1. Source: Fotolia_28729578_Subscription_Monthly_L

2. eHealth in Germany and the EU State-of-the-Art and Outlook
Prof. Dr. Roland Trill / University of Applied Sciences Flensburg

3. EU-Ministers of Health said
eHealth is not a regional or national challenge, it is an international one! (eHealth for Regions Network!)
EU-Ministers of Health said
(15. March 2010):
Without an intensive use of eHealth Technologies in Future, the Health Care Systems will collaps!

4. The Health Care Market in Motion!
Challenges!
Development of Medicine
Ageing Society
Consumer sovereignty/
Patient Empowerment
eHealth
Economy/
Costs
Trends in Society
Information and Communication Technologies

6. eHealth – a Definition
“eHealth refers to the use of modern information and communication technologies to meet needs of citizen, patients, healthcare professionals, healthcare providers, as well as policy makers.”

7. eHealth – another one
"eHealth is the use, in the health sector, of digital data - transmitted, stored and retrieved electronically - in support of health care, both at the local site and at a distance."
WHO (2009)

8. Definition: eHealth
“eHealth is defined as the application of Internet and other related technologies in the healthcare industry to improve
the access,
efficiency,
effectiveness,
and quality
for clinical and business processes utilized by healthcare organizations, practitioners, patients, and consumers in an effort to improve the health status of patients.”
Source: Jennifer Marconi, “E-Health: Navigating the Internet for Health Information Healthcare”, Advocacy White Paper. Healthcare Information and Management Systems Society, May, 2002.

9. 5 Field of eHealth

10. + eHealth Pharmacies Electronic Libraries Laboratories, Radiology
Electronic Patient Record
Knowledge Management
Home Care/AAL)
eHealth
Expert systems
Cooperations
Computer- based Learning
Suppliers, Partners, Politics, Associations
Telemedicine + Video Conferencing
Citizens, Patient Initiatives
Directory
Services
Internet Services
Pharmaceutical Industrial Entities
Public Websites

13. Telemedicine is a medical Service over long Distances by using ICT
German Association of Telemedicine, 2009

14. Telemonitoring
Telemonitoring is telemedicine Procedure for monitoring Vital Signs and/or Bio Signals.
Good Practices is reported for chronical Diseases like Heart Failure, Diabetes or Asthma.

17. Main Objectives of eHealth
Increasing Quality of Treatements (better and safe, evident based Care)
Comparable Level of Health Care for all Citizen in all Regions
Optimizing of Processes (Optimizing of Data Communication)
Transparency for the Citizen (Patient Empowerment)
Increasing Efficiency

18. How health care systems could benefit from innovative eHealth services
Reduction of demand
Health portal
Telecoaching
Personal health record
Supply and demand of health care services
Demand
Increase in productivity
Teleconferencing
Teleconsulting
Teleradiology
Electronic patient record
Gap3
Supply
Gap2
Gap1
time

19. Sample evaluation Germany: eHealth (1/2)
eHealth: (…) Deployment of Health applications
Standards (technical/semantic), professional IDs: HBA
Hospital information Systems (national/ regional?): common, but rather on institutional basis
electronic patient record, electronic health record, …: eGK by ‘gematik’
Information-platform, use of internet/ telecommunication (patient information system): ‚Qualitätsberichte‘ can be retrieved, filtered by regional or disease-related criteria
Other important projects: exist, but often regional, e.g. ‚Telenotarzt‘ (….emergency physician)

20. Sample evaluation Germany: eHealth + R&D (2/2)
eHealth Services (i.e. can patient book appointments by , a.s.o.): no central service available, only institution-specific, e.g.hospital chains
Current plans, activities on (political?) agenda: eGK
Research & Development:
strong in (medical) research at universities (e.g. DKFZ, MHH, Charité, Tübingen,…), and
medical equipment manufacturing (Storz, B.Braun, Siemens,…):

21. Outcomes of telemedicine in Germany
Better healthcare access (any place/ time): fewer days in hospitals or 911-emergencies
Better quality in emergency diagnosis, therapy decisions of heart attack, stroke
Proven outcome for clinical indices Quality of life, mortality [gmds 2011]

22. Telemedicine Readiness in Germany 2014

23. eEinweisung / eAustausch / eBefund zum niedergelassenen Arzt

24. Tele-Homecare/ Web-Services / Tele-Coaching

26. + eHealth Pharmacies Electronic Libraries Laboratories, Radiology
Electronic Patient Record
Knowledge Management
Home Care/AAL)
eHealth
Expert systems
Cooperations
Computer- based Learning
Suppliers, Partners, Politics, Associations
Telemedicine + Video Conferencing
Citizens, Patient Initiatives
Directory
Services
Internet Services
Pharmaceutical Industrial Entities
Public Websites

27. eHealth deployment in Germany
Application
Germany
Estonia
eDischarge Letter
ePrescription
eHealth card
Electronic Patient Record
Personal Health Record
Tele-Consulting
Tele-Radiology
Tele-Monitoring
Tele-Education/-Learning
mHealth-Apps

28. eHealth deployment in Germany
Application
Germany
Estonia
eDischarge Letter
< 10%
ePrescription
None
eHealth card
Under development
Electronic Patient Record
< 5%; 80% in hospitals
Personal Health Record
< 2 %
Tele-Consulting
Developping
Tele-Radiology
Yes, often in use (stroke,..)
Tele-Monitoring
Rarely used
Tele-Education/-Learning
mHealth-Apps
Big market, thousands, but payed by the citizen themselves

30. Summary (German View)
eHealth-Applications will be a Success-Factor in Health Care everywhere
ICT -Applications will take part in many fields of Health Care (Future: Prevention and Health Promotion and Health Education)
The Citizen will have an important role as an active partner in Health Care (Communication)
Open Question: Who will be the driver of eHealth?
eHealth is also a Success Factor in international Relations

32. (Bain)

36. Source: http://ec.europa.eu/digital-agenda/en/news/
european-hospital-survey-benchmarking-deployment-ehealth-services
Related Documents: 3

38. Source: http://ec. europa
Related Documents: 3

39. Related Documents: 3

40. eHealth availability and usage
Ranking
Country % 1
Estonia
0,678 2
Finland
0,613 3
Sweden
0,590 4
Denmark
0,529 19
Germany
0,273 23
Latvia
0,200 29
Lithuania
0,094
EU+3 Average
0,295

42. (Euro-Consumer-Index 2008)