eHealth policies: From the European
Union to the Valencia Region
José Enrique Borrás Morell
Rosa Valenzuela Juan
Vicente T...
Table of contents
1.

Introduction

2.

World Health Organization

3.

European Union

4.

Spanish Ministry of Health

5.
...
1.

Introduction

Information and Communication Technologies
(ICT)



New opportunities
Continue growth and expansion

H...
1.

Introduction

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

Policies





Update Strategic Plans
Recomm...
2.

World Health Organization (WHO)

Introduction


2004
o

Creation of the e-Health unit
 Share knowledge

o

Creation ...
2.

World Health Organization (WHO)

Goe


2005 Creation of Global Observatory for eHealth
(GOe)


Functions
 Study:
 ...
3.

European Union

Introduction


2004 eHealth Action Plan (eHAP)



Full potential of e-Health systems
Main points:
...
3.


2006 Lead Market Initiative(LMI)




European Union

Includes eHealth as a market point

2010 Europe 2020 strategy...
3.

European Union

Actions


A 10-point action plan





The eHealth Governance Group initiative






Reports
St...
3.

European Union

Actions




Research in eHealth
Projects Pilot


HPRO card
 The free movement of citizens with hea...
3.

European Union

Actions


RenewingHealth (REgioNs of Europe WorkINg
toGether for HEALTH).




Calliope Network


...
4.

Spanish Ministry of Health

Introduction


90% of the health centers use ICT



2006 Quality Plan for the national h...
4.

Spanish Ministry of Health

Initiatives


The HCDSNS (Clinical History Digital from the
National System Health).


...
5.

Valencia Region Health Agency

Introduction




CITESAN
AITO


Information Systems Plan 2009 – 2011
 Integration o...
5.

Valencia Region Health Agency

SISAN



Health Information System
Structure






Clinical and care subsystem
Bu...
5.

Valencia Region Health Agency

Initiatives


The Electronic Health Record (HSEAVS)


Functions
 The Clinical Histor...
5.

Valencia Region Health Agency

Initiatives


ORION-CLINIC



Hospital information system
Modules
 Orion-HIS
 Orio...
5.

Valencia Region Health Agency

Initiatives


Other SISAN Initiatives



Oficina 2.0
CORDES system
 coordination of...
5.

Valencia Region Health Agency

Actions


Interoperability of healthcare systems


Collaboration with epSOS project

...
6.

Conclusions

Introduction




"30% of the EU's inhabitants will be over 65 years in 2050.
Furthermore we see estimat...
6.

Conclusions

Trends


Extend healthcare from the hospital to home
Reduce

financial and human resources in healthcar...
Thanks for your attention.
Questions
José Enrique Borrás Morell

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