Health Information Network Europe HINE Paul Goss, Silicon Bridge Research Ltd UK Research Director G

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Health Information Network EuropeHINEPaul Goss,
Silicon Bridge Research Ltd (UK)Research
DirectorGothenburg 4-March-2003paulgoss_at_csi.com
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Overview

• Section 1 Strategic approach to health ICT
• What is HINE?
• Section 2 Nordic activities
• Activities
• Benefits

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Market Potential for health ICT
Total health ICT spend in Europe in 2010 50bn
Euros
Billions of Euros
80
70
Total 2010 European healthcare ICT spend on
information75bn Euros 0.15 of total ICT spend
60
50
40
30
20
10
0
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
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HINE European Health ICT Market Projection
eHealth applications integrated medical devices
Infrastructure development
Current ICT expenditure profile
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Very hard for buyers and suppliersto get an
overall market view of health IT Existing
services are fragmented or country specific -
often USA

• Generic Global
• Gartner
• IDC
• Frost Sullivan
• Forrester

• Health IT specific
• Dorenfest
• Johnson
• KLAS
• Silicon Bridge

• Associations
• EHTEL
• MRI/CAHEHR
• MS HUGE
• UKEHA

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Health Information Network Europe Concept
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Who is interested?

• Suppliers
• Analyse key market trends including competition
  pricing
• Track penetration of eHealth into European health
  services
• Provide health market exposure to senior
  decision-makers
• Provide information to support business plans
  budgets
• Buyers and ICT users
• Facilitate adoption of best practice
• Provide information on products, services and
  implementations
• Monitor changes in technology standards
• Identify key practical actions to progress
  eHealth goals

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HINE Market Information Base
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Incremental approach-HINE will complete in
2001/2003

• eHealth Report
• HIST Study
• Four strategic studies
• - Citizens/patients
• - General practitioners
• - Hospitals
• - Health Authorities
• Profiles of healthcare in major country markets
• European healthcare ICT report
• in progress

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Timescale
HINE Year 0 HINE Year 1 HINE Year 2 HINE Year 3
Individual initiatives
Project preparation
Service start-up
Full service
l Conceptualisation l Project planning l Kickoff
meeting l Founder members l HINE prospectus l
EHTEL collaboration
l Advisory Board l Strategic studies l Country
profiles l Euro market report l Pilot website l
Ministerial conference
l Subscription options l Multi-level website l
Euro information base l Focus workshops l
Research programme l Value added services
Deloitte Touche EC HIST Study
Silicon Bridge eHealth Report For UK DTI
HINE project co-funded by EC
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HINE outputs will help Nordic colleagues..
Work with broad representative group of
healthcare ICT stakeholders . . .

• Primary secondary care
• Community social services
• Clinical support
• Pharmaceuticals
• Medical devices
• Knowledge/content

• Imaging/document
• Business systems
• Telecommunications
• Hardware
• Infrastructure
• Services integration

. . . from major national multinational players
to small and medium enterprises
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Nordic co-operation

• Five countries
• Community of interested parties
• Stakes (F), Medcom (D), Carelink (S), KITH (N),
  RSP (I)
• Share information about supplier community
• Collect from supplier community
• Arrange into common format
• Share and own
• Co-ordinated by HINE in first phase
• Start December 2002 - complete first phase in
  2003

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Expected outcomes

• Make a start on good reliable market information
• Identify new trends and potential bigger gains
• Mix public bodies and industry representatives
• Key to stimulating investments
• Ease of networking increases buyer and supplier
  confidence
• Encourage co-operation especially between
  suppliers
• Added value is the strategic element, not the
  details
• Overcome friction in the market

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Nordic progress66 identified suppliers in these
categories

• 13 Electronic Health Record GP specialist
  clinics
• 9 Laboratory systems
• 8 Hospital systems
• 8 Imaging
• 7 Homecare
• 6 Clinical systems
• 4 Pharmacy
• 4 Dentist
• 2 Insurance
• 5 Workflow, VANS, Components, Other
• Not a census, but still a challenge to increase
  the Nordic scope -
• we expect over 100 suppliers when completed

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Active eHealth Infrastructure to Support
Business Processes and Electronic Records
Protocols Pathways Processes Standards Interfaces
Clinical Support
Enterprise- wide applications
Messages transactions
Technical communications infrastructure
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Complex and changing marketbut often does not
recognise it

• Little overlap between healthcare ICT suppliers
• Tends to transfer integration specification and
  control to buyer who is more concerned about
  business outcome not the ICT
• Rise in healthcare component suppliers
• Suggests increase in bespoke products often by
  new suppliers
• Adds features and services to established
  systems and products
• Often driven more by technology
• Complexity passed to buyers rather than to
  prime contractors
• Multiple small companies in healthcare ICT
• Implies need for greater industry discussion
  about market needs
• Uncertainty of suppliers - technical change,
  investment challenge

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Conclusion

• Health has many new challenges
• Increased clinical and policy makers demand for
  ICT support
• Uncertainty of ICT buyers/users in many countries
  about how to make the market work for them
• Success in delivering IT solutions in healthcare
  is variable
• Depends on an ability to deliver down the whole
  value chain
• Healthcare services are moving to increase
  investment
• Need to pass significant complexity to private
  sector specialists
• This brings investment, but needs new ways of
  working
• Nordic co-operation with HINE is valuable to all
• Delivering information based inputs for buyers
  and suppliers
• Eventually benefiting the whole healthcare value
  chain

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HINEHealth Information Network Europe