1. AER eHe@th Network Meeting Cross-border e-he@lth: Challenges and Opportunities Regions’ updates on latest developments in e-health Regione Lombardia 14/09/20151Trieste, 10th June 2009

2. The Healthcare Network of Lombardia 14/09/2015Trieste, 10th June 20092 Lombardy, like every Italian Region, is directly responsible for HC service provision 9.300.000 Citizens 150.000 Health & Social Care Operators (public and private) 7.800 General Practitioners and Pediatricians 2.500 Pharmacies 15 Local Healthcare Unit 112 Public Hospitals including 8 University Hospitals Over 570 Private Healthcare Services Suppliers Budget for Health in 2008: 17 billions €

3. Priorities in eHealth SISS: Social Services and Health Care IT System  Citizen Identification: Regional General Registry and Citizen Card  e-Prescriptions Management to enable a truly digital use of prescriptions during their life cycle: drugs and services coding, control, digital signature, storage, display  Electronic Health Record (EHR): shares clinical data among HC Professionals (events, prescriptions, reports, care profile, …), enables on-line access for Citizens  Booking and Payment Services for Citizens by Internet, GP, Pharmacies, Regional Call Center, to improve citizen’s access to HC services  Business Intelligence and DataWarehouse to make analyses and forecasts of epidemiological trends and to manage and forecast regional healthcare expenditure trends  Digitalization of all medical and administrative documents in order to improve efficiency and effectiveness of processes  Accounting information flow management: incremental records of administrative data in order to ensure on-line updating of Business Intelligence and Data Warehousing Systems  Security Services: Identification & Authorisation, encryption 14/09/2015Trieste, 10th June 20093

4. Priorities in eHealth Smart Card as key-access: recognition of the entitlements of users 14/09/2015Trieste, 10th June 20094 Identification and authentication Access to Public Administration services Data storage required for emergency care Certification of the “presence” of the citizen (through electronic signature of documents) CRS Regional Service Card (citizen) Identification and authentication Authorization to access the System Electronic Signature Enables access to SISS services Enables access to the data stored in Citizen card Provides an advanced digital signature SISS Card (professional)

5. Priorities in eHealth The Disease-Specific Network – The disease-specific network concept involves the development, on a regional scale, of a health care organisation model based on the creation of networks of services providing care and treatment for a specific condition. ROL: Oncology Network EPINETWORK: Epilepsy Network REL: Hematology Network Rare Disease Network Aims: Definition of a Minimum Data set of information to be included in a disease-specific Health Record. Structured documents to be share. 14/09/2015Trieste, 10th June 20095

6. Current activities and priorities Contributing to enhance eHealth as an enabler for cross-border healthcare: regional alliances  Veneto – 2007  Health care system innovation  Sustenebility of HealthCare systems  Cross-border cooperation  Rhone Alpes - 2008  eHealth services and tools  Electronic Health Record  EU initiatives  Andalusia - 2008  eHealth services and tools  Cronic diseases  Electronic Health Record  Friuli Venezia Giulia - 2009  Socio-Health care systems benchmarking  Continuity of care, telemedicine, eHealth  Network of excellence, EU initiatives  Interregional cooperation 14/09/2015Trieste, 10th June 20096

7. Current activities and priorities Contributing to enhance eHealth as an enabler for cross-border healthcare: EU projects 14/09/2015Trieste, 10th June 20097 epSOS LSP: CIP, 27 Partners, 12 MS, Interoperability Issues “to develop a practical eHealth framework and ICT infrastructure that will enable secure access to patient health information, particularly with respect to a basic patient summary and ePrescription, between European healthcare systems” NEC@RDS: eTEN, 27 Partners, 13 MS, eEHIC deployment service “to achieve the initial deployment of the eEHIC through a service allowing automated data capture for identification, on line verification of entitlement via National Portals, back-office interstate billing”

8. Current activities and priorities Contributing to enhance eHealth as an enabler for cross-border healthcare: EU projects 14/09/2015Trieste, 10th June 20098 F7P projects REMINE: Risk Against Patient Safety management process VPH2: patient-specific computational modelling and simulation of the human heart to assist the cardiologist and the cardiac surgeon POCEMON: development of a mobile monitoring and diagnostic platform for detecting Autoimmune Diseases On going evaluation ALIAS – Alpine Space Programme Second opinion and EHR in mountains areas/conditions

9. Contacts: Claudio Beretta claudio_beretta@regione.lombardia.it Roberto Zuffada roberto.zuffada@cnt.lispa.it claudio_beretta@regione.lombardia.it roberto.zuffada@cnt.lispa.it 14/09/20151Trieste, 10th June 2009