19.06.2009
             Overzicht epSOS project
From strategies to services
– eHealth as the enabler for cross-
        border healthcare

           Michiel Sprenger
   ...
Closer Cooperation on healthcare in the EU
        – from threat to possibility
• Healthcare is a strict national prerogat...
epSOS – a highly political project


• Member State obligation to deliver the best possible medical
  treatment – at home ...
Waar gaat epSOS over ?
• Pilotproject
• “Cross-border interoperability”
• Twee gebruikssituaties (use cases):
  – Patiënt ...
Wie doen er mee ?




12 van de 27 lidstaten
The epSOS Project Team

• The Project Team consists of 27 beneficiaries from 12 member
  states: AT, CZ, DE, DK, EL, ES, F...
Goals & Challenges


• Goal for the epSOS eHealth Project:
   – “to develop a practical eHealth framework and ICT infrastr...
Regio-situatie

• In sommige landen zijn regio’s zeer zelfstandig
• (gedeeltelijk) eigen wetgeving, minister van gezondhei...
Time schedule
Inbreng Nederland

• Ministerie VWS (NLNA)
• Nictiz

• Plaats in Project Steering Board (PSB, VWS)
• Plaats in Project Exe...
WP 1.1, analysis

• Analyseer use cases
• Onderzoek in 12 landen en X regio’s het lokale
  equivalent (dwz benodigde zorg ...
Use cases

• Mobiliteitsscenario’s
  – Incidenteel in ander land (vakantie, zakenreis)
  – Structureel in ander land:
    ...
Enquete naar nationaal
       (regionaal) analogon
• 160 vragen
• 16 landen / regio’s antwoord
• Analyse afgerond
  – Robe...
In zes onderzoeksgebieden
1.   Patiënt identificatie
2.   Patiënt consent
3.   HCP / HCP organisatie identificatie
4.   Tr...
epSOS scenario
Country A (“home”)                       Country B (Patient + HCP)

3                               2      ...
Availability of patient summary 2008

                                       >25%    Nationally available
                ...
Availability of patient summary 2010

                                       >25%    Nationally available
                ...
Availability of ePrescription 2008

                                     >25%    Nationally available
                    ...
Availability of ePrescription 2010

                                     >25%    Nationally available
                    ...
Retrievability of ePrescription 2008

                                                                           Nationall...
Retrievability of ePrescription 2010

                                                                            National...
Conclusies onderzoek
• 2010 >> 2008 (???) – optimisme viert hoogtij
• Ondersteunend (identity etc) redelijk
  ontwikkeld
•...
Uitkomsten voor Nederland


•   Heel veel inzicht in andere oplossingsrichtingen
•   Veel contacten
•   Druk op standaardi...
www.epsos.eu
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Overzicht Ep Sos

