1. 1 Review of eHealth Program Geza Nagy, M.D. (external expert of MEDINFO eHealth Program Office)

2. 2 The antecedents of program: eEurope 1999-2000 the status of EU related 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 Arrears in Europe in computer usage and Internet usage also Interesting fact: the advantages are in EU side in mobile network and mobile phone usage in front of USA The solution: eEurope

6. 6 The antecedents of program eHealth The eEurope Action Plan consist of 10 points eHealth is a part of Action Plan Knowledge - based economy Internet technology: faster, cheaper and safety

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

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

9. 9 Step forward of eHealth program 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, and create an European electronic health card 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, home – made projects: „eEurope smart card”- key card / data card alternatives The planned home application date is 2006 leaded by NHI

11. 11 Health Information Networks citizens can access online health services (information on healthy living and illness prevention, electronic health records, teleconsultation, hospital-doctor-patient networks etc.) via broadband connectivity by the end of 2005 health information through to Europe-wide systems for spotting emerging health threats (see SARS, flu etc.) Results, home – made projects: ANTSZ network program finished with EU support Development of broadband network in health care

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

13. 13 Online services Home made projects, developments DR.INFO phone calling health consulting service – 1 st phase DR.INFO Health related Web Portal – 2 nd phase Establish of Public Health Portal Developing Regional Model project with support from EU structural found

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 This work coordinated end leaded by eHealth Program Office – chance for success

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

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

17. 17 Ministerial Conference Brussels, 22 May 2003 eHealth „The Contribution of ICT to Health” Exhibition with finalised EU projects Presentations from Industrial side – 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 if 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 carrier There is an important role in eEurope idea, every phase Decisions FeiraBarcelonaBrüsszel 1999-2000 2000-2002 2003-2008

21. 21 Finally what does it mean the eHealth? The application of ICT across the whole range of functions which, one way or another, affect the health of citizens and patients: –The Health Care is more patient oriented –Health related information –Trading Health Products

22. 22 The Health Care is more patient oriented and more safety A lot of ICT technology exists –In the Hospitals Complete HIS –Primary Care In every day routine for patient management, medical records and electronic prescribing –Home care Telecommunication with supplier, teleconsultation with experts

23. 23 Health related information Continuous Medical Education (CME) For citizens –Retrieval of health and medical information –Information provider about health care

24. 24 Trading Health Products Pharmaceuticals Health care goods Medical devices Information materials are accessible in public sector

25. 25 Finally what does it mean the eHealth? 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 allows the sharing of medical records between care providers and patients, whichever the applications The applications: patient self-management, telemedicine, electronic messaging, electronic registries and databases, regional and national networks – all of them realise on the Internet