••• 1

eHealth:EU activities and plans

Diane WhitehouseDiane WhitehouseScientific officer – Scientific officer –

ICT for HealthICT for HealthDG Information Society and DG Information Society and

MediaMediaEuropean CommissionEuropean Commission

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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

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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

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Hospitals in 2004: EPR systems

Hospital EPR systems - Installed base - 2004

0%

20%

40%

60%

80%

100%

Medical document management

Order communication

Computer based storage of electronic patient records

Knowledge Support Systems

HINE 2005

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eHealth in support of continuity of care

Supporting both the life continuum and care continuum

Our vision

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Region 3

Hospital

Home

Pharmacy

Health Centre

mobile PC

Mobile, Wireless

&Broadband

Emergency

Secure Networks

Region 2

Mobility

Region 1

Our actions:Linking the healthcare institutions together (via regional health information networks)

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EC support to Regional Health Information Networks15 years of activities

Research and Development

Pilots validation

Large scaleDeployment

19941990

Stand alone systems(EHR, messaging)

Larger pilots with online services (e.g. eReferrals)

2002 2010

Large scale validaiton,EU wide services

interoperability, mobility,

1998 2006

EU R&D Programmes

Member states + EU eTen & CIP programmes

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Prescriptions

80%

Disch. Letters

81 %

Lab. reports

95 %

Reimbursement13290 = 95 %

Referrals40113 =80%

www.medcom.dk

Estimated cumulative benefit by 2008: ~ € 1.4 bil.

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Region 3

Hospital

Home

Pharmacy

Health Centre

mobile PC

Mobile, Wireless

&Broadband

Emergency

Region 2

Mobility

Region 1

Linking each individual as a “node” in the regional health information network

Secure Networks

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EnvironmentalData

Phenomic data

Integrated Health Records

Biosensors

Genomic data

Biochips

Eventually, understanding the full picture of an individual’s health status

(we can call this ‘molecular medicine’)

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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

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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 systemsEnables 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

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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.

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Support to deployment activities

• eHealth Action Plan • CIP – Large scale pilots

• Emergency, patient (medication) summary

• Policy actions and activities

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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

•

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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)

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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’

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From research and development to deployment

Major categories of challenges

1.Organisational, cultural2.National / regional strategy3.Industrial issues 4.Legal and regulatory issues, privacy ->

security of data5.Technology and standards6.User acceptance

1.Iakovidis I., Intern. J. of Medical Informatics, vol 52, No 123, (1998).

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- Ensure a well thought-out strategy

- Break the pattern of large scale, all-at-once implementations - Break the pattern of large scale, all-at-once implementations

- Ensure commitment of relevant “leaders”

- Keep it up .- Keep it up ..... do not just set it updo not just set it up

- Ensure (legal, regulatory and ethical) compliance

- Estimate user acceptance appropriately, do not underestimate it- Estimate user acceptance appropriately, do not underestimate it

- Remember: none of the parties (administration, industry, users) - Remember: none of the parties (administration, industry, users)

can do it alone!can do it alone!

Lessons learned

I. IakovidisProceedings of EUROREC’99, 1999

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ICT for Health: current activities and future plans

EHR & interoperability

HealthGrid

Time to results

Deployment

Basic research

5 years 10 years 15 years

Support to Deployment

eHealth “Action Plan”

Personal Health Systems (wearables)

Disease Simulator

Mid term R&D

Long term R&D

2004

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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