Post on 30-Dec-2015
Mission StatementMission StatementTo make medical services - wheresoever To make medical services - wheresoever sourced - ubiquitously available across Europesourced - ubiquitously available across Europe
• • To promote To promote eeHealth & Telemedicine across Health & Telemedicine across Europe at all levelsEurope at all levels• • To identify To identify barriersbarriers to to
eHealth & Telemedicine eHealth & Telemedicine and use all means to and use all means to overcome them overcome them
• • To identify and promote To identify and promote eeHealth technologies & Health technologies & solutions to achieve this aimsolutions to achieve this aim
European CommissionEuropean Commission
Issues in EuropeAgeing PopulationCost of Chronic Disease – 60% of health budgets
Candidate Countries – different levels of carePresent Healthcare Models --- Unsustainable
European Community – 550 European Community – 550 MillionMillion
SolutionsDrive point of care outwardseHealth everywhereMigration of Patients Healthcare ProfessionalsRe-Configure Professional
eHealthcare Team
The VisioneEurope 2002eEurope 2005 – adopted May 2003
Significant change of attitude amongst European Politicians
----------------2005Broadband Infrastructure
European CommissionEuropean Commission
Healthcare PrioritiesHealthcardsHealth Information
NetworksOnLine Health
services
Implementing Implementing eeHealth across EuropeHealth across EuropeThe role of governments and politiciansThe role of governments and politiciansCreation of an Creation of an eeHealth Knowledge networkHealth Knowledge networkElements of a secure infrastructure incl. Elements of a secure infrastructure incl. RegulatoryRegulatorySecurity and PKISecurity and PKIElectronic IDs for PatientsElectronic IDs for Patients
& Healthcare Professionals& Healthcare Professionals
European CommunityEuropean Community
A Register of A Register of eeHealthcareHealthcareProfessionalsProfessionals
eeHealth Best PracticeHealth Best Practice
Public – Private Public – Private PartnershipsPartnerships
May 2003 EU Ministerial Conference- Interoperability- Standardisation- Integration of
Systems
European CommissionEuropean Commission
eHealth Drivers
BioTerrorismEarly Warningand Response
New Infectious Diseases
SARSSmallpox?What next?????
eeHealth and the Health and the NHSNHS - - £60 Billion over £60 Billion over
10 years10 yearsThe ConsequencesThe Consequences
National National eePrescribing and Prescribing and eeBooking ServicesBooking Services
All Citizens - Electronic Health Record - ICRSAll Citizens - Electronic Health Record - ICRS
Massive use of Massive use of - Home TeleCare- Home TeleCare
- Vital Signs Monitoring- Vital Signs Monitoring
- - eeNursingNursing
Patients have choice of location and healthcare Patients have choice of location and healthcare personnelpersonnel
Changing role for - Primary Care PractitionersChanging role for - Primary Care Practitioners
- Pharmacists- Pharmacists
- Nurses- Nurses
eeHealthHealth in in EuropeEurope
• TelTeleeConsultations Consultations YES - SOMEYES - SOME
• eeDissemination of Healthcare Professional Dissemination of Healthcare Professional EducationEducation NOT YETNOT YET
• Public Health Public Health eeducation & Information ducation & Information SOME SOME BUT NOT FOCUSED OR UNIFORMBUT NOT FOCUSED OR UNIFORM
• LifeTime Health RLifeTime Health Reecords cords NONO
• eeHealth ServicesHealth Services A LITTLEA LITTLE- National ePrescribing Services- National ePrescribing Services- HomeCare Monitoring- HomeCare Monitoring- - eeNursingNursing- - eeMinistry of Health online websitesMinistry of Health online websites
eHealth Europe
Where have we reached?
The Revolution is OVER !The Revolution is OVER !eeHealth is in…………….Health is in…………….
eeVOLUTION!VOLUTION!There is much to be There is much to be
done!!!done!!!
Opportunities:• European Leadership role in eHealth vs Rest
of the World• Technology Innovation and Harmonisation• Common Standards to be adopted
elsewhere• Accelerated healthcare provision for
Candidate Countries
European CommunityEuropean Community
Who will drive it?Who will drive it?The People!!The People!! YES!!YES!!
