Transcript Health-Ageing - Handicom Lab

ICT for Health, Ageing
and Accessibility
Peter Wintlev-Jensen
ICT for Inclusion
DG Information Society and Media
EU Commission
ICT for Health
Health sector in EU
• Health sector in EU: 9.3 % of workforce, > 15 M
people (retail 13.0 M, business services 13.3m)
• Health expenditure > 8,5 % of GDP and grow at a
pace of 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.
Challenges for
European Health Delivery Systems
• Ageing population
• Rising costs of healthcare
• Growing expectations of citizens
• Improving Patient safety
• Addressing mobility of patients
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%
Support to Deployment:
eHealth Action plan: COM(2004) 356 final
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Main
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areas of activity
National/regional roadmaps
Common approaches for patient identifier
Interoperability standards for EHR and messaging
Boosting investments and uptake in eHealth
Certification and labeling
Legal framework, certification of qualifications
Yearly Ministerial conferences & exhibitions
(next in SLOVENIA 4-6 May 2008)
– World of Health IT yearly conferences
Creating the conditions
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Recommendation on Interoperability (2007)
Working with other Commission services
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DG SANCO on cross border health services
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DG ENTERPRISE, MARKET, REGIO, COMPETITION on Lead
market innovation, legal framework, Innovation, financing
with Member States on eHealth Action Plan, and
with International bodies for worldwide
exploitation of EU know-how and industry
Facilitate the Deployment
Large Scale Pilots ( CIP)
• Service pilots with interoperability as the
central theme aiming to achieve and
demonstrate a “federated” solution across
borders
• Participation on voluntary basis
• Focus for 2007:
– Patient summary (unforeseen situations)
– Medication data (for ePrescription)
The WIN3 approach for eHealth
• For improvement of care – Saving lives
– ICT infrastructure for Continuity of care, Personalisation,
prevention and improved patient safety
• For increase of productivity- Saving Money
– Cost benefits possible when eHealth combined with
appropriate organization and skills
• For economic development- eHealth Market
– To facilitate sustainable growth of transparent and
innovation friendly eHealth market. Current market size
estimated at € 20 Billion
EU invests in Research,
FP7 ICT Challenge 5
– Personalisation of Healthcare
• Personal health system
€ 72 Million Call 1 deadline 8/5/07
– 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
Personal Health Systems
- Prevention & Personalisation
 citizen empowerment to manage
own health status
 emphasis in preventative lifestyle
 management of chronic diseases
 independent living
- In the form of
 Wearable, implantable, portable
systems
 Point-of-care systems (biochips)
 Smart home environments
ICT for Patient Safety
• Advanced computerised adverse event systems:
– Identification of common patterns in safety-relevant events
beyond reporting nosocomial infections and/or Adverse Drug Events
(ADE).
– New tools for prediction, detection and monitoring of adverse events
and other relevant information.
– Decision support systems, intelligent medication delivery (e.g. RFID-
based), and adverse event reporting systems through innovative
data mining and integration techniques of existing databases
– Emerging technologies like semantic mining should be explored
through multimedia databases.
– Include validation leading to quantitative benefits.
The Virtual Physiological Human
(Predictive medicine)
1. Integrating information
relating to disease from the
level of molecule, cell, organ,
organism, population
2. Modelling and simulating
disease related processes and
human physiology
3. Predicting risks and
developing more effective
treatments or prevention
programmes
The Virtual Physiological Human concept
Basis is the International physiome project
www.physiome.org
New basis for:
•Personalised (Patient-specific) healthcare solution
•Early diagnostics & Predictive medicine
The VPH research roadmap is
developed by project STEP
www.europhysiome.org
The Virtual Physiological Human technology
Computational framework for multi-scale
in-silico model(s) of the human
physiology and a toolbox for simulation
and visualisation.
