Istanbul, Wed. 4 June 2014
Introduction to COCIR
How to ensure successful development of eHealth? Kevin Haydon
COCIR President
Executive Vice President, Philips Healthcare
Table of Contents
1. COCIR Outline
2. Innovation in Medical Technologies
3. How to ensure successful development of eHealth?
4. COCIR Publications
What does COCIR do?
COCIR covers 3 key industry sectors: • Medical Imaging • Electromedical • Health ICT
Our Industry leads in state-of-art advanced technology and provides integrated
solutions covering the complete care cycle
With offices in Brussels and in China, COCIR promotes the use of advanced medical and ICT technology towards seamless care delivery and shared knowledge to build a better world with improved access to affordable, quality and safe healthcare
COCIR is a non-profit trade association, founded in 1959, representing the medical technology industry in Europe
Belgium UK Spain
Netherlands Netherlands Finland France
Germany Germany Sweden Turkey
Germany
COCIR National Trade Associations Members
COCIR’s Focus: Sustainable Healthcare systems
• At the crossroads of medical imaging, clinical processes and Information and Communication Technology, COCIR develops and promotes strategies to move towards sustainable Healthcare systems in Europe and beyond.
• COCIR aims to:
1. Represent the interest and activities of its members at international, European and national level
2. Engage with key stakeholders on economic, market, environmental, regulatory, technical, research and innovation matters
3. Support International and National Trade Associations
4. Demonstrate the value of medical and ICT technology and encourage its wider availability, deployment and adoption
5. Act as an open and trusted forum and foster cross-sectoral collaboration
Challenges
Cardiovascular diseases Cancer Chronic respiratory disease
Diabetes
17.5mm
7.6mm
4.1mm
1.4mm
Chronic disease deaths Worldwide
35 million deaths from chronic disease
2
60% of all deaths result from chronic disease
Deaths from chronic disease will increase by 17% by 2015
1
2
3
• eHealth/Telemedicine
• Mobile solutions
• BioSensors
• Computer Aided Diagnostics
• Patient monitoring
IT & bioengineering
• Targeted therapy
• Proteomics/DNA
• Biomarkers
• Rapid screening tools
• Vaccine development
Biotech & Genomics
• Faster, accurate imaging
• Molecular imaging
• Miniaturisation/portability
• Point of Care diagnostics
• Therapy selection/monitor
Prevention, Diagnostics & Therapy
Innovation in Medical Technology
Emerging
MR Anatomical Imaging (Tissue Visualization)
‘80s Mainstream
X-Ray-based Anatomical Imaging: XR, CT
Ultrasound
Emerging
Functional Imaging MR, PET
MR Spectroscopy (Characterization)
‘90s Mainstream
•CT, MR, US Anatomical Imaging
•Digital Xray
Emerging
Anatomical Registration of Molecular Imaging
Molecular Therapeutics, Diagnostics & DI
‘00s Mainstream
Anatomical Positioning (Registration) of
Functional Imaging: PET/CT, MR
Emerging
Image-guided Gene Therapy
Next Mainstream
Molecular Imaging
+ Molecular
Therapeutics +
Molecular Diagnostics
Medical Imaging Evolution
eHealth supports the delivery of a more efficient and higher quality care
• Healthcare IT and eHealth proven
high clinical and societal value
•Telehealth linking patients with
care providers
•IT infrastructure ensure that
systems derive maximal value from medical technology (Cloud computing)
•IT connectivity through IHE (Integrating the Healthcare Enterprise) improving quality and
reducing cost
•More investment in eHealth best-
practice clinical pathways / patient’s mobility throughout Europe
Central Patient’s
EHR
Home
Pharmacy
Laboratory
Polyclinic Hospital
Government
Personalised Medicine: profound conceptual shift in clinical practice
• Improvement of clinical outcomes driven by molecular understanding of disease
• Reduction of damaging side-effects and treatment costs through tailored treatment
• Efficient patient management made possible by electronic medical records
• Capability of using big data to make healthcare more personalized
Innovative technology will enable a shift in care
• Episode care •Focus on acute conditions • Hospital centred • Physician dependent • Episodic, reactive care • Passive patient • Slow uptake of technology • Budget silos
Longitudinal care Focus on acute & long term conditions Community centred Team based Integrated preventive care Knowledgeable patient Localised integrated high tech solutions Fund continuum of care
Uti
lizati
on
Hospital Home Community clinic
Acuity
FUTURE
Low High
PRESENT
3. How to ensure a successful development of
eHealth?
Presented by Nicole Denjoy, COCIR Secretary General
COCIR vision and mission on eHealth
Vision:
Transform Healthcare
towards seamless integrated care
Mission:
Act as a EU Hub
& Support national and regional deployment
COCIR Goal on eHealth
Promote the use of advanced medical and ICT technology towards seamless care delivery
and shared knowledge to build a better world with improved access to affordable,
quality and safe healthcare
COCIR Focus on eHealth
• Digital hospitals: focus on HCIT for Acute care organisations .
• Continuum of care: Shared care workflow (information and knowledge sharing) and the inter-professional collaboration mechanisms required to support HIE/EHR, including interoperability requirements (organisation, semantic and technical).
