1

Review of eHealth ProgramReview of eHealth Program

Geza Nagy, M.D.

(external expert of MEDINFO eHealth Program Office)

2

The antecedentThe antecedentss of program: of program: eEuropeeEurope

1999-2000 the status of EU related to USA: rationale – answers

An Information Society for allMain objectives: faster Internet access

for citizens, education, commerce, government

3

0

10

20

30

40

50

60

70

B DK D EL E F IRL I L NL A P FIN S UK USA

Usage of PCs EU/USAUsage of PCs EU/USA

E. Liikanen Athen 2000

4

Számítógépek használata EU/USASzámítógépek használata EU/USA

E. Liikanen Athen 2000

Usage of Internet EU/USA

0

5

10

15

20

25

30

35

40

45

Internet penetration per 100 inhabitants(Year-end 1999)

Fin

lan

d

4

Fra

nce

Ger

man

y

Ital

y

Jap

an

Sw

eden

Th

e N

eth

erla

nd

s

UK

Sp

ain

Can

ada

US

A

5

ConclusionsConclusions

Arrears in Europe in computer usage and Internet usage also

Interesting fact: the advantages are in EU side in mobile network and mobile phone usage in front of USA

The solution: eEurope

6

The antecedentThe antecedentss of program of program eHealtheHealth

The eEurope Action Plan consist of 10 points

eHealth is a part of Action PlanKnowledge - based economyInternet technology: faster, cheaper

and safety

7

The antecedentThe antecedentss of program of program eHealtheHealth

eHealth: close collaboration between DG Health and Consumer Protection and DG Information Society

EU accepted Action Plan in Feira (Portugal) 2000 June

8

eHealth eHealth 2000 – 20022000 – 2002

Ensure that primary and secondary healthcare providers have health telematics infrastructure in place including regional networks

Best Practice in electronic health services in EU Establish a set of quality criteria for health related

websites Establish health technology and data assessment

networks Disseminating legal aspects of eHealth

Results, home – made projects:

In the fields of Best Practice – EBM: Handbook of Clinical Evidence and its Web application, end-user education

9

Step forward of Step forward of eHealtheHealth program program

2002 Seville Spain Action Plan to 2005 based on modern, online public services

Targets of Action Plan:• Electronic Health Cards• Health Information Networks• Online services• Health Telematics• R&D frameworks

10

Electronic Patient CardElectronic Patient Card

common approach to patient identifiers and electronic health record architecture, and create an European electronic health card

medical emergency data and secure access to personal health information

General usage in 2008 - the E 111 form is suitable for emergency treatment in EU member states till 2008

Results, home – made projects:

„eEurope smart card”- key card / data card alternatives

The planned home application date is 2006 leaded by NHI

11

Health Information NetworksHealth Information Networks

citizens can access online health services (information on healthy living and illness prevention, electronic health records, teleconsultation, hospital-doctor-patient networks etc.) via broadband connectivity by the end of 2005

health information through to Europe-wide systems for spotting emerging health threats (see SARS, flu etc.)

Results, home – made projects:

ANTSZ network program finished with EU support

Development of broadband network in health care

12

Online servicesOnline services

By the end of 2005 Information resources for citizens

– Information of healthy living– Illness prevention– Electronic health record– Teleconsultation– Preventive information, e.g.: air and water quality

information

Task:

Home application of Quality Criteria for Health Related Websites

13

Online servicesOnline services

Home made projects, developments DR.INFO phone calling health consulting

service – 1st phase DR.INFO Health related Web Portal – 2nd

phase Establish of Public Health Portal Developing Regional Model project with

support from EU structural found

14

Online servicesOnline services

Introductions of categories, standards, applications: ePrescription, eRecord, eConsultation, etc.

Introductions of categories, standards, applications - CEN TC 251 naturalisations

Digital signature in health related applications This work coordinated end leaded by eHealth

Program Office – chance for success

15

Health TelematicsHealth Telematics

The Working Group on Health Telematics has been asked following tasks:

• Review the introduction Information and Communication Technology in the health sector

• Consider particular application of ICT in health namely health cards, virtual hospital

• Provision of health related information to health professionals and patients

Next informations...

http://europa.eu.int/comm/health/ph_overview/Documents/hlch_health_telematics_final_report_en.pdf

16

R&D Frameworks ProgrammesR&D Frameworks Programmes

Many of the projects supported by DG Information Society under the EU Research Framework Programmes

The basic principle is the exploitation of results

Neumann Colloquium 2003, Veszprém – Home R&D results and exploitation

17

Ministerial ConferenceMinisterial Conference

Brussels, 22 May 2003eHealth „The Contribution of ICT to

Health”Exhibition with finalised EU projectsPresentations from Industrial side –

participation of leading ICT Companies

Ministerial Declaration

18

Declaration- Main AspectsDeclaration- Main Aspects

Promoting quality and enhancing efficiency in health care through eHealth applications

Facilitating citizen involvement through access to high quality information

Implementing and sharing best practices if eHealth

Looking to the future• Full exploitation of eHealth goes beyond local information systems

and Internet based provision of information to integrate• eEurope action plan 2005 coordination with eHealth• Continuous development, implementation• R&D support growing up to 3% of GDP• Second eHealth Conference 2004, Ireland

19

eEurope 2005 – eHealth relationeEurope 2005 – eHealth relation

Modern, on-line public services:• e government• e learning• eHealth

Dynamic, e business environmentWidespread availability of broadband

access at competitive pricesSecure information infrastructure

20

eHealth carriereHealth carrier

There is an important role in eEurope idea, every phase

Decisions

Feira Barcelona Brüsszel

1999-20001999-2000

2000-20022000-2002

2003-20082003-2008

21

Finally what does it mean the Finally what does it mean the eHealth?eHealth?

The application of ICT across the whole range of functions which, one way or another, affect the health of citizens and patients:– The Health Care is more patient oriented– Health related information– Trading Health Products

22

The Health Care is more patient The Health Care is more patient oriented and more safetyoriented and more safety

A lot of ICT technology exists– In the Hospitals

• Complete HIS

– Primary Care• In every day routine for patient management, medical

records and electronic prescribing

– Home care• Telecommunication with supplier, teleconsultation

with experts

23

Health related informationHealth related information

Continuous Medical Education (CME)For citizens

– Retrieval of health and medical information

– Information provider about health care

24

Trading Health ProductsTrading Health Products

PharmaceuticalsHealth care goodsMedical devices

Information materials are accessible in public sector

25

Finally what does it mean the Finally what does it mean the eHealth?eHealth?

ICT in professional point of view:Management of information and information flow in

the whole process of care The central component of eHealth is the EHR –

electronic health record allows the sharing of medical records between care providers and patients, whichever the applications

The applications: patient self-management, telemedicine, electronic messaging, electronic registries and databases, regional and national networks – all of them realise on the Internet