HealthAgeing

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ICT for Health, Ageing and Accessibility
Peter Wintlev-Jensen ICT for Inclusion DG
Information Society and Media EU Commission
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ICT for Health
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Health sector in EU

• Health sector in EU 9.3 of workforce, gt 15 M
  people (retail 13.0 M, business services 13.3m)
• Health expenditure gt 8,5 of GDP and grow at a
  pace of 4 a year (faster than EU economic
  growth) potential to reach 16 of GDP in EU by
  2020 (Healthcast 2020, PWC)
• ICT penetration is low compare to other sectors.
  There is great potential for productivity gains.

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Challenges for European Health Delivery Systems

• Ageing population
• Rising costs of healthcare
• Growing expectations of citizens
• Improving Patient safety
• Addressing mobility of patients

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www.medcom.dk
Estimated cumulative benefit by 2008 1.4
bil.
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Support to Deployment eHealth Action plan
COM(2004) 356 final

• Main areas of activity
• National/regional roadmaps
• Common approaches for patient identifier
• Interoperability standards for EHR and messaging
• Boosting investments and uptake in eHealth
• Certification and labeling
• Legal framework, certification of qualifications
• Yearly Ministerial conferences exhibitions
  (next in SLOVENIA 4-6 May 2008)
• World of Health IT yearly conferences

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Creating the conditions

• Recommendation on Interoperability (2007)
• Working with other Commission services
• DG SANCO on cross border health services
• DG ENTERPRISE, MARKET, REGIO, COMPETITION on Lead
  market innovation, legal framework, Innovation,
  financing
• with Member States on eHealth Action Plan, and
• with International bodies for worldwide
  exploitation of EU know-how and industry

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Facilitate the DeploymentLarge Scale Pilots (
CIP)

• Service pilots with interoperability as the
  central theme aiming to achieve and demonstrate a
  federated solution across borders
• Participation on voluntary basis
• Focus for 2007
• Patient summary (unforeseen situations)
• Medication data (for ePrescription)

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The WIN3 approach for eHealth

• For improvement of care Saving lives
• ICT infrastructure for Continuity of care,
  Personalisation, prevention and improved patient
  safety
• For increase of productivity- Saving Money
• Cost benefits possible when eHealth combined with
  appropriate organization and skills
• For economic development- eHealth Market
• To facilitate sustainable growth of transparent
  and innovation friendly eHealth market. Current
  market size estimated at 20 Billion

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EU invests in Research, FP7 ICT Challenge 5

• Personalisation of Healthcare
• Personal health system
• 72 Million Call 1 deadline 8/5/07
• Improving Patient safety avoiding medical
  errors
• 30 Million Call 1 deadline 8/5/07
• Predictive Medicine Virtual Human
• Modelling/simulation of diseases
• 72 Million Call 2 deadline 9/10/07

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Personal Health Systems

• Prevention Personalisation
• citizen empowerment to manage
• own health status
• emphasis in preventative lifestyle
• management of chronic diseases
• independent living
• In the form of
• Wearable, implantable, portable systems
• Point-of-care systems (biochips)
• Smart home environments

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ICT for Patient Safety

• Advanced computerised adverse event systems
• Identification of common patterns in
  safety-relevant events beyond reporting
  nosocomial infections and/or Adverse Drug Events
  (ADE).
• New tools for prediction, detection and
  monitoring of adverse events and other relevant
  information.
• Decision support systems, intelligent medication
  delivery (e.g. RFID-based), and adverse event
  reporting systems through innovative data mining
  and integration techniques of existing databases
• Emerging technologies like semantic mining should
  be explored through multimedia databases.
• Include validation leading to quantitative
  benefits.

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The Virtual Physiological Human (Predictive
medicine)

• Integrating information relating to disease from
  the level of molecule, cell, organ, organism,
  population
• Modelling and simulating disease related
  processes and human physiology
• Predicting risks and developing more effective
  treatments or prevention programmes

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The Virtual Physiological Human - concept
Basis is the International physiome project
www.physiome.org

• New basis for
• Personalised (Patient-specific) healthcare
  solution
• Early diagnostics Predictive medicine

The VPH research roadmap is developed by
project STEP www.europhysiome.org
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The Virtual Physiological Human - technology

• Computational framework for multi-scale in-silico
  model(s) of the human physiology and a toolbox
  for simulation and visualisation.
• Patient specific model from bio-signals and
  (multimodal) images including molecular images
• Technologies involved
• Data mining, knowledge discovery tool, semantic
  integration, databank, biomedical imaging,
  modelling, simulation and visualisation
  techniques, HealthGrid (infrastructure and tools)

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ICT for Ageing and Inclusion
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In the EU, the share of elderly in the population
will double by 2050
Elderly Dependency Ratio (Ratio of population
aged 65 and over to population aged 15-64)
Sources EU Economic Policy Committee 2001 UN
Population Prospects Publication (revision 98)
IMF staff estimates
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e-Inclusion and ICT ageingin i2010

