Transcript Διαφάνεια 1 - ehealth

European Member States
Collaboration Initiatives for
eHealth Interoperability
ZOI KOLITSI
MINISTRY OF HEALTH, GREECE
CALLIOPE C0-ORDINATOR
The Landscape: EC Supportive Approach
Public Health Policy
eHealth
 HLG for Medical
 i2010 subgroup
Services and Medical
care
 Patient Rights
Directive
eHealth (Advisory)
 Stakeholders Groups
 Ministerial Conferences
Berlin 2007, Portorozz 2008
Cross Border Collaboration Support

Public Health Programme

CIP PSP
Taking the first implementation steps
 Public Health Policy
 MS
Networks for Heath Technology
Assessment (EUNeHTA) and Patient Safety
(EUNetPaS)
 eHealth
epSOS European Patient Smart Open Services, eHealth
Large Scale Pilot
 CALLIOPE Thematic Network
 eHealth-INTEROP project, CEN/ NEN

The Landscape: Industry Oriented Initiatives

Industry Open Collaboration Platforms


Integrating the Healthcare Enterprise (IHE)
Continua Alliance
 EC
mandate M403 – eHealth Interoperability
to ESOs (CEN, CENELEC,ETSI)
 to
build on what is existing and not to create new
standards
epSOS
Smart Open Services for European Patients
 is about European citizens with the possibility to
travel safely all around Europe and have optimum
care e.g. in case of emergency
 aims to develop a practical eHealth framework and
ICT infrastructure that will enable secure access to
patient health information, particularly with respect
to a basic patient summary and ePrescription,
between European healthcare systems.
NOTE : previously S.O.S. - "Smart Open Services - open eHealth initiative for a
European large scale pilot of patient summary and electronic prescription"
epSOS
Smart Open Services for European Patients
 27 beneficiaries
 twelve EU-member states ,
Austria, Czech Republic, Denmark, France,
Germany, Greece, Italy, Slovakia, Spain, Sweden,
The Netherlands, United Kingdom
 Health Authorities and Competence centers
 EU eHealth Industry – the epSOS Industry Team
 30+ European companies
 Secretariat by IHE
epSOS
Smart Open Services for European Patients
 co-financed the European Commission
within the Competitiveness and
Innovation Programme (CIP)
 Launched on 1st of July 2008
 Duration 36 months.
 Going from eHealth Strategies to eHealth Services at
EU Level
IOp Model
Jurisdiction # 1
Jurisdiction # 2
Use Case A
Political / Legal
Organisational
Semantic
Bottom
-up
Technical
Adapted from the I2HEalth project
Interoperability
epSOS, CALLIOPE
Top
Down
Use Case A
Political / Legal
Organisational
Semantic
Technical
Legal Interoperability in epSOS
 without attempting to
intervene in the existing
MS legal frameworks.
 an “epSOS legal
interoperability layer”



provisions for addressing all
essential L&R requirements of
MS as part of the design ;
such provisions are translated
into system and service
specifications (safeguards)
Application of safeguards is
auditable – Key Role of NCPs
Use case 1: patient summary
 An occasional visitor:
 visit is irregular, infrequent, may not be repeated
 incidental encounter
 HCP may have no previous record of the person seeking care.
 A routine case:
 visit is regular, frequent, custom of using services in another
country
 occasional situation
 HCP may have some information available from previous
encounters.
Availability of medication summary 2008
>25%
<25%
>25%
<25%
Nationally available
& operational
Regionally available
& operational
Not available
EU memberstate
(not participating)
Non EU country
Use case 2: ePrescription
 A patient needs medicine that is already prescribed
in the home country when in another country


the pharmacist should be able to electronically access the
prescription ordered in the local country.
the system should notify the country of origin node about the
dispensed drugs.
 A medical professional prescribes medicine to a
visiting patient from another country.