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Overzicht Ep Sos

  1. 1. 19.06.2009 Overzicht epSOS project
  2. 2. From strategies to services – eHealth as the enabler for cross- border healthcare Michiel Sprenger Senior adviseur ICT en Innovatie Nictiz
  3. 3. Closer Cooperation on healthcare in the EU – from threat to possibility • Healthcare is a strict national prerogative • Previously only a limited co-operation on a general policy level • Substantial variations between national healthcare systems, but also similar challenges are faced and…. • …substantial similarities in political ambitions to reform healthcare as well as in the challenges to reach these goals • The work started in 2003-2006 at the Ministerial Conferences • In 2004 the eHealth Action Plan was adopted and the I2010 was created • And in 2007 in Berlin the eHealth Initiative was created.…
  4. 4. epSOS – a highly political project • Member State obligation to deliver the best possible medical treatment – at home or when travelling • Introducing a new dimension in national healthcare systems • Main political objectives: – support patient mobility nationally and in the EU – ensure that patient safety is guaranteed – increase efficiency and cost-effectiveness in cross-border care
  5. 5. Waar gaat epSOS over ? • Pilotproject • “Cross-border interoperability” • Twee gebruikssituaties (use cases): – Patiënt heeft in ander land zorg nodig (acuut of niet) en arts heeft daarvoorpatiëntsamenvatting nodig – Patiënt heeft medicatie nodig in ander land: • Nieuw • Op recept “van thuis” • Bouwen op het bestaande !!
  6. 6. Wie doen er mee ? 12 van de 27 lidstaten
  7. 7. The epSOS Project Team • The Project Team consists of 27 beneficiaries from 12 member states: AT, CZ, DE, DK, EL, ES, FR, IT, NL, SK, SE and the UK : • 9 National Ministries of Health,18 National/regional Competence Centers; ANDA, ATNA, CATA, CLM, DENA, DKNA, ELGA, EMPIRICA, FRNA, GEMATIK, GIPDMP, FRNA, IHE, IZIP, LOMBARDY, MEDCOM, NHIC, NHS, NICTIZ, NLNA, SALAR, SENA, THESS, CNRS, FRAUNHOFER, PHARMAXIS, ZI • Competence Centers Including/working with local organizations with thousands of Contributors • IHE-Europe representing ICT industry team (40+ members) • Empirica responsible for administrative management
  8. 8. Goals & Challenges • Goal for the epSOS eHealth Project: – “to develop a practical eHealth framework and ICT infrastructure that will enable secure access to patient health information, particularly with respect to a basic patient summary and ePrescription, between European healthcare systems” • Challenges to get there: – Legal Interoperability – Organisational Interoperability – Semantic Interoperability – Technical Interoperability
  9. 9. Regio-situatie • In sommige landen zijn regio’s zeer zelfstandig • (gedeeltelijk) eigen wetgeving, minister van gezondheid, etc • In epSOS: – Spanje: Spanje + Andalusië, Catalonië, Castilla-La Mancha – UK: Engeland, Schotland – Italië: Lombardije • Kansen: landelijke convergentie-pogingen leerzaam voor EU !
  10. 10. Time schedule
  11. 11. Inbreng Nederland • Ministerie VWS (NLNA) • Nictiz • Plaats in Project Steering Board (PSB, VWS) • Plaats in Project Executive Board (PEB, VWS, Nictiz) • Participatie diverse deelprojecten • Leiding van WP1.1: analysis
  12. 12. WP 1.1, analysis • Analyseer use cases • Onderzoek in 12 landen en X regio’s het lokale equivalent (dwz benodigde zorg buiten de normale “eigen” omgeving maar binnen het land / de regio) • Leid daaruit af “opportunities and constraints” voor de epSOS oplossing
  13. 13. Use cases • Mobiliteitsscenario’s – Incidenteel in ander land (vakantie, zakenreis) – Structureel in ander land: • Regelmatig afwisselend (“grenswerkers”) • Langduriger (“overwinteraars”) • Zorgvraag die samenvatting nodig heeft • Medicatie: – Herverstrekking – Nieuw voorschrift en verstrekking
  14. 14. Enquete naar nationaal (regionaal) analogon • 160 vragen • 16 landen / regio’s antwoord • Analyse afgerond – Robert Breas, Michiel Sprenger, Albert-Jan Spruyt, Wouter Tesink – Industry team • Rapport klaar – final approvement
  15. 15. In zes onderzoeksgebieden 1. Patiënt identificatie 2. Patiënt consent 3. HCP / HCP organisatie identificatie 4. Transactie logging 5. Patiënt samenvatting (proces en inhoud) 6. Medicatie (proces en inhoud): – Voorschrift – Verstrekking – Overzicht
  16. 16. epSOS scenario Country A (“home”) Country B (Patient + HCP) 3 2 1 Natio Natio GP -nal -nal National National con- con- Infrastructure Infrastructure tact tact point point Phar- macy
  17. 17. Availability of patient summary 2008 >25% Nationally available & operational <25% >25% Regionally available <25% & operational Not available / unknown EU memberstate (not participating) Non EU country
  18. 18. Availability of patient summary 2010 >25% Nationally available & operational <25% >25% Regionally available <25% & operational Not available / unknown EU memberstate (not participating) Non EU country
  19. 19. Availability of ePrescription 2008 >25% Nationally available & operational <25% >25% Regionally available <25% & operational Not available / unknown EU memberstate (not participating) Non EU country
  20. 20. Availability of ePrescription 2010 >25% Nationally available & operational <25% >25% Regionally available <25% & operational Not available / unknown EU memberstate (not participating) Non EU country
  21. 21. Retrievability of ePrescription 2008 Nationally available Regionally available Only in one region Not available EU memberstate (not participating) Non EU country Can an HCP retrieve medication prescriptions on demand (status in 2008)
  22. 22. Retrievability of ePrescription 2010 Nationally available Regionally available Not available Partially undefined EU memberstate (not participating) Non EU country Can an HCP retrieve medication prescriptions on demand (status in 2010)
  23. 23. Conclusies onderzoek • 2010 >> 2008 (???) – optimisme viert hoogtij • Ondersteunend (identity etc) redelijk ontwikkeld • ePrescription en Summary erg weinig echt af • Retrieve mechanisme belangrijk • Content: veel vrije tekst in Summary • Noodzaak NCP’s • Houd pilots simpel !!
  24. 24. Uitkomsten voor Nederland • Heel veel inzicht in andere oplossingsrichtingen • Veel contacten • Druk op standaardisatie • Druk op eenheid van taal – SNOMED CT • Schaalbare toekomst, alles is deel van iets groters ! – Point of care – Ziekenhuis – Regio – Land – Europa www.epsos.eu
  25. 25. www.epsos.eu

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