• Action Plan on Ageing Well in the Information
  Society June 2007
• Support to Ambient Assisted Living Joint RD
  Programme, June 2007
• European e-Inclusion Initiative To be part of
  the information society, Nov 2007

A Single European Information Space
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The e-Inclusion opportunity

• 55 billions from increased participation to
  labour of currently unemployed who do not use
  Internet
• 10 billions from increased participation to the
  labour force of the students currently not using
  Internet
• 18 billions from increased productivity from
  new digital skills of the currently employed who
  do not use Internet
• 10 billions of extra GDP growth from increase
  in output of the ICT industry by inclusive ICT
• 30 billions of extra GDP growth due to impact
  of inclusive e-Government

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EU e-Inclusion PolicyEuropean e-Inclusion
Initiative(adopted 8 Nov 2007)

• e-Inclusion matters, but too little progress
• Raise awareness and commitment
• E-Inclusion  Be Part of It  campaign
• High-Level Ministerial Conference 2008
• Enable Accelerate Integrate
• e-accessibility RD, pilots (accessible digital
  TV), legislation digital literacy
• Ageing Action Plan (CIP pilots) inclusive
  e-services marginalised groups (networking)
• Cooperation (networking) benchmarking through
  Riga Dashboard mainstreaming

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The ICT and Ageing opportunity

• 80 population doubles until 2050
• 60 population from 20 in 1995 to 25 in 2020
• 50 population 21 has severe vision/hearing/dext
  erity problems
• Age-related impairments 69 million in 2005 (84
  million in 2020)
• Cost of pensions/health/long-term care up by 4-8
  of GDP
• //
• Wealth and revenues of persons over 65 is over
  3000 B.
• Smart homes market will triple between 2005 and
  2020
• Early patient discharge by tele-health save 1,5
  billion p.a. (Germany)
• Tele-care technology from institutional care
  costs of 21,840 to 7,121 including 24 hours
  response (UK)
• 50,000 on accessible website ? access to 1.9
  million new customers (Tesco)

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So whats in the way?

• Older people dont use the Internet and find
  technology challenging
• Only 10 of people over 65 use the Internet
• Over 20 of the 50 are seriously challenged in
  hearing, vision or dexterity
• ICT is complex and requires special skills
• Ageing needs not yet in main-stream products
• Insufficient awareness of market opportunities
  and users' needs
• Older users needs not built into new designs and
  technologies
• Fragmentation of research and innovation efforts
• Legal and technological barriers
• Legal and Ethical issues not well developed
• Lack of interoperability makes solutions
  expensive difficult for elderly users
• Fragmented Markets
• Differing public policies and reimbursement
  schemes
• Unclear business models (Who pays?)

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Ageing Action Plan 3 wins!

• Improving the quality of life of elderly people,
  and of their relatives and carers
• Ensuring sustainability of health and social
  services in terms of financial and human
  resources
• Creating new jobs and business opportunities for
  European industries

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Ageing Action Plan - 4 actions

• 2 Policy Actions
• Raise awareness, shared understanding and common
  approaches
• Ministerial debate 2-3 December 2007 in Lisbon
• Innovation Platforms for Stakeholders at EU and
  nat. level
• Roadmaps on ICT for Ageing Well
• Create the right conditions remove barriers
• Best practice exchange and awards
• Address legal barriers, national reimbursement
  schemes
• ICT and Ageing Ethical issues, under Slovenian
  Presidency
• Interoperability

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Ageing Action Plan - 4 actions

• 2 Funding Actions
• Covering the research and innovation value
  chain
• Prepare for the future through research and
  innovation
• Framework Programme 7
• long-term research (10 year time-to-market)
  technical requirements for interoperability
  integration of components new ideas
• AAL Joint Programme
• Coordination of National RD application
  research and system integration (2-3 year
  time-to-market)
• Accelerate investment in and take-up of proven
  solutions
• CIP pilot projects, large scale trials,
  Innovative public procurement
• Regions for Economic Change and mobilization of
  Regional Funds

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Current EU RD and Innovation Support

• FP7 research, Challenge 7
• Ageing
• Prototypes for independent living/active ageing
• Open Systems, Reference Architectures, Home
  Platforms
• Support roadmaps, standards, S/E research, Intl
  cooperation
• eInclusion
• Mainstreaming accessibility
• Deep embedding
• Simulation Virtual User
• Brain-computer interaction
• Marginalised young people
• Advanced research
• Generic, pan-European
• Exploration of new areas

• CIP deployment pilots
• Ageing
• Independent and healthy living
• Chronic disease monitoring
• eInclusion/Accessibility
• Accessible digital television
• Thematic networks on social capital, innovation
  e-inclusion, active ageing at work
• High visibility
• Overcoming fragmentation
• Enable scaling up, investment
• Value chain cooperation
• Regional/rural/urban renewal