• Telehealth, supporting infrastructure and related connectivity devices, governance, regulation and business models.
• mHealth, supporting network infrastructure and the impact of mobile platforms on workflows, governance and business models.
COCIR presence and influence on eHealth
National level
European level
International level
Cooperation with national trade associations Direct links with governments, competent authorites, national agencies Participation in national events, as appropriate
COCIR sits in various fora: eHGI, eHealth stakeholder group, Strong relationship with EU institutions Participates in EU funded projects Stakeholder federator: COCIR is the initiator of the Healthcare Coalition on Data Protection
COCIR chairs the BIAC Healthcare Task Force COCIR contributes to EU-US cooperation on interoperability COCIR contributes to EU-China cooperation COCIR is a driving force behind the IMDRF COCIR is a member of DITTA
2013 eSağlık Rehberi Türkçe Çevirisi
Ücretsiz eSağlık
Rehberinizi almak için standımızı
ziyaret edin!
Industry views on key topics for 2014
Big Data Vendor Neutral Archiving Personalised Medicine Data Protection Medical Software
A- COCIR: a EU Hub
Snap shot on important matters at focus 1. European Commission efforts in eHealth
2. Importance of Interoperability
Green paper on mHealth
1. The Green Paper:
– https://ec.europa.eu/digital-agenda/en/public-consultation-green-paper-mobile-health
– Launched on 10 April 2014 is a wide public consultation to collect ideas to unlock mHealth potential in Europe .
– Consultation will close on 3 July 2014
2. This consultation is accompanied with a Staff Working Document which clarifies the current legal framework applicable to lifestyle and wellbeing apps
2. Importance of Interoperability
The eHSG established by European Commission in 2012 – DG CONNECT- includes all key stakeholders active in the healthcare sector.
Five topics validated in 2013: 1. Patients access to health records
2. Interoperability
3. Telemedicine
4. Health Inequalities
5. eHealth Workforce
Those reports were published on 11 April 2014 on the European Commission Website http://ec.europa.eu/digital-
agenda/en/news/commission-publishes-four-reports-ehealth-stakeholder-group
The interoperability report prepared by members of the eHealth Stakeholder Group:
• Focus on semantic and technical interoperability
• Articulate recommendations to achieve eHealth interoperability by 2015 (part of Digital Agenda for Europe)
Structure of the report
1. Introduction
2. Goal of the report
3. The Potential
4. Main Obstacles
5. Analysis of the Landscape (developped in next slides)
6. Experiences at National level
7. Recommendations (listed in next slides)
6. eHealth Stakeholder Group Recommendations
1. Focus on priority use cases
2. Clarify privacy and data protection requirements and establish general principle for organisational requirements for each of the use cases
3. Foster use of international standards and market focused profiles
4. Educate local level on eHealth interoperability
5. Address semantic interoperability incrementally (step by step)
6. Investigate the particular interoperability requirements of mobile health, big data, and online social networks
B- Support national and regional deployment
• Countries at focus on eHealth:
– France
– Spain
• Countries linked to Structural Funds efforts (based on successful pilot in Poland in June 2013):
– Poland
– Romania
– Croatia
– Hungary
The Gartner Generational model
Source: Freely adapted from Gartner
48
20
40
60
Red
ucti
on
of
Preven
tab
le E
rrors
80
100
1995 2005 2010 2015 …
Generation 1: The Collector
Generation 2: The Documentor
Generation 3: The Helper
Generation 4: The Colleague
Generation 5: The Mentor
year
• Generation 5: High impact of chronic diseases necessitates better population and disease management
• Generation 4: Workflows and inter-professional collaboration driving evolution towards Regional Health
• Generation 3: New imperatives – costs, quality & safety – driving demand for enterprise-wide solutions
• Generation 2: Integrated imaging and data reporting expanding to other clinicals
• Generation 1: Image collection at departmental level
PACS, RIS
PACS & RIS & Image Distribution
Enterprise HIS/CIS
Regional Health
National & preventive eHealth infrastructure
Five ways eHealth enables long-term healthcare sustainability
Regional
Health
Administrative IS
Clinical IS
• Significant progress in Europe and more “appetite”
• BUT very fragmented with insufficient investment • Most often locally driven/procured, with limited
scale and sharing to support digital transformation
• 100% of hospitals have an administrative information system in place
• Slow on-going replacement cycle to modernize
• Evolution towards advanced and predictive analytics
• 60+% of hospitals have some form of Clinical Information Systems (CIS) in place
• BUT majority still rely on paper as their main media to manage patient records
• Even when CIS is available, adoption in daily clinical-routine is lagging behind.
• Decision support have still a long way to go…
Where do we stand now in Europe? The Digital hospital: dream or reality?
COCIR Focus on eHealth
1. Federate a Strong and United Industry Voice
2. Monitor trends at EU level
3. Act and deploy at local level with the main goal to defragment the ehealth market
4. Build awareness on power of standards in interoperability and show how innovative technologies and services contribute to sustainable healthcare
5. Build trust and Cooperate with various stakeholders
COCIR Publications
• Launch Today: COCIR Executive Summary on Obsolescence of Imaging Equipment
• To come soon: COCIR Guide on Structural Funds for Health for beneficiaries