eHealth Policies

1. eHealth policies: From the European
Union to the Valencia Region
José Enrique Borrás Morell
Rosa Valenzuela Juan
Vicente Traver Salcedo
1st December 2011

2. Table of contents
1.
Introduction
2.
World Health Organization
3.
European Union
4.
Spanish Ministry of Health
5.
Valencia Region Health Agency
6.
Conclusions
2

3. 1.
Introduction
Information and Communication Technologies
(ICT)


New opportunities
Continue growth and expansion
Health

New needs



Policies
Strategies
Actions
eHealth
ICT + Health
3

4. 1.
Introduction
What is being done in the world in the eHealth
sector?

Policies



Update Strategic Plans
Recommendations
Actions




Projects
Research
Guidelines
Studies
4

5. 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
5

6. 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
6

7. 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
7

8. 3.

2006 Lead Market Initiative(LMI)


European Union
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
8

9. 3.
European Union
Actions

A 10-point action plan



The eHealth Governance Group initiative




Reports
Studies
Facilitate cooperation between Member States
Recommendation on cross-border interoperability
Annual meetings
Consultations

Monitor eHealth development
9

10. 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
10

11. 3.
European Union
Actions

RenewingHealth (REgioNs of Europe WorkINg
toGether for HEALTH).


Calliope Network



Validate and evaluate telemedicine services
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
11

12. 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
12

13. 4.
Spanish Ministry of Health
Initiatives

The HCDSNS (Clinical History Digital from the
National System Health).


The ePrescription project.



Electronic medical record
European project EpSOS
The Health Card
Encourage telehealth solutions
13

14. 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
14

15. 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
15
Handle voice data and image

16. 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
16

17. 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
17

18. 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
18

19. 5.
Valencia Region Health Agency
Actions

Interoperability of healthcare systems

Collaboration with epSOS project

Development of SISAN modules

eHealth strategic plan 2012-2015.
19

20. 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
20

21. 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
21

22. Thanks for your attention.
Questions
José Enrique Borrás Morell
jobormo@itaca.upv.es
22