Is there the Political will (yet) ?Is there the Political will (yet) ? MAYBEMAYBE
Is there a Budget? Is there a Budget? NO!!NO!!WILL IT HAPPEN?WILL IT HAPPEN? YES!!YES!!
BUT…….WHEN?BUT…….WHEN?
Capability Through Capability Through PartnershipsPartnerships
HealthHealth
PlayerPlayer
IndustryIndustry
Govern Govern ment ment
Large scale complex Large scale complex programmes benefit programmes benefit from an from an IntegratedIntegrated ApproachApproach
Need to work inNeed to work in PartnershipPartnership to deliver to deliver the best resultsthe best results
A A HolisticHolistic ApproachApproach
A A SystemsSystems Approach. Approach.
““Whatever affects one directly, affects all Whatever affects one directly, affects all indirectly” – Martin Luther Kingindirectly” – Martin Luther King
Building a Building a
PartnershipPartnership The South African The South African
ExperienceExperience
• Sports stadiumSports stadium - - Uitenhage
• Service CorpsService Corps - - Orange Farm, Centre for Advanced
Training
• EducationEducation - - curriculum development, teacher training, university courses
• Public administrationPublic administration - - National & provisional civil
service training
• HealthHealth Developing an Developing an eeHealth StrategyHealth StrategyTAP 3830 11
Provide bespoke programmes based on understanding of local and international policy and standards as well as commercial developments.
The Developing WorldThe Developing World
Can leap-frog the traditional evolutionary processCan leap-frog the traditional evolutionary process
ChinaChina - - The Golden Health ProjectThe Golden Health ProjectSouth AfricaSouth Africa - Implement an eHealth Solution- Implement an eHealth SolutionBrazilBrazil - Education and - Education and eeHealthHealth
3000 BC 2000 AD Time
The Community
PhysicalMovement
ofPatients
3° HealthCare
2° HealthCare
1° HealthCare
The Informed Community
Clusters ofClusters ofSpecialistsSpecialists
?
Allied HealthCare Professionals1° HealthCare
The ‘Super’ Primary Care Physician
CottageHospitals
(Acute)
CommunityHospitals(Non-acute)
HomeCare
HealthKiosks
day-careSurgeryFreestanding
DiagnosticCentres
MaternityAcute
Trauma
Telemedicine
PrimaryTeleRadiology
and TelePathology
eeDisseminationDisseminationof Healthcare Professionalof Healthcare Professionaleeducation & public ducation & public health informationhealth informationleads to leads to ePreventionePrevention
Health Equity for the Health Equity for the global communityglobal community
The Healthcare TeamThe Healthcare TeamDoctors, Nurses, Pharmacists Doctors, Nurses, Pharmacists Technicians, Administrators Technicians, Administrators
If you want to If you want to workwork as a team as a team
YouYou mustmust traintrain as a teamas a team
Tan Sri Dato Dr Abu Bakar bin Tan Sri Dato Dr Abu Bakar bin SuleimanMay 2001 - JeddahSuleimanMay 2001 - Jeddah
The The eeHealthcare TeamHealthcare TeamDoctors, Nurses, Pharmacists, Doctors, Nurses, Pharmacists, Technicians, Administrators Technicians, Administrators
Integration of Health SciencesIntegration of Health Sciences
is the utmost priorityis the utmost priority
to train the future to train the future eeHealthcareHealthcare
professionalsprofessionals
Train as a Team, Work as a TeamTrain as a Team, Work as a Team
Place the Patient at the centre of Place the Patient at the centre of
CareCare
Future Future eeHealth environmentHealth environment
eeHealth ServicesHealth Services ISDN CABLE
LAN-WAN WIRELESS NETWORKS
Health ContactHealth Contact CENTRECENTRE
NHS DIRECT (UK)NHS DIRECT (UK)
Drivers of Drivers of changechange
MEDICAL DEVICES &
VITAL SIGNSMONITORING
FIXED &MOBILE VIDEO
PRODUCTS
Integrated Integrated ELECTRONIC ELECTRONIC
HEALTHHEALTHRECORDSRECORDS& Other & Other
