eHealth Procurement


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eHealth Procurement. Ruscitti G. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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eHealth Procurement

  1. 1. eHealth addressing global challenges through local actions When Telemedicine does deliver! Parallel Session PS 7 Tuesday 16 March, 2010, 14:00 – 15:15
  2. 2. Giancarlo Ruscitti MD Secretary General for Health & Social Services Veneto Region
  3. 3. Background of the experience of the Veneto Region  Since 2004, the Veneto strategy of economic sustainability and innovation has meant increasing financial contraints in Human Resources, and developing policies for the allocation and most efficient use of health care personnel, empowered by the appropriate use of e-technologies;  National budget constraints have forced the Region to reallocate the health budget in order to guarantee the Essential Levels of Health Care provision (LEA) to all Veneto Citizens by: 1. rationalizing and renewing the hospital network; 2. re-organizing health services in the territory; 3. investing in innovation, ICT and eProcurement;
  4. 4. The Veneto Region: Territory and Population Population Structure* • 4,8 M inhabitants Members per family 2.6 • 18.391 km2 of land surface Birth rate 9.3 Death rate 9.0 Natural growth rate 0.3 Total growth rate 5.6 % Elderly persons 135.7 % population > 65 years 18.5 % EU population>65 years 14.08 * As of the 2008 General Consensus 4
  5. 5. The Veneto Region: Health Care Providers and Professionals • 21 Local Health Authorities PUBLIC ACCREDITED • 2 Hospital Trusts INSTITUTIONS 64 IRCSS (SPECIALIST RESEARCH 1 INSTITUTES) Public health authority (Az. Osp.) 2 Hospital in the Provincial capital 6 Network hospital / strong integration 33 Integrating hospital of the network 8 Polyfunctional health centres 10 Management experimentation 4 PRIVATE ACCREDITED INSTITUTES 14 Care homes/ hospital 19 Classified hospital 4 • 41.806 Medical & Nursing staff IRCSS (SPECIALIST RESEARCH 1 • 11.702 Laboratory Technician INSTITUTES) • 6.704 Administrative staff • 117 Other Professionals 5 (* Veneto Regional Statistics Office data, 2008)
  6. 6. New challenges for Veneto Health Care  Increase in EU citizens expectations;  Ageing population  Home-care in rural and mountain areas;  Rising costs due to technological innovation;  Reduction of public health care expenditure;  Patient mobility: Tourists, Immigrants and Long term residents;  Lack of health professionals (mainly pediatricians and nurses);  Restrictions imposed in public funding by commitments towards maintaining EU stability treaties.
  7. 7. e-Health Priorities From a technical perspective: 1. Enable the interoperability of Telemedicine services at the regional level. 2. Build up standardized EHR systems at local level with a view to establishing a single digital Patient Health Folder system at the regional level. 3. Develop eHealth-based Disease Management models for the treatment of outpatients. 4. Foster the interoperability of the above systems/services at the National level. 5. Foster the interoperability of the above systems/services at the European level
  8. 8. Telemedicine eHealth Projects: Observatory Source: “Observatory Number of Telemedicine projects and projects on Telemedicine applications 2009”, Vol. 1/2009, Arsenàl.IT N. progetti number of active Telemedicine projects Cumulative 18 17 16 14 13 12 11 10 8 7 6 4 3 2 2 1 1 1 0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 8
  9. 9. e-Health Project Initiatives HEALTH OPTIMUM Open e-Health Initiative RENEWING HEALTH Neurosurgical Tele- Patient Summary Personal Health System counselling & e-Prescription and Telemonitoring Growing-Together Near-To-Needs NETC@ARDS Satellite-based Interoperability of health e-Learning for health Second Opinion services smart cards TERREGOV TeleMed-ESCAPE IESS Paperless handling of Web-based booking of E-Government services health documents health services 63 European Projects – Themes: eHealth, Research, Social Services and ICT Overall budget: €50M
