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Warwick Business School Professor Wendy CURRIE Director, IPTRU/WBS, UK Dr David FINNEGAN Director, Corporate Relations, IPTRU/WBS, UK.

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Presentation on theme: "Warwick Business School Professor Wendy CURRIE Director, IPTRU/WBS, UK Dr David FINNEGAN Director, Corporate Relations, IPTRU/WBS, UK."— Presentation transcript:

1 Warwick Business School Professor Wendy CURRIE Director, IPTRU/WBS, UK Dr David FINNEGAN Director, Corporate Relations, IPTRU/WBS, UK

2 Warwick Business School Enabling Technologies Projects In collaboration with Microsoft and a coalition of partners: Accenture, COCIR, EABiS, GE Healthcare, Phillips and Telefonica

3 Warwick Business School Exchange of patient data: From IT.... Remote files unknown

4 Warwick Business School......to Enabling Technology A C B 1: Where can we find data? 3: Fetch data from hub A 3: Fetch data from hub C Meta- Hub All data available 2: In hub A and C

5 Warwick Business School Basic services eHealth platform Basic Architecture Patients, healthcare providers and institutions ADSADSADS eHealth platform Portal eHealth platform Portal Health Portal Health Portal VAS Healthcare institution software Healthcare institution software VAS MyCareNet VAS Care provider software Care provider software VAS RIZIV-INAMI site RIZIV-INAMI site VAS ADSADSADS Network Users Suppliers

6 Warwick Business School The TEMPEST Model 84 Indicators across 7 TEMPEST categories, 3 sub-categories, 4 indicators per sub-category Technology Economic Market Political Evaluation Social Transformational Technology: Enabling/Emerging Technologies Interoperability of eHealth eHealth Service Delivery Model (Cloud) Technology: Enabling/Emerging Technologies Interoperability of eHealth eHealth Service Delivery Model (Cloud) Economic: Healthcare Funding eHealth Expenditure Healthcare Infrastructure Economic: Healthcare Funding eHealth Expenditure Healthcare Infrastructure Market: Market-Driven Healthcare Consumer-Driven Healthcare IT Market Capabilities and Skills Market: Market-Driven Healthcare Consumer-Driven Healthcare IT Market Capabilities and Skills Political: eHealth Policy Education and Training Institutional Infrastructure Political: eHealth Policy Education and Training Institutional Infrastructure Evaluation : Governance and Regulation eHealth Adoption and User Engagement Performance Measurement Evaluation : Governance and Regulation eHealth Adoption and User Engagement Performance Measurement Social: Social Inclusion/Access to IT Patient Centred Healthcare Patient Choice Social: Social Inclusion/Access to IT Patient Centred Healthcare Patient Choice Transformational: Integrated Healthcare Reform Agenda eHealth Strategy and Implementation Transformational: Integrated Healthcare Reform Agenda eHealth Strategy and Implementation