DataData
Healthcare DeliveryHealthcare Deliveryin the new Millenniumin the new Millennium
Where are we going?Where are we going?• • The Multi-media Electronic Health RecordThe Multi-media Electronic Health Record• • Integrated Health Information Systems Integrated Health Information Systems • • HomeCare Monitoring for the HomeCare Monitoring for the
elderly/post inpatient careelderly/post inpatient care• • Medical services move into Medical services move into
the Retail Environmentthe Retail Environment• • A more holistic approach to A more holistic approach to
healthcare deliveryhealthcare delivery -- Traditional Medicine}Traditional Medicine}- Preventive Medicine} - Preventive Medicine} At Primary care At Primary care
levellevel- Self Treating Patients} - Self Treating Patients} “The Wellness “The Wellness
Guardian”Guardian”
- Curative Medicine}- Curative Medicine}
eHealthThe Major ConsequencesThe Major Consequences
Improvement of skills at primary care levelImprovement of skills at primary care level
• • KEEP CARE LOCAL Super Primary KEEP CARE LOCAL Super Primary
Care Care
The InterNet (Broadbandwidth) The InterNet (Broadbandwidth)
• • multi-media health records - by multi-media health records - by
emailemail
Constant Physiological Monitoring - HomecareConstant Physiological Monitoring - Homecare
Access to global Epi-centres of Access to global Epi-centres of
medical expertisemedical expertise
Integration of medical, health,Integration of medical, health,
genomic, environmental,genomic, environmental,
socio-economic data forsocio-economic data for
eePrevention - Global Health EquityPrevention - Global Health Equity
BroadbandBroadband
• ISDN – 1999 (64k)ISDN – 1999 (64k)
• ADSL – June 2000 (512k)ADSL – June 2000 (512k)
• GPRS – Sept 2000 (56k mobile)GPRS – Sept 2000 (56k mobile)
• UMTS – Mid 2002 (2meg mobile)UMTS – Mid 2002 (2meg mobile)
• Most Homes – 2003 (>2meg)Most Homes – 2003 (>2meg)
• Personal Mobile – 2005 (>10 meg)Personal Mobile – 2005 (>10 meg)
• Where is it?Where is it?
Where are the challenges?? Where are the challenges?? Not the technology - Not the technology - The PeopleThe People
Health is far too Health is far too important a subject to important a subject to be left in the hands of be left in the hands of
the medical the medical professionals !!!!professionals !!!!
Dr Halfdan Mahler - DG Emeritus - Dr Halfdan Mahler - DG Emeritus - WHOWHO
after Oscar Wildeafter Oscar Wilde
eHealth
In the new world order, the In the new world order, the
eePatient will be inPatient will be in
an electronic care continuum an electronic care continuum
with global medical with global medical
knowledgeknowledge
Dr Ron Merrell, Dr Ron Merrell,
Virginia Commonwealth University, USAVirginia Commonwealth University, USA
Prishtina, Kosova, Prishtina, Kosova,
OctoberOctober 2002 2002
The Watershed Generation GapThe Watershed Generation Gap
• HUMAN NEURO-PHYSIOLOGY IS CHANGINGHUMAN NEURO-PHYSIOLOGY IS CHANGINGMary LobascherMary Lobascher 20002000
USUS
The The
seekersseekers
and findersand finders
OUR OUR
CHILDRENCHILDREN
The filterersThe filterers
and applyersand applyers
eHealth
There is no such thing There is no such thing
as Science Fictionas Science Fiction
There is only Scientific There is only Scientific
EventualityEventuality
Stephen SpielbergStephen Spielberg
Via Dr Richard SatavaVia Dr Richard Satava
Tromso, NorwayTromso, Norway
September 2003September 2003
eHealth
UK UK eeHealth AssociationHealth Associationwww.ukeha.org.uk
European Health Telematics European Health Telematics
Association - EHTELAssociation - EHTELwww.ehtel.org
Thank You !!!!!Thank You !!!!!
www.eHealth2003.orgwww.eHealth2003.org16-17 October16-17 October
London OlympiaLondon Olympia