alec 2014 - norrbotten
TRANSCRIPT
New Horizons for eHealth and Active Ageing
Paul Timmers Director
European Commission - DG CONNECT Kiruna, 4th February 2014
ALEC 2014
• The eHealth Ladscape: Policy
Policy Groups
• eHealth Network
• eHealth Stakeholder Group
• European Innovation Partnership on Active and Healthy Ageing
Policy Papers
• eHealth Action Plan
• Draft Regulation on Data Protection
• eID/eSignature –legislative package
• Staff Working Paper on Telemedicine
• EU-US Memorandum of Understanding
• Green paper on mHealth
• Ongoing projects: European and regional dimensions
• eHealth and Horizon 2020
• Future Goals
• Member States Involvement
• New strategic policies and projects
• Consolidated Integration of eHealth projects on Horizon 2020
Summary:
• eHealth Network
• Resulting from Article 14 of the Directive 2011/24/EU on the application of patient's rights in cross border healthcare.
• Fourth meeting on 19th November. - Adopted the guidelines on patient summaries. - Identifies semantic and technical interoperability as the major priority.
• eHealth Stakeholder Group
• Official "expert group" to contribute to the development of legislation and policy related to eHealth, including relevant actions of the Digital Agenda for Europe on eHealth and the eHealth Action Plan.
Policy Groups:
The eHealth Ladscape: Policy
• European Innovation Partnership on Active and Healthy Ageing • New stakeholder-driven approach to tackle challenges of an ageing
population and turning it into a triple win: sustainability, better care and growth
• A Strategic Implementation Plan was launched in November 2011 with 6 ready to launch actions.
• A Commission Communication was launched on 29th February 2012, supporting the Plan.
• Invitations for Commitment and Invitations for expression of intent for candidate reference sites were launched 29th February
• Action Groups met for the second time in September 2013.
• A 2nd Conference of Partners was held in November for further discussion on new actions, governance and monitoring of the actions implementation.
Policy Groups:
The eHealth Ladscape: Policy
eHealth Action Plan
• From end 2012 until 2020, mirroring the timeline of Europe 2020, the Digital Agenda for Europe and Innovation Union.
Draft regulation on Data Protection • The Commission presented in January 2012 a proposal to replace the
current directive by a regulation.
• Changes related specifically to eHealth:
• A general article on sensitive data (Art. 9): banning principle with a list of exemptions (9.2.h) refers to health
• A specific article on the processing of data concerning health (Art. 81)
• A specific article on research (Art.83)
• Limitation of the "right to be forgotten" on the net (Art. 17) for health and research purposes.
Policy Papers:
The eHealth Ladscape: Policy
eID and eSignature
• A forthcoming legislative package will propose to:
• Establish mutual recognition of electronic identification
• Achieve cross-border interoperability and ease of use of eSignature.
• Cover related electronic trusted services
• Objective: improve businesses and administrations efficiency and lead to a massive reduction of paper-based processes.
Staff Working Paper on Telemedicine
• Provides an analysis of the EU legal framework applicable to cross-border telemedicine and seeks to enhance legal clarity for all actors in the field.
• The document was published in December 2012.
Policy Papers:
The eHealth Ladscape: Policy
EU-US Memorandum of Understanding • Signed in 2010 by the European Commission and the US Department of
Health and Human Services.
• Aims to create market opportunities for companies and investors in the EU and US by fostering interoperability (in particular of electronic health records - EHR)
Green paper on mHealth • To open the debate on the most adequate actions to support mHealth
deployment throughout the EU.
• A Staff Working Document (SWD), accompanying the green paper, will provide an overview of the EU legislation applicable to those apps, especially the data protection Directive and the Medical Devices Directives.
• It is expected to be adopted in the first Quarter of 2014.
Policy Papers:
The eHealth Ladscape: Policy
Ongoing projects: European and regional dimensions
EpSOS RENEWING HEALTH
SUSTAINS
PALLANTE MOMENTUM
Trillium Bridge
CAMEI Chain of Trust
Aims at: • implementing large-scale real-life test beds for
the validation and evaluation of telemedicine services using a patient-centred approach and an assessment technology.
• giving patients a central role in the management of their own diseases while helping detect early signs of worsening of pathologies.
• http://www.renewinghealth.eu/en/
Renewing Health
Ongoing projects: European and regional dimensions
Aims at: • assessing the views, needs, benefits and
barriers related to telemedicine from the perspective of patients and health professionals
• increasing awareness of users' perspective on telehealth amongst patients' and health professionals' organisations and health authorities at EU and national level.
