1. eHealth Action Plan “eHealth and accession” Sofia, 7 June, 2005 Ragnar Bergström ICT for Health, DG Information Society and Media ragnar.bergstrom@cec.eu.int eHealth Action Plan “eHealth and accession” Sofia, 7 June, 2005 Ragnar Bergström ICT for Health, DG Information Society and Media ragnar.bergstrom@cec.eu.int

2. HOSPITAL DOCTOR MEDICAL DOCUMENTATION ARCHIVES DIETETICS PHARMACY LABORATORIES PATIENT ADMISSION Overal objective (since 1994): Person-Centred Health systems for Continuity of Care

3. eHealth COMMUNICATION Coordination & Support to Regional - National Plans, International cooperation eHealth 2002 + 2005, eHealth 2003, 2004 Conference Technology assessment & transfer NEXT NEXT 10 years (2003-2014) PAST PAST 10 years (1991-2002) FP 2 FP 3 FP 4 FP 5 Computer Applications for Doctors Telemedicine systems and services Budget 20M € Budget 100M € Budget 140M € Budget 200M € Projects 30 Projects 63 Projects 158 Projects 125 Results Feasibility Study Results AIM Community Results 1 st batch of Products Results EU Health Telematics Industry @ 20 Years of eHealth R&D Context Regional Health Info Networks Home-care systems Personal Health Systems

4. ICT as: a support for better healthcarea support for better healthcare patient mobilitypatient mobility creating a borderless health information spacecreating a borderless health information space Vision of eHealth:

5. ‘e-Health – making healthcare better for European citizens: An action plan for a European e-Health Area’: COM(2004) 356 final Main objective: to accelerate awareness and uptake of beneficial eHealth systems & services Approved by Commission, 30 April 2004 Approved by Commission, 30 April 2004 Discussed, noted and specific recommendations issued at the EPSCO [Health] Council, June 2 2004 Discussed, noted and specific recommendations issued at the EPSCO [Health] Council, June 2 2004 Part of a package of three Communications: on open method of co-ordination and on patient mobility Part of a package of three Communications: on open method of co-ordination and on patient mobility Launching eHealth: a high-level initiative

6. Action plan for a European eHealth Area 3 areas of activities Addressing common challenges Addressing common challenges Pilot actions: accelerating beneficial implementation Pilot actions: accelerating beneficial implementation Working together and monitoring practices Working together and monitoring practices 3 types of responsibilities Member States (MS) Member States (MS) European Commission (EC) European Commission (EC) Shared /common EC and MS Shared /common EC and MS Many tools for action: EC programmes, EC promotion initiatives, regional funds, MS funds, open method of coordination

7. Towards a European eHealth Area: Achievements to date Patient mobility: Communication on patient mobility, 2004 YES Communication on patient mobility, 2004 YES High Level Group on health services and medical care set up, 2004 YES High Level Group on health services and medical care set up, 2004 YES health information and e-Health group in support, 2004 YES health information and e-Health group in support, 2004 YES Interoperability and integration: Projects I2Health and TMA Bridge started, 2004 YES Projects I2Health and TMA Bridge started, 2004 YES Findings reported from CEN/ISSS on standardisation, 2004 YES Findings reported from CEN/ISSS on standardisation, 2004 YES ETSI allotted a telecare services contract, 2004 YES ETSI allotted a telecare services contract, 2004 YES EUROREC call for tender under discussion, 2005 YES EUROREC call for tender under discussion, 2005 YES Call 4, IST programme, proposals submitted and under evaluation, 2005 YES Call 4, IST programme, proposals submitted and under evaluation, 2005 YES

8. Towards a European eHealth Area: Achievements to date Cards and records: eTen, Net@Cards initiative underway YES eTen, Net@Cards initiative underway YES Administrative Commission for Social Security/Technical Committee on Migrant Workers set up – mandate to implement electronic cards, 2004 YES Administrative Commission for Social Security/Technical Committee on Migrant Workers set up – mandate to implement electronic cards, 2004 YES Best practices, benchmarking and roadmapping : Above all, third successful high-level conference and exhibition organised, 2005 YES Above all, third successful high-level conference and exhibition organised, 2005 YES Projects eHealth ERA launched, 2005 YES Projects eHealth ERA launched, 2005 YES Support actions encouraging involvement of NMS launched, 2005 YES Support actions encouraging involvement of NMS launched, 2005 YES Roadmapping activities submitted to Call 4 IST programme and evaluation in progress 2005 YES Roadmapping activities submitted to Call 4 IST programme and evaluation in progress 2005 YES Cost benefit study launched, 2004 YES Cost benefit study launched, 2004 YES Cost benefits of Danish healthcare system report launch, 2005 YES Cost benefits of Danish healthcare system report launch, 2005 YES Other projects such as I2Health and TMA Bridge underway, 2004 YES Other projects such as I2Health and TMA Bridge underway, 2004 YES Benchmarking (including eHealth) supported by MODINIS study, 2004 YES Benchmarking (including eHealth) supported by MODINIS study, 2004 YES

