Towards an European eHealth High Level Governance Michèle THONNET Ministry of Labour, Employment and Health Paris, France eHGI Mainstream &Roadmap chair epSOS-eHGIAthens

2 MS-EU co-operation : Policy & Strategy HEALTH is a national prerogative subsidiarity is key but challenges are the same in each M.S. EU level : –a volontarist collaboration between M.S. –supported by the E.C. –confirmed by the « eHealth action plan » –declined on diverse « join » initiatives & Reco –design through dedicated groups & official doc

: a new era in legal and policy framework for EU Cooperation on eHealth Communication on Quality criteria for a web site Communication on the eHAP Recommendation on cross-border interoperability of electronic health record systems Communication on telemedicine for the benefit of patients, healthcare systems and society eHealth Standardisation Mandate 403 – EU Council conclusion on safe and efficient healthcare through eHealth – December 2009 Adoption of the Directive on patients’ rights in cross- border healthcare

4 eHR Modelling: an input for collaboration (2007)

5 5 Interoperability RECOMMENDATION REVIEW –Interoperability is considered for the purpose of “integrated, connected and interoperable continuity of care for Europe”: Political Organisational Semantic Technical/ standards

6 other EU current initiatives : EC & MS Health –Europe 2020: “Sustainable health”; Innovative Union Standardisation & new partnerships –IT Standardisation mandate –Digital Agenda for Europe (DAE) –European Innovative Partnership (EIP) AHA –Connecting Europe Facility,… voluntary cooperation eHealth M.S. and stakeholders voluntary cooperation –epSOS (cross border patient services) –CALLIOPE (eHealth Roadmap) eHealth High Level Governance

7 7 WHERE? FOR WHAT PUPROSE? WHO BENEFITS? WHAT’S AT STAKE? What: possible future actions at EU level For what: To accelerate eHealth deployment Who: Health care community How: Use Cases, alternatives, maturity and opportunities, building on what is shown to work 1 st stop Barcelona nd step Mai 2011 Budapest AN EU eHEALTH INTEROPERABILITY ROADMAP A proposal for a common EU Roadmap for eHealth

8 Adoption of a common working model Foundation eHealth infostructure Patient identification and patient data discovery Data structures and value sets EHR, EMR, PHR, other Clinical terminologies and classifications and codifications Data and knowledge management tools HCP Authorization, authentication and rights management Consent management and access control Data interoperability and accessibility Data bases and Registries eHealth Governance Market development, new business models, and incentives Privacy, quality and safety policies Legislative and regulatory framework Financing, Resource allocation and reimbursement models eHealth leadership, policy and strategy EU & National Stake- holder collaboration Fostering standards adoption Monitoring, evaluation eHealth Services Patient summariesElectronic prescribingChronic Care Management Community services, AALRare diseasesOther national priorities e.g., Data analysis & aggregation Knowledge management, etc. Common EU priorities National priorities Foundation ICT infrastructure Mobile and fixed Electronic Communication Infrastructures ICT processing and storage services ICT Professional and technical support; Training Access to ICT Networks, equipment and facilities Sustainable Healthcare Sharing Information and Knowledge for Better Health 8

9 Recommendations and Outlook propositions provide concrete input to decision making support of the eHealth high level governance process Political priorities

10 Directive on patients rights in cross border Healthcare: eHealth article (14) 1. The Union shall support and facilitate cooperation and the exchange of information among Member States working within a voluntary network connecting national authorities responsible for eHealth designated by the Member States.

11 Art 14: achieving a high level of trust and security, enhancing continuity of care and ensuring access to safe and quality healthcare; (a)work towards delivering sustainable economic and social benefits of European eHealth systems and services and interoperable applications, with a view to achieving a high level of trust and security, enhancing continuity of care and ensuring access to safe and quality healthcare; (b)draw up guidelines on ▌ : (i)a non-exhaustive list of data that are to be included in patients' summaries and that can be shared between health professionals to enable continuity of care and patient safety across borders, and (ii) effective methods for enabling the use of medical information for public health and research; (c)support Member States in developing common identification and authentication measures to facilitate transferability of data in cross-border healthcare. 2. The objectives of the eHealth network shall be to:

12 How to « implement » it ? Building on existing collaboration Bridging the gap between political decision makers & stakeholders eHealth High Level Governance

13 Main objectives Provide to MS a consolidated approach and a strong political committment to governance at three levels 1. Provide to MS a consolidated approach and a strong political committment to governance at three levels (1) Policy (2) Strategy and (3) Operational 2. Provide to the MS, the EC and other relevant stakeholders a platform and “a think tank” for current and emerging challenges which could lead to a strong consolidated Roadmap of concrete actions and the description of potential future pilot projects and partnerships

14 Main objectives … 3. Provide to the MS, the EC, the Competence Centres, the IT-Industry and to other relevant stakeholders a European eHealth Interoperability Framework 4. Provide to the EC, EPSCO Council and to other relevant stakeholders targeted support for activities requiring broad convergence across Europe, such as future LSP eHealth projects and common interoperable service solutions at MS level

15 Overall project structure eHealth Governance Steering Group Interoperability, Standardisation and Market (GE) eHealth Governance Group Chaired by the EU-Presidency Mainstreaming (FR) Legal and Protection of Personal Data (HL) Trust and Acceptability(BE) Executive Committee Coordination (AT) Strategy Development and Policy Alignment (ES/SE) Evaluation (DK) Dissemination (SK) Roadmapping (FR)

16 Reaching agreements through continuous bench-learning loop across concerned actors Political priorities Stakeholder priorities Collaborative evolving process 3 rd step Copenhaguen Mai 2012 e-ID list of next priorities Agreement and validation of the e-ID proposal and list of next priorities

17 European eHealth Governance levels   Policy level: to set out higher level political objectives, define common priorities and policy measures  agree on concrete strategies  Strategic level: to agree on concrete strategies for developing and implementing integrated, value adding eHealth services Establishment and maintenance of an open platform for multi-stakeholder trusted dialogue   Operational level: deeper focus in areas such as e-ID, ethics, security policies and services, EU infostructure, re-engineering of the standardisation process, maintaining links to national stakeholder groups, etc.

18 From eH HLGG to eHealth Network 1. facilitate cooperation and the exchange of information among Member States working within a voluntary network connecting national authorities responsible for eHealth designated by the Member States

19 e-Health Network = Thank you for attention