• http://www.chainoftrust.eu/
Chain of Trust
Ongoing projects: European and regional dimensions
• The Momentum Thematic Network is a platform of key players sharing knowledge and experience in deploying telemedicine services into routine care to build a body of good practice and: assist countries and telemedicine practitioners in their
telemedicine implementations propose a set of policy recommendations to create the
enabling environments to accelerate overall telemedicine deployment in Europe.
http://www.telemedicine-momentum.eu/
Momentum
Ongoing projects: European and regional dimensions
• A pilot of cross-border interoperability • € 36 million, 5 years project partially funded by the European
Commission (2008-2013) • 47 partner organizations across 23 different European countries
• National and regional ministries of health • National / regional competence centers • An industry team composed of more than 30 companies
• Developed • An interoperability framework and common architecture • Open source software components, • Profiles (Interoperability specifications at the technical level) • A mini ontology for interoperability at semantic level • Governance and operational processes (organizational level)
• Used existing testing methodology and tools (projectathon) • EXPAND will ensure the sustainability of the epSOS infostructure in
view of CEF deployments • www.epsos.eu
epSOS
Ongoing projects: European and regional dimensions
Sustains
Aims at: • giving citizens online access to their Electronic
Health Records (EHR) • 11 pilots in 9 EU countries • Contributes to empowerment of patients; Quality
of care; Efficiency and economy and supporting widespread deployment of telemedicine services
• http://ec.europa.eu/information_society/apps/projects/factsheet/index.cfm?project_ref=297206
Ongoing projects: European and regional dimensions
Pallante Aims at: • Patient empowerment to reduce healthcare costs and improve
efficiency of the health systems • Based on the concept of secure and user friendly online access by
citizens to their medical/health data. • Globally, the project mobilizes 21 partners in 10 different countries,
and 69.550 new users. • Considers 7 new pilots in 6 countries (7 regions) and 2 additional on-
going pilots in 2 other countries. • 5 of these pilots deal with integrated chronic disease management
support, including comprehensive self-learning, education and monitoring systems that will be validated for diabetes, chronic heart failure, severe arthritis and respiratory diseases.
http://ec.europa.eu/information_society/apps/projects/factsheet/index.cfm?project_ref=297260
Ongoing projects: European and regional dimensions
Trillium Bridge
Aims at: • international interoperability of EHRs (Building the
Transatlantic bridge for patient summaries) • Coordinated by HL7 Europe • Three MS are engaged: Portugal, Spain and Italy • Other EU partners: HL7 Europe , Eurorec, IHE, Phast,
CEN • US organisations involved: Kaiser permanente, Mayo
Clinic, Atrius Health, etc… • http://www.epractice.eu/files/Trillium%20Bridge%20-
%20Catherine%20Cronaki.pdf
Ongoing projects: European and regional dimensions
CAMEI
Aims at: • addressing digital skills for the healthcare workforce • Coordinated by Northern Research Institute • Other partners: Aristotle University of Thessaloniki (EL),
Karolinska Institute (SE), Universitat Politecnica de Valencia (ES)
• Empower the evidence-based clinical practice guidelines for telemedicine services
• Covering digital gap of healthcare workforce in ehealth/health IT
• http://www.epractice.eu/files/CAMEI%20-%20Stathis%20Konstantinidis.pdf
Ongoing projects: European and regional dimensions
Examples of mHealth related R&D&I projects in healthcare settings
• AP@home (diabetes) • CAALYX (FP6, continuation in CIP) • CD-MEDICS (point-of care diagnostics) • HeartCycle (cvd, tailored drugs for
patients) • Help4Mood (depression recovery) • ICT4DEPRESSION (depression
recovery) • INTERSTRESS (psychological stress) • METABO (diabetes) • Mobiguide (diabetes, clinical-guideline-
based guidance for professionals and patients)
• MONARCA (mental health, bipolar disease)
• MovingLife (roadmapping for mHealth, primary focus for clinical-medical use)
• Nephron+ (renal care) • REACTION (diabetes) • Renewing Health (large CIP covers
three most prevalent chronic diseases, includes mobile element)
• SENSORART (cvd) • SmartPersonalHealth
(roadmapping, Continua Health Alliance)
• SmartHEALTH (point of care diagnostics)
• StrokeBack (stroke)
Pre-Commercial Procurement (PCP) actions led by health procurers, last calls of FP7, mHealth in central role in some of them
• DECIPHER, PCP, mHealth solutions
applied in public healthcare; Pan-European access to prescription and emergency data
• UNWIRED Health, PCP, a mobile care path for consumers, patient-centric, converging interoperable platforms, improve vaccination coverage and adherence to coach patients with heart failure
• NYMPHA-MD, PCP, mHealth solutions applied in public healthcare, mental health treatment
What's new?
• A single programme bringing together three separate programmes/initiatives*
• Three Priorities: Excellence of science; Industrial leadership and Societal Challenges
• Coupling research to innovation – all forms of innovation
• Focus on societal challenges facing European society e.g. health and ageing, clean energy and transport
• Simplified access, for all companies, universities, institutes in all EU countries and beyond ⃰ The 7th Research Framework Programme (FP7), innovation aspects of Competitiveness and Innovation Framework Programme (CIP), EU contribution to the European Institute of Innovation and Technology (EIT)
eHealth and Horizon 2020
Topic area: 'Health, demographic change and wellbeing' is the 1st topic of Societal Challenges
7 Sub-topics:
• Understanding health, ageing and disease; • Effective health promotion, disease prevention,
preparedness and screening; • Improving diagnosis; • Innovative treatments and technologies; • Advancing active and healthy ageing; • Integrated, sustainable and citizen centred care; • Improving health information, data exploitation,
and providing regulation.
