Status of the 2015 CEF call of setting up the eHealth DSI – National Contact Points
Tapani Piha
Head of Unit
Cross-Border Healthcare and eHealth
Health Systems, Medical Products and Innovation
eHealth Network meeting 7.6.2016
eHealth Digital Service Infrastructure
under the Connecting Europe Facility
tp 13.7.2015
Key documents for the evaluation
• Guideline on an Organisational Framework for eHealth
National Contact Point
• Guidelines on ePrescritpions dataset for electronic exchange
under cross-border directive 2011/24/EU
• Guidelines on minimum/nonexhaustive patient summary dataset
for electronic exchange in accordance with the cross-border
Directive 2011/24/EU
• Governance model for the eHealth Digital Service
Infrastructure during the CEF funding
Connecting Europe Facility (CEF)
supports building of the real exchange of
e-prescriptions and patient summaries
2015
The CEF Work Plan allocates € 15 mill.
March 2016
20 Member States sent proposals
tp 14/04/2015
2018 First countries
go live
2020 Last countries
go live
eHealth Digital Service Infrastructure
DSI
Core services
Horizontal Building Blocks eID, …
eHealth Building Blocks
terminology server, …
Hospitals
GPs
(…)
NCP: National Contact Points is Member State's connection to the EU network
NCP
tp 19/11/2015
NCP NCP
2014-2015
Maintain and develop
interoperability assets,
handover to CEF
tp/mk 27/9/2015
2013-2015
Use common IT building
blocks in different public
policy areas
2008-2014
Pilot the service infrastructure
for cross-border health
eHDSI under CEF 2015 ->
Rely on the eHealth Network Guidelines
Implementation by Member States and Commission
Week 1: 25-29 April
7
Call Eligible
proposals
received
Experts
eHealth
21 6
2015-2 CEF Telecom
eHealth call
Improving patient rights in cross border exchange of patient data using ICT tools
Call objective:
Support the deployment of generic services by Member States, namely in the areas of Patient Summary and ePrescription/eDispensation
Call data:
- Overall indicative budget: €7.5 million
- Eligible proposals to be evaluated: 21
- Corresponding CEF funding requested: €13.1 million
(oversubscription rate: 1.75)
8
8
Services and options for eHealth DSI
Services Options for
the applicant country
Patient Summary (PS)
A (sending)
B (receiving)
ePrescription (eP)
A (sending)
B (receiving)
CEF WP 2015
Adopted Budget of € 15 Million (over 4 years)
CORE SERVICES
€ 7,5 Million
GENERIC SERVICES
€ 7,5 Million
Building Blocks eID, eDelivery,…
eHealth-specific Services • ICT infrastructure • Terminology svcs • NCP mngmt • …
Participation in the OpenNCP Community
Deployment of National Infrastructure for cross-border exchange of data
INEA manages
Member States
Call for Proposals
75% EU financing
Governance for eHDSI
Specific to the 2015 CEF call on eHealth DSI
During the call
• Coordinated application instead of an application as a consortium,
=> soft mechanism to join forces
• Application coordination supported by the JAseHN and the Commission.
• Agreement on the general parts and the appilication structure
• Agreements on the provision of services, on the dates of entering in operation,
argumentation on the benefits
• Similar text at the same parts of the application with the national input as MS are
at different stages
• However, no obligation to use similar texts
During the eHDSI
• Coordination of implementation through the eHDSI governance mechanism
but benefitting from a strong basis of previous collaboration
mg/tp 25.4.2016
Award criteria(*)
Relevance
• Alignment to DSI implementation objectives & activities (WP)
• Alignment to EU/national policies, strategies and activities
Quality & efficiency of implementation
• Maturity
• Coherence/effectivess with work plan
• Quality of consortium/consortium members
• Support from national authorities/industry/NGOs
• Attention to security/privacy/ inclusiveness/accessibility
Impact & sustainability
• Quality of the approach to facilitate wider deployment/take-up of the proposed actions
• Capability of long-term sustainability without EU funding
(*) https://ec.europa.eu/inea/sites/inea/files/3_frederick_inea_evaluation_process.pdf
Differences in the provision of the number of
services and the regional/national provision
• The usefulness of the service, and its impact, depends
on complementing services provided in many Member
States or regions within the similar time span.
• In the optimum case all MS would provide the same
services at the same time but also natural clusters could
be seen (ePrescription cluster, tourist destination
countries, Patient Summary cluster)
mg 25.4.2016
mg 25.4.2016
Questions?
• Commit to deploy and provide a cross border eHealth
service within the CEF time frame (2017-20)
• Enter into a legal agreement with other MS, as soon as
endorsed by the eHealth Network
• Participate in and contribute to the eHDSI activities
• Design and implement an evaluation strategy to
measure national USE and IMPACT of cross border
eHealth services provision
• Engage with the OpenNCP Community to develop and
test the technical gateway open source implementation
Relevance
Quality & efficiency of implementation
• Implement the “Guidelines on an Organisational Framework for eHealth National
Contact Point”
• Produce a Patient Summary compliant with the “eHN Guidelines on Patient Summary
cross border exchange”
• Produce a ePrescription (eDispensation) compliant with the “eHN Guidelines on
ePrescription cross border exchange”
• Establish an engaging national organisational structure composed relevant
stakeholders towards service provision
• Create and maintain the Master Translation Catalogue (MTC), the national part of
the Master ValueSet Catalogue (MVC)
• Perform functional testing and validation
• Ensure that physical and logic infrastructure is secure
• Assure maintenance
Impact & sustainability
• Which service mix is the MS planning to provide and by when?
• What is the range of coverage planned for service deployment?
• MS is able to provide numbers on the foreign Citizens treated in EMERGENCY
ROOMS and their provenience country
• MS is able to provide numbers on the foreign Citizens dispensed a Prescription
and their provenience country
• Connect the NCPeH technical gateway to the National Infrastructure
• Design and implement a communication strategy towards cross
border eHealth services provision, reaching patients and
professionals
• Design and implement a TRAINING program for professionals
