E- Health in the European Union OPEN DAYS 2009 Dr. Andrzej Rys Director for Health and Mobility in Healthcare Risk Assessment 7 October 2009, Brussels DG SANCO European Commission 1 of 1
OUTLINE 1. E-health in the context of the Community policies and the EU health policy 2. The EU Startegy for ICT in healthcare 3. What are the limitations? 4. How the EU can support E-Health innovations 2 of 2
E- Health in the context of the Community policies - DG IMFSO - Creating an Information Society - DG SANCO - Empower patients, support efficient health systems and mobility – Directive on patients’ right in cross border healthcare - DG RESEARCH - A strong innovations sector - DG MARKT - A lead market - DG COMPETITION - Should not abuse a dominant position on the EU market - DG EMPL - Create employments and growth - DG REGIO - Funding from the EU Structural Funds 3 of 3
EU Wide Strategy 5. Telemedicine Communication - COM(2008)689 final 4. EC Recommendation on EHR Interoperability (2008) 3. Lead Market initiative for Europe (eHealth) 2. I2010 flagship initiative - ICT for Ageing Well 1. eHealth Action Plan - COM(2004)356 final 4 of 4 ec.europa.eu/information_society/activities/health/policy/index_en.htm
EU Health Policy Goals • EU Treaty Art.152 – ensuring a high level of protection of public health – supporting cooperation between MS in the area of healthcare provision EU Health Startegy 2008 -2013 • Values : Support the Member States' pledge for a common set of values for European health systems: universality, access to good quality care, equity and solidarity 5 of 5
EU Health Strategy - Objective 1 & 3 • Foster Good Health • Dynamic Health Systems & New Technologies 6 of 6
EU Health Strategy Implementation A partnership approach : • Senior level group on Health in the Council – Commission together with the MS • Cooperation with regions and stakeholders • “Europe for Patients” policy initiatives 7 of 7
E health solution for sustainable healthcare ……from Electronic Health Records to remote monitoring and telemedicine… we realise the potential Bring benefits to patients – information • Improve access to quality healthcare • Increase efficiency and modernise healthcare systems • Reduce workforce shortages • Support monitoring of chronic ill patients • Support patients mobility • Create links between all actors • Generate economies of scale • The health objectives should underpin the actions • 8 of 8
Directive on patients’ rights in cross border health care • To create legal certainty for the MS and the patients and their rights in the cross border health care • To ensure quality and safety in cross border health care • To support co-operation between health care systems 9 of 9
EU World Leader in deployment in primary care (EC Study 2007) Using PC 90 87.4% Using electronic patien data storage 80% 80 Routinely using PC in consultation 69% 66.1% 70 Internet access 62.5% 62.3% Connecting with broadband 60 55.2% Using decision support software for 50 prescribing or diagnosis Accessing other health institutions networks 44.4% 40 Occasionally using PC to illustrate to patient 30 Regularly using PC to illustrate to patient 20 13.9% 15.1% Exchanging administrative data with reimbursing organisations Occasionally using Internet and electronic 2.7% 10 health networks to provide telemonitoring to 0.9% home-patients Routinely using Internet and electronic health 10 of 10 0 networks to provide telemonitoring to home- patients
GPs: Electronic exchange of patient data by purpose (selected countries) Medical data Admin data Lab results Admin data Prescription Medical to care to other from to to data cross providers / care laboratories reimbursers pharmacies border professionals providers EU27 39.8 15.1 10.3 9.7 6.3 0.7 BE 73.5 2.5 12.9 12.9 1.6 0.9 BG 5.3 9.7 3.4 5.8 2.4 1.0 73.6 97.3 1.9 DK 96.2 47.9 74.0 EE 39.3 5.3 1.3 1.3 0.7 0.0 NL 83.8 45.4 26.0 27.5 71.0 4.7 54.8 FI 90.0 7.6 20.8 0.4 0.4 SE 82.4 8.2 13.1 15.7 80.9 1.5 26.5 5.1 UK 84.9 43.2 31.5 0.4 NO 88.2 18.6 34.8 25.5 2.9 0.5 11 of 11 Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008
Towards eHealth Deployment: Health Information Networks Connecting providers: Messaging, EHR, HP tools, on line services Emergency Hospital GP Pharmacy Health Centre Secure Networks Region 3 Mobile , Wireless & mobile PC Region 2 Broadband Region 1 Mobility Home 12 of 12
Interoperability across borders Linking basic information between patient summary systems or giving access to physicians to patient summary in your home country Direct access of physicians when legal Patient Summary 1 Patient Summary 2 Secure Networks Country or Country or Country or Region 2 Region 3 Region 1 Mobility Standardised exchange/access to 13 of 13 common data sets
Towards eHealth Deployment: Step 2 Connecting individuals with providers/Health Information Networks GP Pharmacy Hospital Emergency Health Centre Secure Networks Region 3 Mobile , Wireless & mobile PC Region 2 Broadband Region 1 Mobility Home 14 of 14
Towards eHealth Deployment: Step 3 Seeing the full picture of individual’s health status Biosensors Biochips Environmental Genomic data Data Phenomic data Integrated Health Records 15 of 15
EU in support of Telemedicine - Innovation “cascade” Research and Development Personal Health Systems Health monitoring Pilots validation Research funds FP CIP , Innovative Member states Telemedicine Large scale Structural funds Deployment services 2004 2010 1998 16 of 16 Telemedicine Communication
What are the limitations: a matter of technical interoperability or of diversity of health systems? – Creating the legal framework for E-Health to be accepted and reimbursed, at national and cross- border level; – Validating its use, like it happens with other technologies used in the health sector; – Recognizing that these services will only be widely used if they are trusted by patients and healthcare professionals. – Need to promote technical requirements to ensure interoperability at all levels to finally establish – Encourage a dialog and partnerships between interested stakeholders, including health professionals, health insurance funds, healthcare provides, industry and patients 17 of 17
How the EU can support innovations in healthcare? Financial instruments – The FP7 - 6 billion€ for research on health: The "Regions of knowledge" 2010 programme -strengthening the research potential of European regions with a special focus on health and E-health in particular – The CIP ICT PSP Programme € 7,5 m – The EU Structural Funds (€ 6 bn for ageing and e-health) – The Health Programme aims to support cooperation and exchange of best practice 18 of 18
Research & development (FP7) Personalisation of Healthcare Personal health system € 72 Million (M) in 2007, (€ 63 M in 2009) Patient safety-avoiding medical errors € 30 M in 2007, (€ 30 M in 2009) Predictive Medicine – Virtual Human Modelling/simulation of diseases € 72 M in 2007, (€ 68 M in 2009) 19 of 19
How the EU can support E-Health innovations? €5 billion have been allocated to OPs to support health infrastructure (fixed 0 assets) % + €6 billion earmarked <1 % for ageing and e- 1- 2% services priorities (incl 2- e-health) 3% + € X from ESF 3- 4% 4- 5% (out of € 349 billion for Health infrastructure : Percentage of planned >5 % investments in health infrastructure in relation to the whole cohesion the total amount of Structural Funds allocated to Member States in 2007-13. policy) Source: European Commission, Dg SANCO 2007 20 of 20
THANK YOU! 21 of 21
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