Patient specific model from bio-signals
and (multimodal) images including
molecular images
Technologies involved:
–Data mining, knowledge discovery tool,
semantic integration, databank,
biomedical imaging, modelling, simulation
and visualisation techniques, HealthGrid
(infrastructure and tools)
ICT for Ageing
and Inclusion
In the EU, the share of elderly in the
population will double by 2050……
Elderly Dependency Ratio
(Ratio of population aged 65 and over to population aged 15-64)
0,7
0,6
0,5
0,4
United States
Japan
European Union
0,3
0,2
0,1
0
2000
2005
2010
2015
2020
2025
2030
2035
2040
2045
Sources: EU Economic Policy Committee 2001;
UN Population Prospects Publication (revision 98); IMF staff estimates
2050
e-Inclusion and ICT & ageing
in i2010
• Action Plan on “Ageing Well
in the Information Society”
June 2007
• Support to Ambient Assisted
Living Joint R&D Programme,
June 2007
• European e-Inclusion Initiative
“To be part of the information
society”,
Nov 2007
The e-Inclusion opportunity
• € 55 billions from increased participation to labour of
currently unemployed who do not use Internet
• € 10 billions from increased participation to the
labour force of the students currently not using
Internet
• € 18 billions from increased productivity from new
digital skills of the currently employed who do not use
Internet
• € 10 billions of extra GDP growth from increase in
output of the ICT industry by inclusive ICT
• € 30 billions of extra GDP growth due to impact of
inclusive e-Government
EU e-Inclusion Policy
European e-Inclusion Initiative
(adopted 8 Nov 2007)
• e-Inclusion matters, but too little progress
• Raise awareness and commitment:
– E-Inclusion « Be Part of It » campaign
– High-Level Ministerial Conference 2008
• Enable – Accelerate – Integrate
– e-accessibility R&D, pilots (accessible digital TV),
legislation; digital literacy
– Ageing Action Plan (CIP pilots); inclusive e-services;
marginalised groups (networking)
– Cooperation (networking); benchmarking through
Riga Dashboard; mainstreaming
The ICT and Ageing opportunity
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80+ population: doubles until 2050
60+ population: from 20% in 1995 to 25% in 2020
50+ population: 21% has severe vision/hearing/dexterity
problems
Age-related impairments: 69 million in 2005 (84 million in
2020)
Cost of pensions/health/long-term care: up by 4-8 % of
GDP
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Wealth and revenues of persons over 65 is over 3000 B€.
Smart homes market will triple between 2005 and 2020
Early patient discharge by tele-health: save €1,5 billion p.a.
(Germany)
Tele-care technology: from institutional care costs of
£21,840 to £7,121 including 24 hours response (UK)
€50,000 on accessible website  access to 1.9 million new
customers (Tesco)
So what’s in the way?
• Older people don’t use the Internet and find
technology challenging
– Only 10% of people over 65 use the Internet
– Over 20% of the 50+ are seriously challenged in hearing, vision or
dexterity
– ICT is complex and requires special skills
• Ageing needs not yet in main-stream products
– Insufficient awareness of market opportunities and users' needs
– Older users needs not built into new designs and technologies
– Fragmentation of research and innovation efforts
• Legal and technological barriers
– Legal and Ethical issues not well developed
– Lack of interoperability makes solutions expensive & difficult for
elderly users
• Fragmented Markets
– Differing public policies and reimbursement schemes
– Unclear business models (Who pays?)
Ageing Action Plan – 3 wins!
• Improving the quality of life of elderly
people, and of their relatives and carers
• Ensuring sustainability of health and
social services in terms of financial and
human resources
• Creating new jobs and business
opportunities for European industries
Ageing Action Plan - 4 actions
2 Policy Actions
1. Raise awareness, shared understanding and
common approaches
1. Ministerial debate 2-3 December 2007 in Lisbon
2. Innovation Platforms for Stakeholders at EU and nat. level
3. Roadmaps on ICT for Ageing Well
2. Create the right conditions – remove barriers
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Best practice exchange and awards
Address legal barriers, national reimbursement schemes
ICT and Ageing Ethical issues, under Slovenian Presidency
Interoperability
Ageing Action Plan - 4 actions
2 Funding Actions
“Covering the research and innovation value chain”
3. Prepare for the future through research and
innovation
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Framework Programme 7
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AAL Joint Programme
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long-term research (10 year time-to-market); technical
requirements for interoperability; integration of
components; new ideas
Coordination of National R&D; application research and
system integration (2-3 year time-to-market)
4. Accelerate investment in and take-up of proven
solutions
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CIP pilot projects, large scale trials, Innovative public
procurement
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Regions for Economic Change and mobilization of Regional Funds
Current EU R&D and
Innovation Support
FP7 research, Challenge 7
Ageing
• Prototypes for independent
living/active ageing
• Open Systems, Reference
Architectures, Home
Platforms
• Support: roadmaps,
standards, S/E research,
Int’l cooperation
eInclusion
• Mainstreaming accessibility:
– Deep embedding
– Simulation ‘Virtual User’
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Brain-computer interaction
Marginalised young people
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Advanced research
Generic, pan-European
Exploration of new areas
CIP deployment pilots
Ageing
• Independent and healthy
living
• Chronic disease monitoring
eInclusion/Accessibility
• Accessible digital television
• Thematic networks on
social capital, innovation &
e-inclusion, active ageing at
work
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High visibility
Overcoming fragmentation
Enable scaling up,
investment
Value chain cooperation
Regional/rural/urban
renewal
(+ pre-commercial procurement, Structural Funds)
Objective 3.7.1.1:
Call 1
ICT and Ageing
Integration of advanced ICT
prototype solutions for
Independence at home, on the
move or at work.