eHealth and Horizon 2020
ICT
The Work Programme 2014/15 is online
http://ec.europa.eu/programmes/horizon2020/
eHealth and Horizon 2020
Funding opportunities in Horizon 2020, Calls 2014 and 2015
SC1: Health, Demographic Change and Well-Being PHC 19 – 2014: Advancing Active and Healthy Ageing with ICT: Service Robotics within Assisted Living Environments
PHC 20 - 2014: Advancing Active and Healthy Ageing with ICT: ICT Solutions for Independent Living with Cognitive Impairment
PHC 21 – 2015: Advancing Active and Healthy Ageing with ICT: Early Risk Detection and Intervention
PHC 25 - 2015: Advanced ICT Systems and Services for Integrated Care
PHC 26 – 2014: Self-Management of Health and Disease: Citizen engagement and mHealth
PHC 27 - 2015: Self-management of Health and Disease and Patient Empowerment Supported by ICT
PHC 28 - 2015: Self-management of Health and Disease and Decision Support Systems Based on Predictive Computer Modelling Used by the Patient Him or Herself
eHealth and Horizon 2020
Funding opportunities in Horizon 2020, Calls 2014 and 2015
SC1: Health, Demographic Change and Well-Being
Cont…
PHC 29 – 2015: Public Procurement of Innovative e-Health Services
PHC 30 - 2015: Digital Representation of Health Data to Improve Disease Diagnosis and Treatment
PHC 34 – 2014: eHealth Interoperability
HCO 1 – 2014: Innovation Partnership: Support for the European Innovation Partnership on Active and Healthy Ageing
HCO 2 – 2014: Coordination Action for JPI "More Years, Better Lives - the Challenges and Opportunities of Demographic Change"
eHealth and Horizon 2020
Understanding the call topics: example
• 'PHC 2 – 2015'
• 'Specific challenge'
• 'Scope'
• 'Expected impact'
• 'Type of action'
eHealth and Horizon 2020
Applying for funding – your one-stop shop
http://ec.europa.eu/research/participants/portal
eHealth and Horizon 2020
More opportunities for SMEs
• Some 20% of the total budget for societal challenges/LEITs to go to SMEs
• Simplification – a great benefit to SMEs
• 'Access to risk finance' with strong SME focus (debt and equity facility)
• A new SME instrument
eHealth and Horizon 2020
SME instrument
Concept & Feasibility
Assessment
Innovation R&D activities
Commercialisation
Phase 2 Phase 1 Phase 3 Idea Market
• Feasibility of concept • Risk assessment • IP regime • Partner search • Design study
• Development, prototype, testing
• Miniaturisation/design • Clinical trials • Etc.
• Facilitate access to private finance
• Support via networking , training, coaching, knowledge sharing, dissemination
Lump sum: ~ 50.000 € ~ 6 months
Output-based payments: 1 to 5 M€
12 to 36 months
No direct funding
eHealth and Horizon 2020
Supplier B
Supplier C
Supplier D
Phase 1 Solution design
Phase 2 Prototype
development
Phase 3 Original development
of limited volume of first test products /
services Supplier A
Supplier B
Supplier C
Supplier D
Supplier B
Phase 0 Curiosity
Driven Research
Applied R&D / Pre-commercial Procurement (PCP)
Phase 4 Deployment of commercial volumes of end-products Wide diffusion of newly
developed solutions
Supplier D
• PCP to steer the development of solutions towards concrete public sector needs, whilst comparing/validating alternative solution approaches from various vendors
• PPI to act as launching customer / early adopter / first buyer of innovative commercial end-solutions newly arriving on the market
Supplier(s) A,B,C,D and/or X
Also normally multiple sourcing here to keep competition going
Objectives: – Price/quality products that better fit public sector needs – Earlier customer feedback for companies developing solutions – Better take-up/Wider commercialisation of R&D results
Pre-Commercial Procurement (PCP) and Public Procurement for Innovative solutions (PPI) co-fund actions - complementarity
eHealth and Horizon 2020
eHealth and Horizon 2020
€ 7.472 billion in Societal Challenge 1 (whole Health programme)
Horizon 2020: Between 2014 and 2020
€ 1.200 billion in Societal Challenge 1 from which about 15% ICT related R&D&I
Horizon 2020: Between 2014 and 2015
Applying for funding – the process in brief
Publication of the calls
Submission of proposals
Signature grant agreement
Information on the outcome of the evaluator
Time to prepare the proposal
Preparation of the grant
Evaluation
eHealth and Horizon 2020
Future Goals:
• Involvement of the Member States
• Stronger commitment of the Member States in all working groups and relevant projects related to eHealth deployment
• Stronger Advocacy among and outside the stakeholders’ fora
• New Strategic policies and projects
• Creation of working groups and renewal of relevant projects in the area of eHealth development and implementation
• Consolidated Integration of eHealth projects on Horizon 2020
• Combine the research and innovation funding Programmes to address the eHealth related issues and the societal challenge of an ageing population.
•Thank you!