Digital Transformation in Low and Middle income countries

Importance of Interoperability and latest updates in Digital Health developments in

Europe

Nicole Denjoy COCIR Secretary General

Thursday 10 May 2017

1 Importance of Interoperability

2 Updates in Digital Health developments in Europe bull Blueprint bull EIP on AHA bull DEI

2

Table of contents

bull The slow deployment of interoperable digital health solutions across European countries remains a barrier for the scaling-up of integrated care

bull Lack of interoperability also presents a major hurdle for advancing the quality and efficiency in European health systems It prevents data sharing and hinders the ability to maximise the full potential of digital innovation

bull Current trends such as the uptake of connected health and Internet of Things technologies within the health social and wellness sectors pose further challenges both for open interoperability

3

Interoperability matters

CHALLENGES

All this means that hellip ldquothe discussion of interoperability isnrsquot only relevant to EHR systems but is part of the larger conversation of how data are shared across contexts We canrsquot avoid the old challenge of data siloes simply by

creating larger siloes How connected do systems need to be to be effective and efficient This is a conversation that the field desperately needs to haverdquo

- Cynthia Grossman Associate Director Science of Patient Input- Faster Cures

Joint COCIR- IHE- PCHA Recommendations on Interoperability

1 Importance of Interoperability

2 Updates in Digital Health developments in Europe bull Blueprint bull EIP on AHA bull DEI

2

Table of contents

bull The slow deployment of interoperable digital health solutions across European countries remains a barrier for the scaling-up of integrated care

bull Lack of interoperability also presents a major hurdle for advancing the quality and efficiency in European health systems It prevents data sharing and hinders the ability to maximise the full potential of digital innovation

bull Current trends such as the uptake of connected health and Internet of Things technologies within the health social and wellness sectors pose further challenges both for open interoperability

3

Interoperability matters

CHALLENGES

All this means that hellip ldquothe discussion of interoperability isnrsquot only relevant to EHR systems but is part of the larger conversation of how data are shared across contexts We canrsquot avoid the old challenge of data siloes simply by

creating larger siloes How connected do systems need to be to be effective and efficient This is a conversation that the field desperately needs to haverdquo

- Cynthia Grossman Associate Director Science of Patient Input- Faster Cures

Joint COCIR- IHE- PCHA Recommendations on Interoperability

bull The slow deployment of interoperable digital health solutions across European countries remains a barrier for the scaling-up of integrated care

bull Lack of interoperability also presents a major hurdle for advancing the quality and efficiency in European health systems It prevents data sharing and hinders the ability to maximise the full potential of digital innovation

bull Current trends such as the uptake of connected health and Internet of Things technologies within the health social and wellness sectors pose further challenges both for open interoperability

3

Interoperability matters

CHALLENGES

All this means that hellip ldquothe discussion of interoperability isnrsquot only relevant to EHR systems but is part of the larger conversation of how data are shared across contexts We canrsquot avoid the old challenge of data siloes simply by

creating larger siloes How connected do systems need to be to be effective and efficient This is a conversation that the field desperately needs to haverdquo

- Cynthia Grossman Associate Director Science of Patient Input- Faster Cures

Joint COCIR- IHE- PCHA Recommendations on Interoperability

Joint COCIR- IHE- PCHA Recommendations on Interoperability

What is the Blueprint

1 A stakeholder initiative to help scale up digital transformation of Health and Care

2 Bringing together demand and supply sides under a common vision

3 With commitments to address barriers and mobilise investments

4 Reaching concrete targets by 2018

5 Supported by the European Commission

5

4 European Initiatives ndash Blueprint (13)

BLUEPRINT TARGETS 2016-2018 CREATE A DIGITAL SINGLE MARKET FOR ACTIVE amp HEALTHY AGEING

INNOVATION

50 + REGIONS

DEPLOYING LARGE-

SCALE SUSTAINABLE

DIGITALLY-ENABLED

INNOVATIVE SOLUTIONS

FOR ACTIVE AND

HEALTHY AGEING

DEPLOYMENT OF

INNOVATION INVESTMENT PEOPLE

REACHING AT LEAST euro

500 MILLION INVESTMENT

IN DIGITAL INNOVATION

FOR HEALTH amp CARE euro250

MILLION PUBLIC

INVESTMENT ndash MATCHED

BY euro250 MILLION FROM

PRIVATE SOURCES

REACH ADDITIONAL

4 MILLION PEOPLE IN

EUROPE BENEFITING

FROM DIGITAL

INNOVATION ACTIVE amp

HEALTHY AGEING

5

bull Digital Health Roadmap It provides an overview of the core health IT functionalities and technologies required to deliver Integrated Care at different stages of the IC journey