7 Warwick Business School TEMPEST eHealth Roadmap © WL Currie and DJ Finnegan, (All rights reserved) 7 Themes Cross Cutting Programmes / Initiatives Focal AreasGoals/Targets Technical/semantic Interoperability Data Security and patient rights Information Models, standards and infrastructure Economic conditions of member states Health and eHealth Budgets and Expenditure Financial costs of chronic diseases, obesity, alcohol abuse Economic conditions of member states Health and eHealth Budgets and Expenditure Financial costs of chronic diseases, obesity, alcohol abuse New business model development Re-defining and re-engineering business processes to improve customer service New business model development Re-defining and re-engineering business processes to improve customer service Political priorities for health and eHealth Funding for R&D, education and training Capacity building for health sector and citizens Health literacy Political priorities for health and eHealth Funding for R&D, education and training Capacity building for health sector and citizens Health literacy Identify key indicators (metrics and measures) for benchmarking eHealth Performance measurement and evaluation Identify opportunities and barriers to eHealth Identify key indicators (metrics and measures) for benchmarking eHealth Performance measurement and evaluation Identify opportunities and barriers to eHealth Access to healthcare and eHealth to reduce the Digital Divide Patient protection and safety Patient rights Access to healthcare and eHealth to reduce the Digital Divide Patient protection and safety Patient rights New models of health service delivery Cross-border healthcare and health tourism New models of health service delivery Cross-border healthcare and health tourism Align and harmonise EU, national and regional Healthcare Policies to promote a shared vision towards integrated, interoperable and a secure citizen centric healthcare Develop policies to enable self health awareness and healthy lifestyles Align and harmonise EU, national and regional Healthcare Policies to promote a shared vision towards integrated, interoperable and a secure citizen centric healthcare Develop policies to enable self health awareness and healthy lifestyles Use of TEMPEST to compare financial and non financial indicators to eliminate economic waste Rebalance target expenditures towards prevention and lifestyle change A technology-pull (demand-led) rather than technology-push (supplier-led approach Use of TEMPEST to compare financial and non financial indicators to eliminate economic waste Rebalance target expenditures towards prevention and lifestyle change A technology-pull (demand-led) rather than technology-push (supplier-led approach EU, national and regional policymakers to promote health literacy for patient choice and consumer-driven healthcare An EU wide stakeholder forum to develop recommendations for EU health policy Vertical (national/regional) and Horizontal (EU wide) integration through multi stakeholder partnerships EU, national and regional policymakers to promote health literacy for patient choice and consumer-driven healthcare An EU wide stakeholder forum to develop recommendations for EU health policy Vertical (national/regional) and Horizontal (EU wide) integration through multi stakeholder partnerships Alignment of eHealth approaches at national level with EU-wide efforts Set up an EU-wide multi disciplinary forum to discuss ehealth policy as a multi dimensional transformational change Develop legislation to promote trust and data security Set up health literacy programmes through Public- Private Partnerships (PPPs) Alignment of eHealth approaches at national level with EU-wide efforts Set up an EU-wide multi disciplinary forum to discuss ehealth policy as a multi dimensional transformational change Develop legislation to promote trust and data security Set up health literacy programmes through Public- Private Partnerships (PPPs) Promote cross-border knowledge sharing and contextualising of 'best practice' examples of eHealth using TEMPEST Improved tracking and benchmarking of Health and eHealth indicators across member states Funding for multi disciplinary and country comparison studies to enable lower IT maturity member states to leap frog Promote cross-border knowledge sharing and contextualising of 'best practice' examples of eHealth using TEMPEST Improved tracking and benchmarking of Health and eHealth indicators across member states Funding for multi disciplinary and country comparison studies to enable lower IT maturity member states to leap frog Adopt a bottom-up approach to implement enabling technologies in care homes, leisure/sports centres and schools/universities to engage citizens Promote an EU partnership to design and implement legislation on data protection across national boundaries Make technology accessible and affordable to all citizens Adopt a bottom-up approach to implement enabling technologies in care homes, leisure/sports centres and schools/universities to engage citizens Promote an EU partnership to design and implement legislation on data protection across national boundaries Make technology accessible and affordable to all citizens Design an EU policy to promote integration and interoperability with shared benefits A Healthier Europe Design an EU policy to promote integration and interoperability with shared benefits A Healthier Europe Multidisciplinary Research/Knowledge Sharing Education and Training For Key Stakeholders Citizen Engagement and Awareness

8 Warwick Business School TEMPEST model applied to 12 EU Member States Belgium Denmark France Germany Italy Malta Netherlands Poland Romania Spain Sweden UK Catalonia (Regional Study)

9 Warwick Business School Eight Priority Areas for a Healthier Europe © WL Currie and DJ Finnegan, (All rights reserved) 9 Informational eHealthTransformational ET Health Fragmented healthcare Problems with access and mobility High cost Standardized solutions IT centric Poor Clinician and Patient Engagement Perverse incentives Re-engineer existing work practices Integrated healthcare Mobile and accessible More affordable Customized/Personalized Patient centric Clinical and Patient Buy-In Clear Value Proposition New Business Models for Health Care

