ehealth and accession - sofia7 june 2005 ehealth focal point for europe by marc lange manager
TRANSCRIPT
eHealth and Accession - Sofia 7 June 2005
eHealth Focal Pointfor Europe
by Marc lange
Manager
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The Mission
To be a platform
• for information, lobbying, representation, networking, co-operation and task forces
• that supports all stakeholders in implementing and using ICTs to deliver health and social care.
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What is eHealth
eHealth are process-oriented applications• between players (including patients & citizens) in the
fields of health and social care as supported by ICTs
with the goal to • optimize workflow and processes in the healthcare
continuum, • increase quality of care and access to care• while at the same time reducing costs.
Thus making the healthcare provision more efficient and transparent.
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Change Management process with stakeholders• Health Care Authorities and Competence Centres• Health Care providers and Sickness funds• ICT industry
Infrastructure• Identification management• Secure communication and privacy protection• Virtual Hospital (VEMH) …• eInclusion dimension
Services• Administrative services, e.g. entitlement verification, …
• Health related services, e.g. ePrescribing, …
• Health services, e.g. Electronic Health Record, …
eHealth Roadmap Issues
Citi
zens
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EHTEL’s approach
Task Forces:
• ePrescribing• ICT-Supported Disease Management• Empowering the Citizen• eHealth and the Internal Market (interoperability)• Reimbursement, Incentives and Values• Assessment of Quality, Productivity and
Effectiveness of eHealth
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ePrescribing Overview
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ICT-Supported Disease Management
Because• WHO states that about 60% of health expenditures are
due to chronic diseases
• Using a disease-specific electronic patient record makes complete information available at the point of care
• Continuous compliance and regular preventive actions avoid critical and acute situations
• Homecare and self-monitoring help to increase compliance
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eHealth Requirements: IAS
Health Telematic
platform(s)
Avoiding multipleexaminations
Private Physicians
Reimbursementof patient bills
Insurance /Payers
Hospitals
Knowledge of patient history
EmergencyService
Optimized emergency care
Pharmacies
Avoiding medication errors
Interoperability with all EU countries
European healthcare systems
Care at Home
Leistungs-erbringer
Leistungs-erbringer
MobileCare
Care in accustomed environment
Personal Identification (I), Authentication (A)
eSignature (S)
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IAS for eGov, eHealth …
From CEN/ISSS CWA 15264 - eAuth May 2005
eID
HealthJob
HISS
eService Layer
Infrastructure Layer
Card Layer
Back officeeServiceaccess
Useraccess
IDdata
Otherdata
Validation authority
eService Layer
Infrastructure Layer
Card Layer
Back officeeServiceaccess
Useraccess
IDdata
Otherdata
Validation authority
Electronic Identity (eID), Health Insurance & Social Security (HISS), …
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Smart card deployment for HISS/eID cards
17 countries out of 29 (EEA) are deploying or have at least politically agreed upon deployment plans
• BE, DE, EE, ES, FR, IT, AU, SI, SE, FI (10)• CZ, GR, IE, HU, NL, PO, IC (7)
4 other countries are discussing deployment plan• PT, UK, SK, CH
6 countries have no plans for smart card deployment• DK, LV, LT, LU, MA, NO
2 countries are still to provide information• CY, LI,
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State of affairs in deploying EHIC
By 2006, EHIC will be deployed in 29 countries (EEA)
16 000 000 EHIC have been distributed by the end of 2004, in 14 countries
The Top 3 issuers are• Czech Republic: 4 000 000 (all their citizens)• Germany: 3 500 000• Sweden: 1 600 000
One can expect • 50 000 000 cards issued in 19 countries By summer 2005• more than 100 000 000 cards by summer 2006
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Second step under discussion: eEHIC• e.g. An insurance function with/without an health one ?
IAS and cross-border interoperability of smart cards are now on the political agenda
State of affairs in deploying EHIC
“The introduction of the European health insurance card will […] also speed up the development of common approaches for electronic health records, medical emergency data and electronic patient identifiers.”
Karin Jöns, MEP - 1/12/2004
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More information?
Marc LangeManager
EHTEL AssociationM.E.P.S. 50, rue d’ArlonB-1000 Brussels BelgiumTel: +32 (0)2 230 15 34Fax: +32 (0)2 230 84 40Mobile: +32 (0)475 27 71 [email protected]