Transcript Dias nummer 1

Policy recommendations
for wider implementation of
telemedicine
Peeter Ross, MD, PhD
e-Health expert, Estonian eHealth Foundation, Estonia
Content
• Overview of current situation in the
implementation of telemedicine services
• eHealth Task Force report Redesigning
Health in Europe for 2020
• Policy recommendations for deployment
of telemedicine services
The project consortium
•
•
•
•
•
•
•
•
•
Region of Southern Denmark
Auvergne, France
Catalonia, Spain
Estonia
Malopolska, Poland
Norrbotten, Sweden
North Norway
Scotland, UK
Veneto, Italy
New technologies and e-services
in healthcare
• Healthcare is lacking behind of other
service industries at least 10 years
• Healthcare organisation usually is not
adopting the free market rules what
would promote the use of innovation
and disruptive technologies
• Implementation of e-health services
depends in large extent on political
decisions.
• Decisions must be in solid basis
Main goal of policy
recommendations
• To improve
• Patient care
• Safety
• Quality
• Healthcare system efficiency
• Market development for regional
SMEs
Difficulties to put telemedicine
services into routine operation
• The reasons are complex
• Clinical, economical, organizational,
technological, legal and safety
requirements
• Political issues are on different levels
• European
• National
• Regional and
• Local
Political levels (1)
• In EU the healthcare decisions are
made according to the principle of
subsidiarity
• Policies concerning provision of
healthcare services should always be
made at the lowest possible level
• EU level
• Legislative documents
• Recommendations with no legal
power
Political levels (2)
• Most recent documents
• eHealth Task Force report –
Redesigning Health in Europe for 2020
• Europe 2020 Strategy
• Digital Agenda for Europe
• EC Communication on Telemedicine for
the Benefit of Patient, Healthcare
Systems and Society.
• EU Directives that have direct influence
on telemedicine services
Political levels (3)
• Policy recommendations on national,
regional and local level coincide in
many aspects
• In not yet mature and diverse
European telemedicine market the
differentiation between levels is not
reasonable because of variabilities
between Member States healthcare
administrative structures
eHealth Task Force Report.
Redesigning health in Europe for
2020
Redesigning health in Europe
for 2020 – recommendation 1
• A new legal basis for health data in
Europe
• Create a legal framework and space
to manage the explosion of health
data
• Create the conditions for the
integration of user-generated data
with official medical data so that care
can be more integrated, personalised
and useful for patients
Redesigning health in Europe
for 2020 – recommendation 2
• Create a 'beacon group' of Member
States and regions committed to
open data and eHealth
• EU facilitates this by creating the central
space for national initiatives to flourish and
be shared.
• Successful models developed in different
regions or countries can be disseminated
• A leadership group from regions and
countries that have invested in eHealth
applications could be pioneers
Redesigning health in Europe
for 2020 – recommendation 3
• Support health literacy
• Health literacy efforts should begin in
school
• Indeed, citizens can only exercise
control over their own data – and
subsequently use the data – if it is
both in an understandable language
and format with user friendly
interfaces
Redesigning health in Europe
for 2020 – recommendation 4
• Use the power of data
• Health institutions must publish the data on
their performance and health outcomes. This
information should be regularly collected,
comparable and publicly available
• This will support a drive to the top as high
performing organisations and individuals can
be identified and used as an example to
inspire change
• In health, performance is not just how
efficiently the system operates but also the
patient experience of the care
Redesigning health in Europe
for 2020 – recommendation 5
• Re-orient EU funding and policies
• The majority of public funding at EU and
national level allocated to eHealth has been
invested in centralised, large-scale, topdown solutions
• These have failed to address and integrate
the user experience sufficiently
• The next phase should see investment in
tools that citizens can use to support their
wellbeing and manage their lives
Regional Telemedicine Forum
Policy recommendations.
Regional Telemedicine Forum
Policy recommendations.
• Presents the identified policy
recommendations, developed by
each RTF partner
• Includes a brief description of the
meaning of the policy
• Reports a case description,
referred to the related policy
• An example of how the policy was
successfully applied by one of the
RTF partner and which results are
obtained
Regional Telemedicine Forum
Policy recommendations.
• Limitations
• RTF partnership decided to suggest
policy recommendations which are each
based on a concrete case of problems for
the wider implementation of telemedicine
services.
• This can limit the problematics and the
field of application
• Still important beginning to face the
problem and to overcome existing
barriers.
Policy recommendations.
Economic area
• New reimbursement models
• Integration of evidence based
documentation throughout the
decision-making
• Development of evidence, including
clinical, organizational and
economical aspect and quality of
service
Policy recommendations.
Information technology
• Development and implementation of
an infrastructure for electronic health
data sharing
• Use of ICT based on international
standards to create interoperable
systems
Policy recommendations.
Political area. Educational area
• Political area
• Create political leadership, including
better guidance on what the politicians
need to decide on
• Educational area
• Postgraduate education
• Integrate training of usage of
telemedicine services in academic area
• Improve patient empowerment by
training patient and caregivers
Policy recommendations.
Organisation. Legal
• Organisation
• Apply a multidisciplinary approach to
development of services, including sufficient
involvement of clinical expert
• To link the clinical and economical levels
throughout the development of telemedicine
• Legal
• Early clarification on legal matters throughout
the service development
Conclusion
• Successful implementation of telemedicine
demands
• Actions at regional level by addressing the main
beneficiaries and barriers
• Exchange of good practises
• Evidence of successful telemedicine to build
trust and acceptance
• Make of use of solutions offered by information
technology
Thank you!
[email protected]