  10. 10. Telemedicine eHealth Projects: ESCAPE Citizens Citizens’ Clinical Document Sharing Certification Home PC Digital Storage Signature Mail Diagnostic Services Service producing Clinical Reports Forwarding GPs Extraction Territorial Service Hospital wards & Providers Internal Services Example in a Local Health Authority in Veneto 10
  11. 11. Telemedicine eHealth Projects: HEALTH OPTIMUM XDS Registry Provincial area of Provincial area of Vicenza Belluno XDS Repository Provincial Provincial area of area of Padova Treviso Provincial area of Venezia Provincial area of Provincial area of Verona Rovigo 11
  12. 12. RENEWING HeALTH REgioNs of Europe WorkINg toGether for HeALTH  Programme: Competitiveness and Innovation Framework Programme CIP runs from 2007-2013  Funding Scheme: Information and Communication Technologies Policy Support Programme ICT PSP; Funding Instruments: Pilot Type A  Principle Actor Involved: Regional Healthcare Authorities  Content of the 3rd Call of Proposals in 2009  Theme: ICT for Health, ageing and inclusion  Objective: ICT for patient-centered health services  Budget: € 14 M - European Co-financing: € 7 M  Duration: 32 months  Starting date: 1st February 2010 Kick Off Meeting: 8th February 2010, Venice
  13. 13. RENEWING HEALTH: The Consortium EUROPEAN ASSOCIATIONS COUNTRY European Patients’Forum (EPF) Luxembourg European Health Telematics Association Belgium (EHTEL) COMPETENCE CENTER COUNTRY FINLAND Arsenàl.IT Italy SWEDEN Medcom International Denmark NORWAY Center for Distance-spanning Healthcare Sweden Norwegian Center for Integrated Care and Norway Telemedicine Catalan Agency for Health Technology Spain Assessment and Research (CAHTA) DENMARK VTT – Technical Research Center - Finland e-Trikala AE Greece GERMANY TSB Innovationsagentur Berlin GmbH Germany ADVISORY BOARD COUNTRY Continua Health Alliance Private Belgium AUSTRIA Stichting (CHA) Integrating the Healthcare Enterprice Italy,Spain, (IHE) UK ITALY SPAIN GREECE 13
  14. 14. RENEWING HEALTH: The expected impacts  Reduce hospitalisation and improve disease management  Increased links and interaction between patients and health professionals, facilitating more active participation of patients in care processes  Improvement of quality of life for patients suffering form chronic conditions  Increased use of existing or commonly agreed standards and demonstration of interoperability of the new solutions in regular healthcare practice  Provide a convincing business case to be presented to National, Regional and Local Health Authorities and to stimulate them to speed up the deployment of patient-centered eHealth service solution 14
  15. 15. The Consortium Arsenàl.IT: Veneto’s Research Center of eHealth Innovation  Has acted as Observatory by performing systematic surveys on Telemedicine applications developed over time by the member Health Authorities.  Has succeeded in highlighting the critical issues of interoperability, standardization and organizational impact as factors for driving to the diffusion of Telemedicine applications in care delivery process. 15
  16. 16. The DOGE Project The General Practitioner Network A Regional project to create a communication network and connect GP and Primary Care sites to the hospital and Local Health Authority (LHA). VENETO REGION ACTORS:  Regional information system HIS Hospital CITIZEN EHR Information System  Information System of LHAs  GP  Personal EHR GP and PRIMARY CARE Project start: June 2009 Doge Pilot Test is located in Adria Local Health Authority n. 19 involving 70 GPs and SCCs
  17. 17. Conclusions and challenges  The Veneto Region is actively involved in the area of innovation and health care reforms, with purchasing, payment systems and contracting as tools for restructuring, and in benchmarking its health care system;  eHealth development is a way of empowering the quality of human resources;  The use of modern technologies in and out of hospital should be understood as a way of improving quality and safety for the benefit of patients.
  18. 18. Thanking you for your kind attention!