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Roberto Giampieretti European Commission, DG INFSO ICT for Health

Fostering eHealth Deployment: the two eHealth communities ePractice Communities Workshop Brussels – 16 June 2010. Roberto Giampieretti European Commission, DG INFSO ICT for Health. Contents. ICT for Health – What do we do? ePractice – Why two Communities on eHealth?

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Roberto Giampieretti European Commission, DG INFSO ICT for Health

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  1. Fostering eHealth Deployment:the two eHealth communitiesePractice Communities WorkshopBrussels – 16 June 2010 Roberto Giampieretti European Commission, DG INFSO ICT for Health

  2. Contents • ICT for Health – What do we do? • ePractice – Why two Communities on eHealth? • Half a year down the road – Are they meeting our expectations? • How to get the best out of them? ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  3. Who are we?“ICT for Health” Unit, Information Society and Media DGEuropean Commission • Supported > 500 eHealth projects with > €1 Billion since 1989 • Current support (ca € 100 Mil/year) • Major focus in the 90’s: • Regional Health Information Networks, Electronic Health Records, Homecare/telemedicine • Today’s focus: • I) Research: • Personal health systems (wearable, portable monitoring) • Patient safety (Clinical information systems for safer outcomes) • Modelling and Simulation of diseases (Virtual Physiological Human) • II) Policy and support to deployment • eHealth Action plan, Lead Market Initiative, • Recommendation on Interoperability, Deployment of Telemedicine • Large Scale Pilots, certification of Electronic Health Record Systems ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  4. General Practitioners Patients Social Service Health Authorities Hospitals Healthy citizens Nursing Homes Labs Fragile persons Homecare Continuity of care enabled by eHealth Prevention Diagnosis & Care Rehabilitation ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  5. Towards the full picture of the individual’s health status 3 Connecting individuals with Health Information Networks 2 Linking all the points of care 1 Time The EU roadmap for eHealth 1990s Today ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  6. General Practitioners Social Service Health Authorities Hospitals Nursing Homes Labs Homecare Step 1 – Linking all the points of care Secure data networks and interoperable applications ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  7. Hospital Homecare General Practitioner Medical Expertise Devices for multi-parametric monitoring Decision Support System Patient at home Intelligent Analysis Step 2 – Connecting individuals with Health Information Networks Data communication and feedback Data acquisition Data processing & analysis ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  8. nano ATP micro sarcomeres meso fibers macro INRIA in silico electro- mechanical cardiac model organ Step 3 – Towards the full picture of the individual’s health status • Reproduce Anatomical and Functional properties of physiological systems at various scales: • molecules, proteins, cells, tissues, organs, systems, body, etc. • Integrate Geometry, Physics, Chemistry, Physiology… • Help understand normal or pathological evolutions: • systems : Cardio-vascular, Central Nervous, Digestive, Reproductive, etc. N. Ayache, INRIA ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  9. European Digital Agenda 19-5-2010 • Key Action 13: Undertake pilot actions to equip Europeans with secure online access to their medical health data by 2015 and to achieve by 2020 widespread deployment of telemedicine services • Key Action 14: Propose a recommendation defining a minimum common set of patient data for interoperability of patient records to be accessed or exchanged electronically across Member States by 2012 • Other actions: • Foster EU-wide standards, interoperability testing and certification of eHealth systems by 2015 through stakeholder dialogue ••• 9 ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  10. Stand alone systems (EHR, messaging, healthcards, VPH, PS PHS) Research & Technology Development EU R&D Programmes Research Larger pilots with online services (e.g. Home-based Monitoring) Pilots validation 1998 2002 2006 2010 1990 1994 Large scale validation (EU wide services interoperability, mobility) Member States + EU eTen & CIP programmes Large scale deployment, support to policies Innovation EC funding instruments ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  11. 17 18 16 16 14 Priority (wish) No. of EU 12 Reality Member 10 States 8 6 3 4 0 2 0 Complete EHR / ePrescription interoperability eHealth deploymentin the European Union • Over 22 countries have explicit eHealth policy strategies, but: www.ehealth-era.org ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  12. EC wide strategy for eHealth 5. Communication on Telemedicine (2008) 4. EC Recommendation on EHR Interoperability (2008) 3. Lead Market initiative for Europe (eHealth) 2. eHealth Action Plan - COM(2004)356 final 1. Research (FP) and Demonstration Programmes (eTEN/CIP) ec.europa.eu/information_society/activities/health/policy/index_en.htm ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  13. The two eHealth Communities • ePractice – Why two Communities on eHealth? • Telemedicine Forum • eHealth Procurers Forum ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  14. Procurement of eHealth solutions • Deployment of eHealth services on a large scale is still at an embryonic stage in most of he EU member states. Innumerable are the pilot projects, but few are the solutions coming out from such pilots as services addressing the citizens on a regular basis and on a large scale. ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  15. Procurement of eHealth solutions • If today specifying and procuring ICT systems for hospitals is a relatively easier task than in the recent past, actual interoperability of the solutions offered on the market is still far from being a widespread reality. Nevertheless, interoperability is a key word for the administrations of the local and regional health authorities, when planning their eHealth investments. ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  16. Procurement of eHealth solutions • Even more complex is the situation related to designing and procuring telemedicine systems and services, an area where health authorities often opt for complete outsourcing of the target services or of full sections of the target processes, but they have limited tools for making robust decisions in the framework of systematic application of HTA methodologies. ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  17. Procurement of eHealth solutions • Nevertheless, there exist relevant experiences and initiatives proving that the above mentioned complexities can be managed and successfully overcome, gaining over time the planned return on the investments made. ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  18. Procurement of eHealth solutions • A study initiative is going to be launched aimed at: • Analysing why procuring eHealth solutions is difficult • Starting a process for building guidelines useful to procurers in their job of implementing eHealth on a large scale. ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  19. What do we expect from the eHealth Procurers Forum? • Help us identify significant procurement initiatives in the eHealth sector • Help us identify relevant key persons in the procurement line of work • Bring our policy initiatives to the attention of the above key persons • Boost the participation of the key persons in our workshops on eHealth Procurement ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  20. Limits and difficulties in our usage of the Communities • Continuous monitoring – Significant person power is to be dedicated within the Unit • Small numbers – The eHealth Communities have so far attracted limited numbers of persons • Content management – The specificity of the topic (eHealth Procurement) requires special attention in ‘selecting’ contents and initiatives • Loose link with the consolidated stakeholders of the specific sector • Loose link with daily activity in policy development ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  21. How to get the best out of them? • The concept remains appealing for policy development • A personalised approach – customised on the specific needs of our Unit – could be explored • Some wiki functionalities on the published material could be an additional value • Looking forward to the forthcoming workshop on “Procurement of eHealth solutions” to be held in October. ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

  22. Thank you ! roberto.giampieretti@ec.europa.eu http://ec.europa.eu/information_society/activities/health/policy/telemedicine http://www.epractice.eu Disclaimer: The views developed in this presentation are those of the author and do not reflect necessarily the official position of the European Commission on the subject matter ICT for Health – Roberto Giampieretti – Brussels, June 16th, 2010

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