e- health in the european union
DESCRIPTION
Dr. Andrzej Rys Director for Health and Risk Assessment DG SANCO European Commission. E- Health in the European Union. OPEN DAYS 2009 Mobility in Healthcare 7 October 2009, Brussels. OUTLINE. E-health in the context of the Community policies and the EU health policy - PowerPoint PPT PresentationTRANSCRIPT
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E- Health in the European Union
Dr. Andrzej RysDirector for Health and
Risk AssessmentDG SANCO
European Commission
OPEN DAYS 2009
Mobility in Healthcare 7 October 2009, Brussels
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OUTLINE1. E-health in the context of the Community
policies and the EU health policy
2. The EU Startegy for ICT in healthcare
3. What are the limitations?
4. How the EU can support E-Health innovations
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E- Health in the context of the
Community policies - DG IMFSO
- Creating an Information Society- DG SANCO
- Empower patients, support efficient health systems and mobility – Directive on patients’ right in cross border healthcare
- DG RESEARCH - A strong innovations sector
- DG MARKT- A lead market
- DG COMPETITION- Should not abuse a dominant position on the EU market
- DG EMPL - Create employments and growth
- DG REGIO
- Funding from the EU Structural Funds
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EU Wide StrategyEU Wide Strategy
1. eHealth Action Plan - COM(2004)356 final
2. I2010 flagship initiative - ICT for Ageing Well
3. Lead Market initiative for Europe (eHealth)
4. EC Recommendation on EHR Interoperability (2008)
5. Telemedicine Communication - COM(2008)689 final
ec.europa.eu/information_society/activities/health/policy/index_en.htm
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EU Health Policy Goals
• EU Treaty Art.152– ensuring a high level of protection of public
health – supporting cooperation between MS in the
area of healthcare provision
EU Health Startegy 2008 -2013• Values: Support the Member States' pledge
for a common set of values for European health systems: universality, access to good
quality care, equity and solidarity
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EU Health Strategy - Objective 1 & 3
• Foster Good Health
• Dynamic Health Systems & New Technologies
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EU Health Strategy Implementation
A partnership approach :
• Senior level group on Health in the Council – Commission together with the MS
• Cooperation with regions and stakeholders
• “Europe for Patients” policy initiatives
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E health solution for sustainable healthcare
……from Electronic Health Records to remote monitoring and telemedicine…we realise the potential
• Bring benefits to patients – information • Improve access to quality healthcare • Increase efficiency and modernise healthcare systems • Reduce workforce shortages • Support monitoring of chronic ill patients • Support patients mobility• Create links between all actors • Generate economies of scale • The health objectives should underpin the actions
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Directive on patients’ rights in cross border health care
• To create legal certainty for the MS and the patients and their rights in the cross border health care
• To ensure quality and safety in cross border health care
• To support co-operation between health care systems
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10
20
30
40
50
60
70
80
90
Using PC
Using electronic patien data storage
Routinely using PC in consultation
Internet access
Connecting with broadband
Using decision support software forprescribing or diagnosis
Accessing other health institutions networks
Occasionally using PC to illustrate to patient
Regularly using PC to illustrate to patient
Exchanging administrative data withreimbursing organisations
Occasionally using Internet and electronichealth networks to provide telemonitoring tohome-patientsRoutinely using Internet and electronic healthnetworks to provide telemonitoring to home-patients
87.4%
80%
66.1%69%
62.5%62.3%
55.2%
44.4%
13.9%15.1%
2.7%0.9%
EU World Leader in deployment in primary care (EC Study 2007)
EU World Leader in deployment in primary care (EC Study 2007)
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GPs: Electronic exchange of patient data by
purpose (selected countries)
GPs: Electronic exchange of patient data by
purpose (selected countries)
Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008
Lab results from laboratories
Admin data to reimbursers
Medical data to care providers /
professionals
Admin data to other care providers
