Transcript The European Interoperabilty Initiative

eHealth Projects in Germany
- funded by eTEN –
eMAC Meeting
German Federal Ministry of Economics and Labour (BMWA)
2005-05-12, Berlin
Best-Practice for eTEN Projects
Reinhold A. Mainz
Federal Ministry of Health and Social Security (BMGS)
Project Group Telematics - Electronic Health Card
Coordination for eEurope, EU action plans and programmes, international activities
eTEN Programme:
Supporting market validation and
implementation (of IST RTD results)
Reinhold A. Mainz
Federal Ministry of Health and Social Security (BMGS)
Project Group Telematics - Electronic Health Card
Coordination for eEurope, EU action plans and programmes, international activities
Objective
Validation & deployment of public interest eServices
Orientation
eEurope 2005 and beyond (iEurope 2010)
* eTEN supports implementation (no R&D or
infrastructure support)
Themes
eGov, eHealth, eLearning, eInclusion, Trust &
Security, services for SME’s
Procedure
Requirement
Calls for proposals
* selecting the highest quality within the available
budget
- Trans-European dimension
- practical service demonstrations
bridge the gap between RTD and the marketplace:
pragmatic, business, practical
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Some examples of good-practice eHealth projects –
funded by eTEN - with German partners
•
Mobilalarm
•
Netc@rds
•
I2-Health
2005-04-28 4
MobilAlarm
– A location-independent emergency
service for older and disabled people
Slides from: Dr. Karl & Dr. Veli Stroetmann
empirica Institute for Communicationsand Technology Research
Oxfordstraße 2, 53111 Bonn, Tel.: +49 (228) 985 3044,
email: Karl dot Stroetmann at empirica dot com
2005-04-28 5
A Good Practice Case: The MobilAlarm Project
Validating European Mobile Alarm Services
for Inclusion and Independent Living
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Supported by eTEN March 2004 - August 2005
Testing an innovative alarm service for older,
chronically ill and disabled people and all
those concerned about safety while outside
Objective: prepare market role-out in EU
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Participants
empirica Technologieforschung GmbH (Bonn, DE)
Coordinator, private research & project consultancy
Attendo Systems GmbH (Ismaning, DE)
delivering device & service centre software
Telehealth S.L. (Valencia, ES)
Consultancy on ICT solutions for social services
Fundación Andaluzia de Servicios Sociales (Seville, ES)
public tele-assistance service provider
Attendo Response Ltd. (Rotherham, UK)
private response service provider
Recontrol (Karlsruhe, DE)
private response centre
plus User Groups:
Patients, Hospitals, Welfare, NGO, Police, ...
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Description
The service will enable users to initiate an alarm call with a
specifically designed device.
On pressing the alarm buttons, a voice connection to a professional
service centre is established. The device calculates location
data by using the Global Positioning System (GPS) satellites and
transmits the position to the service centre: the operator needs
only one click for locating and mapping the user’s position on the
screen.
Service centre staff immediately calls people who can help.
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Service
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On pressing alarm buttons: GSM
voice connection to service centre
Location data calculation through
Global Positioning System (GPS)
User location shown on electronic map on
operator‘s screen
People who can help alerted immediately
(relatives, neighbours, doctors, rescue
services)
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Device
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Specifically designed
Size: slightly smaller than common
mobile phone
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Weight: only 100 gram
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Easy to handle: only five buttons
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Two lateral alarm buttons for being
pressed at once (simple but prevents
false alarm)
Battery life of up to six days
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Objectives
The overriding objective of MobilAlarm is to test and evaluate the
technical, organisational and economic characteristics of this
trans-European tele-assistance service and to prepare its
accelerated roll-out in Member States.
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Methodology
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Verification of regional user requirements & localisation of technology
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Three test phases:
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Internal tests with service centre employees
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Small-scale pilot tests with real clients
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Large-scale tests with about 40-100 clients in 3 markets
Further tests with real customers will be conducted in the core stage of the project in spring 2005, allowing to adjust the
device and service to particular user requirements.
