European policy in eHealth

1
European policy in eHealth

• National discussion forum, ICT for Health
  Sofia, Bulgaria
• Diane Whitehouse
• ICT for Health

http//europa.eu.int/information_society/activitie
s/health/index_en.htm
2
eHealth Communication and Action Plan WHY?

• eHealth is not anymore about what will be
  there are many real life solutions that have
  proven to deliver real benefits
• There is an added value of collaboration at EU
  level eHealth deployment (and not only on
  research)
• to learn what has not worked and to exchange
  experiences
• to ensure minimum interoperability conditions to
  support continuity of care and mobility
• to address many regulatory (market), legal and
  ethical issues in coordinated manner
• to provide framework for all the stakeholders to
  come together at international level that could
  be used also on national and regional level

3
Main areas of progress (1/

• Establishment of eHealth Working Group and
  Stakeholders group for the follow up of the
  action plan
• Establishment of a roadmap regarding the tasks on
  interoperability leading to interoperability
  working paper ( March 2006) to EC Recommendation
  on eHealth Interoperability (2007)
• Launching of projects/studies that address many
  tasks in the action plan
• Best practices (ERA Health, Health Impact, new
  Study)
• Interoperability (I2Health, Semantic Health,
  RIDE)
• Patient identifier (new study, eTen workprogramme
  06)
• Legal issues (new Study)
• Labelling and certification (Q-REC, new Study)

4
Progress eHealth roadmaps and action plans -
feedback

• Replies have come from 15 of 25 Member States, as
  well as Bulgaria and Turkey
• 13 of these came from a Ministry of Health (4
  from other Ministries)
• eHealth info sources 34 web links
• Best (or good) practice examples 35
  projects/pilots

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Coordination of eHealth Action Plan in Europe
Telecom Council
EPSCO Council
European Commission
EHealth Conferences
DG INFSO
DG SANCO
Ministers High Level Participants
High Level group on Health Services and
Medical care
eEurope Advisory group
eHealth Working Group
Subgroup Health Information and eHealth
Stakeholders Group CEN TC 251, ETSI, CENELEC, ISO
TC 215, CEN/ISSS, Health practitioners (doctors,
nurses, etc.), Patients, Health Managers,
Hospitals, Media Industry (EHTEL (ind.) , IHE,
COCIR, EAR, EUROREC, HINE), EU projects
(COPRAS, SEMANTIC HEALTH, RIDE, i2HEALTH, eHealth
ERA) and studies
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eHealth ERA
CISTRANA - IST ERA
III
II
I
SYMBIOMATICSBMI ERA Pilot
i2HEALTH Identification doctors/patient Messages/
requests
SHARE Healthgrid
Certification EHR SSA
STEPVH CA
RIDE Interoperability
Semantic Health Interoperability
TMA Bridge Interoperability approach
INFOBIOMED
BIOPATTERN
SEMANTIC MINING
Long term research
Implementation
Short term research
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Economic and productivity Impact of eHealth study
Best practices study
Legal aspects of eHealth study
EHR
Certification and accreditation eHealth study
Patient ID2
DATA
Patient identity study
I2HEALTH Identification doctors/patient Messages/
requests
Certification EHR Specific Support Action
TMA Bridge EHR structure Interop. approach
eHealth ERA NET
SOFTWARE
CEN TC 251
Language Classification Terminology Coding
SSAs Semantic Interoperability
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Main areas of progress (1)

• Development in progress confirmed in most Member
  States (MS)
• UK Connecting for Health (the National Programme
  for IT)
• Several MS confirmed roadmaps by end 2005
• Planned/on-going major eHealth applications in a
  few countries
• Health cards, ePrescription, interoperability
  specifications/data standards.

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eHealth Action Plan results to date

• General, and patient mobility
• Launch of i2010 initiative (includes eHealth)
• eHealth progress report publication start 2006
• HLG on health services and medical care further
  progress in health information and eHealth
• SANCO and INFSO have agreed to co-organise
  eHealth and health information meetings

10
eHealth Action Plan results to date

• eHealth interoperability
• Approval of 24-month planning (preparatory
  document series of workshops 2007
  Recommendation)
• eTen TMA-Bridge completed i2Health good
  progress
• DG ENTR successful collaboration CEN/ISSS/ETSI
  next steps
• IDABC interoperability and integration

11
eHealth Action Plan results to date

• European health insurance cards and health cards
• eHIC (European health insurance cards)
  continuing progress
• Netc_at_rds concrete progress collaboration among
  MS includes news partners and new countries

12
eHealth Action Plan results to date

• Good or best practices
• eHealth IMPACT case studies underway coverage
  at WSIS Tunis, November 2005
• eHealth ERA - launched, website, first
  deliverables ready, technical review complete,
  Gastein workshop, HLG (SANCO) workshop
• 4 studies call opened in 2005 studies have
  started in 2006

13
eHealth Action Plan results to date

• Public health portal, and management of health
  threats
• Three workshops convened to ensure appropriate
  design and content launch will be in 2006
• MEDIEQ (quality labelling of medical content)
  project accepted for funding in 2005
• Inter-service consultation on management of
  health threats and challenges begun, after
  receiving inputs from Member States

14
eHealth Action Plan results to date

• Conferences and special events
• eHealth 2005 successfully completed
• eHealth 2006 conference launch meeting, October
  2005
• EHFG (Gastein), October 2005 Health-e Europe
• World Summit on Information Systems latest info
  on eHealth in Europe, good practice
• eHealth working group, meetings planned in 2006
• Inter-service group on eHealth, start delayed

15
eHealth 2006 conference

• For your diary NOW!!
• Prospects and planning for the eHealth 2006
  conference which will be held in Malaga, Spain on
  May 10-12 2006.
• Eventual website address http//www.ehealth2006co
  nference.org

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eHealth Action Plan results to date

• Legal, regulatory, and other issues
• Studies, closure October 3 2005
• ESDIS working paper, to be completed circa
  October 2005
• Liaison with DG EMPL mainstreaming of
  occupational health and safety issues, e.g., on
  public health portal

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eHealth action plan main areas of progress

• Will be issuing eHealth interoperability
  guidelines at EU level (Recommendation in 2007)
• Involving all Member States and all relevant
  stakeholders (firm commitment)
• Ensuring political support
• Moving towards implementation, along lines of
  Action Plan
• Increasing efficiency pursuing tangible results
• - from content, to process, to structure-
  ensuring cooperation among initiatives
• - limiting numbers of meetings/WGs

18
Summary of main areas of progress

• Over next 12 months
• major focus on eHealth interoperability
• crucial concentration on regional and/or local
  dimension of eHealth

19
eHealth Action Plan Quick summary of progress
on some actions

• National/regional roadmaps (MS, 2005)
• ERA Health, presentations at eHealth 2006
  conference
• Best practice collection, dissemination (EC
  2004-2008)
• Health Impact, ERA Health, New Study, eTen 2006
• Common approaches for patient identifier (ECMS,
  2006)
• New Study, eTen 2006
• Interoperability approaches and guidelines
  (ECMS,2006)
• TMA Bridge, I2Health, Semantic Health, RIDE,
  Semantic Mining
• Conformity testing and accreditation (MS 2007)
• Q-REC
• Legal framework, certification of qualifications
  (ECMS,2009)
• New Study, 2006

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Conclusions and Discussion

• We welcome feedback and questions from all
  parties, associations, industry and companies,
  Member States, accession countries
• diane.whitehouse_at_cec.eu.int