COCIR contribution to the Blueprint

bull Digital Health Roadmap It provides an overview of the core health IT functionalities and technologies required to deliver Integrated Care at different stages of the IC journey

COCIR contribution to the Blueprint

7

bull A stakeholder-driven initiative launched by the European Commission to foster innovation in the field of active and healthy ageing

bull Has been conceived for connecting amp engaging public and private stakeholders across sectors that compose the innovation value-chain to accelerate scaling-up of innovation for active and healthy ageing and share best practices

bull The EIP pursues a Triple Win for Europe

bull EIP on AHA is driven by Action Groups (Commitments amp Collaborative Works) and Reference Sites (Regional ecosystems) ie coalitions of regions cities integrated hospitals or care organisations aimed at providing a comprehensive innovation-based approach to active and healthy ageing

health amp quality of life of European

citizens

growth amp expansion of EU industry

Sustainable amp efficient care

systems

+2 Healthy Life Years by 2020

httpseceuropaeueipageing

4 European Initiatives ndash EIP on AHA (23)

Source EIP on AHA

What is EIP on AHA

Digitising European Economy

bull Digital and physical technologies can be best brought to bear through coordinated platform activities across Europe and across many sectors

bull Mapping of EU MS and industry initiatives

bull Need to align national and European initiatives

bull Large-scale federating initiatives to demonstrate the value of digital platforms and to build the necessary partnerships and ecosystems

bull Digital Transformation of Health and Care one of the Focus Areas

bull Large Scale pilots in H2020 WP 2018-20

8

4 European Initiatives ndash DEI (33)

Thank you wwwcocirorg

10

Back-up slides

1 COCIR structure (linked to digital health activities)

2 COCIR activities and publications bull 2016 activities and publications bull 2017 activities and publications (including Interoperability joint position

paper)

3 COCIR partnerships bull eHealth stakeholder group bull HTA Industry Pool bull EU projects (eStandards Eurocas) bull Blueprint Champion bull Integrated Care Alliance bull Participating in DEI EIP on AHA (partner) bull EU Partnerships (HIMSS ESR ESTRO EFOMP) bull Working at International level with IMDRF WHO WB OECD and B20

11

Table of contents

Digital Health

bull COCIR Digital Health Committee

bull COCIR Data Protection Focus Group

bull COCIR Interoperability Focus Group

bull COCIR BlueprintIntegrated Care Task Force

bull COCIR mHealth Task Force

EU Regulatory Affairs

bull COCIR EU RA Focus Group

bull COCIR Medical Software Task Force

bull COCIR Post Market Surveillance Task Force

bull COCIR Clinical Evaluation Soft Group

bull COCIR UDIEUDAMED Soft Group

12

1 Structure (linked to eHealth activities)

2 COCIR 2016 ndash activities (12)

bull Integrated Care Alliance (June 2016)

bull Integrated Care Alliance and Call for actions (10) on IC launched in June 2016 in the European Parliament

bull Partners European Patients Forum European Critical Care Foundation Voka Health Community Eurocarers ESTRO European Union of Private Hospitals and Arsenal IT

bull COCIR 3rd annual eHealth Summit (December 2016)

bull Embedded into the European Summit on Innovation for Active and Healthy Ageing

bull High quality summit with approx 100 participants with good level of participation of multiple key stakeholders patients carers healthcare providers academia etc (30 participants) and EU and MS (13 participants)

bull Involvement in EC mHealth activities

bull Members of the privacy Code of Conduct drafting team and the mHealth quality assessment guidelines working group

