Transcript Meeting of eHealth Working Groups

eHealth Interoperability – EU
Commission activities
Dr Octavian Purcarea
Unit H1 – ICT for Health
Directorate ICT for citizens and businesses
DG INFSO
EU Commission
Overview
• Rationale
• eHealth Action plan
• eHealth Working Group activities
• Roadmap up to the Recommendation
• Specific topics
• Discussion
EU Vision: Person-Centred Health systems
improving access, quality and efficiency
Research areas and achievements to date
(15 years of R&D):
Keep people healthy
Information for disease prevention
Lifestyle management
Empower patients
Personal health systems
(wearable, implantable)
Information tools
Provide tools to health
Professionals
Decision support systems
EHRs
Portable med. Imaging
Robotics
Modeling and visualisation
Support reform and organisation:
- Integrated Regional Health
Information Network with
- Electronic health records,
-e-prescriptions, e-referrals
- Telemedicine services
- Information infrastructure
for research & clinical care
DG INFSO – H1 ICT for Health
Main categories of activities
I) Support to Policies & Deployment – Productivity, support to
implementation
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eHealth Action plan
II) Research focus - Prevention
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Personal Health Systems
Patient Safety
Validation: AAL and Independent living/ Active ageing
III) Research focus - Prediction
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Biomedical Informatics
Virtual Physiological Human
Infrastructure and toolbox for all activities: HEALTHGRID
IV) Communication – conferences, publications, media, …
Support to Policies & Deployment - Rationale
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Lack of interoperability is detrimental to the patients (lack
of information, medical errors, limited mobility), health
professionals (difficult access to health records), health
managers (lack of economic analysis), researchers
(reduced availability of medical data) as well as to
industry, in particular to SMEs (reduced market share).
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R&D in eHealth has resulted in proofs of eHealth benefits,
including financial.
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Local and regional pilots need to scale to support national
and EU wide services.
Launching eHealth:
a high-level initiative
‘e-Health – making healthcare better for European
citizens: An action plan for a European e-Health
Area’: COM(2004) 356 final
Main objective: to accelerate awareness and uptake of
beneficial eHealth systems & services
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Approved by Commission, 30 April 2004
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part of a package of three Communications: the two others were
on open method of co-ordination and on patient mobility
Discussed, noted and specific recommendations issued at the
EPSCO [Health] Council, June 2 2004
http://europa.eu.int/information_society/policy/healthsites/
eh_action_plan/index_en.htm
Communication: COM(2004) 356 final
‘e-Health – making healthcare better for European citizens: An
action plan for a European e-Health Area’
e-Health action plan: main areas of activity
• National/regional roadmaps (MS, 2005)
• Common approaches for patient identifier (EC+MS, 2006)
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Interoperability standards for EHR and messaging
(EC+MS,2006)
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TMA Bridge, I2Health, Semantic Health, RIDE, Semantic Mining…
• Boosting investments in eHealth (MS, 2007)
• Conformity testing and accreditation (MS 2007)
• Deployment of health information networks (MS, 2004-2008)
• Legal framework, certification of qualifications (EC+MS,2009)
History
• The i2010 Sub Group on eHealth was set up
in February 2005
• Its main objective is: To provide support to
the Action Plan implementation
• It is a strategic, not a technical, Group
(technical subgroups can be set up on
request)
Ad hoc group proposal
• It is proposed an ad hoc group for
the definition of patient summary,
patient and practitioner identifiers,
and the emergency data set.
• The ad hoc group could also address
the area of ePrescribing.
• The group will be set up within the
framework of the Common Interest
Preparatory Activities funded by the
eTEN programme.
Support to policies and deployment:
eHealth interoperability
What issues to address in eHealth interoperability
Specific topics were identified by EU Ministries of Health and
ICT (eHealth Working Group)
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Patient summary
Patient/practitioner identifiers
Emergency data set
ePrescription
An eHealth Stakeholders’ group (which involves users,
industry, experts) explored these issues
Goal : A set of guidelines on interoperability
Achievements
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3 meetings of the eHealth SG allowed the development
of an eHealth Interoperability Report on the road
towards a Recommendation on eHealth Interoperability
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Launch of 5 studies in the framework of the eHealth
Action plan:
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Productivity and economic Impact of eHealth (2005)
Good practice exchange in eHealth
Study on Identity of Patient and Practitioner in eHealth
Study on Legal and regulatory aspects of eHealth
Study on use of ICT in Patient Safety
Launch of 5 EU funded projects in the area of
interoperability and support to the action plan (eHealth
ERA, I2Health, RIDE, Semantic Health, Q-REC)
Objectives
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The ad hoc group shall assist in the preparation of the
large scale pilots for specific interoperable eHealth
applications and shall contribute to the drafting of the
planned Commission Recommendation on interoperability
of electronic health records in Europe.
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Regarding the large scale pilots, the ad hoc group will
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Contribute to define the objectives, schedules and outputs
expected from the pilots.
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The overall exercise is intended to build on national
activities, helping to accelerate the development of
interoperable eHealth services that will facilitate provision
of quality, care, mobility and an eHealth market in Europe.
Prepare roadmaps outlining the steps needed to
accomplish the implementation of large scale pilots;
Roadmap
Stakeholders group (Users, Industry)
eHealth Working Group (Authorities)
Implementation Authorities/bodies
Ad Hoc Group
eHealth
Interoperability
Report
2006
Set of guidelines
(Recommendation)
End 2007
Large Scale
Pilots
2008
Interoperability
Platform(s)
2010 +