (i) a non-exhaustive list of data that are to be included in care and patient safety across borders, and patients' summaries and that can be shared between health professionals to enable continuity of (ii) effective methods for enabling the use of medical information for public health and research;

 (c) support Member States in

developing common identification and authentication measures to facilitate transferability of data in cross-border healthcare.

How to « implement » it ?

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Building on existing collaboration

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Bridging the gap between political decision makers & stakeholders

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eHealth High Level Governance

Main objectives

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1. Provide to MS a consolidated approach and a strong political committment to governance at three levels (1) Policy (2) Strategy and (3) Operational

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2. Provide to the MS, the EC and other relevant stakeholders a platform and “a think tank” for current and emerging challenges which could lead to a strong consolidated Roadmap of concrete actions and the description of potential future pilot projects and partnerships

Main objectives …

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3. Provide to the MS, the EC, the Competence Centres, the IT-Industry and to other relevant stakeholders a European eHealth Interoperability Framework

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4. Provide to the EC, EPSCO Council and to other relevant stakeholders targeted support for activities requiring broad convergence across Europe service solutions at MS level , such as future LSP eHealth projects and common interoperable

Overall project structure

eHealth Governance Group Chaired by the EU-Presidency Executive Committee eHealth Governance Steering Group Mainstreaming (FR) Roadmapping (FR) Trust and Acceptability(BE) Legal and Protection of Personal Data (HL) Interoperability, Standardisation and Market (GE) Dissemination (SK) Evaluation (DK)

Collaborative evolving process

Political priorities

3 rd step Copenhaguen Mai 2012

Agreement and validation of the next priorities e-ID proposal and list of Stakeholder priorities

Reaching agreements through continuous bench-learning loop across concerned actors

European eHealth Governance levels



Policy level

to set out higher level political objectives,

define common priorities and policy measures

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Strategic level

: to agree on concrete strategies for developing and implementing integrated, value adding eHealth services Establishment and maintenance of an open platform for multi-stakeholder trusted dialogue

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Operational level

: deeper focus in areas such as e-ID, ethics, security policies and services, EU infostructure, re-engineering of the standardisation process,

maintaining links to national stakeholder groups, etc.

From eH HLGG to

Network eHealth

facilitate cooperation and the exchange of information among Member States working within a voluntary network connecting national authorities responsible for eHealth designated by the Member States

e-Health Network =

Thank you for attention

[email protected]