( pre-commercial procurement, Structural Funds)
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Objective 3.7.1.1Call 1
ICT and Ageing
Global Industrial and academic leadership in ICT
and Ageing Providing basis for future solutions
with highly increased efficiency and user
acceptance
Key Area Integration of advanced ICT prototype
solutions for Independence at home, on the move
or at work.
Target Outcomes
Key Area Open Systems Reference Architectures,
standards and Platforms for Independent Living
and Active ageing
Enabling cost-effective, multi-vendor solutions
Enabling seamless and reliable integration of
devices and services
Expected Impacts
Support Measures RTD roadmaps, socio-economic
research, Standards setting, international
cooperation (US, Japan)
A long term RTD agenda for ICT and Ageing,
positioning European efforts in the global
market, including standards, soc-econ.
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Objective 3.7.2.1Call 2
Accessible and Inclusive ICT
Key Areas Deeply embedding accessibility in
mainstream ICT. Methods and tools for computer
simulation of user interaction and validation
frameworks. Assistive solutions based on non
invasive Brain computer interaction.
Demonstration of accessible solutions in real
life using context. Enable new market
opportunities. Facilitate seamless interaction
between accessible mainstream ICT and assistive
solutions. Facilitate development and production
of accessible ICT. Better understanding of
ethical issues , market requirements barriers and
cost benefit aspects.
Target Outcomes
Supporting Measures Assistive technology
constituencies coordination International
cooperation
Expected Impacts
Preparatory Actions ICT based Communication and
shared environments for social inclusion of
marginalized young people
RTD capacity on ICT solutions for social
inclusion.
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CIP WP 2007 ICT for accessibility, ageing and
social integration

• ICT to fully participate in society and the
  future knowledge economy. ICT to respond
  positively to the demographic challenge.
• e-Inclusion objectives in CIP ICT PSP more
  accessible and usable ICT technology and the use
  of ICT to achieve a wider inclusion of the
  population in the information society.
• Three objectives
• ensuring minimum accessibility and usability of
  emerging ICT products and services for all
  (pilot projects)
• making the best use of ICT to improve quality of
  life and healthcare of elderly people (pilot
  projects)
• experience sharing, consensus building and
  visibility for ICT based solutions addressing
  ageing and inclusion.(Thematic networks)

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CIP WP 2007 ICT for accessibility, ageing and
social integration

• Expected outcomes
• innovative ICT solutions addressing the challenge
  of the ageing society and improving the
  inclusiveness of the information society
• development of a range of business opportunities
  in high growth markets (accessible ICT products
  and services, ICT for independent living and care
  for the elderly)
• European industry in a leading position to
  provide solutions for these markets at local,
  regional, European and international level

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Stepping up research on Ageing Wellthrough the
AAL Joint Programme

• New Joint Programme between Member States on
  applied ICT research in Assisted Living
  technologies and services (2008-2013)
• National contribution of at least 150m
• EC contribution up to 150m
• Cofunding by Industry and Research 50
• Total investment gt600m
• Based on Art. 169 of the EU Treaty
• Complements longer term research - 400m in FP7
• Linking National programmes to EU research

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AAL Joint Programme - Characteristics

• Annual work programme with 1-2 focused calls/year
  from 2008-2013 (probably first call in April
  2008)
• New ICT products and services for ageing well
• Smaller applied research/innovation projects
• Organisations from at least three different
  participating states
• With user involvement
• Co-funding by participants
• National rules of participation apply
• Projects contracted through national agencies for
  nat. participants
• Low barriers for participation
• SME friendly

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AAL Joint Programme Objectives

• Foster the emergence of innovative ICT-based
  products, services and systems for Ageing Well
• Create/leverage critical mass of research,
  development and innovation at EU level
• Improve conditions for industrial exploitation,
  in particular SMEs

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AAL Joint Programme National Interest
expressed so far

• ? Interested
• Committed
• With more than 25 M/Year

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Israel
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Conclusions

• eHealth, eInclusion and Ageing well in the
  information society - social necessity and
  economic opportunity
• ICT has great potential for providing solutions,
  but need for comprehensive policy support
• European Action plans launched by the European
  Commission

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Further Information

• ICT on Cordis
• http//cordis.europa.eu/fp7/ict/
• eHealth
• http//ec.europa.eu/information_society/activitie
  s/health/
• EU ICT and Ageing Well Initiatives
• http//ec.europa.eu/information_society/einclusio
  n
• Ambient Assisted Living Joint Programmehttp//ww
  w.aal-europe.eu/
• Contacts
• eHealth ilias.iakovidis (at) ec.europa.eu
• eInclusion peter.wintlev-jensen (at)
  ec.europa.eu