1. The strategic role of ICT in healthcare National strategies and micro-level implementations in Europe and Bulgaria Alexander Dobrev Communication & Technology Research Bonn / Germany

2. Bulgarian National eHealth Conference, Sofia, 17 June 20082 Contents 1.The big promise: benefits from eHealth 2.The big drive: strategies and solutions 3.The big challenge: better patient care through sustainable benefit realisation

3. Bulgarian National eHealth Conference, Sofia, 17 June 20083 eHealth‘s supporting position Source: Financing eHealth study; © empirica/TanJent 2006

4. Bulgarian National eHealth Conference, Sofia, 17 June 20084 The position of sustainable eHealth Source: Financing eHealth study; © empirica/TanJent 2006

5. Bulgarian National eHealth Conference, Sofia, 17 June 20085 The big promise: Benefits from eHealth

6. Bulgarian National eHealth Conference, Sofia, 17 June 20086 Benefits to healthcare Quality: –Better informed citizens and carers –Information designed to streamline healthcare processes –Improved timeliness of care –Patient safety - risk management –Improved effectiveness of care service Access: spatial, social inclusion, other barriers Overall economic efficiency

7. Bulgarian National eHealth Conference, Sofia, 17 June 20087 The potential of eHealth A virtual health economy Source: empirica, eHealth IMPACT, 2006; Base: 10 proven case studies analysed by the eHealth IMPACT study

8. Bulgarian National eHealth Conference, Sofia, 17 June 20088 Why eHealth? Source: empirica, Pilot on eHealth Indicators, GP Survey 2007 Base: GPs using computers.

9. Bulgarian National eHealth Conference, Sofia, 17 June 20089 The big drive: Strategies and solutions

10. Bulgarian National eHealth Conference, Sofia, 17 June 200810 Focus of activities in Europe Virtually all Member States have eHealth strategies –EU-level activities have an initiating role Electronic health records – 25 out of the 32 countries Interoperability – implicit; 1/3 of country fact sheets Mobility of patients and health professionals – addressed indirectly Legislation and regulations –data protection –confidentiality and telecommunications –digital signatures –medical device liability Assessment of the impact of eHealth investments – in 6 countries, including Bulgaria Source: empirica, eHealth ERA, 2007

11. Bulgarian National eHealth Conference, Sofia, 17 June 200811 Priorities for the future Electronic health records – 15 of 32 countries National health information (infrastructure) systems – 13 of 32 ePrescribing – 12 of 32 Supporting – between 6 and 10 of 32 initiatives : –eCards –Interoperability and standards –Legal framework Lower on the list: –Training and education –Public health solutions Source: empirica, eHealth ERA, 2007

12. Bulgarian National eHealth Conference, Sofia, 17 June 200812 Deployment of ICT in primary care Source: empirica, Pilot on eHealth Indicators, GP Survey 2007; in % Base: All GPs

13. Bulgarian National eHealth Conference, Sofia, 17 June 200813 Connectivity (I) Source: empirica, Pilot on eHealth Indicators, GP Survey 2007; in % Base: All GPs

14. Bulgarian National eHealth Conference, Sofia, 17 June 200814 Connectivity (II) Source: empirica, Pilot on eHealth Indicators, GP Survey 2007; in % Base: All GPs

15. Bulgarian National eHealth Conference, Sofia, 17 June 200815 Next step: GPs exchanging data Source: empirica, Pilot on eHealth Indicators, GP Survey 2007

16. Bulgarian National eHealth Conference, Sofia, 17 June 200816 The big challenge: Better patient care through sustainable benefit realisation

17. Bulgarian National eHealth Conference, Sofia, 17 June 200817 Integration of eHealth into strategic contexts! Real knowledge of users’ and organisations’ needs Clarity about functionality, usability and links to benefits A viable, financed business case for all Change management ensuring eHealth utilisation Risk assessment and mitigation; cautious optimism Focus on optimising the costs and benefits relationship over time Financial returns have to be managed carefully – there is little extra cash in eHealth!

18. Bulgarian National eHealth Conference, Sofia, 17 June 200818 eHealth‘s supporting position Source: Financing eHealth study; © empirica/TanJent 2006

19. Bulgarian National eHealth Conference, Sofia, 17 June 200819 The position of sustainable eHealth Source: Financing eHealth study; © empirica/TanJent 2006

20. Bulgarian National eHealth Conference, Sofia, 17 June 200820 Thank you for your attention Further information: empirica Communication & Technology Research Oxfordstr. 2, 53111 Bonn, Germany Tel: +49 (0)2 28 - 98 530 -0 Fax: +49 (0)2 28 - 9 85 30 -12 www.empirica.com www.ehealth-impact.org www.ehealth-era.org www.ehealth-indicators.eu www.financing-ehealth.eu www.ehr-impact.eu