eHealth Procurement
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Transcript of eHealth Procurement
eHealth addressing global
challenges through local actions
When Telemedicine does deliver!
Parallel Session PS 7
Tuesday 16 March, 2010,
14:00 – 15:15
Giancarlo Ruscitti MD
Secretary General for Health & Social Services
Veneto Region
Background of the experience of the Veneto Region
Since 2004, the Veneto strategy of economic sustainability andinnovation has meant increasing financial contraints in Human Resources, and developing policies for the allocation and mostefficient use of health care personnel, empowered by theappropriate use of e-technologies;
National budget constraints have forced the Region to reallocatethe health budget in order to guarantee the Essential Levels ofHealth Care provision (LEA) to all Veneto Citizens by:
1. rationalizing and renewing the hospital network;
2. re-organizing health services in the territory;
3. investing in innovation, ICT and eProcurement;
The Veneto Region: Territory and
Population
4
• 4,8 M inhabitants
• 18.391 km2 of land surface
Population Structure*
Members per family 2.6
Birth rate 9.3
Death rate 9.0
Natural growth rate 0.3
Total growth rate 5.6
% Elderly persons 135.7
% population > 65 years 18.5
% EU population>65 years 14.08
* As of the 2008 General Consensus
5
The Veneto Region:Health Care Providers and Professionals• 21 Local Health Authorities
• 2 Hospital TrustsPUBLIC ACCREDITED
INSTITUTIONS 64
IRCSS (SPECIALIST RESEARCH
INSTITUTES)1
Public health authority (Az. Osp.) 2
Hospital in the Provincial capital 6
Network hospital / strong integration 33
Integrating hospital of the network 8
Polyfunctional health centres 10
Management experimentation 4
PRIVATE ACCREDITED INSTITUTES 14
Care homes/ hospital 19
Classified hospital 4
IRCSS (SPECIALIST RESEARCH
INSTITUTES)1
• 41.806 Medical & Nursing staff• 11.702 Laboratory Technician
• 6.704 Administrative staff
• 117 Other Professionals
(* Veneto Regional Statistics Office data, 2008)
New challenges for Veneto Health Care
Increase in EU citizens expectations;
Ageing population
Home-care in rural and mountain areas;
Rising costs due to technological innovation;
Reduction of public health care expenditure;
Patient mobility: Tourists, Immigrants and Long termresidents;
Lack of health professionals (mainly pediatricians and nurses);
Restrictions imposed in public funding by commitments
towards maintaining EU stability treaties.
e-Health Priorities
From a technical perspective:
1. Enable the interoperability of Telemedicine services at the regional
level.
2. Build up standardized EHR systems at local level with a view to
establishing a single digital Patient Health Folder system at the regional
level.
3. Develop eHealth-based Disease Management models for the treatment
of outpatients.
4. Foster the interoperability of the above systems/services at the
National level.
