Transcript eHealth action lines 6th FP

Baltic IT&T Forum: eBaltics
Riga, April 7-8, 2005
European Commission
activities in eHealth
- Towards a European
eHealth Area
Silas Olsson
ICT for Health Unit - eHealth
Directorate General Information Society and Media
European Commission
Brussels
Introduction – Agenda for today
• R&D - Past, Present and Future
• Call for project proposals
• Policy Context
• Support for deployment
• An Action Plan for European eHealth Area
Some Challenges of Health Sector
• Social
• Ageing (3-4 years increase in life expectancy up to 2030 OECD, persons aged 80+ heaviest users of medical care)
• Economy - Organizational
• More efficient management of health care services
• Policy
• Better co-ordination and management of health care policies
at European and International level
• Cross-border eHealth – legal and ethical aspects
• Better prevention methods and practices
• Technological
• More sophisticated & user friendly healthcare tools/systems
• Better and more responsive health care services for citizens
20 Years of eHealth in European Union
PAST 10 years (1991-2002)
FP2
FP3
Computer
Applications for
Doctors
FP4
NEXT
FP5
Regional Health Info
Networks
Home-care systems
Telemedicine systems
and services
Personal Health
Systems
@
10 years (2003-2014)
Ambient intelligence supporting well being
Health Knowledge Infostructure
Biomedical Informatics for individualised health
Keywords: biosensors, Wearable &
Implantable systems, eCell, eTissue,
ePerson, HealthGRID
Budget
Budget
Budget
Budget
20M €
100M €
140M €
200M €
Projects
Projects
Projects
Projects
30
63
158
125
eHealth 2003-4-5 Conf.
Results
Results
Results
Results
batch of
Products
EU Health
Support Public Health Policy
Feasibility
AIM
Community
Study
1st
Telematics
Industry
eEurope 2002 + 2005,
Coordination & Support to Regional National Plans, International cooperation
Technology assessment & transfer
1994–2002, Special focus of RTD in E.C.
National/Regional Health Network
Hospital
Emergency
Health Center
Pharmacy
Clients
LAN
Firewall
Region 2
Region 3
ISDN
analog
XDSL
mobile PC
Server
Home
A80218-Siemens© GT
http://www-GT.med.siemens.de
MedCom, the National Danish network:
2.5 mio. EDI messages/month
GP´s with EDI :
1929 = 88 %
1000000
Specialists with EDI:
900000
Hospitals with EDI :
485 = 76 %
79 = 100%
Pharmacies with EDI:
800000
Prescriptions
1039105 = 73%
332 = 100 %
Doctors on Call:
15 = 100 %
700000
Health Insurance:
16 = 95 %
600000
50 messages /min
Disch. Letters
682923 = 85 %
Lab. reports
543040 = 82 %
500000
400000
Referrals
40113 =25%
300000
Reimbursem
13290 = 47 %
200000
100000
0
92
93
94
95
96
97
98
99
20
O1
O2
O3
Examples of eHealth tools available
eHealth tools for Health Professionals
• fast access to vital data anywhere, anytime
• collaboration and research
• Support to public health & management
The Peres Center
for Peace & Siemens
Wearables for personal health and
disease management through eHealth
MamagooseSIDS monitor
WEALTHY
International workshop: Pisa, December 12, 2003
Call 4: Open December 2004, Close 22 March 2005
Strategic Objectives
Inst.
Budget
Nano-electronics
80/20
74
Technologies and devices for micro/nano-scale integration
60/40
75
Towards a global dependability and security framework
70/30
63
Broadband for all
65/35
65
Mobile and wireless systems and platforms beyond 3G
65/35
138
Networked audio-visual systems and home platforms
80/20
63
Semantic-based knowledge systems
80/20
112
Cognitive systems
65/35
45
ICT Research for Innovative Government
50/50
46
Technology-enhanced learning
60/40
54
Integrated biomedical information for better health
75/25
75
eSafety of road and air transport
60/40
82
Integration of research in an enlarged Europe
0/100
63
FET Proactive Initiatives
100/0
54
Background to call 4
Biomedical information is collected, stored and processed on / in
1) Different Levels – (molecule, cell, tissue, organ, person, population)
2) Different Context - (care, research, education, policy/management)
3) Different Representation – (format, structures, ontologies)
4) Many many different places
- Clinical info resources (health records, personal/wearable health
systems, clinical research databases, drug/pharma databases, NLM, …)
- Biomolecular Info resources (DNA & protein sequences, microrarray
data, protein interactions, human genome annotations ..)
