1. Session on call PM-19 on eHealth standards Gerald Cultot eHealth, Well-being and Ageing Unit (H3) DG CONNECT European Commission
Why Innovation procurement?
EAFIP event, Athens, Greece

2. Agenda Introduction to PM19 Presentation of the EPPeHealth project
Gerald Cultot – European Commission
Presentation of the EPPeHealth project
Laura Sanchez Alonso - BravoSolution
Presentations of proposal ideas by potential proposers
Patricia Martinez Galisteo - BravoSolution
Discussion and Networking

3. PM19 eHealth Action Plan 2012-2020 Operational objectives
Achieve wider interoperability in eHealth Services
Support research, development, innovation and competitiveness in eHealth
Facilitate uptake and ensuring wider deployment of eHealth
Promote policy dialogue and international cooperation on eHealth at global level
"Interoperability of ICT-enabled solutions and of data exchange is the precondition for better coordination and integration across the entire chain of healthcare delivery and health data exchange, while unlocking the EU eHealth single market".
"To maximise the impact of the EU level measures, the full spectrum of research and innovation activities will be supported.… Public Procurement of Innovation for new products, scalability, interoperability and effective eHealth solutions supported by defined standards and common guidelines".
PM19
Link:

4. Overview EU funded projects PCPs & PPIs (FP7/CIP/H2020 WP 2014-2015)
THALEA (PCP)
NYMPHA-MD (PCP)
Tele-detection/care of ICU patients
Mental care for bipolar disorders
SILVER (PCP)
UNWIRED-HEALTH (PCP)
FP7
Robotics ageing well
Mobile care for vaccination & heart failure
DECIPHER (PCP)
PCP in Human Brain Project
Services mobile health data
PCP on supercomputing / brain modelling
HAPPI (PPI)
ANTISUPERBUGS (PCP)
CIP
Healthy Ageing
Detection of superbugs
ECOQUIP & LCB-HEALTHCARE (PPI)
STOP AND GO (PPI)
Low carbon healthcare
Telecare for elderly with multiple conditions
MAGIC (PCP)
RELIEF (PCP)
H2020
WP2015
Post stroke recovery
Pain self-management
EMPATTICS (PCP)
THALEA II (PPI)
Telemedicine for ICU patients
Chronic disease self-management

5. Overview EU funded projects PCPs & PPIs (H2020 WP 2016-2017)
Nightingale (PCP)
Stars (PCP)
Telemonitoring
Stress management
Live-Incite (PCP)
ProEmpower (PCP)
Perioperative process
Diabetes self-management
PM12 - PCP - eHealth innovation in empowering the patient
H2020
WP2016
RITMOCORE (PPI)
Management of elderly patient with pacemakers
PM13 - PPI for deployment and scaling up of ICT solutions for active and healthy ageing
Project X (PPI)?
PM19 - Uptake of standards for the exchange of digitalised healthcare records
Project Y (PPI)?
Project Z (PPI)?
H2020
WP2017

6. Background Need for Public sector efficiency
Need for Health care efficiency
Public sector is faced with important challenges
Addressing these, often requires public sector transformation
Public procurement/demand driven innovation can open markets for the healthcare industry, creating growth & jobs in Europe
The potential is underutilised in EU due to fragmentation of demand, lack of incentives -> transnational PPIs
Dependency Ratio
From 1:4 to 1:2
80+ doubles by 2025
Cost of Care
Up by 4-8 % of GDP by 2025
Human Resources
Shrinking work force
Lacking 20 million carers by 2020
Use of standards
Using standards have an entry costs

7. Integrated care Target outcomes
Hospital
Provide the ability to share/access health information
Use of interoperable Electronic Health Records (EHRs) for better care coordination, care pathways, safety alerts, decision support…
Long-Term Care Homes
Home Care
Specialists
Care is often duplicated, or sometimes there are significant gaps in care. Patients don’t get the care they need or deserve. This inefficiency costs the system and taxpayers with overuse of emergency room visits, hospital admissions, conflicting and overlapping prescriptions (with all the resulting dangers)…we know the story all too well…
In a Health Link, providers work together to develop a coordinated care plan for each complex patient, they share information, eliminate duplication and provide better care for the patient. For example, if a Health Link patient goes to their local emergency room, his/her care coordinator is informed. The coordinator then alerts the appropriate providers in the “circle of care’, especially the patient’s family physician, who can follow up as needed.
Patients get faster access to family health care, they stay healthier, get connected to the right care and are less likely to require hospitalization.
A system focused on wellness and integrated care works most effectively where primary care providers work as members of interdisciplinary teams that can wrap services around the patient and prevent patients from falling through the cracks.
Every provider is accountable for the full patient journey. There is increased collaboration, communication and integration across the spectrum of health care providers and services that patients encounter.
Integrated care is about everyone in the system working together, sharing their expertise and helping to strengthen partnerships, so that care can be organized around the patient.
"Interoperability of ICT-enabled solutions and of data exchange is the precondition for better coordination and integration across the entire chain of healthcare delivery and health data exchange, while unlocking the EU eHealth single market."
Community and Social Services
Primary Care Practitioners
Allied Health Professionals

