European policy in eHealth National discussion forum, ICT for Health Sofia, Bulgaria Diane Whitehouse ICT for Health National discussion forum, ICT for Health Sofia, Bulgaria Diane Whitehouse ICT for Health

eHealth Communication and Action Plan WHY? eHealth is not anymore about what will be – there are many real life solutions that have proven to deliver real benefits eHealth is not anymore about what will be – there are many real life solutions that have proven to deliver real benefits There is an added value of collaboration at EU level eHealth deployment (and not only on research) There is an added value of collaboration at EU level eHealth deployment (and not only on research) to learn what has not worked and to exchange experiences to ensure minimum interoperability conditions to support continuity of care and mobility to address many regulatory (market), legal and ethical issues in coordinated manner to provide framework for all the stakeholders to come together at international level that could be used also on national and regional level

Main areas of progress (1/ Establishment of eHealth Working Group and Stakeholders’ group for the follow up of the action plan Establishment of eHealth Working Group and Stakeholders’ group for the follow up of the action plan Establishment of a roadmap regarding the tasks on interoperability leading to interoperability working paper ( March 2006) to EC Recommendation on eHealth Interoperability (2007) Establishment of a roadmap regarding the tasks on interoperability leading to interoperability working paper ( March 2006) to EC Recommendation on eHealth Interoperability (2007) Launching of projects/studies that address many tasks in the action plan Launching of projects/studies that address many tasks in the action plan Best practices (ERA Health, Health Impact, new Study) Interoperability (I2Health, Semantic Health, RIDE) Patient identifier (new study, eTen workprogramme ’06) Legal issues (new Study) Labelling and certification (Q-REC, new Study)

Progress eHealth roadmaps and action plans - feedback Replies have come from 15 of 25 Member States, as well as Bulgaria and Turkey Replies have come from 15 of 25 Member States, as well as Bulgaria and Turkey 13 of these came from a Ministry of Health (4 from other Ministries) 13 of these came from a Ministry of Health (4 from other Ministries) eHealth info sources: 34 web links eHealth info sources: 34 web links ‘Best’ (or good) practice examples: 35+ projects/pilots ‘Best’ (or good) practice examples: 35+ projects/pilots

EPSCO Council European Commission DG SANCO DG INFSO eEurope Advisory group eEurope Advisory group Ministers High Level Participants Ministers High Level Participants High Level group on Health Services and Medical care High Level group on Health Services and Medical care Subgroup Health Information and eHealth Subgroup Health Information and eHealth Coordination of eHealth Action Plan in Europe Telecom Council eHealth Working Group eHealth Working Group EHealth Conferences Stakeholders Group CEN TC 251, ETSI, CENELEC, ISO TC 215, CEN/ISSS, Health practitioners (doctors, nurses, etc.), Patients, Health Managers, Hospitals, Media Industry (EHTEL (ind.), IHE, COCIR, EAR, EUROREC, HINE), EU projects (COPRAS, SEMANTIC HEALTH, RIDE, i2HEALTH, eHealth ERA…) and studies

CISTRANA - IST ERA Implementation I eHealth ERA i2HEALTH Identification doctors/patient Messages/requests i2HEALTH Identification doctors/patient Messages/requests Certification EHR SSA Certification EHR SSA TMA Bridge Interoperability approach TMA Bridge Interoperability approach RIDE Interoperability RIDE Interoperability SHARE Healthgrid SYMBIOMATICS BMI ERA Pilot STEP VH CA INFOBIOMED BIOPATTERN SEMANTIC MINING Semantic Health Interoperability Semantic Health Interoperability II III Short term research Long term research

Economic and productivity Impact of eHealth study Best practices study Legal aspects of eHealth study Certification and accreditation eHealth study I2HEALTH Identification doctors/patient Messages/requests CEN TC 251 SSAs Semantic Interoperability Certification EHR Specific Support Action Patient identity study EHR SOFTWARE Patient ID2 Language : Classification Terminology Coding TMA Bridge EHR structure; Interop. approach DATA eHealth ERA NET

