eHealth Projects in Germany- funded by eTEN –
eMAC Meeting
German Federal Ministry of Economics and Labour (BMWA)
2005-05-12, Berlin
Best-Practice for eTEN Projects
Reinhold A. MainzFederal Ministry of Health and Social Security (BMGS)
Project Group Telematics - Electronic Health CardCoordination for eEurope, EU action plans and programmes, international activities
eTEN Programme:
Supporting market validation and implementation (of IST RTD results)
Reinhold A. MainzFederal Ministry of Health and Social Security (BMGS)
Project Group Telematics - Electronic Health CardCoordination for eEurope, EU action plans and programmes, international activities
32005-04-28
Objective Validation & deployment of public interest e-
Services
Orientation eEurope 2005 and beyond (iEurope 2010)* eTEN supports
implementation (no R&D or infrastructure support)
Themes eGov, eHealth, eLearning, eInclusion, Trust &
Security, services for SME’s
Procedure Calls for proposals* selecting the highest quality
within the available budget
Requirement - Trans-European dimension
- practical service demonstrationsbridge the gap between RTD and the marketplace: pragmatic, business, practical
42005-04-28
Some examples of good-practice eHealth projects –
funded by eTEN - with German partners
• Mobilalarm
• Netc@rds
• I2-Health
52005-04-28
MobilAlarm– A location-independent emergency service for older and disabled people
Slides from: Dr. Karl & Dr. Veli Stroetmann
empirica Institute for Communications- and Technology Research
Oxfordstraße 2, 53111 Bonn, Tel.: +49 (228) 985 3044, email: Karl dot Stroetmann at empirica dot com
62005-04-28
Supported by eTEN March 2004 - August 2005 Testing an innovative alarm service for
older, chronically ill and disabled people and all those concerned about safety while outside
Objective: prepare market role-out in EU
A Good Practice Case: The MobilAlarm Project
Validating European Mobile Alarm Services
for Inclusion and Independent Living
72005-04-28
Participantsempirica Technologieforschung GmbH (Bonn, DE)
Coordinator, private research & project consultancy
Attendo Systems GmbH (Ismaning, DE)
delivering device & service centre software
Telehealth S.L. (Valencia, ES)
Consultancy on ICT solutions for social services
Fundación Andaluzia de Servicios Sociales (Seville, ES)
public tele-assistance service provider
Attendo Response Ltd. (Rotherham, UK) private response service provider
Recontrol (Karlsruhe, DE)
private response centre
plus User Groups: Patients, Hospitals, Welfare, NGO, Police, ...
82005-04-28
The service will enable users to initiate an alarm call with a
specifically designed device.
On pressing the alarm buttons, a voice connection to a professional
service centre is established. The device calculates location
data by using the Global Positioning System (GPS) satellites and
transmits the position to the service centre: the operator needs
only one click for locating and mapping the user’s position on the
screen.
Service centre staff immediately calls people who can help.
Description
92005-04-28
On pressing alarm buttons: GSM voice connection to service centre
Location data calculation through Global Positioning System (GPS)
User location shown on electronic map on operator‘s screen
People who can help alerted immediately (relatives, neighbours, doctors, rescue services)
Service
102005-04-28
Specifically designed Size: slightly smaller than common
mobile phone Weight: only 100 gram Easy to handle: only five buttons Two lateral alarm buttons for being
pressed at once (simple but prevents false alarm)
Battery life of up to six days
Device
112005-04-28
The overriding objective of MobilAlarm is to test and evaluate the
technical, organisational and economic characteristics of this
trans-European tele-assistance service and to prepare its
accelerated roll-out in Member States.
Objectives
122005-04-28
Verification of regional user requirements & localisation of technology
Three test phases:
- Internal tests with service centre employees
- Small-scale pilot tests with real clients
- Large-scale tests with about 40-100 clients in 3 markets
Further tests with real customers will be conducted in the core stage of the project in spring 2005, allowing to adjust the device and service to particular user
requirements.
Tests in Germany, UK, Spain
Development of Deployment Plan
Methodology
132005-04-28
A current technical challenge is that the locating function cannot
work when the device is shielded from a sufficient number of
GPS satellites. This may be the case, for example, inside
buildings, in urban “building canyons” and in dense forests.
This problem of conventional GPS will be eased by a new
technology named Assisted GPS (A-GPS). By being assisted
through the mobile phone network, the device holders can be
located even inside buildings and other shielded locations with an
accuracy of five meters.