- Public health info resources (epidemiological data and studies,
national and WHO databases on diseases, …)
- Environmental/Chemical/Biodiversity info resources
Call for proposals (Call 4)
To support research and development of ICT based
systems that process and integrate all possible
relevant biomedical information from different levels
and from many different places with the purpose to
improve
1. Health knowledge discovery
2. Health status of an individual, i.e to improve disease
prevention, diagnosis, treatment
Deadline March 22, 2005
Preallocated budget: 75 M€ (10% flexibility)
Instruments:
IPs: 55%;
STREPs, SSAs and CAs: 45%
Integrating biomedical data for better health
Public Health
Informatics
Medical
Informatics
Medical Imaging
Bioinformatics
Synthesis of all “Health Information levels”
Policy Context to eHealth
ERA: European
Research Area
FP6, Eureka, and National
RTD Programmes
Enlargement
Lisbon Strategy
… towards a
Single Market
for Research
“EU: Largest
knowledge-based
economy by 2010”
eHealth, eGovernment,
eBusiness, broadband
access, security
New EU countries –
multicultural and
multilingual
environment
Other policies
Int. R&D, Public health, mobility
of patients, health goods, and
services. Safety at workplace.
•
eHealth Ministerial Conference
Cork, Ireland, May 5-6, 2004
Theme: eHealth for Citizens focusing:
– Information tools and services
– Administrative support tools and services
– Homecare and telemedicine tools and systems
•
Exhibition of 32 real life eHealth applications
• eEurope for eHealth 2004 Awards:
• Health on the Net Foundation – Switzerland [Winner]
• Pure Quality Life – Sweden [Honourable Mention]
• A Public Health Portal – Denmark [Winner]
• IT experience of Hospital Son Llatzer – Spain [Hon. Ment.]
• Diabcarnet – France [Winner]
• Ait Eile – Ireland [Hon. Mention]
• VEPSY – Italy [Hon. Mention]
eHealth Ministerial Conference
Tromsö, Norway, May 23-24, 2005
•
-
Themes:
eHealth Action Plan
Facilitating mobility within and between countries
Supporting more responsive health services
Improving access, quality, patient safety, productivity
•
-
Exhibition:
Best practice real life eHealth applications
Participation by invitations
Information: www.ehealth2005.no
”European e-Health Area – An Action Plan”
Communication: COM (2004) 356
• Approved by Commission, 30 April, 2004
• Endorsed by the Council (EPSCO [Health]
Council), June 2, 2004
• part of a package of three Communications
• the other two Communications were on:
- Patient Mobility (DG SANCO led)
- Long Term Care (DG EMPL led)
”European e-Health Area – An Action Plan”
Communication: COM (2004) 356
Examples of Timelines
•
•
•
•
•
•
•
•
•
High level eHealth Forum [2004]
Approach to benchmarking [2005]
Assessment of eHealth [2005]
European Best Practice [2005]
National eHealth Strategy Plans [2005]
Interoperability Standards [2006]
On Line eHealth Services [2008]
Framework for legal certainty of eHealth [2009]
State of the Art-Studies, deployment [2004-2010]
Conclusions
• Health sector faces great challenges that need to
be urgently addressed
• ICTs enabling technologies to improve access,
quality and cost efficiency of health care
• eHealth is already a key component of the Health
Care delivery systems
• R & D in eHealth technologies: a prerequisite for
facing the increasing demands
• Significant eHealth results achieve in the last 15
years by the EC funded and international projects
• A European eHealth Area, Communication
approved by Commission, and the Council
Thank you
Thank you
Deaths, by broad cause group
(WHO regions, 1999)
22
7,4
55
51,6
76,9
74,8
85,9
9,6
9,1
Noncommunicable
70,5
Injuries
35,4
AF R
EM R
39,2
S E AR
10,7
Communicable
9,7
12,3
15,5
WP R
AM R
8,3
5,9
E UR
Source: WHO, Evidence, Information and Policy, 2000
ICT for Health
Examples of Research Activities
Prevention – e.g. health monitoring systems
Personalization – information, health services, treatments
e.g. bringing advances in genomics to health leading to
personalisation of treatments, information, health services
eHealth Ministerial Conference
Brussels, May 22-23, 2003
• Objectives
• Provide health & telecom decision makers with
validated information regarding the benefits of eHealth
• Reinforce the implementation and deployment of
eHealth through real life demonstrations
• Major Highlights
• Ministers of Telecom and Health from EU, Accession
and EFTA countries invited by Commissioners E.
