1. Vision and reality Experiences and progress from one year and a half of the eHealth Action Plan Dr Gerard Comyn Head of Unit, Unit H1 – ICT for Health Acting Director, Directorate ICT for citizens and businesses DG INFSO, EU Commission Dr Gerard Comyn Head of Unit, Unit H1 – ICT for Health Acting Director, Directorate ICT for citizens and businesses DG INFSO, EU Commission Health-e Europe October 5 2005, Gastein, Austria http://europa.eu.int/information_society/activities/health/index_en.htm

2. The main objective is to accelerate awareness and uptake of beneficial eHealth systems & services Describes the vision and the benefits of eHealth Describes the vision and the benefits of eHealth Describes the major challenges and lessons learnt Describes the major challenges and lessons learnt Points to specific actions for both Member States and European Commission Points to specific actions for both Member States and European Commission Communication: COM(2004) 356 final ‘e-Health – making healthcare better for European citizens: An action plan for a European e-Health Area’ Approved by Commission, 30 April 2004 Approved by Commission, 30 April 2004 http://europa.eu.int/information_society/activities/health/ policy_action_plan/index_en.htm

3. eHealth Action Plan - WHY? eHealth is not anymore about research and “what will be” – there are many real life solutions that have proven to deliver real benefits eHealth is not anymore about research and “what will be” – there are many real life solutions that have proven to deliver real benefits There is an added value of collaboration at EU level eHealth deployment (and not only on research) There is an added value of collaboration at EU level eHealth deployment (and not only on research) to learn what has not worked and to exchange experiences to ensure minimum interoperability conditions to support continuity of care and mobility to address many regulatory (market), legal and ethical issues in coordinated manner to provide framework for all the stakeholders to come together at international level that could be used also on national and regional level

4. Main areas of progress Coordination Establishment of eHealth Working Group and Stakeholder’s group for the follow up of the AP Establishment of eHealth Working Group and Stakeholder’s group for the follow up of the AP Setting of priorities and roadmaps Clear role setting of the EC, eHealth WG, Stakeholder’s group defining strategic orientations Launching of projects/studies that address many tasks in the action plan Launching of projects/studies that address many tasks in the action plan Best practices (ERA Health, Health Impact, new Study) Interoperability (I2Health, Semantic Health, RIDE) Patient identifier (new study, eTen workprogramme ’06) Legal issues (new Study) Labelling and certification (Q-REC, new Study)

5. EPSCO Council European Commission DG SANCO DG INFSO eEurope Advisory group eEurope Advisory group Ministers High Level Participants Ministers High Level Participants High Level group on Health Services and Medical care High Level group on Health Services and Medical care Subgroup Health Information and eHealth Subgroup Health Information and eHealth Coordination of eHealth Action Plan in Europe Telecom Council eHealth Working Group eHealth Working Group EHealth Conferences Stakeholders Group CEN TC 251, ETSI, CENELEC, ISO TC 215, CEN/ISSS, Health practitioners (doctors, nurses, etc.), Patients, Health Managers, Hospitals, Media Industry (EHTEL (ind.), IHE, COCIR, EAR, EUROREC, HINE), EU projects (COPRAS, SEMANTIC HEALTH, RIDE, i2HEALTH, eHealth ERA…) and studies

6. Main areas of progress Interoperability Establishment of a “roadmap” regarding interoperability Establishment of a “roadmap” regarding interoperability interoperability working paper ( March 2006) based on limited set of scenarios (e.g. emergency, health cards, e-prescription, patient summary) to be produced by Stakeholders’ group with the help of the projects Presentations and Interoperability Summit at the eHealth 2006 Conference EC Recommendation on eHealth Interoperability (2007) Commitment of DG ENTR and Standardisation bodies Cooperation with other initiatives (eGov, NESSI)

