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2. 2 Overview 1.eHealth: some facts 2.EC overall eHealth Strategy 3.EC instruments to support eHealth and collaborative care R&D POLICY Support to implementation (CIP) 4.Conclusions

3. 3 Some Facts: definition eHealth means Information and Communication Technologies (ICT) tools and services for health.

4. 4 Some Facts: the health sector in EU Employs 9.3 % of workforce, > 15 M people (retail 13.0 M, business services 13.3m) Health expenditure > 8,5 % of GDP, growth at 4% a year (faster than EU economic growth), potential to reach 16% of GDP in EU by 2020 (Healthcast 2020, PWC) ICT penetration is low compare to other sectors. There is great potential for productivity gains in health delivery sector when technology, leadership and skills come together

5. 5 Some Facts: Challenges for European Healthcare Systems Pressure on healthcare systems  Rising healthcare costs  faster than the economic growth itself  Citizens’ expectations for high-quality care  Demographic changes  more people will require prolonged care

6. 6 In the EU, the share of elderly in the population will double by 2050…… (Ratio of population aged 65 and over to population aged 15-64) Sources: EU Economic Policy Committee 2001; UN Population Prospects Publication (revision 98); IMF staff estimates

7. 7 Some facts: Challenges for European Healthcare Systems Pressure on healthcare systems  Increased prevalence of chronic diseases  More resources for chronic diseases than for acute events  Around 70% of healthcare expenditure in developed countries  Introducing a shift in healthcare practice and focus  Shortage of Health Professionals

8. Source : « European cardiovascular disease statistics 2008 » © European Heart Network Cardiovascular disease -CVD- in the EU Facts & Figures Costs the EU economy €192 billion a year 57% health care costs 21% productivity losses 22% informal care of people with CVD CVD causes 42% of all deaths in the EU Coronary heart disease > Stroke Central and Eastern Europe > Northern, Southern and Western Europe EU-funded projects MyHeart, HeartCycle, Heartfaid,EUHeart, … European Vascular Genomics Network (EVGN)‏ …

9. 9 Some facts: Challenges for European Health Systems Require changes in the way:  healthcare is delivered  medical knowledge is managed & transferred in clinical practice eHealth can Help !

10. 10 EC instruments to support eHealth and collaborative care Mix of policy and research actions:  Research instrument:  Seventh Framework Programme for Research (FP7)  Personal Health Systems, Patient Safety, Virtual Physiological Human (~100M€/year)  Policy instrument:  Action Plan for a European eHealth Area (April 2004)  Communication on lead market (21/12/2008)  Reccomandation on interoperability of EHR systems (June 2008)  Communication on ‘telemedicine and ICT innovative technologies for chronic disease management’ (4Q 2008)  Implementation, support to policies  Competitiveness Innovation Programme (CIP PSP): Large Scale Pilot on Interoperability

11. 11 EC instruments to support eHealth and collaborative care: 7th Research Framework Programme (FP7)  Personalisation of Healthcare Personal health system € 72 Million Call 4 October/November 2008  Improving Patient safety & avoiding medical errors € 30 Million Call 1 deadline 8/5/07  Predictive Medicine – Virtual Human Modelling/simulation of diseases € 72 Million Call 2 deadline 9/10/07

12. 12 EC instruments to support eHealth and collaborative care: Policy initiatives European e-Health Action Plan: Communication COM(2004) 356 Approved by Commission, 30 April, 2004 (with SANCO “Mobility” and EMPL “OMC”) Endorsed by the Council (EPSCO [Health] Council), June 2, 2004 Asks Commitment of MS to work together to implement eHealth Advocates the development of common interoperability approaches and standards for patient identifiers, medical data messaging, and electronic health records

13. 13 e-Health action plan: WHY  Bringing the benefits of eHealth to EU citizens faster  To facilitate growth and transparency of eHealth Market  European Health Information Space for patient care, public health and research

