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

Is this acceptable in Is this acceptable in our world?our world?

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