7. Implementation I eHealth ERA i2HEALTH Identification doctors/patient Messages/requests i2HEALTH Identification doctors/patient Messages/requests Certification EHR SSA Certification EHR SSA TMA Bridge Interop. approach TMA Bridge Interop. approach RIDE Interoperability RIDE Interoperability SHARE Healthgrid SYMBIOMATICS BMI ERA Pilot STEP VH CA INFOBIOMED BIOPATTERN SEMANTIC MINING Semantic Health Interoperability Semantic Health Interoperability II III Short term research Long term research Main areas of progress Launch of projects and studies

8. Economic and productivity Impact of eHealth study Best practices study Legal aspects of eHealth study Certification and accreditation eHealth study Scenarios Identification doctors/patient Standardisation CEN TC 251 Semantic Interoperability Patient identity study EHR Software, Architecture Patient ID2 Ontology Classification Terminology Coding DATA Projects Studies

9. Several MS confirmed roadmaps by end 2005 Several MS confirmed roadmaps by end 2005 Replies to questionnaire regarding roadmap situation have come from 15 of 25 Member States, as well as Bulgaria and Turkey 13 of these came from a Ministry of Health (4 from other Ministries) ‘Best’ (or good) practice examples: 35+ projects/pilots UK: Connecting for Health (the National Programme for IT) Planned/on-going major eHealth applications in a few countries: Planned/on-going major eHealth applications in a few countries: Health cards, ePrescription, interoperability specifications/data standards. Main areas of progress – National roadmaps

10. Conferences and special events eHealth 2005 successfully completed eHealth 2005 successfully completed eHealth 2006 conference under preparation eHealth 2006 conference under preparation EHFG (Gastein), October 2005 EHFG (Gastein), October 2005 World Summit on Information Systems – latest info on eHealth in Europe, good practice World Summit on Information Systems – latest info on eHealth in Europe, good practice eHealth working group, 2 meetings eHealth working group, 2 meetings Inter-service group on eHealth, start delayed Inter-service group on eHealth, start delayed Main areas of progress – National roadmaps

11. eHealth 2006 conference For your diary NOW!! For your diary NOW!! Prospects and planning for the eHealth 2006 conference which will be held in Malaga, Spain on May 10-12 2006. Prospects and planning for the eHealth 2006 conference which will be held in Malaga, Spain on May 10-12 2006. Eventual website address: http://www.ehealth2006conference.org Eventual website address: http://www.ehealth2006conference.org

12. eHealth Action Plan: Quick summary of progress on some actions National/regional roadmaps (MS, 2005) ERA Health, presentations at eHealth 2006 conference Best practice collection, dissemination (EC 2004-2008) Health Impact, ERA Health, New Study, eTen 2006 Common approaches for patient identifier (EC+MS, 2006) New Study, eTen 2006 Interoperability approaches and guidelines (EC+MS,2006) TMA Bridge, I2Health, Semantic Health, RIDE, Semantic Mining… Conformity testing and accreditation (MS 2007) Q-REC Legal framework, certification of qualifications (EC+MS,2009) New Study

13. Conclusions and Discussion We welcome feedback and questions from all parties, associations, industry and companies, Member States gerard.comyn@cec.eu.int

14. eHealth Action Plan: results to date Public health portal, and management of health threats Three workshops convened to ensure appropriate design and content; launch will be, however, delayed into 2006 Three workshops convened to ensure appropriate design and content; launch will be, however, delayed into 2006 MEDIEQ (quality labelling of medical content) project accepted for funding in 2005 MEDIEQ (quality labelling of medical content) project accepted for funding in 2005 Inter-service consultation on management of health threats and challenges begun, after receiving inputs from Member States Inter-service consultation on management of health threats and challenges begun, after receiving inputs from Member States

15. eHealth Action Plan: results to date European health insurance cards and health cards eHIC (European health insurance cards) – continuing progress Netc@rds – concrete progress; collaboration among MS; includes news partners and new countries

16. eHealth Action Plan: results to date Legal, regulatory, and other issues Legal, regulatory, and other issues Studies, closure October 3 2005 ESDIS working paper, to be completed circa October 2005 Liaison with DG EMPL ‘mainstreaming’ of occupational health and safety issues, e.g., on public health portal