Development in progress confirmed in most Member States (MS): Development in progress confirmed in most Member States (MS): UK: Connecting for Health (the National Programme for IT) Several MS confirmed roadmaps by end 2005 Planned/on-going major eHealth applications in a few countries: Planned/on-going major eHealth applications in a few countries: Health cards, ePrescription, interoperability specifications/data standards. Main areas of progress (1)

eHealth Action Plan: results to date General, and patient mobility Launch of i2010 initiative (includes eHealth) Launch of i2010 initiative (includes eHealth) eHealth progress report: publication start 2006 eHealth progress report: publication start 2006 HLG on health services and medical care: further progress in health information and eHealth HLG on health services and medical care: further progress in health information and eHealth SANCO and INFSO have agreed to co-organise eHealth and health information meetings SANCO and INFSO have agreed to co-organise eHealth and health information meetings

eHealth Action Plan: results to date eHealth interoperability Approval of 24-month planning (preparatory document; series of workshops; 2007 Recommendation) eTen – TMA-Bridge – completed; i2Health – good progress DG ENTR – successful collaboration; CEN/ISSS/ETSI next steps IDABC – interoperability and integration

eHealth Action Plan: results to date European health insurance cards and health cards eHIC (European health insurance cards) – continuing progress – concrete progress; collaboration among MS; includes news partners and new countries

eHealth Action Plan: results to date Good or best practices eHealth IMPACT – case studies underway; coverage at WSIS Tunis, November 2005 eHealth ERA - launched, website, first deliverables ready, technical review complete, Gastein workshop, HLG (SANCO) workshop 4 studies: call opened in 2005; studies have started in 2006

eHealth Action Plan: results to date Public health portal, and management of health threats Three workshops convened to ensure appropriate design and content; launch will be in 2006 Three workshops convened to ensure appropriate design and content; launch will be in 2006 MEDIEQ (quality labelling of medical content) project accepted for funding in 2005 MEDIEQ (quality labelling of medical content) project accepted for funding in 2005 Inter-service consultation on management of health threats and challenges begun, after receiving inputs from Member States Inter-service consultation on management of health threats and challenges begun, after receiving inputs from Member States

eHealth Action Plan: results to date Conferences and special events eHealth 2005 successfully completed eHealth 2005 successfully completed eHealth 2006 conference launch meeting, October 2005 eHealth 2006 conference launch meeting, October 2005 EHFG (Gastein), October 2005 – Health-e Europe EHFG (Gastein), October 2005 – Health-e Europe World Summit on Information Systems – latest info on eHealth in Europe, good practice World Summit on Information Systems – latest info on eHealth in Europe, good practice eHealth working group, meetings planned in 2006 eHealth working group, meetings planned in 2006 Inter-service group on eHealth, start delayed Inter-service group on eHealth, start delayed

eHealth 2006 conference For your diary NOW!! For your diary NOW!! Prospects and planning for the eHealth 2006 conference which will be held in Malaga, Spain on May Prospects and planning for the eHealth 2006 conference which will be held in Malaga, Spain on May Eventual website address: org Eventual website address: org

eHealth Action Plan: results to date Legal, regulatory, and other issues Legal, regulatory, and other issues Studies, closure October ESDIS working paper, to be completed circa October 2005 Liaison with DG EMPL ‘mainstreaming’ of occupational health and safety issues, e.g., on public health portal

eHealth action plan – main areas of progress Will be issuing eHealth interoperability guidelines at EU level (Recommendation in 2007) Will be issuing eHealth interoperability guidelines at EU level (Recommendation in 2007) Involving all Member States and all relevant stakeholders (firm commitment) Involving all Member States and all relevant stakeholders (firm commitment) Ensuring political support Ensuring political support Moving towards implementation, along lines of Action Plan Moving towards implementation, along lines of Action Plan Increasing efficiency; pursuing tangible results Increasing efficiency; pursuing tangible results - from content, to process, to structure - ensuring cooperation among initiatives - limiting numbers of meetings/WGs - limiting numbers of meetings/WGs

Summary of main areas of progress Over next 12 months – major focus on eHealth interoperability - crucial concentration on regional and/or local dimension of eHealth

eHealth Action Plan: Quick summary of progress on some actions National/regional roadmaps (MS, 2005) ERA Health, presentations at eHealth 2006 conference Best practice collection, dissemination (EC ) Health Impact, ERA Health, New Study, eTen 2006 Common approaches for patient identifier (EC+MS, 2006) New Study, eTen 2006 Interoperability approaches and guidelines (EC+MS,2006) TMA Bridge, I2Health, Semantic Health, RIDE, Semantic Mining… Conformity testing and accreditation (MS 2007) Q-REC Legal framework, certification of qualifications (EC+MS,2009) New Study, 2006

Conclusions and Discussion We welcome feedback and questions from all parties, associations, industry and companies, Member States, accession countries