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Towards an European

eHealth High Level Governance

Michèle THONNETMichèle THONNETMinistry of Labour, Employment and Health Paris, FranceeHGI Mainstream &Roadmap chair

epSOS-eHGI Athens 2011-11-10

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MS-EU co-operation : Policy & Strategy

HEALTH is a national prerogativesubsidiarity is keybut challenges are the same in each M.S.

EU level :– a volontarist collaboration between M.S.– supported by the E.C.– confirmed by the « eHealth action plan »– declined on diverse « join » initiatives & Reco– design through dedicated groups & official doc

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2002-2011: a new era in legal and policy framework for EU Cooperation on eHealth

Communication on Quality criteria for a web site Communication on the eHAP Recommendation on cross-border interoperability

of electronic health record systems Communication on telemedicine for the benefit of

patients, healthcare systems and society eHealth Standardisation Mandate 403

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EU Council conclusion on safe and efficient healthcare through eHealth – December 2009

Adoption of the Directive on patients’ rights in cross-border healthcare - 2011

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eHR Modelling: an input for collaboration (2007)

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Interoperability RECOMMENDATION REVIEW

– Interoperability is considered for the purpose of “integrated, connected and interoperable continuity of care for Europe”:

• Political• Organisational• Semantic• Technical/ standards

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other EU current initiatives : EC & MS

Health– Europe 2020: “Sustainable health”; Innovative Union

Standardisation & new partnerships– IT Standardisation mandate– Digital Agenda for Europe (DAE)– European Innovative Partnership (EIP) AHA– Connecting Europe Facility,…

eHealth M.S. and stakeholders voluntary cooperationvoluntary cooperation– epSOS (cross border patient services)– CALLIOPE (eHealth Roadmap)

eHealth High Level Governance

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WHERE?FOR WHAT PUPROSE?

WHO BENEFITS?WHAT’S AT STAKE?

What: possible future actions at EU level

For what:

To accelerate eHealth deployment

Who: Health care community

How: Use Cases, alternatives, maturity and opportunities, building on what is shown to work

1st stop Barcelona 2010

22ndnd step step Mai 2011 BudapestMai 2011 Budapest

AN EU eHEALTH INTEROPERABILITY ROADMAP

A proposal for a common EU Roadmap for eHealth

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Adoption of a common working model

Foundation eHealth infostructureFoundation eHealth infostructurePatient identification and patient data discovery

Data structures and value setsEHR, EMR, PHR, other

Clinical terminologies and classifications and codifications

Data and knowledge management tools

HCP Authorization, authentication and rights management

Consent management and access control

Data interoperability and accessibility

Data bases and Registries

eHealth Governance

eHealth Governance

Market development, new business models, and incentives

Privacy, quality and safety policies

Legislative and regulatory framework

Financing, Resource allocation and reimbursement models

eHealth leadership, policy and strategy

EU & National Stake-holder collaboration

Fostering standards adoption

Monitoring, evaluation

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c.Common EU priorities

National priorities

Foundation ICT infrastructureFoundation ICT infrastructureMobile and fixed Electronic Communication Infrastructures

ICT processing and storage services

ICT Professional and technical support; Training

Access to ICT Networks, equipment and facilities

Sustainable HealthcareSharing Information and

Knowledge for Better Health

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Recommendations and Outlook

propositions provide concrete input to decision

making support of the eHealth high level

governance process

www.calliope-network.eu

Political priorities

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Directive on patients rights in cross border Healthcare: eHealth article (14)

1. The Union shall support and facilitate cooperation and the exchange of information among Member States

working within a voluntary network connecting national authorities responsible for eHealth designated by the Member States.

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Art 14:

(a) work towards delivering sustainable economic and social benefits of European eHealth systems and services and interoperable applications, with a view to achieving a high level of achieving a high level of trust and security, enhancing continuity of care and ensuring trust and security, enhancing continuity of care and ensuring access to safe and quality healthcare;access to safe and quality healthcare;

(b) draw up guidelines on :▌(i) a non-exhaustive list of data that are to be included in patients' summaries

and that can be shared between health professionals to enable continuity of care and patient safety across borders, and

(ii) effective methods for enabling the use of medical information for public health and research;

(c) support Member States in developing common identification and authentication measures to facilitate transferability of data in cross-border healthcare.

2. The objectives of the eHealth network shall be to:

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How to « implement  » it ?

Building on existing collaboration

Bridging the gap between political decision makers & stakeholders

eHealth High Level Governance

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Main objectives

1. Provide to MS a consolidated approach and a Provide to MS a consolidated approach and a strong political committment to governance at three strong political committment to governance at three levelslevels (1) Policy (2) Strategy and (3) Operational

2. Provide to the MS, the EC and other relevant stakeholders a platform and “a think tank” for current and emerging challenges which could lead to a strong consolidated Roadmap of concrete actions and the description of potential future pilot projects and partnerships

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Main objectives …

3. Provide to the MS, the EC, the Competence Centres, the IT-Industry and to other relevant stakeholders

a European eHealth Interoperability Framework

4. Provide to the EC, EPSCO Council and to other relevant stakeholders targeted support for activities requiring broad convergence across Europe, such as future LSP eHealth projects and common interoperable service solutions at MS level

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Overall project structure

eHealth Governance Steering Group

Interoperability, Standardisation and Market (GE)

eHealth Governance Group Chaired by the EU-Presidency

Mainstreaming (FR)

Legal and Protection of Personal Data (HL)

Trust and Acceptability(BE)

Executive Committee

Co

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(A

T)

Str

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Po

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Ali

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men

t (E

S/S

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Evaluation (DK)

Dissemination (SK)

Roadmapping (FR)

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Reaching agreements through continuous bench-learning loop across concerned actors

Political priorities

Stakeholder priorities

Collaborative evolving process

3rd step Copenhaguen

Mai 2012

Agreement and validation of the e-e-IDID proposal and list list

of next prioritiesof next priorities

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European eHealth Governance levels

Policy level: to set out higher level political objectives, define common priorities and policy measures

Strategic level: to agree on concrete agree on concrete strategiesstrategies for developing and implementing integrated, value adding eHealth servicesEstablishment and maintenance of an open platform for multi-stakeholder trusted dialogue

Operational level: deeper focus in areas such as e-ID, ethics, security policies and services, EU infostructure, re-engineering of the standardisation process, maintaining links to national stakeholder groups, etc.

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From eH HLGG toFrom eH HLGG to eHealth Network eHealth Network

1. facilitate cooperation and the exchange of information among Member States

working within a voluntary network connecting national authorities responsible for eHealth designated by the Member States

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e-Health Network =

Thank you for attention

Michele.THONNET@sante.gouv.fr