1. eHealth Actions at European level
Flora GIORGIO
Unit H1 – ICT for Health
DG INFSO
European Commission

2. Overview EC vision for eHealth EC instruments to make eHealth reality
R&D
POLICY
Support to deployment (CIP ICT PSP)
Conclusions

3. Some facts - Challenges for European Health Systems
Pressure on healthcare systems:
Citizens’ expectations for high-quality care
Demographic changes
Increased prevalence of chronic diseases
Increased mobility of citizens and patients
Staff shortages, unequal territorial distribution
Reactive model of healthcare delivery
Rising healthcare costs
How to offer high-quality & affordable care?

4. EC vision for Health : ICT to support a paradigm shift
From ‘curative care’ to ‘preventive care’
From ‘hospital-based’ to ‘patient-centred’
HOW?
By using ICT to enable collaborative, personalised care  empowering
By aiming at sustainability of healthcare systems  reengineering
eHealth can help !

5. EC instruments: to make eHealth reality!
Research:
Seventh Framework Programme for Research (FP7)
Personal Health Systems, Patient Safety, Virtual Physiological Human (~100M€/year)
Policy:
Action Plan for a European eHealth Area (April 2004)
White Paper “Together for health” COM (2007) 630 (October 2007)
Communication on lead markets (December 2007)
Recommendation on cross border interoperability of EHR systems (July 2008)
Communication on “telemedicine and the benefit for patients, healthcare systems and society” (November 2008)
Digital Agenda for Europe (May 2010)
Directive on patient's rights for cross border care, Art 14 (March 2011)
eHealth Governance Initiative (2011)
eHelath Task Force (report due 2012)
NEW eHealth Action Plan (Due 4Q 2012)
Implementation:
Competitiveness Innovation Programme (CIP ICT PSP): Large Scale Pilots on Interoperability and Telemedicine + Thematic Networks
EIP on Active and Healthy Ageing (2011)

6. Europe 2020 strategy and Digital Agenda – May 2010
Flagship Initiative of EU 2020
Strategy “to deliver sustainable economic and social benefits from a digital single market –
101 actions clustered in 7 pillars
Vibrant Single Market
Interoperability and standards
Trust and security
Fast and Ultra fast internet access
R&D
Digital Literacy, inclusions eSkills
Societal challenges (public services, health, environment)

7. European Digital Agenda –eHealth
Renew commitment to eHealth by fostering:
EMPOWERMENT
support patients access to eHealth services, including patients records + telemedicine services
SHARING KNOWLEDGE/INTEROPERABILITY FOR BETTER CARE
minimum data set for patients‘ summaries
standardization, certification and testing
ICT for Health – Flora Giorgio – May
••• 7 7

8. EMPOWERING
KA 13 (I) pilot actions to secure online access to their medical health data by 2015
CIP ICT PSP Call 5 –Objective 3.4 a- Support pilots enabling patients access to data and associated services (including telehealth, CDM services)
2 pilots B (Palante + Sustains): involving in total 19 regions and expected to reach …X patients.

9. EMPOWERING
KA 13 (II) to achieve by 2020 widespread deployment of telemedicine services
Implementation of Commission Communication on “Telemedicine for the benefit of patients', healthcare systems and society” COM (2008) 689 – Nov 2008
Evidences on large scale  CIP ICT PSP RENEWING HEALTH started Feb 2010
Develop guidelines for consistent assessment of the impact of telemedicine  MUST study + ongoing work
1 CIP ICT PSP TN under negotiation- to support wider deployment of TM (guidelines, good practice exchange) 500k (3years)

10. EMPOWERING
KA 13 (II) to achieve by 2020 widespread deployment of telemedicine services (II)
EC Staff Working Paper on legal issues (due 2012)
eHealth Governance Initiative – legal WP
ISA WP Study on Interoperability framework for eHealth and Telemedicine – to be launched in 2011
Directive Patients’ right in cross Border care 2011/24

11. SHARING KNOWLEDGE/INTEROPERABILITY
KA14 Recommendation on minimum common set of patient data for interoperability of patient records by 2012.
epSOS
European eHealth Governance Initiative
Consultation with MS and stakeholders
eHealth Network - Article 14 XBorder care Directive

