Transcript FP7 ICT WP 2007 - ehealth

eHealth:
EU activities and plans
Diane Whitehouse
Scientific officer –
ICT for Health
DG Information Society and
Media
European Commission
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eHealth - a priority for the EU
– eHealth Communication-Action Plan COM 2004 ( 356)
europa.eu.int/information_society/activities/health/
– Creating an Innovative Europe (“Aho report”)
europa.eu.int/information_society/essentials/reports/aho/index_en.htm
– Communication-Consultation regarding Community
action on health services
//ec.europa.eu/health/ph_overview/co_operation/mobility/docs/comm
_health_services_comm2006_it.pdf
– eHealth high-level conference, May 10-12, 2006
– World of Health IT ’06 conference, October 10-13, 2006
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eHealth matters
•
eHealth has demonstrated improvements in quality of care,
access to care and even economic benefits:
“eHealth is worth it” publication
europa.eu.int/information_society/activities/health/Library/index_en.
htm
•
eHealth is currently the fastest growing industry in the
health sector. It has been estimated at 20 billion euro (in the
EU 15), representing 2% of health expenditure but with the
potential to rise to 5% within 5-10 years
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Hospitals in 2004: EPR systems
Hospital EPR systems - Installed base - 2004
100%
80%
60%
40%
20%
Medical document management
Order communication
Computer based storage of electronic patient records
Knowledge Support Systems
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EU
N
FI
DK
SW
NO
CH
AU
NL
BE
ES
IT
EI
RE
UK
/
FR
DE
0%
Our vision
eHealth in support of continuity of care
Supporting both the life continuum and
care continuum
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Our actions:
Linking the healthcare institutions together
(via regional health information networks)
Health Centre
Emergency
Hospital
Pharmacy
Secure Networks
Region 3
Mobile,
Wireless
mobile PC
&
Broadband
Region 2
Region 1
Home
Mobility
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EC support to Regional Health Information Networks
15 years of activities
Research and
Development
Stand alone systems
(EHR, messaging)
Pilots
validation
Large scale
Deployment
EU R&D Programmes
Larger pilots with
online services (e.g. eReferrals)
Member states + EU
eTen & CIP programmes
1990
1994
1998
Large scale validaiton,
EU wide services
interoperability, mobility,
2002
2006
2010
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www.medcom.dk
Prescriptions
80%
Disch. Letters
81 %
Lab. reports
95 %
Estimated cumulative
benefit by 2008: ~ € 1.4 bil.
Reimbursement
Referrals
13290 = 95 %
40113 =80%
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Linking each individual as a “node” in the regional
health information network
Health Centre
Emergency
Hospital
Pharmacy
Secure Networks
Region 3
Mobile,
Wireless
mobile PC
&
Broadband
Region 2
Region 1
Home
Mobility
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Eventually, understanding the full picture
of an individual’s health status
(we can call this ‘molecular medicine’)
Biochips
Biosensors
Environmental
Data
Genomic data
Phenomic data
Integrated Health Records
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Research and innovation activities
DG Information Society – ICT for Health unit
•FP6 – current projects
•FP7 – Calls , later Call 2
• Competitiveness and innovation programme
(CIP) - large scale pilots, innovation promotion
activities
http://europa.eu.int/information_society/
activities/health/index_en.htm
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FP7 Objective 3.5.1.1 –
Personal Health Systems for Monitoring
and Point of Care diagnostics
• Focus on:
(a) Personalised (health status) monitoring
 Aimed at people at risk or chronically ill
 Includes wearable or portable/mobile ICT systems
 Enables remote monitoring & care
 Involves Multi-parametric information (physiological;
biochemical; activity, location, social and environmental
context)
 Involves Intelligent systems to correlate multi-parametric
data with expert biomedical knowledge
 Interoperable with electronic medical records
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FP7 Objective 3.1.5.2
Patient safety
Advanced computerised adverse event systems
•
Includes new tools for identification, prediction,
detection and monitoring of adverse events and other
relevant information.
•
Is based on innovative data mining and integration
techniques of existing databases and specific
applications.
•
Involves emerging technologies like semantic mining
should be explored through multimedia databases.
•
Includes validation that can lead to quantitative benefits.
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Support to deployment activities
• eHealth Action Plan
• CIP – Large scale pilots
• Emergency, patient (medication) summary
• Policy actions and activities
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eHealth action plan: Why?
–
Brings the benefits of eHealth to EU citizens faster
–
Facilitates growth and transparency in the eHealth
market
–
Creates a borderless European Health Information
Space for individual care, public health, and research
purposes
•
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eHealth action plan: What?
–
National/regional roadmaps (MS, 2005)
–
Common approaches for patient identifier (EC and MS, 2006)
–
Interoperability standards for electronic health records 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 and regulatory framework; certification of
qualifications (EC and MS,2009)
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eHealth action plan: Recent facts and figures
eHealth strategies and implementation in European countries: to be published in March 2007
–
MS making good progress; almost all have roadmaps and action plans
–
Planning in the MS exists in short-, medium- and long-term
–
Key drivers include MS own plans, relationships with other MS, eHealth support for health systems and
services in the MS
–
Interest in the following areas growing: electronic heath records, infrastructure, interoperability, both patient
and health professional mobility
–
Legal and regulatory frameworks affecting eHealth of interest to MS
–
Evaluation and impact assessment of interest to MS
–
Growing interest in MS ‘working together’
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From research and development
to deployment
Major categories of challenges
1. Organisational, cultural
2. National / regional strategy
3. Industrial issues
4. Legal and regulatory issues, privacy ->
security of data
5. Technology and standards
6. User acceptance
1.Iakovidis I., Intern. J. of Medical Informatics, vol 52, No 123, (1998).
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Lessons learned
- Ensure a well thought-out strategy
- Break the pattern of large scale, all-at-once implementations
- Ensure commitment of relevant “leaders”
- Keep it up ... do not just set it up
- Ensure (legal, regulatory and ethical) compliance
- Estimate user acceptance appropriately, do not underestimate it
- Remember: none of the parties (administration, industry, users)
can do it alone!
I. Iakovidis
Proceedings of EUROREC’99, 1999
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ICT for Health:
current activities and future plans
Basic
research
Long term R&D
Disease Simulator
Mid term R&D
HealthGrid
Personal Health Systems (wearables)
EHR & interoperability
Support
to
Deployment
Deployment
2004
eHealth “Action Plan”
5 years
10 years
15 years
•••Time
20
to results
Personal Health Systems conference
Brussels, February 12-13, 2007
This Conference is being held
in the European Parliament
Compulsory registration.
The conference is open and
free.
Contact: [email protected]
http://ec.europa.eu/information_society/events/phs_2007
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