5. Foster the interoperability of the above
systems/services at the European level
Telemedicine eHealth Projects:
Observatory
8
Number of Telemedicine projectsSource: “Observatory
and projects on
Telemedicine
applications
2009”,
Vol. 1/2009,
Arsenàl.IT
N. progetti
1 12
1
3
13
17
11
7
0
2
4
6
8
10
12
14
16
18
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Cumulative number of active Telemedicine projects
E-Government services
TERREGOV
Paperless handling of
health documents
TeleMed-ESCAPE
Web-based booking of
health services
IESS
e-Learning for health
Growing-Together
Satellite-based
Second Opinion services
Near-To-Needs
Interoperability of health
smart cards
NETC@ARDS
Neurosurgical Tele-
counselling
HEALTH OPTIMUM
Patient Summary
& e-Prescription
Open e-Health Initiative
Personal Health System
and Telemonitoring
RENEWING HEALTH
e-Health Project Initiatives
63 European Projects – Themes: eHealth, Research,
Social Services and ICT
Overall budget: €50M
Telemedicine eHealth Projects:
ESCAPE
10
Example in a Local Health Authority in Veneto
Extraction
Hospital wards &
Internal Services
Digital Signature
Forwarding
Storage
Certification
Diagnostic Services
producing Clinical
Reports
Service
GPs
Home
PC
Territorial
Service
Providers
Citizens
Citizens’ Clinical Document Sharing
Telemedicine eHealth Projects:
HEALTH OPTIMUM
11
Provincial area of Vicenza
Provincial area of Belluno
Provincial area of Treviso
Provincial area of Venezia
Provincial area of Rovigo
Provincial area of Verona
Provincial area of Padova
XDS Repository
XDS Registry
Programme: Competitiveness and Innovation Framework Programme CIP runs from
2007-2013
Funding Scheme: Information and Communication Technologies Policy Support
Programme ICT PSP; Funding Instruments: Pilot Type A
Principle Actor Involved: Regional Healthcare Authorities
Content of the 3rd Call of Proposals in 2009
Theme: ICT for Health, ageing and inclusion
Objective: ICT for patient-centered health services
Budget: € 14 M - European Co-financing: € 7 M
Duration: 32 months
Starting date: 1st February 2010
Kick Off Meeting: 8th February 2010, Venice
RENEWING HeALTHREgioNs of Europe WorkINg toGether for HeALTH
RENEWING HEALTH:The Consortium
13
GREECE
FINLAND
SPAIN
NORWAY
DENMARK
ITALY
AUSTRIA
GERMANY
SWEDEN
EUROPEAN ASSOCIATIONS COUNTRY
European Patients’Forum (EPF) Luxembourg
European Health Telematics Association
(EHTEL)
Belgium
COMPETENCE CENTER COUNTRY
Arsenàl.IT Italy
Medcom International Denmark
Center for Distance-spanning Healthcare Sweden
Norwegian Center for Integrated Care and
Telemedicine
Norway
Catalan Agency for Health Technology
Assessment and Research (CAHTA)
Spain
VTT – Technical Research Center - Finland
e-Trikala AE Greece
TSB Innovationsagentur Berlin GmbH Germany
ADVISORY BOARD COUNTRY
Continua Health Alliance Private
Stichting (CHA)
Belgium
Integrating the Healthcare Enterprice
(IHE)
Italy,Spain,
UK
RENEWING HEALTH:The expected impacts
14
Reduce hospitalisation and improve disease management
Increased links and interaction between patients and health professionals,
facilitating more active participation of patients in care processes
Improvement of quality of life for patients suffering form chronic conditions
Increased use of existing or commonly agreed standards and
demonstration of interoperability of the new solutions in regular healthcare
practice
Provide a convincing business case to be presented to National, Regional
and Local Health Authorities and to stimulate them to speed up the
deployment of patient-centered eHealth service solution
The Consortium Arsenàl.IT:Veneto’s Research Center of eHealth Innovation
15
Has acted as Observatory by
performing systematic surveys
on Telemedicine applications
developed over time by the
member Health Authorities.
Has succeeded in highlighting
the critical issues of
interoperability, standardization
and organizational impact as
factors for driving to the diffusion
of Telemedicine applications in
care delivery process.
The DOGE ProjectThe General Practitioner Network
A Regional project to create a communication network and
connect GP and Primary Care sites to the hospital and Local
Health Authority (LHA).
ACTORS:
Regional information system
Information System of LHAs
GP
Personal EHR
VENETO REGION
CITIZEN
EHR
GP and
PRIMARY CARE
HIS Hospital Information System
Project start: June 2009
Doge Pilot Test is located in Adria Local Health Authority
n. 19 involving 70 GPs and SCCs
Conclusions and challenges
The Veneto Region is actively involved in the area of innovation and health care reforms, with purchasing, payment systems and contracting as tools for restructuring, and in benchmarking itshealth care system;
eHealth development is a way of empowering the quality of human resources;
The use of modern technologies in and out ofhospital should be understood as a way ofimproving quality and safety for the benefit ofpatients.
Thanking you for your kind attention!