Communication & Technology Research ARGOS eHealth Policy needs and options for a common approach towards measuring adoption, usage and benefits of eHealth Communication & Technology Research Bonn / Germany This project is funded by the European Union

Contents The need to measure Current European policies, strategies, approaches 3. European activities

The role of quantitative measurement in policy making challenge Imple- ment. Policy evaluation Policy objectives Policy targets the "mission statement" broad area for activity and investigation too broad to be directly measured translate challenges into more concrete concerns basis for specification of policy actions Indicators the measurable results of policy actions outputs  outcomes  impacts Monitoring & Benchmarking: Achievement of targets In case of non-achievement, assessment of reasons Conclusions HERE: „policy perspective“ Further perspectives: -- „IT industry“ (market-sizing, forecasting), -- „user associations“ etc.

The need for usage and diffusion measures Set targets Check progress against targets Benchmarking: comparing countries, regions, time-spans

The need for benefits assessment Raise awareness and demonstrate the potential of eHealth including the points of high-level impact Identify fields of required political action Analyse incentives structures Success factors and lessons for future initiatives Continously check and justify the place of eHealth on the political agenda

Current European policies, strategies, approaches European Commission eHealth Action Plan (2004) “include ... assessments of cost benefits“ “progress also needs to be measured“ European Council on Safe and efficient healthcare through eHealth (2009) impact assessment will play a key role in epSOS calls upon the Commission to “organise an evaluation…of the health benefits and cost-effectiveness of the use of different eHealth services”

Current European policies, strategies, approaches i2010 strategic framework (2005) Extended Impact Assessment i2010 Benchmarking Framework 7th Framework Programme for EU research (FP7) measuring and monitoring usage, diffusion, and benefits of eHealth solutions: a prerequisite for research proposals

EU and macro-level measurements i2010 Benchmarking Framework (2006) The European Digital Agenda Benchmarking Digital Europe 2011 – 2015 (2009) Eurostat National Regulatory Authorities Ad-hoc studies by the EC regular annual surveys on the availability of online public services. The monitoring of the use of ICT for online health services is increasingly regarded as being important. Active cooperation between EU, OECD, and USA

EU micro-level evidence: EC studies eHealth IMPACT EHR IMPACT Good eHealth & ePractice MethoTelemed FP7 Projects

EU micro-level evidence: Member State activities GARTNER report for Swedish EU presidency Booz Allen report on the German planned EHR Institutional mandates for evaluation at national competence centres university institutes independent consultants Regional evaluations in decentralised healthcare systems, such as Italy and Spain

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