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Tests in Germany, UK, Spain
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Development of Deployment Plan
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Technical Challenge
A current technical challenge is that the locating function cannot
work when the device is shielded from a sufficient number of
GPS satellites. This may be the case, for example, inside
buildings, in urban “building canyons” and in dense forests.
This problem of conventional GPS will be eased by a new
technology named Assisted GPS (A-GPS). By being assisted
through the mobile phone network, the device holders can be
located even inside buildings and other shielded locations with an
accuracy of five meters.
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Important issues for consortium composition
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Experienced project coordinator
(proposal writing, contract negotiation, financial issues > empirica)
Committed industry partner (-> Attendo)
All elements of the value system included
(from device production to user groups)
Intermediary for language translation and management,
if need be (-> Telehealth)
One partner with experience in an eTEN project
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History
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Attendo had business idea but not enough resources
for market testing
Representatives from empirica and Attendo knew each other
from conferences (networking  like EHTEL
(http://www.ehtel.org))
Concrete project idea was developed, consortium formed
(at least 2 independent partners in 2 Member States)
Proposal was written
After acceptance: number of partners reduced,
workplan modified
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Work packages
(1)
Management
(2)
Business and Deployment Plan
(3)
Requirements extension
(4)
Technical testing
(5)
Trials
(6)
Marketing
->
typical work packages of an eTEN project
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Important issues for day-to-day work
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Administrative workload has to be considered
Deliverable writing takes much time and
requires trained people
For most partners, an eTEN project is extra work =>
continuous professional project management
indispensable
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Dissemination
MobilAlarm: eTEN project of the month
February 2005
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More information about MobilAlarm
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Project website: http://www.mobilalarm-eu.org
Some project partners: http://www.empirica.com http://www.attendo.de
e-mail: veli at empirica dot com
2005-04-28 19
Netc@rds – Smart Card and Network Solutions for the
Electronification of the European Health Insurance Card
Slides from: Central Research Institute of Ambulatory Health Care in Germany (ZI), Herbert-Lewin-Platz 2,
10623 Berlin; email: [email protected]; Tel.: +49-30-4005-2418
2005-04-28 20
A Good Practice Case: The N E T C @ R D S Project
Finland
Declaration of
Accession:
Countries with
participating
contract partners:
Denmark
Slovenia
Austria
Slovakia
Czech
Hungary
others welcome
France
Italy
Greece
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Setting the field
•
March 2002
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February 2003
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Proposal for gradual phasing of visual EHIC (2004)
towards an electronic EHIC (2008)
October 2003
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Basic decision of the European Council in Barcelona for
a European Health Insurance Card (EHIC)
Decisions No. 189, 190, 191, on introduction of the
visual EHIC
June 2004
•
Start of roll-out of the visual EHIC
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Objectives of Netc@rds
• Online
verification of insurance data to prevent fraud and misuse
• Fostering
mobility of European citizens
• Simplification of procedures for involved institutions:
- Health insurance providers
- Healthcare providers
- Interstate clearance bodies
• Integration of electronic data sets for EHIC into national cards
• Contribution to interoperability of eHealth in Europe
2005-04-28 23
Work items of Netc@rds
1. Status survey and analysis on EHIC handling
2. Technical proposal based on the NETC@RDS-cases
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Proposal for electronic data storage on chip cards
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Suggestions on interoperable infrastructure components
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Demonstrator setup of a verification network
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Automated optical data capture of conventional EHIC
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Post-processing interface of EHIC data (XML Output file)
3. Strategic proposal for eEHIC introduction
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Prototype example of EHIC handling
Patient arrives with EHIC
Identity Check
Passport or ID-Card
Fill-out form 80 or photocopy EHIC
and ID
Not available
Private payment
Certify identity by physician
Declare duration of intended stay by
insured on form 81
Specify chosen insurance provider
by insured on form 81
Archiving form copies for 2 years
Treatment
Sending forms immediately to chosen
health insurance
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Member State of
Temporary Stay
Netc@rds-Cases1-4
Home Country
Member-State
Case 1: dataset
captured from chip
card
health
insurance
data server
Netc@rds
dataset
Netc@rds
dataset
Case 4: dataset
captured from eyereadable medium
(EHIC, paper)
Netc@rds
dataset
Netc@rds
dataet
Case 2: dataset captured
from chip card & server
Case 3: dataset
captured from server
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eEHIC in process model viewpoint
1. Access / Data capture – the
individual data must be available on
the health care site completely and
correctly
2. Identification – the concordance
of the ID-data with the patient are
verified
3. Verification – the entitlements
rights of the person are checked
Access
Data capture
Identification
Verification
Trustworthy
An electronic European Health Insurance
Card (eEHIC)
dataset
is a process with the result of a trustworthy
data set for
entitlement at the healthcare provider.