12. SHARING KNOWLEDGE/ INTEROPERABILITY
Action 78 Foster EU-wide standards, interoperability testing and certification of eHealth systems by 2015 through stakeholder dialogue
Support R&D  FP7 Call 7 Objective 5.3 d (semantic interoperability and infostructure)
new EU standardisation framework
ISA WP Study on Interoperability framework for eHealth and Telemedicine – to be launched in 2011

13. Strategic references eHealth cooperation
Europe 2020: Digital Agenda Empowerment; sharing knowledge/interoperability
KA :
CIP ICT PSP;
FP7;ISA WP
eGovernment:
eID
eSignature
Europe 2020 strategy and Digital Agenda
Actions clustered in 7 pillars:
Vibrant Single Market
Interoperability and standards
Trust and security
Fast and Ultra fast internet access
R&D
Digital Literacy, inclusions eSkills
Societal challenges (public services, health, environment)
EU Health Strategy
Foster better health and healthy ageing
Enhance sustainable health systems

14. MS Cooperation on eHealth
Directive on patients’ rights in cross -border healthcare
eHealth Governance Initiative (Joint Action &Thematic Network)
Enhance safety, continuity and quality in cross- border healthcare through interoperable electronic health systems
Art 14-Sets up a new eHealth Network of Member States “ to:
draw up the guidelines patient summaries; use of data for research and public health
support Member States in developing common identification and authentication measures to facilitate transferability of data in cross-border healthcare”
Supports co-operation between Member States on eHealth - trust &acceptability, e.g. eID , interoperability,
data protection and legal issues

15. Strategic references eHealth cooperation
Europe 2020: Digital Agenda Empowerment; sharing knowledge/interoperability
KA :
CIP ICT PSP;
FP7;ISA WP
eGovernment:
eID
eSignature
Directive EU 2011/24 Patients’ rights in cross-border healthcare,
eHealth Network
eHealth Governance Initiative
Europe 2020 strategy and Digital Agenda
Actions clustered in 7 pillars:
Vibrant Single Market
Interoperability and standards
Trust and security
Fast and Ultra fast internet access
R&D
Digital Literacy, inclusions eSkills
Societal challenges (public services, health, environment)
EU Health Strategy
Foster better health and healthy ageing
Enhance sustainable health systems

16. eHealth for health – a look ahead
eHealth Task Force
A High level group of advisors reporting directly to Vice President Kroes and Commissioner Dalli
Objective: Look at the future  advice to unlock innovation in Health
Participants: individual with track records of innovative approach to their sector (not all necessarily from Health) + patients (EPF)
Timeline: Final Report 2 Q 2012 (CHP eHealth Conference 2012)

17. What’s next New “eHealth Action Plan” – EC Communication (due 2012)
Evidences and awareness
Interoperability/standardisation/market
Regulatory/Organisational issues
Innovation in eHealth

18. Strategic references eHealth cooperation
Europe 2020: Digital Agenda Empowerment; sharing knowledge/interoperability
eHealth task force
KA :
CIP ICT PSP;
FP7;ISA WP
eGovernment:
eID
eSignature
Directive EU 2011/24 Patients’ rights in cross-border healthcare,
eHealth Network
eHealth action plan:
Legal issues
Users acceptance
Interoperability
eHealth Governance Initiative
European Innovation
Partnership on Active
and Healthy Ageing
Data protection Directive
Europe 2020 strategy and Digital Agenda
Actions clustered in 7 pillars:
Vibrant Single Market
Interoperability and standards
Trust and security
Fast and Ultra fast internet access
R&D
Digital Literacy, inclusions eSkills
Societal challenges (public services, health, environment)
EU Health Strategy
Foster better health and healthy ageing
Enhance sustainable health systems
EU Standardisation framework
Medical Device Directive

19. Conclusions eHealth high on EU Agenda
Many ongoing initiatives (supported by CIP ICT PSP, Health and growth; FP7, Horizon 2020 etc)
eHealth Action plan 2012 will consolidate
eHealth Network will be a key instrument to strengthen MS cooperation

20. Thank you! For further information:
INFSO ICT for Health Policy & Research:
eHealth Weeks (ministerial + WoHIT)
Interactive Portal/Examples:

21. Annual event: eHealth Week
Programme, Satellite meetings, Exhibition, Networking, Social events, etc:
History of the eHealth Ministerial conferences since 2003: