Towards an European
eHealth High Level Governance
Michèle THONNET
Ministry of Labour, Employment and Health
Paris, France
eHGI Mainstream &Roadmap chair
epSOS-eHGI
Athens
2011-11-10
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
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2002-2011: a new era in legal and policy
framework for EU Cooperation on eHealth
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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
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EU Council conclusion on safe and efficient healthcare
through eHealth – December 2009
Adoption of the Directive on patients’ rights in crossborder healthcare - 2011
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eHR Modelling: an input for collaboration (2007)
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Interoperability RECOMMENDATION REVIEW
– Interoperability is considered for the purpose
of “integrated, connected and interoperable
continuity of care for Europe”:
•
•
•
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Political
Organisational
Semantic
Technical/ standards
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other EU current initiatives : EC & MS
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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)
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eHealth High Level Governance
AN EU eHEALTH INTEROPERABILITY ROADMAP
What: possible future actions at EU
level
For what:
To accelerate eHealth
deployment
WHERE?
FOR WHAT PUPROSE?
WHO BENEFITS?
WHAT’S AT STAKE?
Who: Health care community
How: Use Cases, alternatives,
maturity and opportunities, building on
what is shown to work
1st stop
2nd step
Barcelona 2010
Mai 2011 Budapest
A proposal for a common
EU Roadmap for eHealth
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Adoption of a common
working model
Sustainable Healthcare
Sharing Information and
Knowledge for Better Health
eHealth
eHealth
leadership,
Governance
e.g., Data analysis &
aggregation
Knowledge management,
etc.
Other national priorities
Rare diseases
Community services, AAL
Chronic Care Management
Electronic prescribing
Patient summaries
eHealth Services
Common EU priorities
policy and strategy
EU & National Stakeholder collaboration
Privacy, quality and
safety policies
National priorities
Foundation eHealth infostructure
Patient
identification and
patient data
discovery
HCP Authorization,
authentication and
rights management
Clinical
terminologies and
classifications and
codifications
Consent
management and
access control
Data structures and
value sets
EHR, EMR, PHR,
other
Data and
knowledge
management tools
Data
interoperability and
accessibility
Data bases and
Registries
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
Legislative and
regulatory
framework
Fostering standards
adoption
Market
development, new
business models, and
incentives
Financing, Resource
allocation and
reimbursement
models
Monitoring,
evaluation
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Recommendations and Outlook

propositions
 provide concrete input to decision
making
 support of the eHealth high level
governance process
www.calliope-network.eu
Political priorities
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Directive on patients rights
in cross border Healthcare:
1.
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.
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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
(ii) effective methods for enabling the use of medical information for public
health and research;
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(c) support Member States in developing common
identification and authentication measures to facilitate
transferability of data in cross-border healthcare.
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How to « implement » it ?
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Building on existing collaboration
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Bridging the gap between political decision
makers & stakeholders

eHealth High Level Governance
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Main objectives
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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 challenges which could lead to
a strong consolidated Roadmap of concrete actions
and the description of potential future pilot projects
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and partnerships
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
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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
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Overall project structure
Mainstreaming (FR)
Roadmapping (FR)
Trust and Acceptability(BE)
Legal and Protection of Personal Data (HL)
Interoperability, Standardisation and Market (GE)
Coordination (AT)
Executive
Committee
eHealth Governance Steering Group
Strategy Development and
Policy Alignment (ES/SE)
eHealth Governance Group
Chaired by the EU-Presidency
Dissemination (SK)
Evaluation (DK)
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Collaborative evolving process
Political priorities
3rd step
Copenhaguen
Mai 2012
Stakeholder priorities
Agreement and
validation of the e-ID
proposal and list of
next priorities
Reaching agreements through continuous
bench-learning loop across concerned
actors
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European eHealth Governance levels
 Policy level: to set out higher level political objectives,
define common priorities and policy measures
 Strategic level: to agree on concrete strategies for
developing and implementing integrated, value adding
eHealth services
Establishment and maintenance of an open platform
for multi-stakeholder trusted dialogue
 Operational level: deeper focus in areas such as e-ID,
ethics, security policies and services, EU infostructure,
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re-engineering of the standardisation process,
From eH HLGG to
Network
1.
eHealth
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
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e-Health Network
=
Thank you for attention
Michele.THONNET@sante.gouv.fr
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