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Health insurance chip cards available in the Netc@rds pilots
France
Slovenia
Germany
Austria
Italy (Lombardia)
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Summary
 Online verification of entitlements rights
 Replacement of paper forms
 Contribution to interoperability
 Interoperable dataset to foster electronic post-processing
 Cost-effective extension to new card schemes
 Simplified access to foreign healthcare systems
 Fostering mobility of European citizens
2005-04-28 29
More information about Netc@rds
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Project website located in France: please use a search
machine
Co-ordinator of the German project partners:
http://www.zi-berlin.de
email: [email protected]
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I2-Health
– A support action for an Interoperability
Initiative for a European eHealth Area
I2-Health
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Policy background
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eHealth services in Europe:
Dynamic development driven by citizen
demand
Mobile citizens want to use eHealth services all other
Europe
 Cross-border health care / European-wide services
 Services used at home shall be available while staying
in other Member States / countries
 Use of specialiced centres in Europe
Systems (in Europe) must be interoperable
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Political targets

Mobility of citizens

Cross border e-Health services
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European-wide e-Health services
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Information about health and possible treatment and care, including
sufficient information to enable informed consent to treatment

European mechanisms to facilitate access to care in other Member States
and information about them
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Patient empowerment
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Patient-centred care
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Efficiency and quality of health systems
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The challenge
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The support of mobile citizens by european-wide or cross-border eHealth
services is only possible if similar local services are interoperable to each
other
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aspects of interoperability are
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legal and contractual framework, organizational agreements
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technical connection of infrastructures like networks and middleware
services
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standardized technical protocols for secure data transmission and
providing
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agreements on structure, syntax, terminology, coding and
presentation of data
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definition of the semantic of data and the given context and its
description by meta data
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Co-operation in Europe on eHealth
 Transparency about national
developments gives chances to learn
from others
 Finalized developments can be used
by others to avoid reinventing the
wheel  example: framework
architecture / specification of the
German card
 Co-operation backed by agreements
on the policy level:
European Interoperability Initiative,
driven by the health ministries
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The EC eHealth Action Plan 2004
Overview of actions with responsibility
by the Member States: 2005
Develop a national or regional roadmap for eHealth
 Deploying e-Health systems
 Setting targets for interoperability
 Setting targets for the use of electronic
health records
 Address issues such as reimbursement of eHealth services
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The EC eHealth Action Plan 2004
Overview of actions with responsibility
by the Member States: 2006
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Common approach to patient identifiers
Interoperability standards
Health data messages
Electronic health records
Support and boost investment in e-Health
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Report of the
High Level Group on Health
Services and Medical Care 2004
to the Council of the European Union
 Interoperability
is the corner stone
supporting citizens mobility and patient
centred care
 Appropriate structures for cooperation on
information and e-health must be
implemented
 The needed resources must be secured
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eHealth Standardisation Focus Group
Main Recommendation
(2005)
Establish a platform with a mandate and the
necessary resources to facilitate co-operation
between European Member States with support of
the European Commission to promote e-Health
interoperability for the mobile citizen
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The Member States` Interoperability Initiative
for a European eHealth Area
Member States`
ministries of health
Interoperability Initiative
Initiated by
Germany, Austria, France, Norway, Slovakia,
The Netherlands
supported by
the EC
2004-06-01, Brussels
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The Member States` Interoperability Initiative
for a European eHealth Area:
Supporting EC projects on the management level
Member States`
ministries of health
Interoperability Initiative
Informal
Steering Committee:
EHTEL Healthcare Authorities Governmental Group
I2-Health?
