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

2. eHealth and Accession - Sofia7 June 20052 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.

3. eHealth and Accession - Sofia7 June 20053 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.

4. eHealth and Accession - Sofia7 June 20054 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

5. eHealth and Accession - Sofia7 June 20055 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

6. eHealth and Accession - Sofia7 June 20056 ePrescribing Overview

7. eHealth and Accession - Sofia7 June 20057 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

8. eHealth and Accession - Sofia7 June 20058 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)

9. eHealth and Accession - Sofia7 June 20059 IAS for eGov, eHealth … From CEN/ISSS CWA 15264 - 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), …

10. eHealth and Accession - Sofia7 June 200510 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,

11. eHealth and Accession - Sofia7 June 200511 State of affairs in deploying EHIC By 2006, EHIC will be deployed in 29 countries (EEA)EHIC 16 000 000 EHIC have been distributed by the end of 2004, in 14 countries The Top 3 issuers are Czech Republic: 4 000 000 (all their citizens) Germany: 3 500 000 Sweden: 1 600 000 One can expect 50 000 000 cards issued in 19 countries By summer 2005 more than 100 000 000 cards by summer 2006

12. eHealth and Accession - Sofia7 June 200512 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

13. eHealth and Accession - Sofia7 June 200513 More information? Marc Lange Manager EHTEL Association M.E.P.S. 50, rue d’Arlon B-1000 Brussels Belgium Tel: +32 (0)2 230 15 34 Fax: +32 (0)2 230 84 40 Mobile: +32 (0)475 27 71 45 Marc.Lange@ehtel.org www.ehtel.org