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eHealth: EU activities and plans

eHealth: EU activities and plans . Diane Whitehouse Scientific officer – ICT for Health DG Information Society and Media European Commission. eHealth - a priority for the EU . eHealth Communication-Action Plan COM 2004 ( 356) europa.eu.int/information_society/activities/health/

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eHealth: EU activities and plans

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  1. eHealth:EU activities and plans Diane Whitehouse Scientific officer – ICT for Health DG Information Society and Media European Commission

  2. eHealth - a priority for the EU • eHealth Communication-Action Plan COM 2004 ( 356) europa.eu.int/information_society/activities/health/ • Creating an Innovative Europe (“Aho report”) europa.eu.int/information_society/essentials/reports/aho/index_en.htm • Communication-Consultation regarding Community action on health services //ec.europa.eu/health/ph_overview/co_operation/mobility/docs/comm_health_services_comm2006_it.pdf • eHealth high-level conference, May 10-12, 2006 • World of Health IT ’06 conference, October 10-13, 2006

  3. eHealth matters • eHealth has demonstrated improvements in quality of care, access to care and even economic benefits: “eHealth is worth it” publication europa.eu.int/information_society/activities/health/Library/index_en.htm • eHealth is currently the fastest growing industry in the health sector. It has been estimated at 20 billion euro (in the EU 15), representing 2% of health expenditure but with the potential to rise to 5% within 5-10 years

  4. Hospitals in 2004: EPR systems HINE 2005

  5. Our vision eHealth in support of continuity of careSupporting both the life continuum and care continuum

  6. Our actions: Linking the healthcare institutions together (via regional health information networks) Emergency Hospital Health Centre Pharmacy Secure Networks Region 3 Mobile, Wireless &Broadband mobile PC Region 2 Region 1 Mobility Home

  7. EC support to Regional Health Information Networks15 years of activities Research and Development Stand alone systems (EHR, messaging) EU R&D Programmes Pilots validation Larger pilots with online services (e.g. eReferrals) Member states + EU eTen & CIP programmes Large scale validaiton, EU wide services interoperability, mobility, Large scale Deployment 1990 1994 1998 2002 2006 2010

  8. Prescriptions 80% Disch. Letters 81 % Lab. reports 95 % Referrals 40113 =80% Reimbursement 13290 = 95 % www.medcom.dk Estimated cumulative benefit by 2008: ~ € 1.4 bil.

  9. Linking each individual as a “node” in the regional health information network Emergency Hospital Health Centre Pharmacy Secure Networks Region 3 Mobile, Wireless &Broadband mobile PC Region 2 Region 1 Mobility Home

  10. Eventually, understanding the full picture of an individual’s health status (we can call this ‘molecular medicine’) Biochips Biosensors Environmental Data Genomic data Phenomic data Integrated Health Records

  11. Research and innovation activitiesDG Information Society – ICT for Health unit • FP6 – current projects • FP7 – Calls , later Call 2 • Competitiveness and innovation programme (CIP) - large scale pilots, innovation promotion activities http://europa.eu.int/information_society/activities/health/index_en.htm

  12. FP7 Objective 3.5.1.1 – Personal Health Systems for Monitoring and Point of Care diagnostics • Focus on: (a) Personalised (health status) monitoring • Aimed at people at risk or chronically ill • Includes wearable or portable/mobile ICT systems • Enables remote monitoring & care • Involves Multi-parametric information (physiological; biochemical; activity, location, social and environmental context) • Involves Intelligent systems to correlate multi-parametric data with expert biomedical knowledge • Interoperable with electronic medical records

  13. FP7 Objective 3.1.5.2 Patient safety Advanced computerised adverse event systems • Includes new tools for identification, prediction, detection and monitoring of adverse events and other relevant information. • Is based on innovative data mining and integration techniques of existing databases and specific applications. • Involves emerging technologies like semantic mining should be explored through multimedia databases. • Includes validation that can lead to quantitative benefits.

  14. Support to deployment activities • eHealth Action Plan • CIP – Large scale pilots • Emergency, patient (medication) summary • Policy actions and activities

  15. eHealth action plan: Why? • Brings the benefits of eHealth to EU citizens faster • Facilitates growth and transparency in the eHealth market • Creates a borderless European Health Information Space for individual care, public health, and research purposes

  16. eHealth action plan: What? • National/regional roadmaps (MS, 2005) • Common approaches for patient identifier (EC and MS, 2006) • Interoperability standards for electronic health records 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 and regulatory framework; certification of qualifications (EC and MS,2009)

  17. eHealth action plan: Recent facts and figures eHealth strategies and implementation in European countries: to be published in March 2007 • MS making good progress; almost all have roadmaps and action plans • Planning in the MS exists in short-, medium- and long-term • Key drivers include MS own plans, relationships with other MS, eHealth support for health systems and services in the MS • Interest in the following areas growing: electronic heath records, infrastructure, interoperability, both patient and health professional mobility • Legal and regulatory frameworks affecting eHealth of interest to MS • Evaluation and impact assessment of interest to MS • Growing interest in MS ‘working together’

  18. From research and development to deployment Major categories of challenges Organisational, cultural National / regional strategy Industrial issues Legal and regulatory issues, privacy -> security of data Technology and standards User acceptance • Iakovidis I.,Intern. J. of Medical Informatics, vol 52, No 123, (1998).

  19. Lessons learned - Ensure a well thought-out strategy - Break the pattern of large scale, all-at-once implementations - Ensure commitment of relevant “leaders” - Keep it up ...do not just set it up - Ensure (legal, regulatory and ethical) compliance - Estimate user acceptance appropriately, do not underestimate it - Remember: none of the parties (administration, industry, users) can do it alone! I. IakovidisProceedings of EUROREC’99, 1999

  20. ICT for Health: current activities and future plans Basic research Long term R&D Disease Simulator HealthGrid Mid term R&D Personal Health Systems (wearables) Support to Deployment eHealth “Action Plan” EHR & interoperability Deployment 2004 5 years 10 years 15 years Time to results

  21. Personal Health Systems conferenceBrussels, February 12-13, 2007 This Conference is being held in the European Parliament Compulsory registration. The conference is open and free. Contact: infso-phs2007@ec.europa.eu http://ec.europa.eu/information_society/events/phs_2007

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