Digitising European Economy

bull Digital and physical technologies can be best brought to bear through coordinated platform activities across Europe and across many sectors

bull Mapping of EU MS and industry initiatives

bull Need to align national and European initiatives

bull Large-scale federating initiatives to demonstrate the value of digital platforms and to build the necessary partnerships and ecosystems

bull Digital Transformation of Health and Care one of the Focus Areas

bull Large Scale pilots in H2020 WP 2018-20

8

4 European Initiatives ndash DEI (33)

Thank you wwwcocirorg

10

Back-up slides

1 COCIR structure (linked to digital health activities)

2 COCIR activities and publications bull 2016 activities and publications bull 2017 activities and publications (including Interoperability joint position

paper)

3 COCIR partnerships bull eHealth stakeholder group bull HTA Industry Pool bull EU projects (eStandards Eurocas) bull Blueprint Champion bull Integrated Care Alliance bull Participating in DEI EIP on AHA (partner) bull EU Partnerships (HIMSS ESR ESTRO EFOMP) bull Working at International level with IMDRF WHO WB OECD and B20

11

Table of contents

Digital Health

bull COCIR Digital Health Committee

bull COCIR Data Protection Focus Group

bull COCIR Interoperability Focus Group

bull COCIR BlueprintIntegrated Care Task Force

bull COCIR mHealth Task Force

EU Regulatory Affairs

bull COCIR EU RA Focus Group

bull COCIR Medical Software Task Force

bull COCIR Post Market Surveillance Task Force

bull COCIR Clinical Evaluation Soft Group

bull COCIR UDIEUDAMED Soft Group

12

1 Structure (linked to eHealth activities)

2 COCIR 2016 ndash activities (12)

bull Integrated Care Alliance (June 2016)

bull Integrated Care Alliance and Call for actions (10) on IC launched in June 2016 in the European Parliament

bull Partners European Patients Forum European Critical Care Foundation Voka Health Community Eurocarers ESTRO European Union of Private Hospitals and Arsenal IT

bull COCIR 3rd annual eHealth Summit (December 2016)

bull Embedded into the European Summit on Innovation for Active and Healthy Ageing

bull High quality summit with approx 100 participants with good level of participation of multiple key stakeholders patients carers healthcare providers academia etc (30 participants) and EU and MS (13 participants)

bull Involvement in EC mHealth activities

bull Members of the privacy Code of Conduct drafting team and the mHealth quality assessment guidelines working group

Thank you wwwcocirorg

10

Back-up slides

1 COCIR structure (linked to digital health activities)

2 COCIR activities and publications bull 2016 activities and publications bull 2017 activities and publications (including Interoperability joint position

paper)

3 COCIR partnerships bull eHealth stakeholder group bull HTA Industry Pool bull EU projects (eStandards Eurocas) bull Blueprint Champion bull Integrated Care Alliance bull Participating in DEI EIP on AHA (partner) bull EU Partnerships (HIMSS ESR ESTRO EFOMP) bull Working at International level with IMDRF WHO WB OECD and B20

11

Table of contents

Digital Health

bull COCIR Digital Health Committee

bull COCIR Data Protection Focus Group

bull COCIR Interoperability Focus Group

bull COCIR BlueprintIntegrated Care Task Force

bull COCIR mHealth Task Force

EU Regulatory Affairs

bull COCIR EU RA Focus Group

bull COCIR Medical Software Task Force

bull COCIR Post Market Surveillance Task Force

bull COCIR Clinical Evaluation Soft Group

bull COCIR UDIEUDAMED Soft Group

12

1 Structure (linked to eHealth activities)

2 COCIR 2016 ndash activities (12)

bull Integrated Care Alliance (June 2016)

bull Integrated Care Alliance and Call for actions (10) on IC launched in June 2016 in the European Parliament

bull Partners European Patients Forum European Critical Care Foundation Voka Health Community Eurocarers ESTRO European Union of Private Hospitals and Arsenal IT

bull COCIR 3rd annual eHealth Summit (December 2016)

bull Embedded into the European Summit on Innovation for Active and Healthy Ageing

bull High quality summit with approx 100 participants with good level of participation of multiple key stakeholders patients carers healthcare providers academia etc (30 participants) and EU and MS (13 participants)

bull Involvement in EC mHealth activities

bull Members of the privacy Code of Conduct drafting team and the mHealth quality assessment guidelines working group

