eHealth and Accession - Sofia7 June 2005 eHealth Focal Point for Europe by Marc lange Manager

eHealth and Accession - Sofia7 June The Mission To be a platform for information, lobbying, representation, networking, co-operation and task forces that supports all stakeholders in implementing and using ICTs to deliver health and social care.

eHealth and Accession - Sofia7 June What is eHealth eHealth are process-oriented applications between players (including patients & citizens) in the fields of health and social care as supported by ICTs with the goal to optimize workflow and processes in the healthcare continuum, increase quality of care and access to care while at the same time reducing costs. Thus making the healthcare provision more efficient and transparent.

eHealth and Accession - Sofia7 June Change Management process with stakeholders Health Care Authorities and Competence Centres Health Care providers and Sickness funds ICT industry Infrastructure Identification management Secure communication and privacy protection Virtual Hospital (VEMH) … eInclusion dimension Services Administrative services, e.g. entitlement verification, … Health related services, e.g. ePrescribing, … Health services, e.g. Electronic Health Record, … eHealth Roadmap Issues Citizens

eHealth and Accession - Sofia7 June EHTEL’s approach Task Forces: ePrescribing ICT-Supported Disease Management Empowering the Citizen eHealth and the Internal Market (interoperability) Reimbursement, Incentives and Values Assessment of Quality, Productivity and Effectiveness of eHealth

eHealth and Accession - Sofia7 June ePrescribing Overview

eHealth and Accession - Sofia7 June ICT-Supported Disease Management Because WHO states that about 60% of health expenditures are due to chronic diseases Using a disease-specific electronic patient record makes complete information available at the point of care Continuous compliance and regular preventive actions avoid critical and acute situations Homecare and self-monitoring help to increase compliance

eHealth and Accession - Sofia7 June eHealth Requirements: IAS Health Telematic platform(s) Avoiding multiple examinations Private Physicians Reimbursement of patient bills Insurance / Payers Hospitals Knowledge of patient history Emergency Service Optimized emergency care Pharmacies Avoiding medication errors Interoperability with all EU countries European healthcare systems Care at Home Leistungs- erbringer Leistungs- erbringer Mobile Care Care in accustomed environment Personal Identification (I), Authentication (A) eSignature (S)

eHealth and Accession - Sofia7 June IAS for eGov, eHealth … From CEN/ISSS CWA eAuth May 2005 eID Health Job HISS eService Layer Infrastructure Layer Card Layer Back office eService access User access ID data Other data Validation authority eService Layer Infrastructure Layer Card Layer Back office eService access User access ID data Other data Validation authority Electronic Identity (eID), Health Insurance & Social Security (HISS), …

eHealth and Accession - Sofia7 June Smart card deployment for HISS/eID cards 17 countries out of 29 (EEA) are deploying or have at least politically agreed upon deployment plans BE, DE, EE, ES, FR, IT, AU, SI, SE, FI (10) CZ, GR, IE, HU, NL, PO, IC (7) 4 other countries are discussing deployment plan PT, UK, SK, CH 6 countries have no plans for smart card deployment DK, LV, LT, LU, MA, NO 2 countries are still to provide information CY, LI,

eHealth and Accession - Sofia7 June State of affairs in deploying EHIC By 2006, EHIC will be deployed in 29 countries (EEA)EHIC EHIC have been distributed by the end of 2004, in 14 countries The Top 3 issuers are Czech Republic: (all their citizens) Germany: Sweden: One can expect cards issued in 19 countries By summer 2005 more than cards by summer 2006

eHealth and Accession - Sofia7 June Second step under discussion: eEHIC e.g. An insurance function with/without an health one ?  IAS and cross-border interoperability of smart cards are now on the political agenda State of affairs in deploying EHIC “The introduction of the European health insurance card will […] also speed up the development of common approaches for electronic health records, medical emergency data and electronic patient identifiers.” Karin Jöns, MEP - 1/12/2004

eHealth and Accession - Sofia7 June More information? Marc Lange Manager EHTEL Association M.E.P.S. 50, rue d’Arlon B-1000 Brussels Belgium Tel: +32 (0) Fax: +32 (0) Mobile: +32 (0)