the patient's medical and pharmaceutical history from home
country is made available through the patient summary.
a copy of the electronic prescription is sent for inclusion in the
national medication summary.
Availability of dispense information 2008
>25%
<25%
>25%
<25%
Nationally available
& operational
Regionally available
& operational
Not available
EU memberstate
(not participating)
Non EU country
Legal issues: Summary of Findings
Main Issues
Legal
Certainty
epSOS Approach Main Challenge Expected Impact
Data Protection and
Confidentiality
sufficient
federating national EU level
trust systems
Information
Governance
Health Systems
LOW
epSOS policies and secure
Towards accelerating
safeguards
collaboration with the deployment of
local authorities reimbursable ehealth
cross-border services.
Professional aspects
and social context
LOW
country of
treatment rules
apply
Liability
LOW
elaboration of
collaboration with towards mutual
specific safeguards EU level
recognition
professional
associations, and
stakeholders
Explore
professional rights
in the context of
cross border care
towards harmonisation
of practice
Towards legal certainty
on professionals rights
in the broader context
e.g. telemedicine
Dissemination
 Openness and transparency
 Broad Dissemination
 Contribution to Standards
 Dissemination activities will be supported by the
CALLIOPE Thematic Network
http://www.epsos.eu
The CALLIOPE Thematic Network
 CALL for InterOPErability
 30 month objectives co-financed the European Commission
within the Competitiveness and
Innovation Programme (CIP)
 Launched on 1st of June 2008
 Duration 30 months.
The CALLIOPE Thematic Network
CALL for InterOPErability
 Initiated by the eHealth Initiative
 Promoted by 28 beneficiaries representing
 16 countries
 Austria, Belgium. Croatia, Czech Republic, Denmark,
Estonia, France, Germany, Greece, Iceland,
Luxemburg, Norway, Slovenia, Sweden, the
Netherlands, United Kingdom
 8 Competence Centers, 9 National Authorities,
 11 professional organisations

Industry, Doctors, Pharmacists, Insurance, Patients
The CALLIOPE Thematic Network
 CALLIOPE creates a structured and open forum to support
the implementation of interoperable eHealth
infrastructures and services across Europe.
 CALLIOPE builds a unique cross-stakeholder platform
aspiring to governing principles and supported by a
communication infrastructure and knowledge management
tools.
 CALLIOPE will review and advance the EC interoperability
recommendation, add value to eHealth standardisation
initiatives and propose a European roadmap for eHealth
interoperability.
GOVERNANCE
M A K I N G I N T E R O P E R A B L E E H E A LT H A R E A L I T Y
DECEMBER 2008
I S S U E D B Y: T H E C A L L I O P E S E C R E T A R I AT,
©THE CALLIOPE CONSORTIUM
Governance (provisional)
Six Principles






Openness and
Transparency
Participation
Quality Assurance
Proportionality
Coherence
Impartiality and Freedom
form Specific Interests
Three Key Policy Areas



The Calliope Open Forum People
The Calliope Open Forum
– Collaboration
Collaboration with
External Organisations
The Calliope Open Forum - People
 The CALLIOPE Network - Organisations
Founding Members
 New Members
 CALLIOPE Subscribers – Organisations and /or individuals

 CALLIOPE Contributors – individuals
Contribute to WGs
 Normally designated by Members

European Health Forum Gastein, 2008
Collaboration with External Organisations
e.g. a unique collaboration with epSOS, where
epSOS is developing interoperable Patient Summaries
and ePrescription services to be piloted within the three
years life time of the project; a long term perspective is
guaranteed by the commitment of the participating
Member States, and
 CALLIOPE is supporting this process by providing a
European platform for open dialogue and strategic
collaborations with relevant stakeholders to further
advance the development and deployment of
interoperable eHealth services.

Method of Work
 A Secretariat
 Work Groups

Setting up the Network
WG1: The Governance WG
WG2: Communication and Dissemination WG
WG3: Knowledge Tools WG

Strategy Support
WG4: The Interoperability Road Map WG
WG 5: The EC Iop Recommendation WG

Dissemination and Implementation Support
WG 6: The Standardisation WG
CALLIOPE Open Sessions
 Bi-annual
 Thematic
 In association to internal Interoperability Events
 Nest Meeting in Paris ,
May 26-28th, 2008
www.calliope-network.eu
Thank you!