Towards an European eHealth High Level Governance

1. Towards an EuropeaneHealth High Level Governance Michèle THONNET Ministry of Labour, Employment and Health Paris, France eHGI Mainstream &Roadmap chair epSOS-eHGI Athens 2011-11-10

2. MS-EU co-operation : Policy & Strategy • HEALTH is a national prerogative subsidiarity is key but 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

3. 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

4. eHR Modelling: an input for collaboration (2007)

5. Interoperability RECOMMENDATION REVIEW • Interoperability is considered for the purpose of “integrated, connected and interoperable continuity of care for Europe”: • Political • Organisational • Semantic • Technical/ standards 5

6. 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 cooperation • epSOS (cross border patient services) • CALLIOPE (eHealth Roadmap) eHealth High Level Governance

7. WHERE? FOR WHAT PUPROSE? WHO BENEFITS? WHAT’S AT STAKE? AN EU eHEALTH INTEROPERABILITY ROADMAP 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 2nd step Mai 2011 Budapest A proposal for a common EU Roadmap for eHealth 7

8. Adoption of a common working model Sustainable Healthcare Sharing Information and Knowledge for Better Health eHealth Governance eHealth Services Common EU priorities eHealth leadership, policy and strategy e.g., Data analysis & aggregation EU & National Stake-holder collaboration Community services, AAL Rare diseases Other national priorities Knowledge management, etc. Patient summaries Electronic prescribing Chronic Care Management Privacy, quality and safety policies National priorities Legislative and regulatory framework Foundation eHealth infostructure Clinical terminologies and classifications and codifications Data structures and value setsEHR, EMR, PHR, other Data interoperability and accessibility Patient identification and patient data discovery Fostering standards adoption Market development, new business models, and incentives HCP Authorization, authentication and rights management Consent management and access control Data and knowledge management tools Data bases and Registries Financing, Resource allocation and reimbursement models Foundation ICT infrastructure Mobile and fixed Electronic Communication Infrastructures Access to ICT Networks, equipment and facilities ICT processing and storage services ICT Professional and technical support; Training Monitoring, evaluation 8

9. Recommendations and Outlook Political priorities propositions provide concrete input to decision making support of the eHealth high level governance process www.calliope-network.eu

10. Directive on patients rights in cross border Healthcare: eHealth article (14) • 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.

11. Art 14: 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, with a view to achieving a high level of trust and security, enhancing continuity of care and ensuring 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 • 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.

12. How to « implement  » it ? • Building on existing collaboration • Bridging the gap between political decision makers & stakeholders • eHealth High Level Governance

13. Main objectives • 1. Provide to MS a consolidated approach and a strong political committment to governance at three levels (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 challengeswhich could lead to a strong consolidated Roadmap of concrete actions and the description of potential future pilot projects and partnerships

14. 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

15. Overall project structure eHealth Governance Group Chairedbythe EU-Presidency eHealth Governance Steering Group Executive Committee Mainstreaming (FR) Roadmapping (FR) Strategy Development and Policy Alignment (ES/SE) Coordination (AT) Trust and Acceptability(BE) Legal and Protection of Personal Data (HL) Interoperability, Standardisation and Market (GE) Dissemination (SK) Evaluation (DK)

16. Collaborative evolving process Political priorities 3rd step Copenhaguen Mai 2012 Agreement and validation of the e-ID proposal and list of next priorities Stakeholder priorities Reaching agreements through continuous bench-learning loop across concerned actors

17. European eHealth Governance levels • Policylevel:to set out higher level political objectives, define common priorities and policy measures • Strategiclevel:to agree on concrete strategies for developing and implementing integrated, value adding eHealth servicesEstablishment and maintenance of an open platform for multi-stakeholder trusted dialogue • Operationallevel: 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.

18. From eH HLGG to eHealth Network • 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

19. e-Health Network = Thank you for attention Michele.THONNET@sante.gouv.fr