10 Warwick Business School Key ET Findings 5 Enabling Technologies for Transformational HealthCare Electronic Health Records (EHRs) Telemedicine Health Portals Personal Health Records (PHRs) Cloud Computing EU and Member State policy to complement existing initiatives (i.e. EPSoS) eHealth policy is highly fragmented across the EU Research, education and training in single disciplinary silos Health Technology Assessment (HTA) needs to go beyond evaluating technical factors Poor stakeholder engagement continues to inhibit progress on eHealth Regional approach to eHealth more effective than top-down implementations Citizen-centric health is a medium to long term target EU health budgets need to be rebalanced to target expenditure on health and well-being (prevention and lifestyle - around 3% of Member States' total budgets for health) compared with diagnosis and treatment (around 97%)

11 Warwick Business School Leapfrogging Opportunities

12 Warwick Business School Total Expenditure on Health as a Percentage of Gross Domestic Product (GDP) OECD 1997, 2009 Poland - WHO 1995 and 1985 figures for government health as % GDP ** Romania – WHO/EU 2005, 1995 and 1985

13 Warwick Business School Health Spending and Medical Technology Spend Highest Health Spend Highest Medical Tech. Spend

14 Warwick Business School IndicatorBelgiumDenmarkFranceGermanyItalyMaltaNetherlandsPolandRomaniaSpainSwedenUK Take-up of Internet services: looking for information about goods and services (% of population)587357665042763317467564 % population who have never used the internet26122620504911446438919 Internet Use in Member States

15 IndicatorBelgiumDenmarkFranceGermanyItalyMaltaNetherlandsPolandRomaniaSpainSwedenUK % basic public services for citizens available online42505864589255178587591 % Population with internet access678363795364905938548677 Population with Internet Access v Online Public Service Availability

16 IndicatorBelgiumDenmarkFranceGermanyItalyMaltaNetherlandsPolandRomaniaSpainSwedenUK Take-up of Internet services: looking for information about goods and services (% of population)587357665042763317467564 % population who have never used the internet26122620504911446438919 Lack of Internet Use v Take-up of Internet Services

17 IndicatorBelgiumDenmarkFranceGermanyItalyMaltaNetherlandsPolandRomaniaSpainSwedenUK % GPs Using Computers86.198.982.898.886.265.298.571.565.877.299.697.3 % GPs with Internet Connection83.998.973.258.970.755.496.661.535.251.498.595.4 GPs with Internet Connection v Computer Usage

18 IndicatorBelgiumDenmarkFranceGermanyItalyMaltaNetherlandsPolandRomaniaSpainSwedenUK %GPs Transferring data electronically759848661617912911378991 Electronic storage of individual medical patient data4.34.84.13.23.42.54.92.72.24.1 4.3 Transfer of medical patient data to other care providers or professionals0.63.70.2 0.40.31.30.1 0.60.71.3 GP Storage and Transfer of Electronic Patient Data

19 Warwick Business School IndicatorBelgiumDenmarkFranceGermanyItalyMaltaNetherlandsPolandRomaniaSpainSwedenUK %GPs Transferring data electronically759848661617912911378991 Electronic storage of individual medical patient data4.34.84.13.23.42.54.92.72.24.1 4.3 Transfer of medical patient data to other care providers or professionals0.63.70.2 0.40.31.30.1 0.60.71.3 EHRs – Progress in Member States

20 20 Future of eHealth Improved regional and local integration of eHealth initiatives Multi-level stakeholder engagement (HCPs, social workers, patient forums, etc) Closer collaboration using PPPs (i.e. to develop eHealth solutions) Different standard used within hub (Kmehr web- services/IHE) Discussion on patient access to data (only beginning)

21 Policy Recommendations © WL Currie and DJ Finnegan, (All rights reserved) 21 Health Technology Assessment (HTA) Regional and Local Implementation Centres EU-Wide Stakeholder Forum EDUCATION, ENGAGEMENT and EVALUATION

22 Warwick Business School Thank you Any Questions?


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