Key Area
Open Systems Reference
Architectures, standards and
Platforms for Independent
Living and Active ageing
Global Industrial and academic
leadership in ICT and Ageing
Providing basis for future
solutions with highly increased
efficiency and user acceptance
Enabling cost-effective, multivendor solutions
Enabling seamless and reliable
integration of devices and
services
Support Measures
RTD roadmaps, socio-economic
research,
Standards setting, international
cooperation (US, Japan)
A long term RTD agenda for ICT
and Ageing, positioning European
efforts in the global market,
including standards, soc-econ.
Expected Impacts
Target Outcomes
Key Area
Objective 3.7.2.1:
Call 2
Accessible and Inclusive ICT
Key Areas
Methods and tools for computer
simulation of user interaction and
validation frameworks.
Assistive solutions based on non
invasive Brain computer
interaction.
Supporting Measures
Assistive technology constituencies
coordination
Demonstration of accessible
solutions in real life using context.
Enable new market opportunities.
Facilitate seamless interaction
between accessible mainstream
ICT and assistive solutions.
Facilitate development and
production of accessible ICT.
Better understanding of ethical
issues , market requirements
barriers and cost benefit aspects.
International cooperation
Preparatory Actions
ICT based Communication and
shared environments for social
inclusion of marginalized young
people
RTD capacity on ICT solutions
for social inclusion.
Expected Impacts
Target Outcomes
Deeply embedding accessibility in
mainstream ICT.
CIP WP 2007: ICT for
accessibility, ageing and social integration
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ICT to fully participate in society and the future
knowledge economy. ICT to respond positively to the
demographic challenge.
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e-Inclusion objectives in CIP ICT PSP – more accessible
and usable ICT technology and the use of ICT to
achieve a wider inclusion of the population in the
information society.
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Three objectives:
1. ensuring minimum accessibility and usability of
emerging ICT products and services for all (pilot projects)
2. making the best use of ICT to improve quality of
life and healthcare of elderly people (pilot projects)
3. experience sharing, consensus building and visibility for
ICT based solutions addressing ageing and inclusion.
(Thematic networks)
CIP WP 2007: ICT for
accessibility, ageing and social integration
Expected outcomes:
– innovative ICT solutions addressing the
challenge of the ageing society and improving
the inclusiveness of the information society
– development of a range of business
opportunities in high growth markets
(accessible ICT products and services, ICT for
independent living and care for the elderly)
– European industry in a leading position to
provide solutions for these markets at local,
regional, European and international level
Stepping up research on Ageing Well
through the AAL Joint Programme
• New Joint Programme between Member
States on applied ICT research in Assisted
Living technologies and services (2008-2013)
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National contribution of at least €150m
EC contribution up to €150m
Cofunding by Industry and Research ~ 50%
Total investment >€600m
Based on Art. 169 of the EU Treaty
• Complements longer term research - €400m
in FP7
• Linking National programmes to EU research
AAL Joint Programme Characteristics
• Annual work programme with 1-2 focused calls/year
from 2008-2013 (probably first call in April 2008)
– New ICT products and services for ageing well
• Smaller applied research/innovation projects
– Organisations from at least three different participating
states
– With user involvement
• Co-funding by participants
– National rules of participation apply
• Projects contracted through national agencies for nat.
participants
– Low barriers for participation
– SME friendly
AAL Joint Programme – Objectives
• Foster the emergence of innovative ICTbased products, services and systems for
Ageing Well
• Create/leverage critical mass of research,
development and innovation at EU level
• Improve conditions for industrial
exploitation, in particular SMEs
AAL Joint Programme –
National Interest expressed so far
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Israel
Conclusions
• eHealth, eInclusion and Ageing well in the
information society - social necessity and
economic opportunity
• ICT has great potential for providing solutions,
but need for comprehensive policy support
• European Action plans launched by the
European Commission
Further Information
• ICT on Cordis
http://cordis.europa.eu/fp7/ict/
• eHealth
http://ec.europa.eu/information_society/activities/health/
• EU ICT and Ageing Well Initiatives
http://ec.europa.eu/information_society/einclusion
• Ambient Assisted Living
Joint Programme
http://www.aal-europe.eu/
• Contacts:
eHealth:
ilias.iakovidis (at) ec.europa.eu
eInclusion: peter.wintlev-jensen (at) ec.europa.eu