Prescription to pharmacies
Medical data cross border
EU27 39.8 15.1 10.3 9.7 6.3 0.7
BE 73.5 2.5 12.9 12.9 1.6 0.9
BG 5.3 9.7 3.4 5.8 2.4 1.0
DK 96.2 47.9 73.6 74.0 97.3 1.9
EE 39.3 5.3 1.3 1.3 0.7 0.0
NL 83.8 45.4 26.0 27.5 71.0 4.7
FI 90.0 7.6 54.8 20.8 0.4 0.4
SE 82.4 8.2 13.1 15.7 80.9 1.5
UK 84.9 43.2 26.5 31.5 5.1 0.4
NO 88.2 18.6 34.8 25.5 2.9 0.5
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Region 3
Hospital
Home
Pharmacy
Health Centre
mobile PC
Mobile, Wireless
&Broadband
Emergency
Secure Networks
Region 2
Mobility
Region 1
Towards eHealth Deployment: Health Information NetworksConnecting providers: Messaging, EHR, HP tools, on line
services
Towards eHealth Deployment: Health Information NetworksConnecting providers: Messaging, EHR, HP tools, on line
services
GP
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Country orRegion 3
Secure Networks
Country or Region 2
Interoperability across borders
Linking basic information between patient summary
systems or giving access to physicians to patient summary
in your home country
Interoperability across borders
Linking basic information between patient summary
systems or giving access to physicians to patient summary
in your home country
Mobility
Country or Region 1
Patient Summary 1Patient Summary 2
Standardised exchange/access to common data sets
Direct access of physicians when legal
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Region 3
Hospital
Home
Pharmacy
Health Centre
mobile PC
Mobile, Wireless
&Broadband
Emergency
Secure Networks
Region 2
Towards eHealth Deployment: Step 2
Connecting individuals with providers/Health Information
Networks
Towards eHealth Deployment: Step 2
Connecting individuals with providers/Health Information
Networks
Mobility
Region 1
GP
15 of 15Integrated Health Records
EnvironmentalData
Biosensors
Phenomic data
Genomic data
Biochips
Towards eHealth Deployment: Step 3
Seeing the full picture of individual’s health status
Towards eHealth Deployment: Step 3
Seeing the full picture of individual’s health status
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EU in support of Telemedicine - Innovation “cascade”
EU in support of Telemedicine - Innovation “cascade”
Personal Health Systems
Health monitoring
Research funds FP
Innovative Telemedicine
services
CIP , Member statesStructural funds
Research andDevelopment
Pilots validation
Large scaleDeployment
20041998 2010
Telemedicine Communication
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What are the limitations: a matter of technical interoperability or of
diversity of health systems?
– Creating the legal framework for E-Health to be accepted and reimbursed, at national and cross-border level;
– Validating its use, like it happens with other technologies used in the health sector;
– Recognizing that these services will only be widely used if they are trusted by patients and healthcare professionals.
– Need to promote technical requirements to ensure interoperability at all levels to finally establish
– Encourage a dialog and partnerships between interested stakeholders, including health professionals, health insurance funds, healthcare provides, industry and patients
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How the EU can support innovations in healthcare?
Financial instruments
– The FP7 - 6 billion€ for research on health:The "Regions of knowledge" 2010 programme -strengthening the research potential of European regions with a special focus on health and E-health in particular
– The CIP ICT PSP Programme € 7,5 m– The EU Structural Funds (€ 6 bn for ageing and
e-health)– The Health Programme aims to support
cooperation and exchange of best practice
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Research & development (FP7)Research & development (FP7)
Personalisation of HealthcarePersonal health system
€ 72 Million (M) in 2007, (€ 63 M in 2009)
Patient safety-avoiding medical errors € 30 M in 2007, (€ 30 M in 2009)
Predictive Medicine – Virtual HumanModelling/simulation of diseases
€ 72 M in 2007, (€ 68 M in 2009)
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0 %
<1%
1-2%
2-3%
3-4%
4-5%
>5%Health infrastructure: Percentage of planned investments in health infrastructure in relation to the total amount of Structural Funds allocated to Member States in 2007-13.
Source: European Commission, Dg SANCO 2007Source: European Commission, Dg SANCO 2007
€5 billion have been allocated to OPs to support health infrastructure (fixed assets) + €6 billion earmarked for ageing and e-services priorities (incl e-health) + € X from ESF
(out of € 349 billion for the whole cohesion policy)
How the EU can support E-Health innovations?
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THANK YOU!