10

Back-up slides

1 COCIR structure (linked to digital health activities)

2 COCIR activities and publications bull 2016 activities and publications bull 2017 activities and publications (including Interoperability joint position

paper)

3 COCIR partnerships bull eHealth stakeholder group bull HTA Industry Pool bull EU projects (eStandards Eurocas) bull Blueprint Champion bull Integrated Care Alliance bull Participating in DEI EIP on AHA (partner) bull EU Partnerships (HIMSS ESR ESTRO EFOMP) bull Working at International level with IMDRF WHO WB OECD and B20

11

Table of contents

Digital Health

bull COCIR Digital Health Committee

bull COCIR Data Protection Focus Group

bull COCIR Interoperability Focus Group

bull COCIR BlueprintIntegrated Care Task Force

bull COCIR mHealth Task Force

EU Regulatory Affairs

bull COCIR EU RA Focus Group

bull COCIR Medical Software Task Force

bull COCIR Post Market Surveillance Task Force

bull COCIR Clinical Evaluation Soft Group

bull COCIR UDIEUDAMED Soft Group

12

1 Structure (linked to eHealth activities)

2 COCIR 2016 ndash activities (12)

bull Integrated Care Alliance (June 2016)

bull Integrated Care Alliance and Call for actions (10) on IC launched in June 2016 in the European Parliament

bull Partners European Patients Forum European Critical Care Foundation Voka Health Community Eurocarers ESTRO European Union of Private Hospitals and Arsenal IT

bull COCIR 3rd annual eHealth Summit (December 2016)

bull Embedded into the European Summit on Innovation for Active and Healthy Ageing

bull High quality summit with approx 100 participants with good level of participation of multiple key stakeholders patients carers healthcare providers academia etc (30 participants) and EU and MS (13 participants)

bull Involvement in EC mHealth activities

bull Members of the privacy Code of Conduct drafting team and the mHealth quality assessment guidelines working group

1 COCIR structure (linked to digital health activities)

2 COCIR activities and publications bull 2016 activities and publications bull 2017 activities and publications (including Interoperability joint position

paper)

3 COCIR partnerships bull eHealth stakeholder group bull HTA Industry Pool bull EU projects (eStandards Eurocas) bull Blueprint Champion bull Integrated Care Alliance bull Participating in DEI EIP on AHA (partner) bull EU Partnerships (HIMSS ESR ESTRO EFOMP) bull Working at International level with IMDRF WHO WB OECD and B20

11

Table of contents

Digital Health

bull COCIR Digital Health Committee

bull COCIR Data Protection Focus Group

bull COCIR Interoperability Focus Group

bull COCIR BlueprintIntegrated Care Task Force

bull COCIR mHealth Task Force

EU Regulatory Affairs

bull COCIR EU RA Focus Group

bull COCIR Medical Software Task Force

bull COCIR Post Market Surveillance Task Force

bull COCIR Clinical Evaluation Soft Group

bull COCIR UDIEUDAMED Soft Group

12

1 Structure (linked to eHealth activities)

2 COCIR 2016 ndash activities (12)

bull Integrated Care Alliance (June 2016)

bull Integrated Care Alliance and Call for actions (10) on IC launched in June 2016 in the European Parliament

bull Partners European Patients Forum European Critical Care Foundation Voka Health Community Eurocarers ESTRO European Union of Private Hospitals and Arsenal IT

bull COCIR 3rd annual eHealth Summit (December 2016)

bull Embedded into the European Summit on Innovation for Active and Healthy Ageing

bull High quality summit with approx 100 participants with good level of participation of multiple key stakeholders patients carers healthcare providers academia etc (30 participants) and EU and MS (13 participants)

bull Involvement in EC mHealth activities

bull Members of the privacy Code of Conduct drafting team and the mHealth quality assessment guidelines working group

