Review of eHealth Program

1. Review of eHealth Program Geza Nagy, M.D. (external expert of MEDINFO eHealth Program Office)

2. The antecedents of program: eEurope • 1999-2000 the status of EU related to USA: rationale – answers An Information Society for all Main objectives: faster Internet access for citizens, education, commerce, government

3. Usage of PCs EU/USA E. Liikanen Athen 2000

4. Számítógépek használata EU/USA Usage of Internet EU/USA Internet penetration per 100 inhabitants (Year-end 1999) Spain Sweden UK Japan USA Finland France Germany Italy Canada The Netherlands 4 E. Liikanen Athen 2000

5. Conclusions Arrears in Europe in computer usage and Internet usage also Interesting fact: the advantages are in EU side in mobile network and mobile phone usage in front of USA The solution: eEurope

6. The antecedents of programeHealth • The eEurope Action Plan consist of 10 points • eHealth is a part of Action Plan • Knowledge - based economy • Internet technology: faster, cheaper and safety

7. The antecedents of programeHealth • eHealth: close collaboration between DG Health and Consumer Protection and DG Information Society • EU accepted Action Plan in Feira (Portugal) 2000 June

8. eHealth 2000 – 2002 • Ensure that primary and secondary healthcare providers have health telematics infrastructure in place including regional networks • Best Practice in electronic health services in EU • Establish a set of quality criteria for health related websites • Establish health technology and data assessment networks • Disseminating legal aspects of eHealth Results, home – made projects: In the fields of Best Practice – EBM: Handbook of Clinical Evidence and its Web application, end-user education

9. Step forward of eHealth program 2002 Seville Spain Action Plan to 2005 based on modern, online public services Targets of Action Plan: • Electronic Health Cards • Health Information Networks • Online services • Health Telematics • R&D frameworks

10. Electronic Patient Card • common approach to patient identifiers and electronic health record architecture, and create an European electronic health card • medical emergency data and secure access to personal health information • General usage in 2008 - the E 111 form is suitable for emergency treatment in EU member states till 2008 Results, home – made projects: „eEurope smart card”- key card/data card alternatives The planned home application date is 2006 leaded by NHI

11. Health Information Networks • citizens can access online health services (information on healthy living and illness prevention, electronic health records, teleconsultation, hospital-doctor-patient networks etc.) via broadband connectivity by the end of 2005 • health information through to Europe-wide systems for spotting emerging health threats (see SARS, flu etc.) Results, home – made projects: ANTSZ network program finished with EU support Development of broadband network in health care

12. Online services • By the end of 2005 • Information resources for citizens • Information of healthy living • Illness prevention • Electronic health record • Teleconsultation • Preventive information, e.g.: air and water quality information Task: Home application of Quality Criteria for Health Related Websites

13. Online services Home made projects, developments • DR.INFO phone calling health consulting service – 1st phase • DR.INFO Health related Web Portal – 2nd phase • Establish of Public Health Portal • Developing Regional Model project with support from EU structural found

14. Online services • Introductions of categories, standards, applications: ePrescription, eRecord, eConsultation, etc. • Introductions of categories, standards, applications - CEN TC 251 naturalisations • Digital signature in health related applications This work coordinated end leaded by eHealth Program Office – chance for success

15. Health Telematics • The Working Group on Health Telematics has been asked following tasks: • Review the introduction Information and Communication Technology in the health sector • Consider particular application of ICT in health namely health cards, virtual hospital • Provision of health related information to health professionals and patients Next informations... http://europa.eu.int/comm/health/ph_overview/Documents/hlch_health_telematics_final_report_en.pdf

16. R&D Frameworks Programmes • Many of the projects supported by DG Information Society under the EU Research Framework Programmes • The basic principle is the exploitation of results • Neumann Colloquium 2003, Veszprém – Home R&D results and exploitation

17. Ministerial Conference • Brussels, 22 May 2003 • eHealth „The Contribution of ICT to Health” • Exhibition with finalised EU projects • Presentations from Industrial side – participation of leading ICT Companies • Ministerial Declaration

18. Declaration- Main Aspects • Promoting quality and enhancing efficiency in health care through eHealth applications • Facilitating citizen involvement through access to high quality information • Implementing and sharing best practices if eHealth • Looking to the future • Full exploitation of eHealth goes beyond local information systems and Internet based provision of information to integrate • eEurope action plan 2005 coordination with eHealth • Continuous development, implementation • R&D support growing up to 3% of GDP • Second eHealth Conference 2004, Ireland

19. eEurope 2005 – eHealth relation • Modern, on-line public services: • e government • e learning • eHealth • Dynamic, e business environment • Widespread availability of broadband access at competitive prices • Secure information infrastructure

20. 1999-2000 2000-2002 2003-2008 eHealth carrier • There is an important role in eEurope idea, every phase Decisions Feira Barcelona Brüsszel

21. Finally what does it mean the eHealth? • The application of ICT across the whole range of functions which, one way or another, affect the health of citizens and patients: • The Health Care is more patient oriented • Health related information • Trading Health Products

22. The Health Care is more patient oriented and more safety • A lot of ICT technology exists • In the Hospitals • Complete HIS • Primary Care • In every day routine for patient management, medical records and electronic prescribing • Home care • Telecommunication with supplier, teleconsultation with experts

23. Health related information • Continuous Medical Education (CME) • For citizens • Retrieval of health and medical information • Information provider about health care

24. Trading Health Products • Pharmaceuticals • Health care goods • Medical devices Information materials are accessible in public sector

25. Finally what does it mean the eHealth? • ICT in professional point of view: Management of information and information flow in the whole process of care • The central component of eHealth is the EHR – electronic health record allows the sharing of medical records between care providers and patients, whichever the applications • The applications: patient self-management, telemedicine, electronic messaging, electronic registries and databases, regional and national networks – all of them realise on the Internet