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Towards an European
eHealth High Level Governance
Michèle THONNETMichèle THONNETMinistry of Labour, Employment and Health Paris, FranceeHGI Mainstream &Roadmap chair
epSOS-eHGI Athens 2011-11-10
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MS-EU co-operation : Policy & Strategy
HEALTH is a national prerogativesubsidiarity is keybut challenges are the same in each M.S.
EU level :– a volontarist collaboration between M.S.– supported by the E.C.– confirmed by the « eHealth action plan »– declined on diverse « join » initiatives & Reco– design through dedicated groups & official doc
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2002-2011: a new era in legal and policy framework for EU Cooperation on eHealth
Communication on Quality criteria for a web site Communication on the eHAP Recommendation on cross-border interoperability
of electronic health record systems Communication on telemedicine for the benefit of
patients, healthcare systems and society eHealth Standardisation Mandate 403
– ------------------------------------------------------------------------------------
EU Council conclusion on safe and efficient healthcare through eHealth – December 2009
Adoption of the Directive on patients’ rights in cross-border healthcare - 2011
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Interoperability RECOMMENDATION REVIEW
– Interoperability is considered for the purpose of “integrated, connected and interoperable continuity of care for Europe”:
• Political• Organisational• Semantic• Technical/ standards
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other EU current initiatives : EC & MS
Health– Europe 2020: “Sustainable health”; Innovative Union
Standardisation & new partnerships– IT Standardisation mandate– Digital Agenda for Europe (DAE)– European Innovative Partnership (EIP) AHA– Connecting Europe Facility,…
eHealth M.S. and stakeholders voluntary cooperationvoluntary cooperation– epSOS (cross border patient services)– CALLIOPE (eHealth Roadmap)
eHealth High Level Governance
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WHERE?FOR WHAT PUPROSE?
WHO BENEFITS?WHAT’S AT STAKE?
What: possible future actions at EU level
For what:
To accelerate eHealth deployment
Who: Health care community
How: Use Cases, alternatives, maturity and opportunities, building on what is shown to work
1st stop Barcelona 2010
22ndnd step step Mai 2011 BudapestMai 2011 Budapest
AN EU eHEALTH INTEROPERABILITY ROADMAP
A proposal for a common EU Roadmap for eHealth
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Adoption of a common working model
Foundation eHealth infostructureFoundation eHealth infostructurePatient identification and patient data discovery
Data structures and value setsEHR, 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
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
Patie
nt s
umm
arie
s
Elec
tron
ic p
resc
ribin
g
Chro
nic
Care
Man
agem
ent
Com
mun
ity s
ervi
ces,
AAL
Rare
dis
ease
s
Oth
er n
ation
al p
rioriti
es
e.g.
, Dat
a an
alys
is &
ag
greg
ation
Know
ledg
e m
anag
emen
t, et
c.Common EU priorities
National priorities
Foundation ICT infrastructureFoundation ICT infrastructureMobile and fixed Electronic Communication Infrastructures
ICT processing and storage services
ICT Professional and technical support; Training
Access to ICT Networks, equipment and facilities
Sustainable HealthcareSharing Information and
Knowledge for Better Health
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Recommendations and Outlook
propositions provide concrete input to decision
making support of the eHealth high level
governance process
www.calliope-network.eu
Political priorities
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Directive on patients rights in cross border Healthcare: eHealth article (14)
1. The Union shall support and facilitate cooperation and the exchange of information among Member States
working within a voluntary network connecting national authorities responsible for eHealth designated by the Member States.
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Art 14:
(a) work towards delivering sustainable economic and social benefits of European eHealth systems and services and interoperable applications, with a view to achieving a high level of achieving a high level of trust and security, enhancing continuity of care and ensuring trust and security, enhancing continuity of care and ensuring access to safe and quality healthcare;access to safe and quality healthcare;
(b) draw up guidelines on :▌(i) a non-exhaustive list of data that are to be included in patients' summaries
and that can be shared between health professionals to enable continuity of care and patient safety across borders, and
(ii) effective methods for enabling the use of medical information for public health and research;
(c) support Member States in developing common identification and authentication measures to facilitate transferability of data in cross-border healthcare.
2. The objectives of the eHealth network shall be to:
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How to « implement » it ?
Building on existing collaboration
Bridging the gap between political decision makers & stakeholders
eHealth High Level Governance
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Main objectives
1. Provide to MS a consolidated approach and a Provide to MS a consolidated approach and a strong political committment to governance at three strong political committment to governance at three levelslevels (1) Policy (2) Strategy and (3) Operational
2. Provide to the MS, the EC and other relevant stakeholders a platform and “a think tank” for current and emerging challenges which could lead to a strong consolidated Roadmap of concrete actions and the description of potential future pilot projects and partnerships
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Main objectives …
3. Provide to the MS, the EC, the Competence Centres, the IT-Industry and to other relevant stakeholders
a European eHealth Interoperability Framework
4. Provide to the EC, EPSCO Council and to other relevant stakeholders targeted support for activities requiring broad convergence across Europe, such as future LSP eHealth projects and common interoperable service solutions at MS level
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Overall project structure
eHealth Governance Steering Group
Interoperability, Standardisation and Market (GE)
eHealth Governance Group Chaired by the EU-Presidency
Mainstreaming (FR)
Legal and Protection of Personal Data (HL)
Trust and Acceptability(BE)
Executive Committee
Co
ord
inat
ion
(A
T)
Str
ateg
y D
evel
op
men
t an
d
Po
licy
Ali
gn
men
t (E
S/S
E)
Evaluation (DK)
Dissemination (SK)
Roadmapping (FR)
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Reaching agreements through continuous bench-learning loop across concerned actors
Political priorities
Stakeholder priorities
Collaborative evolving process
3rd step Copenhaguen
Mai 2012
Agreement and validation of the e-e-IDID proposal and list list
of next prioritiesof next priorities
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European eHealth Governance levels
Policy level: to set out higher level political objectives, define common priorities and policy measures
Strategic level: to agree on concrete agree on concrete strategiesstrategies for developing and implementing integrated, value adding eHealth servicesEstablishment and maintenance of an open platform for multi-stakeholder trusted dialogue
Operational level: deeper focus in areas such as e-ID, ethics, security policies and services, EU infostructure, re-engineering of the standardisation process, maintaining links to national stakeholder groups, etc.
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From eH HLGG toFrom eH HLGG to eHealth Network eHealth Network
1. facilitate cooperation and the exchange of information among Member States
working within a voluntary network connecting national authorities responsible for eHealth designated by the Member States