Healthcare in the EU Patients getting help across borders?

Transcription

1 Twitter #conhit Connecting Healthcare IT - conhit 2016 Messe Berlin Healthcare in the EU Patients getting help across borders? Tapani Piha Head of Unit Cross-Border Healthcare and ehealth Health Systems, Medical Products and Innovation

2 Healthcare across borders How you can get healthcare services across borders Emergency care Planned care ehealth and cross-border possibilities E-prescription and patient summary European Reference Networks & Telemedicine mhealth (r)evolution In the Horizon 2020 Big Data Personalised Medicine European Cloud tp

3 ehealth why an EU co-operation? ehealth has great cross-border potential, and is not bound to local setting Quality argument: Ensure continuity and quality of care across borders provided in emergencies or on occasional basis Research argument: enhance the quality of ehealth research, more data EU wide, better pilots many MS; share experience Shortage of resources: address the lack of funding and legal expertise by pooling resources and expertise Economic argument: strengthen the ehealth market by promoting interoperability and addressing its fragmentation jb / tp

4 How you can get healthcare services across borders Emergency care Planned care

5 Have you ever needed healthcare in a country other than your own due to an illness or accident? 1 Yes 2 No

6 The Regulations and the Directive Regulations on coordination of social security schemes Emergency treatment Prior authorisation for planned care Reimbursement between institutions Public providers only Directive on patients rights in cross-border healthcare Main rule: no prior authorisation Pay directly to the provider Reimbursement based on national tariffs Public and private providers and medicines tp

7 Patients rights in Cross-border Healthcare Directive 2011/24/EU National implementation since 2013

8 described as. the most significant and wide ranging European health legislation in a generation. DH Leading the nation s health and care

9 Three aims 1. Help patients to exercise their rights to reimbursement for treatment in any EU country 2. Provide assurance about safety and quality of cross-border care 3. Establish formal cooperation between health systems 9

10 Directive makes receiving treatment in another country possible Main rule: no prior authorisation Pay directly to the provider Reimbursement based on national tariffs Public and private providers, medicines Implementation since 2013 tp

11 Cooperation between health systems Recognition of prescriptions A prescription issued in another EU country will be recognised in a patient's country of residence and vice versa. Issued in ehealth connecting Member States Connecting national ehealth systems for continuity, quality and safety of care, and health research. European Reference Networks Bring specialised centres accross Europe together to help experts to disseminate information and expertise. tp

12 ehealth Network Article 14 of Directive Leads cooperation of Member States Gives direction to ehealth developments tp 10/12/2015

13 Citizens and cross-border possibilities E-prescription and patient summary European Reference Networks & Telemedicine

14 Connecting Member States for health data exchange MS MS Hospitals GPs ( ) MS tp 27/09/2015

15 ehealth Network Guidelines Patient summary data (2013) eprescriptions (2014) Operational Framework for the National Contact Point for ehealth (2015) Refined ehealth European Interoperability Framework (2015) tp 19/01/2016

16 National ehealth networks Ireland s vision Finland

17 ehealth Digital Service Infrastructure DSI Hospitals NCP Core services NCP GPs Horizontal Building Blocks eid, ( ) ehealth Building Blocks terminology server, tp 19/11/2015 NCP NCP: National Contact Points is Member State's connection to the EU network

18 Connecting Europe Facility (CEF) supports building of the real exchange of e-prescriptions and patient summaries 2015 The CEF Work Plan allocates 15 mill. March Member States sent proposals 2018 First countries go live tp 14/04/ Last countries go live

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20 European Reference Networks Imagine if the best specialists from across Europe could join their efforts to tackle complex or rare medical conditions that require highly specialised healthcare and a concentration of knowledge and resources.

21 Key features of European Reference Networks Provide diagnosis and treatment in rare diseases Patient centered and clinically lead 10 members - hospitals, clinics - in at least 8 countries Call for proposals open until 21 June 2016 Based on Article 12 of the Directive on Patients Rights

22 ERNs - Telemedicine and Networking Remote training Memeber Remote guidance and Diagnosis Member Secure exchange of patient information, databases, registries Member Virtual clinical patient consultation (tumour boards) Member Remote monitoring and follow-up Local Healthcare Provider Local Healthcare Provider

23 Do you think that you could search healthcare from another country in some situations? 1 Yes 2 No 3 Not sure

24 mhealth (r)evolution In the Horizon 2020 Big Data Personalised Medicine European Cloud

25 Green Paper & Policy Response on mhealth Public consultation gathered stakeholders proposals on the main challenges to mhealth deployment data protection, legal framework: liability, safety healthcare systems: reimbursement web entrepreneurs' market access Policy response Code of Conduct on privacy and security - DPD Art 27 Guidelines for assessing validity of data for linking apps to electronic health records ehealth Network s working group of Member States discuss common challenges and national strategies

26 72% of EU individuals uses INTERNET regularly 150 Million subscriptions fixed Broadband 130 mobile subscriptions per 100 people DIGITAL BUSINESS HALF of EU enterprises provide mobile devices for business use million EUR turnover of EU B2C ecommerce (2012) 14% of EU SMEs selling online 28% EU enterprises use Social media 29% of EU enterprises use e Invoices DIGITAL ECONOMY ICT drives 1/3 rd EU GDP growth % EU venture capital estimated demand/supply gap by % work outside ICT sector ICT in Other Sectors ICT sector 4.4% 17% EU patents ICT professionals 7% of GDP Size of the 6% of Gov't R&D 2.4% of workforce digital economy 17% of business R&D by ICT sector Digital Single Market Strategy + 4.1% yearly employment growth

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