14. 14 e-Health action plan: WHAT  National/regional roadmaps (MS, 2005)  Common approaches for patient identifier (EC+MS, 2006)  Interoperability standards for EHR and messaging (EC+MS,2006)  Boosting investments in eHealth (MS, 2007)  Conformity testing and accreditation (MS 2007)  Deployment of health information networks (MS, 2004-2008)  Legal framework, certification of qualifications (EC+MS,2009)

15. 15 EC instruments to support eHealth and collaborative care: Policy initiatives  Recommendation on Interoperability of Electronic Health Record Systems (06/08)  Communication Lead Market – eHealth Report + Roadmap – (December 2007)  Communication “Telemedicine and ICT tools for CDM” (October 2008)

16. 16 EC instruments to support eHealth and collaborative care: Policy initiatives  Studies: Exchange of good practices in eHealth Impact of ICT on Patient Safety and Risk Management aspects Study on Economic and productivity impact of eHealth Legal aspects of eHealth Economic impact of Electronic health records and e Prescription (PGEU in the Advisory Board) NEW: Methodology to assessment of Telemedicine NEW: National strategies in eHealth- update NEW: Business models for eHealth

17. 17 EC instruments to support eHealth and collaborative care: Policy initiatives i2010 sub group on eHeatlh (Health and/or ICT/innovation Ministries) eHealth stakeholders group  Users (PGEU runs it)  Industry eHealth High Level Conference(s)  Prague, 2009

18. 18 EC Instruments: the eHealth cycle Research and Development Pilots validation Large scale Deployment, support to policies Stand alone systems (EHR, messaging, healthcards, VPH, PS PHS) Larger pilots with online services (home monitoring) Large scale validation, EU wide services CIP/ SOS R&D Programmes Member states + EU eTen & CIP programmes Time POLICY: eHAP, Recommandations, Communications CIP PHS

19. 19 Implementation, support to policies: Competitiveness Innovation Programme Policy Support Programme (CIP PSP): Large Scale Pilot on Interoperability Smart Open Services (SOS)  23 MILL (11 MILL EC)  36 months  Expected to start July 2008 Thematic Network on eHealth Interoperability (CALLIOPE)  500k  30 months  Expected to start June 2008  27 beneficiaries

20. 20 Implementation, support to policies SOS: Approach and Expected Outcome One large Scale Pilot  Patient summary for unexpected care  Patient safety and medication continuity (ePrescription) With a common architecture Built on Member States’ solutions and users’ needs (‘bottom up’) Thought as long lasting solution at European level Scalable and sustainable, adaptable to new situations

21. 21 Implementation, support to policies The S.O.S. Project Team The Project Team consists of 23 beneficiaries from 12 member states:  6 national Ministries of Health  15 national/regional Competence Centers with mandate to represent their country  IHE-Europe representing ICT industry team (31 members)  Empirica responsible for administrative management

22. 22 Implementation, support to policies Strong team work within SOS Examples of Work Package responsibilities: Sweden – project coordination. the Netherlands – Analysis/comparison of national plans/solutions. France – overall evaluation, system architecture, semantic services. Austria – communication and dissemination, identity management. Greece – Analysis and comparison of legal and regulatory issues. Spain – definition of Patient Summary and ePrescribing services. Germany – Technical management, common components spec. Italy – Security Services, Pilot System, Proof of Concept Denmark – Integration and Customisation the Czech Republic – Pilot preparation, implementation and operation. the United Kingdom – Quality Management.

23. 23Conclusions eHealth for collaborative care:  eHealth can be a key instrument EC committed to:  Support Research (FP7:PHS)  Encourage MS to build relevant eHealth policies (eHAP; reccomandations on EHR)  Support deployment (CIP PSP, SOS + ?) Engage with users to make it happening!

24. 24 Thank you! For further information: INFSO H1 Policy site: http://ec.europa.eu/information_society/activities/health/index _en.htm e-Newsletter: http://ec.europa.eu/information_society/activities/health/newsl etter/index_en.htm Research site: http://cordis.europa.eu/ist/health/index.html Interactive Portal: http://www.epractice.eu