Liikanen and D. Byrne
• Exhibition of 30 real life eHealth Applications
• Examples of the eEurope for eHealth 2003 Awards:
•
•
•
•
EVISAND - Virtual Environment for Healthcare - Spain
SJUNET - National IT infrastructure for Healthcare - Sweden
COHERENCE – Info. System for hospital restructuring - France
NHS Direct - NHS direct on-line website - UK
Introduction – Agenda for today
• R&D - Past, Present and Future
• Policy Context – eEurope 2005 – ERA
• Support for deployment – High Level Meetings
• Action Plan for European eHealth Area
• Call for proposals – Next Framework Program
Framework Programme 2007-10
WP03-04
Call1
FP6
WP05-06
Call2
2003
Call3
2004
Call4
Call5
2005
Call6 (tbc)
2006
2007 - 2010 …
FP7
Communication: "Preparing
the future: reinforcing
European research policy"
(June-04)
WP + Calls
Adoption
Proposals on FP,
SPs and RfP
New Financial Perspectives
Communication “Building our common future:
Policy challenges and Budgetary means of the
Enlarged Union 2007-2013" (10/02/04)
Mapping of current initiatives in Europe in
interoperability
Subgroup eHealth
eEurope Advisory
eHealth ERANET
group
European eHealth
EHTEL WG
Support to eHealthStakeholders/Interoperability
Group
Action Plan Member states
HL7
SNOMED
IHE
e-Health
Standardization
Coord. Group
eHealth
Messages/requests Standardization
EHR/EPR
Citizen Health Info
Identification
Focus Group International initiativ
urveillance/epidemiology doctors/patient
TMA Bridge I2Health
CEN/ISSS
PROREC/
EUROREC
Agenda
• e-hälsa - stöd till implementering - “Action Plan”
• e-hälsa - “High level conferences”
• Policy: Lissabon processen “best knowledge
based economy by 2010”
• e-hälsa - forskning och utveckling
• e-hälsa - nästa ramprogram 2007-2010
SAMMANFATTNING
• Många års utvecklingsarbete har givit resultat
• e-hälsosystem för bättre tillgänglighet till vård,
ökad kvalitet samt mer effektiv verksamhet
• e-hälsosystem för organisatorisk utveckling av
vården och som stöd till vårdpersonal
• e-recept, e-remisser, e-utlåtande......
• FoU för ny kunskap och nya applikationsområden
• EU Kommunikation “eHealth Action Plan” 2004
• Ett ökat samarbete med medlemsländerna
Coordination of eHealth Action Plan in Europe
EPSCO Council
European Commission
Telecom Council
EHealth Conferences
DG SANCO
High Level
group on
Health services
and Medical care
Subgr.
eHealth
High Level
eHealth
Forum
DG INFSO
eEurope
Advisory group
Advisory groups
(stakeholders
representatives)
Subgr.
eHealth
European eHealth
Interoperability
Group
Common
constituency:
6-10 Member
states
representatives
eEurope
2002-2005
activities on
eHealth
6th FP RTD
eHealth
Action
Plan
eTEN
ERA Net
Member
States
Coordinatio
Input from
DG ENTR,
DG REGIO,
DG EMPL
MODINIS
studies
”European e-Health Area – An Action Plan”
Communication: COM (2004) 356
•
e-Health action plan enabling a move
towards a European e-Health Area:
1. Addressing common challenges
2. Pilots actions: Accelerating beneficial
implementation
3. Working together and monitoring practices
EU Support to eHealth deployment:
eEurope 2005/eHealth
• electronic health cards:
– building on the Barcelona Health Insurance Card initiative
– benchmarking, best practices, research
• health information networks:
– networks of public health data
• online health services:
– ePrescription …
• Dissemination of best practices:
– eHealth Conferences & eEurope Awards
– eHealth 2003 (Brussels), eHealth 2004 (Cork, Ireland),
eHealth 2005 (Tromsö, Norway)
20 Years of eHealth in European Union
PAST 10 years (1991-2002)
FP2
FP3
Computer
Applications for
Doctors
FP4
NEXT
FP5
Regional Health Info
Networks
Home-care systems
Telemedicine systems
and services
Personal Health
Systems
@
10 years (2003-2014)
Ambient intelligence supporting well being
Health Knowledge Infostructure
Biomedical Informatics for individualised health
Keywords: biosensors, Wearable &
Implantable systems, eCell, eTissue,
ePerson, HealthGRID
Budget
Budget
Budget
Budget
20M €
100M €
140M €
200M €
Projects
Projects
Projects
Projects
30
63
158
125
eHealth 2003-2004 Conf.
Results
Results
Results
Results
batch of
Products
EU Health
Support Public Health Policy
Feasibility
AIM
Community
Study
1st
Telematics
Industry
eEurope 2002 + 2005,
Coordination & Support to Regional National Plans, International cooperation
Technology assessment & transfer
Information - Getting help
Main IST web-site
http://www.cordis.lu/ist
A network of National Contact Points
http://www.cordis.lu/ist/ncps.htm
Partner search facilities
http://www.ideal-ist.net
http://www.partners-service.cordis.lu/