The objective of this presentation is to provide a national audience with an overview of how eHealth is being viewed and what is being done on eHealth at European level.

1. eHealth
–
The EU policy
perspective
18 September 2012HelsIT
Marc Lange
Secretary General

2. 18
September
2012
European Health TELematics
A cross-(any)border and multidisciplinary
collaboration forum
Sustainable and large scale
eHealth deployment
requires engagement and synergies
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3. Some of our Publications
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2012
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Empowering the Citizens
Ethics and eHealth
Deploying eHealth and Telemedicine
Policy lessons learned
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4. 18
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Our Activities
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5. 18
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2012
Our platform enables an overview
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An EU policy vision for eHealth
Three axes
To have an impact on the health care systems:
• A holistic approach
Because eHealth has to be an “open” system:
• An interoperability framework
To answer the demand for quality and accessible
care, cost containment and face the challenges of
chronic diseases and an ageing population
• New models of care + Evidence

7. An EU Policy vision (...)
Why eHealth
Council Conclusions on Safe and efficient healthcare
through eHealth (December 1st, 2009)
[...]
7. RECOGNISES the importance of eHealth as a tool to
improve quality and patient safety, to modernise national
healthcare systems, to increase their effectiveness and
make them more accessible to all and better adapted to
meet the individual needs of patients, health professionals
and the challenges of an ageing society;
8. RECOGNISES the need for further political leadership and
to integrate eHealth into health policy in order to develop
eHealth services on the basis of public health needs;
[...]
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2012
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8. Aholisticapproach
Foundation eHealth infostructure
Patient identification
and patient data
discovery
Data structures and
value sets
EHR, EMR, PHR, other
Clinical terminologies
and classifications and
codifications
Data and knowledge
management tools
HCP Authorization,
authentication and
rights management
Consent management
and access control
Data interoperability
and accessibility
Data bases and
Registries
eHealth Governance
Market development,
new business models,
and incentives
Privacy, quality and
safety policies
Legislative and
regulatory framework
Financing, Resource
allocation and
reimbursement models
eHealth leadership,
policy and strategy
EU & National Stake-
holder collaboration
Fostering standards
adoption
Monitoring,
evaluation
Sustainable Healthcare
Sharing Information and Knowledge for
Better Health
eHealthServices
Patientsummaries
Electronicprescribing
ChronicCareManagement
Communityservices,AAL
Rarediseases
Othernationalpriorities
e.g.,Dataanalysis&aggregation
Knowledgemanagement,etc.
Common EU priorities
National priorities
Foundation ICT infrastructure
Mobile and fixed
Electronic Communication
Infrastructures
ICT processing and
storage services
ICT Professional and
technical support;
Training
Access to ICT
Networks, equipment
and facilities
6 June 20122012 UPMC Symposium 8

9. HelsIT 18
September
2012
9
An EU policy vision for eHealth
Three axes
To have an impact on the health care systems:
• A holistic approach
Because eHealth has to be an “open” system:
• An interoperability framework
To answer the demand for quality and accessible
care, cost containment and face the challenges of
chronic diseases and an ageing population
• New models of care + Evidence

10. The 4 Cs of Healthcare
• Continuity of Care
• Collaboration
• Communication
• In a Confidential environment
2012 UPMC Symposium 6 June 2012
An interoperability framework
Jurisdiction # 1 Jurisdiction # 2
Function A
Organisational
Semantic
Technical
Political / Legal
Function A
Organisational
Semantic
Technical
Political / Legal
IOpAgreement
Interface;Mapping;Translation...
Top-
Down
Bottom
-up
10

11. HelsIT 18
September
2012
11
An EU policy vision for eHealth
Three axes
To have an impact on the health care systems:
• A holistic approach
Because eHealth has to be an “open” system:
• An interoperability framework
To answer the demand for quality and accessible
care, cost containment and face the challenges of
chronic diseases and an ageing population
• New models of care + Evidence

12. New models of care +
Evidence
6 June 2012
QualityofLife
€10,000€1,000€100€10€1
Adapted from Intel
Specialty
Clinic
Community
Hospital
ICU
Acute Care
Assisted
Living
Skilled
Nursing Facility
Residential Care
Independent,
Healthy Living
Prevention
Chronic Disease
Management
Doctor’s
Office
Tele-homecare & mobile care
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13. The Landscape (...)
How eHealth?
The three ages of eHealth:
• discovery (1989-1999)
• acceptance (1999-2009)
• deployment (2009-2019)
… and eventually a fourth age
when the “e” prefix is no longer needed
and IT is an integral part of
delivering, managing and receiving care.
www.ehtel.org/publications/ehtel-briefing-papers
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2012
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14. EU Policy instruments
Information Society
• Digital Agenda for Europe
Legal framework for cooperation on eHealth
• Directive on Patient’s Right in Cross Border healthcare
European Innovation partnership on
• Active and Health Ageing
Funding programmes
• From R&D to Policy Support: the CIP ICT-PSP
• A proposal for “Connecting Europe Facility” and
“Horizon 2020”
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2012
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Digital Agenda for Europe
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16. What
• DAE - EC Communication, adopted in
May 2010
– Flagship Initiative of EU 2020 Strategy 
Sustainable growth
• Strategy “to deliver sustainable
economic and social benefits from a
digital single market
What
Digital Agenda for Europe
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17. eHealth actions in DAE
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e.g. SUSTAINS
& PALANTE
[comments from EHTEL]
e.g. Renewing Health,
CommonWell &
MOMENTUM
[comments from EHTEL]
KA 13 Undertake pilot actions to equip Europeans
with secure online access to their medical
health data by 2015 and to achieve by 2020
widespread deployment of telemedicine
services;
EMPOWERING