8. Integrated care What this means for patients
Hospital
Common principles for coordinated care plans so all complex patients will have the same experience
Help for patients and families to navigate the health system
Listening to and involving the patients, families and caregivers in all stages of the care design process
Long-Term Care Homes
Home Care
Specialists
Care is often duplicated, or sometimes there are significant gaps in care. Patients don’t get the care they need or deserve. This inefficiency costs the system and taxpayers with overuse of emergency room visits, hospital admissions, conflicting and overlapping prescriptions (with all the resulting dangers)…we know the story all too well…
In a Health Link, providers work together to develop a coordinated care plan for each complex patient, they share information, eliminate duplication and provide better care for the patient. For example, if a Health Link patient goes to their local emergency room, his/her care coordinator is informed. The coordinator then alerts the appropriate providers in the “circle of care’, especially the patient’s family physician, who can follow up as needed.
Patients get faster access to family health care, they stay healthier, get connected to the right care and are less likely to require hospitalization.
A system focused on wellness and integrated care works most effectively where primary care providers work as members of interdisciplinary teams that can wrap services around the patient and prevent patients from falling through the cracks.
Every provider is accountable for the full patient journey. There is increased collaboration, communication and integration across the spectrum of health care providers and services that patients encounter.
Integrated care is about everyone in the system working together, sharing their expertise and helping to strengthen partnerships, so that care can be organized around the patient.
"Interoperability of ICT-enabled solutions and of data exchange is the precondition for better coordination and integration across the entire chain of healthcare delivery and health data exchange, while unlocking the EU eHealth single market."
Community and Social Services
Primary Care Practitioners
Allied Health Professionals

9. PM-19: Uptake of standards for the exchange of digitalised healthcare records
Challenge:
Profound lack of deployed interoperability between healthcare systems and services
Need to stimulate the public procurement of eHealth solutions and integrated care services addressing complex organisational structures and interactions among people (recipients of care, care-givers, and others)
Scope:
Foster the use of interoperability standards and stimulate the Electronic Health Records (EHR) market with the implementation of more interoperable components
Specify, purchase and deploy innovative ICT based solutions which can deliver sustainable, new or improved healthcare services across organisational boundaries while implementing eHealth interoperability standards, specifications and APIs (e.g. EN13606, HL7, Continua Alliance, IHE, etc.)

10. PM-19: Uptake of standards for the exchange of digitalised healthcare records
Expected Impacts:
Wider uptake of eHealth interoperability standards
Increased suppliers opportunities from wider market uptake of innovative solutions and services by forming a critical mass on the public demand side
Better solutions specifications designed from a demand side perspective
More forward-looking, concerted, public sector approach to eHealth interoperability
Achieve the wider deployment of eHealth services
Create a European role model in the eHealth interoperability field

11. PM-19: Uptake of standards for the exchange of digitalised healthcare records
Key facts
Submission deadline: 14/03/2017 (17:00 Brussels local time)
Instrument: PPI
Cumulative threshold: 10 (3/3/3)
Total budget: € 8.26 M

12. Funding rate & conditions for participation
PM-19: Uptake of standards for the exchange of digitalised healthcare records
Funding rate & conditions for participation
PPI Actions (35% funding rate):
Provide EU co-financing for the actual PPI procurement(s) (one joint procurement or several separate but coordinated PPI procurements per PPI action) + for related coordination and networking activities (e.g. to prepare, manage and follow-up the PPI procurement(s))

13. Key resources for networking, advice and knowledge
PM-19: Uptake of standards for the exchange of digitalised healthcare records
Key resources for networking, advice and knowledge
EAFIP initiative
Main task: Identification of key ICT procurers across the 28 EU MS
Website:
INSPIRE
Main task: Create a stakeholder ecosystem and a communications platform to inspire public procurers to define the acquisition strategies for innovative eHealth solutions.
Website:
PPI Platform
Main task: Networking platform and resource center for procurers.
Website: &
EPP-eHealth
Main task: Create a network of procuring organisations that understand the opportunities that eHealth can offer.
Website:
FAQ:

14. Additional resources
Work Programme text - SC1 WP : EU funding opportunities for PCP and PPI: Functional Mailbox: Website: bit.ly/ECeHealth Subscribe to our newsletter: bit.ly/eHealthinFocus

15. Thank you very much for your attention Gerald Cultot eHealth, Well-being and Ageing Unit (H3) DG CNECT European Commission

16. Your question or comment!
The floor is yours!
Who are you?
What is your expertise?
Your question or comment!