9. Towards a European eHealth Area: Achievements to date Dissemination: European health portal, underway; maybe health and safety aspects YES European health portal, underway; maybe health and safety aspects YES Fresh dissemination and publishing activities launched YES Fresh dissemination and publishing activities launched YES Conferences, special events and high-level groups: eHealth 2005, 2005 YES eHealth 2005, 2005 YES Preparation for eHealth 2006 underway YES Preparation for eHealth 2006 underway YES Enquiries with regard to eHealth 2007 YES Enquiries with regard to eHealth 2007 YES eHealth updating of all activities at Gastein, Austria in 2005, well underway YES eHealth updating of all activities at Gastein, Austria in 2005, well underway YES Many other conferences and initiatives during 2004 and 2005 YES Many other conferences and initiatives during 2004 and 2005 YES eHealth working group, to report to eEurope advisory group, set up in 2005 YES eHealth working group, to report to eEurope advisory group, set up in 2005 YES Legal, regulatory and other issues: Four studies approved in 2005: Calls for tenders soon to be launched YES Four studies approved in 2005: Calls for tenders soon to be launched YES

10. Towards a European eHealth Area For Member States: 1) During the period 2004-2008, Member States should support deployment of health information networks for eHealth 2) This should be based on fixed and wireless broadband and mobile infrastructures and Grid technologies 3) During that period, the goal is to achieve: - In the short-term Greater access to accurate data and information for patients/citizens Safer and better healthcare Cost savings through the use of ICT solutions - In the mid-to long term Re-definition of the healthcare process and access to healthcare provided with, by and through ICT systems

11. Towards a European eHealth Area: In 2005 1) national or regional roadmap(s) for eHealth – Member States 2) a summary of European best practices on eHealth 3) a European health portal 4) a strengthening of early warning, detection, and surveillance of health threats through enhanced ICT tools => Use of open standards and open source solutions among health administrations in Member States should be promoted.

12. eHealth in Europe: Opportunities Principally: Better efficiency and effectiveness in healthcare Better quality healthcare Better access to healthcare But also undoubtedly: A more dynamic eHealth market for Europe An opening-up of cross-border eHealth services Support for ongoing reorganisation of healthcare in Europe

13. ICT for Health Current Activities and Plans EHR & interoperability Personal Health Systems & Biomedical sensors Biomedical informatics HealthGrid Time to results Deployment Applied/ Industrial R&D Basic research 5 years10 years 15 years Decision support Support to eHealth COM Action plan (Dissemination, coordination) Health info networks & services Multidimensional (functional) imaging eCell, eHuman EHR

14. Communication: COM(2004) 356 final ‘e-Health – making healthcare better for European citizens: An action plan for a European e-Health Area’ To conclude: Pleased to keep you updated regularly on developments Would appreciate feedback and your help (e.g. in identifying pertinent contacts and initiatives ) Gerard.Comyn@cec.eu.int Ragnar.Bergstrom@cec.eu.int

15. eHealth action plan For further information: eHealth action plan - COM(2004) 356: http://europa.eu.int/information_society/policy/healthsites/eh_a ction_plan/index_en.htm eHealth website: http://www.cordis.lu/ist/directorate_c/ehealth eHealth 2005 conference: http://www.ehealth2005.no/ Information can save your life: http://europa.eu.int/information_society/qualif/health/index_en. htm Thank you!

16. Additional slides

17. eHealth in Europe: Challenges To be considered, faced, and solutions found Interoperability between different eHealth information systems Need for standardisation of health information systems Legal and/or regulatory framework(s) to support eHealth use and implementation in Member States Reimbursement of eHealth information systems deployment and implementation Support to particular user needs, through more advanced research and technology development Exploration of state-of-the-art eHealth (ICT for health) research and technology developments

18. Towards a European eHealth Area: In 2006 1) a common approach to patient identifiers 2) identify and outline interoperability standards 3) support and boost investment in eHealth

19. Towards a European eHealth Area: In 2007 Member States should adopt conformity testing and accreditation schemes that follow successful best practices

20. Towards a European eHealth Area: In 2008-2009 1) European health organisations should provide online services such as teleconsultation and e-prescription 2) Promotion of the use of cards in the health care sector. 3) Adoption of implementation of an electronic health insurance card. 4) The European Commission - in collaboration with Member States - should: set a baseline for a standardised European eHealth qualification set a baseline for a standardised European eHealth qualification provide a framework for greater legal certainty of eHealth products and services liability provide a framework for greater legal certainty of eHealth products and services liability improve information on the reimbursement of the costs of eHealth services improve information on the reimbursement of the costs of eHealth services