18. eHealth actions in DAE
18 September 2012 18HelsIT
On the basis of the
lessons learned
from epSOS
[comments from EHTEL]
KA14 Propose a recommendation defining a
minimum common set of patient data for
interoperability of patient records […] by 2012
CONTINUITY OF CARE +
INTEROPERABILITY

19. EU Policy instruments
Information Society
• Digital Agenda for Europe
Legal framework for cooperation on eHealth
• Directive on Patient’s Right in Cross Border healthcare
European Innovation partnership on
• Active and Health Ageing
Funding programmes
• From R&D to Policy Support: the CIP ICT-PSP
• A proposal for “Connecting Europe Facility” and
“Horizon 2020”
18
September
2012
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20. Cooperation on eHealth – legal
framework
Directive on patients’ rights in cross-border healthcare
(2011-24)
Article 14: eHealth
1. The Union shall support and facilitate cooperation and
the exchange of information among Member States […].
2. The objectives of the eHealth network shall be to:
(a) work towards delivering sustainable economic and social
benefits of European eHealth systems and services and
interoperable applications […]
(b) draw up guidelines on […]
(c) support Member States in developing common identification
and authentication measures to facilitate transferability of
data in cross-border healthcare
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2012
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21. World eID - Nice (FR)
eHealth Governance Initiative and
eHealth Network play an important role
21
eHealth Network of MS
Art. 14 Directive on Patients Rights (2011)
Joint Action + Thematic Network
eHealth Governance Initiative
epSOS project
(Patient summary /
ePrescription)
SemanticHealthNet
project
STORK project
(eIdentification within
eHealth domain)
eHealth EIF
project
CALLIOPE Network
Interoperability
Roadmap
eHR QTN project
SmartPersonalHealth
project
HITCH project
••• 21

22. EU Policy instruments
Information Society
• Digital Agenda for Europe
Legal framework for cooperation on eHealth
• Directive on Patient’s Right in Cross Border healthcare
European Innovation partnership on
• Active and Health Ageing
Funding programmes
• From R&D to Policy Support: the CIP ICT-PSP
• A proposal for “Connecting Europe Facility” and
“Horizon 2020”
18
September
2012
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23. 18
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2012
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24. 18
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2012
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European Innovation Partnership
on Active and Healthy Ageing

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2012
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Active and Health Ageing (…)

26. EU Policy instruments
Information Society
• Digital Agenda for Europe
Legal framework for cooperation on eHealth
• Directive on Patient’s Right in Cross Border healthcare
European Innovation partnership on
• Active and Health Ageing
Funding programmes
• From R&D to Policy Support: the CIP ICT-PSP
• A proposal for “Connecting Europe Facility” and
“Horizon 2020”
18
September
2012
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27. 18
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2012
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Competitiveness and Innovation
Framework Programme (CIP)
A funding programme for
reinforcing the competitiveness and innovation
capabilities of the EU economy (2007 - 2013)
• Three operational programmes
• Information Communication Technologies Policy Support
Programme (ICT-PSP)
• Funding goes mainly to pilot actions, involving both public
and private organisations, for validating in real settings,
innovative and interoperable ICT based services
• eGovernment,
• eHealth, with projects such as epSOS, Renewing Health,
SUSTAINS …
• …
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28. 18
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1) Prevention
and health
promotion
3.1 Integrated care
services
3.3 Digital skills3.5 Telemedicine
3.7 Community Building
Framework Conditions / Communication and awareness
3.4 Fall prevention
3.6 Interoperability
3.2 Independent living
2)
Care and cure
3) Independent
living and social
inclusion
CIP ICT-PSP Work programme
for 2012
HelsIT

29. Connecting Europe Facility

30. ••• 30
Connecting Europe Facility:
What is it?
 Falls under the Multiannual Financial Framework (MFF) 2014-2020
 Common Fund Instrument for trans-EU network (TEN) to:
 Accelerate deployment of infrastructures needed at EU level
 Enhance cross-border connections and tap existing gaps (e.g. tackle single market
fragmentation through pan-EU ICT networks/services)
 Promote territorial ‘convergence’ connecting the centre-periphery
 Through financial tools:
 Grants and procurements
 New Innovative tools
 Based on the same principles underpinning the MFF 2014-2020:
Result-focused, simplification, conditionality, leveraging investment
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31. ••• 31
CEF for Telecommunications & ICT
Funding will cover digital service infrastructures and broadband
Objectives:
Digital services
 Promote the interconnection and interoperability of national public services on-line
 Increase the percentage of citizens and businesses using public services on-line
 Make more public services available across borders
Broadband
 Accelerate the deployment of fast and ultrafast broadband networks and their uptake (SMEs)
 Increase the # of households having subscribed for broadband connections above 100 Mbps
 Improve the level of broadband and ultrafast broadband coverage/availability
Investments targeted towards development, implementation, as well as the costs of
running the infrastructure at European level.
HelsIT

32. Industrialisation – our To Do list
2012 UPMC Symposium 6 June 2012 32
Deploying an eHealth infrastructure
• Identification, Authentication, Authorisation
• Semantic: terminologies, codifications, data repositories
Creating evidence about service impact
• Quality care
• Cost efficiency
• Organisational efficiency
• Quality of life
Building capacities
• Methods for successful deployment
of services in routine care
• An engaged stakeholder community

33. 6 June 2012
A decade of eHealth
Thank you for your attention
More on some EU-wide projects
• www.calliope-network.eu
• www.i2-health.eu
• www.ehgi.eu
• www.epsos.eu
• www.renewinghealth.eu
• www.telemedicine-momentum.eu
For continuing the discussion
• Marc.Lange@ehtel.eu
• www.ehtel.org
Marc Lange
Secretary general
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.eu
www.ehtel.eu
2012 UPMC Symposium 33