“ What will the future bring? New possibilities for patients and health professionals? What developments can be expected in the next 10 years? ”

2 Different perspectives HEALTH- PROFFESSIONALS Access to information Error-prevention Quality improvement Research PATIENTS Access to information Reduction of Bureaucracy Better contact w Health Care MANAGERS Data quality Follow-up Accountability

3 The new Healthcare Ecosystem

4 Agenda Future eHealth development from different perspectives:  Political & Organisational  Healthcare professional  Industry

5 Challenges in Healthcare Changing Government Interventions (reduced public financing, health care reform bills, privatization, national programs) Growing Technology Challenges (data/information explosion, legacy system heritage, system connectivity, process industrialization) Escalating Cost of Care (social diseases, demographic factors, high- technology medicine) Intensifying Competition (consolidation, M&A activity, new competitors) Growing Consumer Demands (educated customer & patients, wellness, definition of healthcare, product innovations)

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7 Challenges in Healthcare Escalating healthcare costs

8 The Role of IT in Healthcare Screen Scrape Screen Scrape Screen Scrape Screen Scrape Message Queue Message Queue Message Queue Download File Download File Download File Transaction File Transaction File Transaction File ORB CICS Gateway APPC RPC Transaction File Sockets Message Application Source: Gartner IT reality today

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10 The Global perspective World Health Organisation, 58´th Assembly, 2005 urged member-states to: - Draw up long-term strategic plans for implementing eHealth-services… - to develop the ICT-infrastructure for Health - to focus on vulnerable groups

11 EU-coordination of eHealth “The ultimate goal is to enable access to the patient´s electronic health record, patient summary and emergency data from any place in Europe” DG INFSO – Jan 2006

12 Ongoing large-scale projects in Europe

13 Patient summary Prescriptions: Name:Elsa XX Contacts: lfjskljfkljs Diagnosis: Ongoing contacts: GP: XX Department of Surgery YY Rehabunit ZZ Patient consent: Registered XX/X YYYY CAVE: sdlöfjl The European Patient Summary

14 National coordination - Without coordination, this will be an inefficient and costly exercise… if you ask me

15 Patient centred information

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17 Ds s Ds s Sorry! Don´t have time… Need to work! - Come, Thor!! Have a look at this…

18 Issues  National and International coordination  Privacy  User acceptance  Interoperability

19 The Role of IT in Healthcare IT reality today

20 The Role of IT in Healthcare Transcription Nurse confirms drug, dose, route, time, and patient Chart copy sent to pharmacy Order by Physician Order Entry Administration Documented Verification by Pharmacist Medication Dispensed Medication Administered Review by Nurse Medication errors in the USA Ordering 50% - 55% Transcription 6% - 12% Dispensing 5% - 14% Administration 33% - 38% Effects on the healthcare system * Deaths 7000 (1999) Savings potential $ B * in US hospitals Source: Agency for Healthcare Research and Quality, 2001

21 The new Healthcare Ecosystem

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24 Success-factors?  Involving and engaging the Healthcare Professionals  Focus on Change Management  Build on Trust – both with patients and citizens  Pay attention to the convergence between Healthcare and Life Sciences  Government investments must be long term and substantial  Use IT investments to free resources for frontline care  Develop a win-win relation with the IT-industry

25 CHARLES PHILLIPS