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eHealth Action Plan

“eHealth and accession” Sofia, 7 June, 2005 Ragnar Bergström ICT for Health, DG Information Society and Media

[email protected]

Overal objective (since 1994): Person-Centred Health systems for Continuity of Care

HOSPITAL MEDICAL DOCUMENTATION DOCTOR ARCHIVES PHARMACY DIETETICS PATIENT ADMISSION LABORATORIES

20 Years of eHealth R&D Context

PAST

10 years (1991-2002)

NEXT

10 years (2003-2014)

FP 5 FP 2 FP 3 FP 4 Computer Applications for Doctors Telemedicine systems and services Budget 20M € Projects 30 Results

Feasibility Study

Budget 100M € Projects 63 Results

AIM Community

Regional Health Info Networks Home-care systems Personal Health Systems Budget 140M € Projects 158 Results

1 st batch of Products

Budget 200M €

@

Projects 125 Results

EU Health Telematics Industry eHealth 2002 + 2005, eHealth 2003, 2004 Conference eHealth COMMUNICATION Coordination & Support to Regional National Plans, International cooperation Technology assessment & transfer

Vision of eHealth:

ICT as:

a support for better healthcarepatient mobilitycreating a borderless health

information space

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

• • •

Approved by Commission, 30 April 2004 Discussed, noted and specific recommendations issued at the EPSCO [Health] Council, June 2 2004 Part of a package of three Communications: on open method of co-ordination and on patient mobility

Action plan for a European eHealth Area 3 areas of activities

• • •

Addressing common challenges Pilot actions: accelerating beneficial implementation Working together and monitoring practices 3 types of responsibilities

• • •

Member States (MS) European Commission (EC) Shared /common EC and MS Many tools for action: EC programmes, EC promotion initiatives, regional funds, MS funds, open method of coordination

Towards a European eHealth Area: Achievements to date Patient mobility:

• • •

Communication on patient mobility, 2004 YES High Level Group on health services and medical care set up, 2004 YES health information and e-Health group in support, 2004 YES Interoperability and integration:

• • • • •

Projects I2Health and TMA Bridge started, 2004 YES Findings reported from CEN/ISSS on standardisation, 2004 YES ETSI allotted a telecare services contract, 2004 YES EUROREC call for tender under discussion, 2005 YES Call 4, IST programme, proposals submitted and under evaluation, 2005 YES

Towards a European eHealth Area: Achievements to date Cards and records:

• •

eTen, Net@Cards initiative underway YES Administrative Commission for Social Security/Technical Committee on Migrant Workers set up – mandate to implement electronic cards, 2004 YES

• • • • • • •

Best practices, benchmarking and roadmapping :

Above all, third successful high-level conference and exhibition organised, 2005 YES Projects eHealth ERA launched, 2005 YES Support actions encouraging involvement of NMS launched, 2005 YES Roadmapping activities submitted to Call 4 IST programme and evaluation in progress 2005 YES Cost benefit study launched, 2004 YES Cost benefits of Danish healthcare system report launch, 2005 YES Other projects such as I2Health and TMA Bridge underway, 2004 YES Benchmarking (including eHealth) supported by MODINIS study, 2004 YES

Towards a European eHealth Area: Achievements to date Dissemination:

European health portal, underway; maybe health and safety aspects YES

Fresh dissemination and publishing activities launched YES Conferences, special events and high-level groups:

eHealth 2005, 2005 YES

Preparation for eHealth 2006 underway YES

• •

Enquiries with regard to eHealth 2007 YES eHealth updating of all activities at Gastein, Austria in 2005, well underway YES

• •

Many other conferences and initiatives during 2004 and 2005 YES eHealth working group, to report to eEurope advisory group, set up in 2005 YES Legal, regulatory and other issues:

Four studies approved in 2005: Calls for tenders soon to be launched YES

Towards a European eHealth Area

For Member States:

1) During the period 2004-2008 , Member States should support deployment of health information networks for eHealth 2) This should be based on fixed and wireless broadband and mobile infrastructures and Grid technologies 3) During that period, the goal is to achieve: - In the short-term

Greater access to accurate data and information for patients/citizens

• •

Safer and better healthcare Cost savings through the use of ICT solutions - In the mid-to long term

Re-definition of the healthcare process and access to healthcare provided with, by and through ICT systems

Towards a European eHealth Area: In 2005 1) national or regional roadmap(s) for eHealth States 2) 3) 4) a summary of European best practices on eHealth a European health portal – Member a strengthening of early warning, detection, and surveillance of health threats through enhanced ICT tools => Use of open standards and open source solutions among health administrations in Member States should be promoted.

eHealth in Europe: Opportunities Principally:

• • •

Better efficiency and effectiveness in healthcare Better quality healthcare Better access to healthcare But also undoubtedly:

• • •

A more dynamic eHealth market for Europe An opening-up of cross-border eHealth services Support for ongoing reorganisation of healthcare in Europe

ICT for Health Current Activities and Plans

Basic research Applied/ Industrial R&D

Biomedical informatics eCell, eHuman EHR HealthGrid Personal Health Systems & Biomedical sensors Multidimensional (functional) imaging Decision support Health info networks & services EHR & interoperability Support to eHealth COM Action plan (Dissemination, coordination)

Deployment

5 years 10 years 15 years

Time to results

Communication: COM(2004) 356 final ‘e-Health – making healthcare better for European citizens: An action plan for a European e-Health Area’ To conclude:

• • Pleased to keep you updated regularly on developments Would appreciate feedback and your help (e.g. in identifying pertinent contacts and initiatives ) [email protected]

[email protected]

eHealth action plan For further information:

• • • • eHealth action plan - COM(2004) 356: http://europa.eu.int/information_society/policy/healthsites/eh_a ction_plan/index_en.htm

eHealth website: http://www.cordis.lu/ist/directorate_c/ehealth eHealth 2005 conference: http://www.ehealth2005.no/ Information can save your life: http://europa.eu.int/information_society/qualif/health/index_en.

htm

Thank you!

Additional slides

eHealth in Europe: Challenges

To be considered, faced, and solutions found

Interoperability between different eHealth information systems

• •

Need for standardisation of health information systems Legal and/or regulatory framework(s) to support eHealth use and implementation in Member States

Reimbursement of eHealth information systems deployment and implementation

Support to particular user needs, through more advanced research and technology development

Exploration of state-of-the-art eHealth (ICT for health) research and technology developments

Towards a European eHealth Area: In 2006 1)

a common approach to patient identifiers

2)

identify and outline interoperability standards

3)

support and boost investment in eHealth

Towards a European eHealth Area: In 2007

Member States should adopt conformity testing and accreditation schemes that follow successful best practices

Towards a European eHealth Area: In 2008-2009 1) 2) 3) 4)

• • •

European health organisations should provide online services such as teleconsultation and e-prescription Promotion of the use of cards in the health care sector. Adoption of card . implementation of an electronic health insurance The European Commission - in collaboration with Member States - should: set a baseline for a standardised European eHealth qualification provide a framework for greater legal certainty of eHealth products and services liability improve information on the reimbursement of the costs of eHealth services