Digital Health

bull COCIR Digital Health Committee

bull COCIR Data Protection Focus Group

bull COCIR Interoperability Focus Group

bull COCIR BlueprintIntegrated Care Task Force

bull COCIR mHealth Task Force

EU Regulatory Affairs

bull COCIR EU RA Focus Group

bull COCIR Medical Software Task Force

bull COCIR Post Market Surveillance Task Force

bull COCIR Clinical Evaluation Soft Group

bull COCIR UDIEUDAMED Soft Group

12

1 Structure (linked to eHealth activities)

2 COCIR 2016 ndash activities (12)

bull Integrated Care Alliance (June 2016)

bull Integrated Care Alliance and Call for actions (10) on IC launched in June 2016 in the European Parliament

bull Partners European Patients Forum European Critical Care Foundation Voka Health Community Eurocarers ESTRO European Union of Private Hospitals and Arsenal IT

bull COCIR 3rd annual eHealth Summit (December 2016)

bull Embedded into the European Summit on Innovation for Active and Healthy Ageing

bull High quality summit with approx 100 participants with good level of participation of multiple key stakeholders patients carers healthcare providers academia etc (30 participants) and EU and MS (13 participants)

bull Involvement in EC mHealth activities

bull Members of the privacy Code of Conduct drafting team and the mHealth quality assessment guidelines working group

2 COCIR 2016 ndash activities (12)

bull Integrated Care Alliance (June 2016)

bull Integrated Care Alliance and Call for actions (10) on IC launched in June 2016 in the European Parliament

bull Partners European Patients Forum European Critical Care Foundation Voka Health Community Eurocarers ESTRO European Union of Private Hospitals and Arsenal IT

bull COCIR 3rd annual eHealth Summit (December 2016)

bull Embedded into the European Summit on Innovation for Active and Healthy Ageing

bull High quality summit with approx 100 participants with good level of participation of multiple key stakeholders patients carers healthcare providers academia etc (30 participants) and EU and MS (13 participants)

bull Involvement in EC mHealth activities

bull Members of the privacy Code of Conduct drafting team and the mHealth quality assessment guidelines working group

2 COCIR 2016 ndash Publications (22)

2 COCIR 2017 ndash activities (13)

bull COCIR Blueprint Champion

bull COCIR members have drafted a Digital Health Roadmap to Integrated Care as a contribution to the Blueprint

bull Seminar on Mafeip scheduled in June for COCIR members to assess the tool and discuss how to improve it

bull Participation at the eHealth Week

bull Hans Vandevyngaerde Agfa HealthCare and COCIR Board member to participate as speaker in the session ldquoScaling up Digital Innovation for Sustained Transformation of Healthcarerdquo

bull Ineacutes Hernando COCIR eHealth Senior Manager to co-moderate session on ldquoeHealth and Data Protectionrdquo

bull Digital Health Roadmap It provides an overview of the core health IT functionalities and technologies required to deliver IC at different stages of the IC journey

bull Joint paper COCIR-IHE-PCHA It provides joint recommendations on eHealth interoperability The paper also showcases how the IHE PCHA partnership works in practice and describes the experience of 2 countries (Austria and Switzerland) that have long-term strategies to build national interoperable eHealth infrastructures

bull Position paper on GDPR compliance It focuses on the operational challenges linked to complying with the principles of privacy by design and default The paper provides recommendations on the implementation of the GDPR for different stakeholders ndash Target June 2017

COCIR Position Paper on the General Data Protection Regulation

2 COCIR 2017 ndash publications (23)

bull Digital Health Roadmap It provides an overview of the core health IT functionalities and technologies required to deliver IC at different stages of the IC journey

bull Joint paper COCIR-IHE-PCHA It provides joint recommendations on eHealth interoperability The paper also showcases how the IHE PCHA partnership works in practice and describes the experience of 2 countries (Austria and Switzerland) that have long-term strategies to build national interoperable eHealth infrastructures

bull Position paper on GDPR compliance It focuses on the operational challenges linked to complying with the principles of privacy by design and default The paper provides recommendations on the implementation of the GDPR for different stakeholders ndash Target June 2017

COCIR Position Paper on the General Data Protection Regulation

2 COCIR 2017 ndash publications (23)

1 Member of the eHealth stakeholder group

2 Contribution to HTA Industry Pool study

3 Involved in 2 EU projects in the domain of standards and interoperability (eStandards Eurocas)

4 Blueprint Champion

17

3 Other partnerships and activities

4 Blueprint Champion

5 Partner of the Integrated Care Alliance

6 Participating in DEI EIP on AHA (partner)

7 EU Partnerships (HIMSS ESR ESTRO EFOMP)

8 Working at International level with IMDRF WHO WB OECD and B20