ALEC 2014 - Norrbotten

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:


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:


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:


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:


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


http://www.renewinghealth.eu/en/

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


http://www.chainoftrust.eu/

• 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







• 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


http://www.epsos.eu/

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


http://ec.europa.eu/information_society/apps/projects/factsheet/index.cfm?project_ref=297206


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.





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


http://www.epractice.eu/files/Trillium Bridge - Catherine Cronaki.pdf

http://www.epractice.eu/files/Trillium Bridge - Catherine Cronaki.pdf

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


http://www.epractice.eu/files/CAMEI - Stathis Konstantinidis.pdf

http://www.epractice.eu/files/CAMEI - Stathis Konstantinidis.pdf

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.


ICT

The Work Programme 2014/15 is online

http://ec.europa.eu/programmes/horizon2020/


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


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"


Understanding the call topics: example

• 'PHC 2 – 2015'

• 'Specific challenge'

• 'Scope'

• 'Expected impact'

• 'Type of action'


Applying for funding – your one-stop shop

http://ec.europa.eu/research/participants/portal


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


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


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



€ 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


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!

Documents

ALEC 2014 - Norrbotten