José Enrique Borrás - eHealth policies review: From European Union to the Valencia Region

eHealth policies: From the European Union

to the Valencia Region

José Enrique Borrás Morell

Rosa Valenzuela Juan

Vicente Traver Salcedo

1st December 2011

Table of contents

1. Introduction

2. World Health Organization

3. European Union

4. Spanish Ministry of Health

5. Valencia Region Health Agency

6. Conclusions

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1. Introduction

Information and Communication Technologies (ICT) New opportunities Continue growth and expansion

Health New needs

Policies Strategies Actions

eHealth ICT + Health

3

1. Introduction

What is being done in the world in the eHealth sector? Policies

Update Strategic Plans

Recommendations

Actions Projects

Research

Guidelines

Studies

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2. World Health Organization (WHO)

Introduction 2004

o Creation of the e-Health unit Share knowledge

o Creation of the eHealth Standardization Coordination Group (eHSCG) Public and private entities

2005 eHealth strategy Countries develop eHealth action plan

WHO commitments

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2. World Health Organization (WHO)

Goe 2005 Creation of Global Observatory for eHealth (GOe)

Functions Study: eHealth policies and benefits. Strategies and developments in eHealth sector.

Provide Strategic management practices effective policies.

Standards eHealth Actions

2 global surveys Series of documents Complete guide for the governments

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3. European Union

Introduction 2004 eHealth Action Plan (eHAP)

Full potential of e-Health systems

Main points: Elaborate national or regional roadmaps for eHealth

Provide leadership to eHealth efforts

Interoperability standards for health records and health data messages.

Investment

2005 the i2010 subgroup on eHealth Advice for eHAP

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3. European Union

2006 Lead Market Initiative(LMI) Includes eHealth as a market point

2010 Europe 2020 strategy EU strategy for the coming decade

Digital Agenda

Maximize the potential of ICT

Involvement and inclusion of Europe’s citizens in eHealth

Action Plan 2012-2020

Development of an European eHealth Interoperability Framework

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3. European Union

Actions A 10-point action plan

Reports

Studies

The eHealth Governance Group initiative Facilitate cooperation between Member States

Recommendation on cross-border interoperability

Annual meetings

Consultations Monitor eHealth development

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3. European Union

Actions Research in eHealth

Projects Pilot HPRO card

The free movement of citizens with health professionals all over Europe

The European epSOS (Smart Open Services for European Patients). Access to health information

» Electronics health records

ePrescription

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3. European Union

Actions RenewingHealth (REgioNs of Europe WorkINg toGether

for HEALTH). Validate and evaluate telemedicine services

Calliope Network Collaborative platform for interoperability in Europe

Value makers

Coming soon: the European Innovation Partnership on Active and Healthy Ageing (EIP AHA) Active and healthy ageing

Enable citizens to live longer

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4. Spanish Ministry of Health

Introduction 90% of the health centers use ICT

2006 Quality Plan for the national health system Objective:

Improve services to citizens in the national health system

» Unique identification of citizens

» Promote electronic medical records.

» Development of new services in eHealth

» Relationship between citizens and professionals

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4. Spanish Ministry of Health

Initiatives The HCDSNS (Clinical History Digital from the National

System Health). Electronic medical record

The ePrescription project. European project EpSOS

The Health Card

Encourage telehealth solutions

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5. Valencia Region Health Agency

Introduction CITESAN

AITO Information Systems Plan 2009 – 2011

Integration of systems

Sustainability

Accessibility

Electronic Health Record.

Health Plan of the Valencia Region 2010-2013 Includes eHealth as a main part of health

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5. Valencia Region Health Agency

SISAN Health Information System

Structure Clinical and care subsystem

Business Intelligence subsystem

Economic management logistics and human resources subsystem

ARTERIAS Interconnects all health centers and administrative services

28 Hospitals

1.300 health centers

Handle voice data and image

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5. Valencia Region Health Agency

Initiatives The Electronic Health Record (HSEAVS)

Functions The Clinical History Summary

Emergency care reports

Laboratory test results

HCDSNS

European Union initiative epSOS

ABUCASIS Ambulatory care health information

Healthcare activities and administrative task

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5. Valencia Region Health Agency

Initiatives ORION-CLINIC

Hospital information system Modules

Orion-HIS Orion-Farma Orion-Ris

ORION-GESTO Management resources of the hospital Modules

Orion-Logis Orion-Person

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5. Valencia Region Health Agency

Initiatives Other SISAN Initiatives

Oficina 2.0

CORDES system coordination of extra urgent hospital care

eHealth experiences implemented on each health center Teleradiology

Teledermatology

Telecardiology

Remote Access Medical

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5. Valencia Region Health Agency

Actions Interoperability of healthcare systems

Collaboration with epSOS project

Development of SISAN modules

eHealth strategic plan 2012-2015.

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6. Conclusions

Introduction "30% of the EU's inhabitants will be over 65 years in 2050.

Furthermore we see estimates point to a shortage of one million health professionals in the EU by 2020, and this is likely to reach two million if other employees in the healthcare sector are accounted for”. Neelie Kroes said.

World Bank studies show that public expenditure on healthcare in the EU could jump from 8% of GDP in 2000 to 14% in 2030

Trends Interoperability of national eHealth systems

Greater cooperation between the EC and Member States

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6. Conclusions

Trends Extend healthcare from the hospital to home

Reduce financial and human resources in healthcare Development of solutions on telehealth

Improve access to specialized clinical services

Improve disabilities and chronic disease management

Electronic security mechanisms

Development of more efficient healthcare systems

Active ageing

Continue with research programs in eHealth development

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Thanks for your attention.

Questions

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José Enrique Borrás Morell

jobormo@itaca.upv.es