The three ages of eHealth

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The three ages of eHealth

• The most fascinating is still to be done!
• by Marc Lange

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EHTEL

• The European Health Telematics Association isa
  pan-European multi-stakeholder forum
• Our Members

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EHTELs Mission

• To be the grid which creates trust, coherence
  and consensus between all stakeholders who are
  interested in using ICT as an enabling tool
• Founded in 1999, EHTEL is celebrating its 10th
  Anniversaryunder the slogan A Decade for
  eHealth

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EHTEL - A Decade of eHealth

• The three ages of eHealth
• - Discovery
• - Acceptance
• - Deployment
• and eventually a fourth age when the e prefix is
  no longer needed and IT is an integral day to day
  part of delivering, managing and receiving care.

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The age of Discovery1989 1999

• Beyond patient administration, the idea of
  technology for health is emerging Health
  Telematics
• EC RTD ventured into verticals including health
• RICHE (Réseau d'Information et Communication
  Hospitalier Européen)
• AIM Programme (Advanced Informatics in Medicine)
• The goal common platforms, standards networks
• Lots of local, national and some European
  initiatives
• But, enthusiasm not enough - need for structure,
  stakeholders, vision and some high level
  encouragement.

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The age of Acceptance1999 2009

• Health Telematics is there
• Well established conferences everywhere (MEDinfo,
  MIE)
• EC RTD got its own health programme
• 1000 people were working on health IT standards
• Out of this emerged EHTEL, encouraged by EC
• Technology offering eHealth capabilities
• Demographic / chronic disease / medical advance
  pressures
• Finite resources facing demand curve
• Demand for better accessibility, quality of care,
  patient empowerment
• No transformation without information

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The age of AcceptanceThe trailblazers

• eHealth Telemedicine services are in operation
  in
• England, Andalucía, Slovenia, Lombardy, Veneto,
  Sweden, Demark, Norway, Northern-Westphalia
• Observations show that
• Operational deployment is easier for areas with
  5 10 millions inhabitants
• A central EHR system would be viable for a
  population of about 5 millions
• Regions an appropriate level in the chain to
  connect with the local situation!

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The age of AcceptanceThe barriers

• No mainstream health credibility
• Technology still seen as the answer
• No voice or business case
• A small and marginal community
• Member States / hospitals / major suppliers with
  their own agendas / priorities
• Culture / Organisation / Not Invented Here /
  paternalism / embedded interests

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The age of AcceptanceA range of visions

• Evidence based medicine
• Information based care wherever whenever
• European healthcare eHealth
  interoperability
• Transformation enabled by technology
• Collaborative care (the EHTEL 4Cs of Healthcare)
• The players

EHTEL in position to help
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The age of AcceptanceIn ten years, we have not

• Proved the value business case for eHealth
• Found a way to make eHealth understandable, a
  must have a can do
• Brought the stakeholders working together in
  mainstream eHealth
• Agreed practical standards, deployment
  innovation good practice
• Made eHealth part of professional development for
  all health people

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The age of Deployment Where are we?

• Aware there are no simple answers, no one way
  forward, no panacea.
• Clear that eHealth / technology just one enabler
  for Transformation
• Close to having the technology we need, but not
  yet the change mentality / commitment
• Starting to see stakeholder awareness that they
  are all in this together
• Agreed about direction but roadmap still unclear
• A long way from making it happen globally

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The age of deploymenteHealth Thought Leaders

• ICT-Policy Support Programme - key to future
  growth
• EC LMI - stimulate market to innovate
• WHO - sustain investment in health
• WEF (Davos 2009) - Catalysing the next wave of
  growth through innovation, science and
  technology
• HIMSS for Obama - invest for the future
• Kings Fund - technology adoption has to be based
  on best value not least cost
• Barlow - invest in diffusion as well as invention

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The age of Deployment How will we make progress?

• Learn the lessons of the last decade
• Inform and educate - eHealth has to be relevant
• Understanding and coping with complexity
• Link innovation and deployment
• Bring stakeholders together to understand each
  other, look for synergy common purposes
• Bring industry into the fold and learn to live
  with them
• Go back to basics what is 21C care and how can
  we enable this to happen

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The age of DeploymentThe Driving Force

• The Health IT community has been pushing for
  eHealth deployment
• The pull effect came from national governments
  under the pressure of the need for transformation
• The demand from the Health sector will drive the
  deployment age of eHealth
• eHealth is an enabler for fair Health and Social
  Care Policies

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The age of Deployment Critical Success Factors

• Common sense and working together
• Making industry an effective stakeholder
• Making technology the servant of care
• Local / SME driven innovation
• Effective subsidiarity for eHealth at EU,
  national, regional, local, individual level
• Programme of continuous education
• Managing innovation and risk
• Putting the citizen / patient first

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The age of DeploymentCentral, Regional Local
Partnership

• Engaging those who are regionally/locally active
• Health Professionals
• Patients Citizens
• Payers
• SMEs
• Regional/Local Authorities
• Regional policies for
• Making eHealth understood
• Creating trust
• Positioning Champions
• Providing societal and economic benefits to the
  population

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The age of Deployment of eHealthHic et Nunc
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A decade of eHealth

• Thank you for your attention
• For continuing the discussion
• Marc.Lange_at_ehtel.org
• www.ehtel.org

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For continuing the discussionafter the meeting
Not to be shown during the lecture

• EHTEL is there as a forum for All Stakeholders
• Several publications of EHTEL are available at
  www.ehtel.org

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Interoperability Initiative

• Available publications (co-authored) (2006)
• Identification management in eHealth
• Proceedings of the 2006 Expert Workshop in
  Amsterdam
• ePrescribing (medication record, transfer of
  prescription, decision support)
• The Navigator newsletter (2005)
• The Navigator Collector edition (2007)

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Sustainable Telemedicine

• Available Publications (2008)
• Sustainable Telemedicine paradigms for
  future-proof healthcare
• Connecting People through satellite-based
  Telemedicine Solutions Scenarios and Practical
  Experiences from the Healthware project
• The Navigator newsletter - 2008
• Navigator fact sheet - 2008

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Empowering the Citizens

• Past achievements
• 2003 Patient Charter for eHealth Information
  Systems
• 2006 EHTEL Satellite session at WoHITeHealth
  Getting it Right for the Patient Three examples
  providing views, issues and concerns
• 2007 Comments on the draft EU Data Protection
  Guidelines for EHR, through the eHealth User
  Stakeholder Group
• Available publications (2006)
• 3 Briefing Papers Care at the home, Patient
  Safety, EHR
• The Navigator Newsletter (2004)

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User Acceptance

• Past achievements (2007)
• The 4 Cs in Healthcare
• Continuity of care
• Collaboration between stakeholders,
• better Communication
• safeguarded Confidentiality
• Available publication
• Press Release on Conference Conclusions Rome,
  May 2007
• The Navigator newsletter (2005)