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Connectivity in Healthcare System. Building of ICT infrastructurConnectivity in Healthcare System. Building of ICT infrastructure. e. Improvement of care for patient through optimized access of persImprovement of care for patient through optimized access of personal onal data. Improvement of prophylaxis and prevention through ICT sectdata. Improvement of prophylaxis and prevention through ICT sector. or.

Telemedicine. SecurityTelemedicine. Security

Hotel Sheraton Hotel Sheraton 17 J une, Sofia17 J une, Sofia

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Overview

1. eHealth: some facts

2. EC overall eHealth Strategy

3. EC instruments to support eHealth and collaborative care

• R&D• POLICY• Support to implementation (CIP)

4. Conclusions

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Some Facts: definition Some Facts: definition

eHealth means Information and Communication Technologies (ICT) tools and services for health.

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Some Facts: Some Facts: the health sector in EUthe health sector in EU

• Employs 9.3 % of workforce, > 15 M people (retail 13.0 M, business services 13.3m)

• Health expenditure > 8,5 % of GDP, growth at 4% a year (faster than EU economic growth), potential to reach 16% of GDP in EU by 2020 (Healthcast 2020, PWC)

• ICT penetration is low compare to other sectors. There is great potential for productivity gains in health delivery sector when technology, leadership and skills come together

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Some Facts: Challenges for European Some Facts: Challenges for European Healthcare SystemsHealthcare Systems

• Pressure on healthcare systems

Rising healthcare costs faster than the economic growth itself

Citizens’ expectations for high-quality care

Demographic changes more people will require prolonged care

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In the EU, the share of elderly in the In the EU, the share of elderly in the population will double by 2050……population will double by 2050……

(Ratio of population aged 65 and over to population aged 15-64)

Sources: EU Economic Policy Committee 2001; UN Population Prospects Publication (revision 98); IMF staff estimates

0

0,1

0,2

0,3

0,4

0,5

0,6

0,7

2000 2005 2010 2015 2020 2025 2030 2035 2040 2045 2050

United States

Japan

European Union

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Some facts: Challenges for Some facts: Challenges for European Healthcare SystemsEuropean Healthcare Systems

• Pressure on healthcare systems

Increased prevalence of chronic diseasesMore resources for chronic diseases than for

acute events Around 70% of healthcare expenditure in

developed countries Introducing a shift in healthcare practice and

focusShortage of Health Professionals

Source : « European cardiovascular disease statistics 2008 » © European Heart Network

Cardiovascular disease -CVD- in the EUFacts & Figures

Costs the EU economy €192 billion a year57% health care costs21% productivity losses22% informal care of people with CVD

CVD causes 42% of all deaths in the EUCoronary heart disease > Stroke

Central and Eastern Europe > Northern, Southern and Western Europe

EU-funded projectsMyHeart, HeartCycle, Heartfaid,EUHeart, …European Vascular Genomics Network (EVGN)…

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Some facts: Challenges for Some facts: Challenges for European Health SystemsEuropean Health Systems

• Require changes in the way: healthcare is deliveredmedical knowledge is managed & transferred in

clinical practice

eHealth can Help !

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EC instruments to support eHealth and EC instruments to support eHealth and collaborative carecollaborative care

• Mix of policy and research actions: Research instrument:

Seventh Framework Programme for Research (FP7) Personal Health Systems, Patient Safety, Virtual Physiological

Human (~100M€/year) Policy instrument:

Action Plan for a European eHealth Area (April 2004) Communication on lead market (21/12/2008) Reccomandation on interoperability of EHR systems (June

2008) Communication on ‘telemedicine and ICT innovative

technologies for chronic disease management’ (4Q 2008) Implementation, support to policies

Competitiveness Innovation Programme (CIP PSP): Large Scale Pilot on Interoperability

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EC instruments to support eHealth and EC instruments to support eHealth and collaborative care: collaborative care:

7th 7th Research Framework Programme (FP7)Research Framework Programme (FP7)

Personalisation of Healthcare• Personal health system

€ 72 Million Call 4 October/November 2008

Improving Patient safety & avoiding

medical errors € 30 Million Call 1 deadline 8/5/07

Predictive Medicine – Virtual Human• Modelling/simulation of diseases

€ 72 Million Call 2 deadline 9/10/07

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EC instruments to support eHealth EC instruments to support eHealth and collaborative care: Policy and collaborative care: Policy

initiativesinitiatives

European e-Health Action Plan: Communication COM(2004) 356

• Approved by Commission, 30 April, 2004 (with SANCO “Mobility” and EMPL “OMC”)

• Endorsed by the Council (EPSCO [Health] Council), June 2, 2004

• Asks Commitment of MS to work together to implement eHealth

• Advocates the development of common interoperability approaches and standards for patient identifiers, medical data messaging, and electronic health records

