Presentation of Workshop on Technology for Healthcare and Healthy Lifestyle 2011 Thursday 1st Dec 2011 Session III http://www.tsb.upv.es/wths2011

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
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3. 1. Introduction
Information and Communication Technologies (ICT)
 New opportunities
 Continue growth and expansion
Health
 New needs
 Policies
 Strategies
 Actions
eHealth ICT + Health
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4. 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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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
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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
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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
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8. 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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9. 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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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
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11. 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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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
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13. 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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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
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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
Handle voice data and image 15

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
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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
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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
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19. 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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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
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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
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22. Thanks for your attention.
Questions
José Enrique Borrás Morell
jobormo@itaca.upv.es
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