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DIGITALIZATION in HEALTHCARE
INTELLIGENT PATHWAYS
Michèle Thonnet European eHealth Committee member Chair ‘global positioning & cooperation’ TF eHealth European & International Executive
Winnipeg, M Thonnet, 2017-10-03
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Digitalisation Healthcare : A national Strategy
• Strategy :
– Goal – Clear objectives – Long term vision – Visibility – Consensus building
• (e)Health Winnipeg, M Thonnet, 2017-10-03
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Pre requisites • Health … strategy
• Based upon Health demand
• Build upon individual and population … Needs, Wishes, Speed and Mobility
• Capitalising (suffering ?) on the existing ecosystem
• Open to innovation and new business model
Winnipeg, M Thonnet, 2017-10-03
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IS overview
services Public / Private
Infrastructure To be organised and given by the public authorities
Care Providers Management systems Market products
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Délégation à la Stratégie des Systèmes d’Information actors, stakeholders and IS, repositories
Institution responsable :
Système d’information des opérateurs
SNIRAM (Assurance
Maladie)
RPPS
Vigilances
Principaux référentiels partagés
Veille et alertes : ARS, ANSM,
ASN, EFS, ABM
SESAM Vitale
Référentiels documentaires (HAS – ANAP)
INS
CPS/CPE
Assurance Maladie
Obligatoire
FINESS
Bases de recherche
Assurance Maladie
complémentaire
Système d’information
Etat
Système d’information ARS
Autorisation Contractualisat
ion
SI ARS, ABM, EFS, ANSM,
ASN
Annuaires RCP Trajectoir
e
Système d’information Etablissement Public Scientifique et Technique
Système d’information
Autonomie
Messageries sécurisées
Dossier Pharmaceutiq
ue
Patients
CI-SIS
GHS/GHM
(ATIH)
NGAP
CIM10
SNOMED
Internat.
Autres référentielsmétiers
…
Cadre Légal
(Ministère)
LOINC
LPP NABM
Télé Services
AM
ATC
CCAM (ATIH)
ASIP
ASIP + Autres
Assurance Maladie Ministère et Autres agences
Org. Internat
DRESS
CNOP
Autres
Dossiers
Médicaux
régionaux
PMSI (AM + ATIH)
ADELI
SIREN/SIRET
SI des Structures d’Exercice Coordonné - (HAD, Réseaux, Maisons de Santé, centre de santé)
Logiciels de professionnels de santé (Professionnels de santé)
Système de gestion de laboratoire (Laboratoire d’analyses Médicales)
Systèmes d’information Radiologique
Système d’information Hospitalier (Etablissements de santé)
Système de gestion des appels (SAMU & SDIS)
CDC SESA
M Vitale
Répertoire opérationnel des Ressources (ROR)
Production et facturation
Coordination
Dossier Médical Personnel
Télémédecine
Information patient
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eHealth strategy elaboration method
• Beyond patients and HPs – Legal, policy, authorities ( multisector ) – HC organizations, HP chambers – Industry – Citizens, Family
• Co-creation / co-construction based on agreed Health objectives
• Versioning, iterations
Winnipeg, M Thonnet, 2017-10-03
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eHealth as an enabler for HEALTH
• Health strategy : 01/2016 French new modernisation law of the Health
care system
• eHealth (enabling elements) mandatory components of the law – ID, patient consent, personal data protection, right to
forget, traceability, archiving, – Security and IOP certified FW, standards and
interfaces – Clear responsible entities and implementation
process and deadlines
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What eHealth Health and IT
Telemedicine def and regulation
telesurveillance
IoT
HP and HCP IS
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2 axis:
– Actions to serve the Health policy Patients, HP, management of the system – Create a positive environment for the
eHealth deployment Open initiative and co construction
France A new eHealth strategy for 2020
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Citizen centric system for the individual
• Facilitate care access through telemedicine • Simplify administrative procedures • Facilitate information access for, by the patient • Better informed on Health and care services • Increase awareness and ease the follow up of own personal indicators
- telesurveillance - Robust process on mobile health apps usage
Winnipeg, M Thonnet, 2017-10-03
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eHealth for individual and for the population
• Promote collective vision and sharing requirements • Involve and empower citizens for improving the Health organisation •Push the digital use by patients and HPs
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• Develop digital curricula, training course, MOOC • Reinforce consistency and visibility of the innovation programs • Support the DSS development and integration • Ease the co construction process of digital integrated solutions
eHealth for the benefit of HPs
Winnipeg, M Thonnet, 2017-10-03
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• Clarify the roles at national and regional levels
• Establish and publish clear priorities Business model, innovation, change management
• Give visibility to the industry and STH
• Deploy a national IOP FW allowing open innovation
Create a positive environment for the economic actors
Winnipeg, M Thonnet, 2017-10-03
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Modernise the piloting instruments • Speed the development process of assessment methods adapted to multi technological solutions • Digital supporting low level signs for better vigilance •Big Data for health • Governance model eHealth strategic committee
Winnipeg, M Thonnet, 2017-10-03
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The national Framework Legal FW : exchanging and sharing personal info. Patients rights Repositories, processes: HCPs/PS/Patients Toward a consistent requirements FW standards based, in line with EU and international ones
•urbanisation • security and confidentiality (PGSSI) • IOP
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Where and how to act
Services Public/ Private
Infrastructure To be organised by the public Authorities
Care providers Management Systems Products from the Market
Supporting services and ecosystem
Legal FW, standards repositories
Incentives -labelling, funding, Call for projects:
Gouvernance
Strategy
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The European dimension
• Facilitate the free movement of citizens – Patients & HPs
• Increase IOP, security & confidentiality – Data & e-Services
• Build upon the EU legislation – DIR 20111/24/EU and beyond
Winnipeg, M Thonnet, 2017-10-03
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Winnipeg, M Thonnet, 2017-10-03
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The European dimension From art 168 TFEU to European official e-Health Committee : eHealth Network ; 2 meetings/year
Voluntary representative of the M.S ( 28 MoH) Agreement on common priorities global cooperation standardisation
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MWP : 2015-2018 4 main axis (JAseHN)
IOP & standardisation Exchange of K Monitoring & assessment of implementation Global cooperation & positioning Main outcomes: PS & eP guidelines Policy framework NCPeH : CEF 2015 International Cooperation : IPS (CEN/ISO)
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New MWP 2018-2021(1) Empowering people
mHealth & apps reliability Patient access & use of data Telehealth
Innovative use of health data Big data and innovative (re) use Common vision Governance & Methodology
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New MWP 2018-2021(2)
Enhancing continuity of care CB-eHDSI : use cases Legal challenges
Overcoming Implementation Challenges IOP Data protection & Security Impact/Evaluation
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Winnipeg, M Thonnet, 2017-10-03