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e-Health action plan: WHY e-Health action plan: WHY

Bringing the benefits of eHealth to EU citizens faster

To facilitate growth and transparency of eHealth Market

European Health Information Space for patient care, public

health and research

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e-Health action plan: WHAT e-Health action plan: WHAT

National/regional roadmaps (MS, 2005)

Common approaches for patient identifier (EC+MS, 2006)

Interoperability standards for EHR and messaging (EC+MS,2006)

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)

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EC instruments to support eHealth and EC instruments to support eHealth and collaborative care: Policy initiativescollaborative care: Policy initiatives

Recommendation on Interoperability of Electronic Health Record Systems (06/08)

Communication Lead Market – eHealth Report + Roadmap – (December 2007)

Communication “Telemedicine and ICT tools for CDM” (October 2008)

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EC instruments to support eHealth and EC instruments to support eHealth and collaborative care: Policy initiativescollaborative care: Policy initiatives

Studies:• Exchange of good practices in eHealth

• Impact of ICT on Patient Safety and Risk Management aspects

• Study on Economic and productivity impact of eHealth

• Legal aspects of eHealth

• Economic impact of Electronic health records and e Prescription (PGEU in the Advisory Board)

• NEW: Methodology to assessment of Telemedicine

• NEW: National strategies in eHealth- update

• NEW: Business models for eHealth

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EC instruments to support EC instruments to support eHealth and collaborative care: eHealth and collaborative care:

Policy initiativesPolicy initiatives

• i2010 sub group on eHeatlh (Health and/or ICT/innovation Ministries)

• eHealth stakeholders group Users (PGEU runs it) Industry

• eHealth High Level Conference(s) Prague, 2009

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EC Instruments: the eHealth cycleEC Instruments: the eHealth cycle

Research and Development

Pilots validation

Large scaleDeployment, support to

policies

Stand alone systems(EHR, messaging,

healthcards, VPH, PSPHS)

Larger pilots with online services

(home monitoring)

Large scale validation, EU wide services

CIP/ SOS

R&D Programmes

Member states + EU eTen & CIP programmes

Time

PO

LICY: e

HA

P,

Reco

mm

an

datio

ns

, Com

mu

nica

tion

s

CIP

PHS

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Implementation, support to policies: Implementation, support to policies: Competitiveness Innovation Programme Competitiveness Innovation Programme Policy Support Programme (CIP PSP):Policy Support Programme (CIP PSP):

• Large Scale Pilot on Interoperability Smart Open Services (SOS) 23 MILL (11 MILL

EC) 36 months Expected to start

July 2008

• Thematic Network on eHealth Interoperability (CALLIOPE) 500k 30 months Expected to start

June 2008 27 beneficiaries

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Implementation, support to policiesImplementation, support to policies SOS: Approach andSOS: Approach and Expected OutcomeExpected Outcome

• One large Scale Pilot Patient summary for unexpected care Patient safety and medication continuity

(ePrescription)

• With a common architecture

• Built on Member States’ solutions and users’ needs (‘bottom up’)

• Thought as long lasting solution at European level

• Scalable and sustainable, adaptable to new situations

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Implementation, support to policiesImplementation, support to policies

The S.O.S. Project TeamThe S.O.S. Project Team

• The Project Team consists of 23 beneficiariesfrom 12 member states:

6 national Ministries of Health

15 national/regional Competence Centerswith mandate to represent their country

IHE-Europe representing ICT industry team (31 members)

Empirica responsible for administrative management

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Implementation, support to policiesImplementation, support to policies Strong team work Strong team work

within SOSwithin SOS• Examples of Work Package responsibilities:

• Sweden – project coordination.• the Netherlands – Analysis/comparison of national

plans/solutions.• France – overall evaluation, system architecture, semantic

services.• Austria – communication and dissemination, identity

management.• Greece – Analysis and comparison of legal and regulatory issues.• Spain – definition of Patient Summary and ePrescribing services.• Germany – Technical management, common components spec.• Italy – Security Services, Pilot System, Proof of Concept• Denmark – Integration and Customisation• the Czech Republic – Pilot preparation, implementation

and operation.• the United Kingdom – Quality Management.

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ConclusionsConclusions

• eHealth for collaborative care: eHealth can be a key instrument

• EC committed to: Support Research (FP7:PHS) Encourage MS to build relevant eHealth

policies (eHAP; reccomandations on EHR) Support deployment (CIP PSP, SOS + ?)

Engage with users to make it happening!

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Thank you!Thank you!

For further information:

• INFSO H1 Policy site:http://ec.europa.eu/information_society/activities/health/index_en.htm

• e-Newsletter:http://ec.europa.eu/information_society/activities/health/newsletter/index_en.htm

• Research site:http://cordis.europa.eu/ist/health/index.html

• Interactive Portal:http://www.epractice.eu