eHealth Solutions EvaluationFor Business models

FORUM CIS - April 19th, 2013, Barcelona

Increase of healthcare and social services demand Ageing population :

o In 2060, 23,6M pepole +60 years old (+80% compared to 2007)o A new concept of frailty, between autonomy and dependance

Increase of people suffering from chronic diseaseso In France, 8,3M people getting full reimbursement for long lasting complaint in

December 2008

Lessening of healthcare and social services supply Decreasing of medical demography (rural areas and suburbs) Loss of the social and intergenerational links Decreasing of health systems funds : need for long-lasting

business models

Challenges of the health system

Specificity of eHealth market At the crossing of different public policies :

healthcare/social/innovation-technologies Complex system : multiples actors/many funders ->

responsabilities and decisions authorities diluted Difficulties for the Proof of Concept (POC)

o Distributed expertiseso Heterogeneity of standards and normso Transferability of solutions (heterogeneous contexts)

A necessary collective approach Users : Patients & Health Professionals Suppliers : solutions and products providers Funders : public and private actors

The eHealth market

Need of a new way to deliver care and social services Increase efficiency of health systems

But keep main aims : Increase quality of healthcare services Develop a best access to healthcare Develop Home care Best coordination of Healthcare professionnal Formation (e-learning)

Challenges and stakes

The main challenge for eHealth development isn’t technologic but organizational : Define lasting Business Model Convince of medical and economic impact

Project carried by the Centre e-santé – certified by the French Ministry of Industry in 2011

Need noticed during the Centre e-santé activities : • Lack of knowledge about the health sector : vocabulary,

practices…• Lack of medical and organizational projects previous the

formalization of technical projects• Lack of expertise « bi-sectorial » : health and ICT• Need for accompaniment on the new eHealth market• Need for information about the market and evaluation

methods• Need for normalization of solutions through a multicriteria and

certified evaluation

Genesis of Platinnes

platinnEs is a single window offering a portfolio of recognized experts and test sites in high-tech sectors to accelerate e-health technologies development and its market access:

• eHealth Contract Research Organization (CRO) : o Management of eHealth clinical trialo Multidimentional Assessment

• e-health market decoding for companies, economic models analysis and access to health and home care services funders

• Support for public and private actors in the definition of strategy in e-health

• Support for the management of collaborative projects

Platinnes : unique e-health innovative platform in Europe

Example of telemonitoring

Who and where are the patients ? Which target ? Who and where are the caregivers or medical/social services? We need eHealth solutions :

Who and where are techologies providers? What is the value chaine ? The value sharing ?

Who will pay for that ? Public or private funders ? Both ? Which business models ?

How to assess eHealth Solutions ? We need experts on many fields and coordinate them We need to recruit patients We need to check normative and legal aspects, administrative

processes

eHealth Evaluation : why and how ?

Aim of evaluation : support to the decisionWhy ? Prove the adequacy to the needs of professionals (health & social)

and of patients Prove the economic relevance Prove the organizational relevance and improve the efficiency of the

systemsHow ? Mutidimentional evaluation Medical and social impact (health, quality of life, wellness…) Organizational models Technologies : reliability, robustness, interoperability… Legal, regulatory, normative and ethical aspects Acceptability and ergonomy of eHealth solutions for professionals and

patients Economic assessment

eHealth Evaluation : why and how ?

Platinnes Organizationo A multidisciplinary internal team : economist, engineer,

healthcare professional, sociologist, clinical research assistant, jurist…

o A pluridisciplinary Experts Network (medicine, technology, law, economy, sociology, ethics, psychology / ergonomy)

o A test sites Network (inside laboratories or at home) to welcome experimentations

eHealth Evaluation : why and how ?

Perspectives for Europe

Develop common standards Example : interoperability Healthcare Information Systems (project

EpSOS)

Harmonization of eHealth solutions assessment methodologies

Develop certifications of eHealth solutions Good practices Common performance indicators Barriers : different health and social systems between Member

States

Thank you for your attention

More information :

Emilie MASSELOT, Project Manageremilie.masselot@centre-esante.com

www.platinnes.comTel : +33 5 34 46 63 36

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