EU initiatives fostering

cross-border cooperationWith the support of e-Health

EU initiatives fostering

cross-border cooperationWith the support of e-Health

Gérard Comyn, Head of Unit, ICT for Health,

European Commission gerard.comyn@ec.europa.eu

Fostering cross-border CooperationFostering cross-border Cooperation

• Increasing mobility of patients and professionalsIncreasing mobility of patients and professionals

• Cooperation between regions and/or Member Cooperation between regions and/or Member States e.g North Rhine-Westphalia/the States e.g North Rhine-Westphalia/the Netherlands/Belgium to improve efficiency of Netherlands/Belgium to improve efficiency of healthcarehealthcare

• Improving patient safety by facilitating access to Improving patient safety by facilitating access to health datahealth data

• Cooperation and complementarities of skillsCooperation and complementarities of skills

• Exchange of skills and knowledgeExchange of skills and knowledge

• ICT as a key tool to help implementing cross-ICT as a key tool to help implementing cross-border cooperationborder cooperation

ICT for HealthSome examplesICT for Health

Some examples

SWEDEN, County Councils – Sweden's national pharmacy system and its county councils embark on ePrescribing 42% of all prescriptions in Sweden are now transferred from the doctor to the pharmacy electronically via a health extranet, Sjunet, or through web-based prescribing. This innovation increases the security and quality of prescriptions, reduces prescription errors, and saves time for health provider organisations. The cumulative benefits by 2008 are estimated at € 330 million, distributed between citizens (20%) and hospitals (80%).

Västernorrlands län, Västra Götalands län and Barcelona – Radiology consultations between Sweden and Spain - Thanks to regular tele-consultation, Swedish patients can get advice from specialists in Spain. The new system means a reduction of waiting times by up to half, and similar cost savings. The cumulative benefit by 2008 is estimated at ~ €5 million.

ICT for HealthSome examplesICT for Health

Some examples

• CZECH REPUBLIC, various regions – Webbased health records: empowered citizens, better informed health-care practitioners, continuity of care.

With the consent of the patient, the IZIP system enables doctors to access the central information at the time and point of care. IZIP is supported by the largest health insurer in the Czech Republic, which serves two-thirds of the Czech population. Cumulative benefits should reach approx. €180 million by 2008. Estimated productivity gains, measured in a decrease in eHealth costs per record, amount to 74%.

• DENMARK, various regions – Danish Health Data Network - This system offers faster, more efficient communication between patients, general practitioners and social care professionals. The benefits include cost savings on secretarial work and on electronic prescriptions. It generates considerable net economic benefits estimated to exceed €75 million on an annual basis by 2008.

Hospitals 2004: EHR systemsHospitals 2004: EHR systems

Hospital EPR systems - Installed base - 2004

0%

20%

40%

60%

80%

100%

Medical document management

Order communication

Computer based storage of electronic patient records

Knowledge Support Systems

HINE 2005

Hospitals 2004: Electronic linksHospitals 2004: Electronic links

Electronic links to GP practices - 2004

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

no

yes

HINE 2005

Towards a European Health Information Space

Towards a European Health Information Space

• Situation of health information systems in Situation of health information systems in Europe:Europe:

• Large diversity of solutions

• Based of regional initiatives

• Market fragmentation

• No compatibility / communication between national solutions (interoperability)

• Detrimental to the patient (patient safety)

• Detrimental to Industry

• Communication: COM(2004) 356 finalCommunication: COM(2004) 356 final

• ‘e-Health – making healthcare better for European citizens: An action plan for a European e-Health Area’

e-Health action plan: WHY e-Health action plan: WHY e-Health action plan: WHY e-Health action plan: WHY

• Borderless European Health Information Space for

individual care, public health and research

• Bringing the benefits of eHealth to EU citizens faster

(Quality of care, patient safety)

• To facilitate growth and transparency of eHealth Market

• To decrease Market Fragmentation

•

e-Health Action PlanMain areas of activity e-Health Action Plan

Main areas of activity

• National/regional roadmaps (MS, 2005)

• Common approaches for patient identifier (EC+MS, 2006)

• Deployment of health information networks (MS, 2004-2008)

• Interoperability standards for EHR and messaging (EC+MS,2006)

• Boosting investments in eHealth (MS, 2007)

• Certification and labeling (Q-REC project) (MS + EC 2007)

• Legal framework, certification of qualifications (EC+MS,2009)

• Yearly Ministerial conferences & exhibitions (next in Malaga, Spain 10-12 May, 2006)

• World of Health IT yearly conference

Competitiveness & InnovationCompetitiveness & InnovationProgramme (CIP)Programme (CIP)

Competitiveness & Innovation Programme (CIP)Competitiveness & Innovation Programme (CIP)

• a new programme to boost growth and jobs in Europe

• budget ~3.6B€ (2007-2013) focused in three areas

Entrepreneurship& Innovation

2,170 M€(incl € 430 eco-

innovation)

ICT PolicyICT PolicySupportSupport

728 M€728 M€

Intelligent EnergyEurope

727 M€

Competitiveness and Innovation Programme:Large Scale Pilot

Competitiveness and Innovation Programme:Large Scale Pilot

• One large Scale PilotOne large Scale Pilot

• Patient summary for unexpected cases

• Patient safety and medication continuity

• With a common architectureWith a common architecture

• Built on Member States’ solutions (‘bottom up’)Built on Member States’ solutions (‘bottom up’)

• Thought as long lasting solution at European levelThought as long lasting solution at European level

• Scalable and sustainable, adaptable to new situationsScalable and sustainable, adaptable to new situations

Policy Objective: Recommendation on interoperabilityPolicy Objective: Recommendation on interoperability

From Research to PoliciesFrom Research to Policies

• Action Plan for a European ‘eHealth Area’: Action Plan for a European ‘eHealth Area’: Deploying former research results developed Deploying former research results developed under FP4, FP5: EHRs, to Health regional networks under FP4, FP5: EHRs, to Health regional networks etc..etc..

• Future action Plan on Telemedicine tools for Future action Plan on Telemedicine tools for chronic disease management: Deploying FP5 and chronic disease management: Deploying FP5 and FP6 technologies such as Personal Health Systems FP6 technologies such as Personal Health Systems facilitatingfacilitating

- Continuity of care

- Preventive & personalised care

- Citizen-centred care

In the form of wearable, portable, implantable, point of In the form of wearable, portable, implantable, point of care systemscare systems

To find more on ICT for Health / eHealth?

To find more on ICT for Health / eHealth?

• Policy site: http://europa.eu.int/information_society/ehealth

• eHealth Newsletter (monthly issues): http://europa.eu.int/information_society/activities/health/research/newsletter/index_en.htm

• Research site:http://www.cordis.lu/ist/directorate_c/ehealth/index.html

THANK YOU FOR YOUR ATTENTION