1. 1 Review of eHealth Programme Geza Nagy, M.D. (external expert of ESKI eHealth Programme Office)

2. 2 Antecedents of the programme: eEurope 1999-2000 the status of EU in relation to USA: rationale – answers An Information Society for all Main objectives: faster Internet access for citizens, education, commerce, government

3. 3 Usage of PCs EU/USA E. Liikanen Athen 2000

4. 4 Számítógépek használata EU/USA E. Liikanen Athen 2000 Usage of Internet EU/USA Internet penetration per 100 inhabitants (Year-end 1999) Finland 4 FranceGermanyItaly JapanSweden The Netherlands UKSpain Canada USA

5. 5 Conclusions Europe falls behind in both computer and Internet usage Interesting fact: EU has advantage in mobile network development and mobile phone usage compared to USA The solution: eEurope

6. 6 Antecendents of the Programme eHealth Establishment of the 10-point Action Plan for eEurope eHealth is a part of the Action Plan Knowledge-based economy Internet technology: faster, cheaper and safer

7. 7 Antecendents of programme eHealth eHealth: close collaboration between DG Health and Consumer Protection and DG Information Society The EU accepted the Action Plan in Feira (Portugal) in June 2000

8. 8 eHealth 2000 – 2002 Ensuring that primary and secondary healthcare providers have health telematics infrastructure in place including regional networks Best practice in electronic health services in EU Establishment of a set of quality criteria for health-related websites Establishment of health technology and data assessment networks Dissemination of the legal aspects of eHealth Results, projects in Hungary : Best Practice – in the fields of EBM: Handbook of Clinical Evidence and its Web application, end-user education

9. 9 Progress of eHealth Programme 2002 Seville Spain: Action Plan to 2005 based on modern, online public services Targets of Action Plan: Electronic Health Cards Health Information Networks Online services Health Telematics R&D frameworks

10. 10 Electronic Patient Card Common approach to patient identifiers and electronic health record architecture, creation of a European electronic health card Allowing access to medical emergency data and secure access to personal health information General usage in 2008 – the E 111 form is suitable for emergency treatment in EU member states till 2008 Results, projects in Hungary : eEurope smart card- key card/data card alternatives Application date in Hungary is 2006, led by NHIF

11. 11 Health Information Networks Citizens can access online health services (information on healthy living and disease prevention, electronic health records, teleconsultation, hospital-doctor-patient networks, etc.) via broadband connectivity by the end of 2005 Europe-wide health information network to spot emerging health threats (see SARS) Results, projects in Hungary : ANTSZ network Programme finished with EU support Development of broadband network in health care

12. 12 Online services By the end of 2005 Information resources for citizens –Healthy living –Disease prevention –Electronic health record –Teleconsultation –Preventive information, e.g. air and water quality information Task: Application of Quality Criteria for Health Related Websites in Hungary

13. 13 Online services Hungarian projects, developments DR.INFO telephone health consulting service – 1 st phase DR.INFO health-related web portal – 2 nd phase Establishment of public health portal Development of regional model projects with support from EU structural fund

14. 14 Online services Introductions of categories, standards, applications: ePrescription, eRecord, eConsultation, etc. Introductions of categories, standards, applications - CEN TC 251 naturalisations Digital signature in health-related applications Work is coordinated and led by the eHealth Programme Office – chance for harmonisation

15. 15 Health Telematics The Working Group on Health Telematics has been asked the following tasks: Review the application of Information and Communication Technology in the health sector Consider particular applications of ICT in health namely health cards, virtual hospital Provide for the dissemination of health-related information to health professionals and patients Further information... http://europa.eu.int/comm/health/ph_overview/Documents/hlch _health_telematics_final_report_en.pdf

16. 16 R&D Framework Programmes Many of the projects are supported by DG Information Society under the EU Research Framework Programme The basic principle is the utilisation of results Neumann Colloquium 2003, Veszprém – Hungarian R&D results and utilisation

17. 17 Ministerial Conference Brussels, 22 May 2003 eHealth The Contribution of ICT to Health Exhibition with the introduction of realised EU projects Presentations from the industry – participation of leading ICT companies Ministerial Declaration

18. 18 Declaration - Main Aspects Promoting quality and enhancing efficiency in health care through eHealth applications Facilitating citizen involvement through access to high quality information Implementing and sharing best practices in eHealth Looking to the future Full exploitation of eHealth goes beyond local information systems and Internet based provision of information to integrate eEurope action plan 2005 coordination with eHealth Continuous development, implementation R&D support growing up to 3% of GDP Second eHealth Conference 2004, Ireland

19. 19 eEurope 2005 – eHealth relation Modern, on-line public services: e-government e-learning eHealth Dynamic, e-business environment Widespread availability of broadband access at competitive prices Secure information infrastructure

20. 20 eHealth career It was given an important role in the eEurope idea, in every phase Decisions FeiraBarcelonaBrussels 1999-2000 2000-2002 2003-2008

21. 21 Finally what does eHealth mean? The application of ICT across the whole range of functions which, one way or another, affect the health of citizens and patients: –Health care provision is more patient- oriented –Health-related information –Information related to trading of health products

22. 22 Health care delivery is more patient- oriented and safer A number of ICT technologies exist –In the hospitals Complete HIS –Primary care In everyday routine for patient management, medical records and electronic prescribing –Home care Telecommunication with providers, teleconsultation with professionals

23. 23 Health-related information Continuous Medical Education (CME) For citizens –Retrieval of health and medical information –Search of information on the provision of health care

24. 24 Trading Health Products Pharmaceuticals Health care goods Medical devices Information materials are increasingly accessible to the public

25. 25 Finally what does eHealth mean? ICT in professional point of view: Management of information and information flow in the whole process of care The central component of eHealth is the EHR – (electronic health record) that allows the sharing of medical records between care providers and patients, in any application The applications: patient self-management, telemedicine, electronic messaging, electronic registries and databases, regional and national networks – all taking place on the Internet