42
The Member States` Interoperability Initiative
for a European eHealth Area:
First supporting or proposed projects
Bilateral
Project
D–F
cross border
health cards
Bilateral
Project
ePrescription /
medication
management
Bilateral
Project
A–D
connector
Bilateral
Project
D – NL
document
WebSite
...
Member States`
ministries of health
Interoperability Initiative
Informal
Steering Committee
...
ERA eHealth
CA
TMA-Bridge
I2-Health
Netc@rds ++
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A Good Practice Case: The I2-Health project
Interoperability Initiative for a
European e-Health Area – Support Action
I2-Health
Support Action for the eTEN Programme
Slides from: Dr. Karl & Dr. Veli Stroetmann
empirica Institute for Communicationsand Technology Research
Oxfordstraße 2, 53111 Bonn, Tel.: +49 (228) 985
3044, email Karl dot Stroetmann at empirica dot com
2005-04-28 44
Background
Interoperability of health information systems:
• “Member States have expressed the need to support actions that cover
the development of standards addressing the interoperability of diverse
systems and services and
• to explore in particular the possibilities of open source applications to
achieve this objective. ...
• The exchange of experience in the use of open standards and open
source solutions among health administrations in Member States should
be promoted.”
Communication from the European Commission (COM(2004)356) 30.4.2004
“e-Health – making healthcare better for European citizens:
An action plan for a European e-Health Area”
I2-Health
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Project start: 1 February 2005
Project duration: 24 month
Consortium:
• empirica Institute for Communications- und Technology Research,
Bonn, Germany (Coordinator)
Members to empirica:
• Work Research Centre Ltd. (WRC), Dublin, Ireland
• Central Research Institute of Ambulatory Health Care in the Federal Republic
of Germany (ZI), Berlin, Germany
• Technical University of Košice (TUK), Slovakia
• European Health Telematics Association (EHTEL), Brussels, Belgium
Reports are given to:
(Informal) Steering Committee of Member State Healthcare Authorities
I2-Health
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Strategic goal
• Initiate a coordination process for accelerating the deployment of
e-health infrastructures and functional applications which are
interoperable for trans-European use
thereby
• Enabling cross-country, interoperable e-health applications
while
• Safeguarding appropriate data security and privacy requirements.
I2-Health
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Objectives
•
Identify interoperability and connectivity issues and priorities,
barriers and gaps, and solution approaches
•
Focus on fundamental interoperability issues (identification of
actors, organisations, adequate measures to achieve
interoperability, integration tests and certification)
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Analyse similarly key topics relating to e-prescription and
messaging
•
Develop a roadmap and concrete projects involving all relevant
actors - guided by an open discussion process amongst Member
State Healthcare Authorities and stakeholder groups
I2-Health
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Workpackage overview and interrelationships
WP1 Conceptual Framework
WP2 Analysis of infrastructure concepts and building blocks, services and applications
WP3 Identification management of actors,
organisations and system components;
fundamental interoperability issues,
WP4 Workflow interoperability, prescribing and messaging
WP5 Dissemination
WP6 Management
I2-Health
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Expected results
•
Report on European-level key e-health interoperability issues and
activities needed to overcome barriers
•
Identification management e-health interoperability issues: gaps
and needs analysis, and solution proposals
•
E-prescribing and messaging: gaps and needs analysis, and
solution proposals to achieve interoperability of existing
implementations
European e-health interoperability plan and roadmap: enabling
the Interoperability Initiative
• Policy level
• Management level
• Implemenation level
•
I2-Health
2005-04-28 50
More information about I2-Health
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Project website in preparation
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Project coordinator: http://www.empirica.com
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e-mail: veli at empirica dot com
I2-Health
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What can we learn from good practices?
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idea with a real market chance?
idea supporting urgent political needs?
idea has support from the political scene?
idea pragmatic / practical?
consortium partners from different EU countries?
consortium partners with experience in EC funded
projects?
consortium leader is well accepted by EC staff?
industry and relevant stakeholders involved?
2005-04-28 52
Many thanks for your attention!
Do you have questions?
[email protected]
Tel. +49 228 941 3199
2005-04-28 53