Technical Challenge
142005-04-28
Experienced project coordinator (proposal writing, contract negotiation, financial issues -> empirica)
Committed industry partner (-> Attendo) All elements of the value system included
(from device production to user groups) Intermediary for language translation and management,
if need be (-> Telehealth) One partner with experience in an eTEN project
Important issues for consortium composition
152005-04-28
Attendo had business idea but not enough resources for market testing
Representatives from empirica and Attendo knew each other from conferences (networking like EHTEL (http://www.ehtel.org))
Concrete project idea was developed, consortium formed (at least 2 independent partners in 2 Member States)
Proposal was written After acceptance: number of partners reduced, workplan
modified
History
162005-04-28
(1) Management
(2) Business and Deployment Plan
(3) Requirements extension
(4) Technical testing
(5) Trials
(6) Marketing
-> typical work packages of an eTEN project
Work packages
172005-04-28
Administrative workload has to be considered Deliverable writing takes much time and
requires trained people For most partners, an eTEN project is extra work =>
continuous professional project management indispensable
Important issues for day-to-day work
192005-04-28
Project website: http://www.mobilalarm-eu.org
Some project partners: http://www.empirica.com - http://www.attendo.de
e-mail: veli at empirica dot com
More information about MobilAlarm
202005-04-28
Netc@rds – Smart Card and Network Solutions for the
Electronification of the European Health Insurance Card
Slides from: Central Research Institute of Ambulatory Health Care in Germany (ZI), Herbert-Lewin-Platz 2,
10623 Berlin; email: [email protected]; Tel.: +49-30-4005-2418
212005-04-28
FranceFrance
Austria
Denmark
Italy
Greece
Finland
Hungary
Czech
Slovakia
Slovenia
Declaration of Accession:
others welcome
A Good Practice Case: The N E T C @ R D SN E T C @ R D S Project Countries with participating
contract partners:
222005-04-28
Setting the field
• March 2002• Basic decision of the European Council in Barcelona for
a European Health Insurance Card (EHIC)• February 2003
• Proposal for gradual phasing of visual EHIC (2004) towards an electronic EHIC (2008)
• October 2003• Decisions No. 189, 190, 191, on introduction of the
visual EHIC• June 2004
• Start of roll-out of the visual EHIC
232005-04-28
Objectives of Netc@rds
• Online verification of insurance data to prevent fraud and misuse
• Fostering mobility of European citizens
• Simplification of procedures for involved institutions:
- Health insurance providers
- Healthcare providers
- Interstate clearance bodies
• Integration of electronic data sets for EHIC into national cards
• Contribution to interoperability of eHealth in Europe
242005-04-28
Work items of Netc@rds
1. Status survey and analysis on EHIC handling
2. Technical proposal based on the NETC@RDS-cases
• Proposal for electronic data storage on chip cards
• Suggestions on interoperable infrastructure components
• Demonstrator setup of a verification network
• Automated optical data capture of conventional EHIC
• Post-processing interface of EHIC data (XML Output file)
3. Strategic proposal for eEHIC introduction
252005-04-28
Private payment Fill-out form 80 or photocopy
EHIC and ID
Declare duration of intended stay by insured on form 81
Specify chosen insurance provider by insured on form 81
Treatment
Archiving form copies for 2 years
Certify identity by physician
Identity CheckPassport or ID-Card
Sending forms immediately to chosen health insurance
Patient arrives with EHIC
Not available
Prototype example of EHIC handling
262005-04-28
Case 4: datasetcaptured from eye-readable medium
(EHIC, paper)
Home CountryMember-State
Member State ofTemporary Stay
Case 2: dataset captured from chip card & server
Case 3: datasetcaptured from server
Case 1: dataset captured from chip
cardhealth
insurancedata server
Netc@rdsdataset
Netc@rdsdataet
Netc@rdsdataset
Netc@rdsdataset
Netc@rds-Cases1-4
272005-04-28
eEHIC in process model viewpoint
1. Access / Data capture – the individual data must be available on the health care site completely and correctly
2. Identification – the concordance of the ID-data with the patient are verified
3. Verification – the entitlements rights of the person are checked
Access
Data capture
Identification
Verification
Trustworthy dataset
An electronic European Health Insurance Card (eEHIC) is a process with the result of a trustworthy data set for
entitlement at the healthcare provider.
282005-04-28
Health insurance chip cards available in the Netc@rds pilots
France
Slovenia
Germany Austria
Italy (Lombardia)
292005-04-28
Summary
Online verification of entitlements rights
Replacement of paper forms
Contribution to interoperability
Interoperable dataset to foster electronic post-processing
Cost-effective extension to new card schemes
Simplified access to foreign healthcare systems
Fostering mobility of European citizens
302005-04-28
Project website located in France: please use a search machine
Co-ordinator of the German project partners: http://www.zi-berlin.de
email: [email protected]
More information about Netc@rds
312005-04-28
I2-Health– A support action for an Interoperability
Initiative for a European eHealth Area
I2-HealthI2-Health
332005-04-28
eHealth services in Europe:
Dynamic development driven by
citizen demand Mobile citizens want to use eHealth services all other
Europe
Cross-border health care / European-wide services
Services used at home shall be available while staying in other Member States / countries
Use of specialiced centres in Europe
Systems (in Europe) must be interoperable
342005-04-28
Political targets
Mobility of citizens
Cross border e-Health services
European-wide e-Health services
Information about health and possible treatment and care, including
sufficient information to enable informed consent to treatment
European mechanisms to facilitate access to care in other Member States
and information about them
Patient empowerment
Patient-centred care
Efficiency and quality of health systems
352005-04-28
The challenge
The support of mobile citizens by european-wide or cross-border eHealth
services is only possible if similar local services are interoperable to each
other
aspects of interoperability are
legal and contractual framework, organizational agreements
technical connection of infrastructures like networks and middleware
services
standardized technical protocols for secure data transmission and
providing
agreements on structure, syntax, terminology, coding and
presentation of data
definition of the semantic of data and the given context and its
description by meta data
362005-04-28
Co-operation in Europe on eHealth
Transparency about national developments gives chances to learn from others
Finalized developments can be used by others to avoid reinventing the wheel example: framework architecture / specification of the German card
Co-operation backed by agreements on the policy level:European Interoperability Initiative, driven by the health ministries
372005-04-28
The EC eHealth Action Plan 2004Overview of actions with responsibility
by the Member States: 2005
Develop a national or regional roadmap for e-Health Deploying e-Health systems Setting targets for interoperability Setting targets for the use of electronic
health records Address issues such as reimbursement of e-
Health services
382005-04-28
The EC eHealth Action Plan 2004Overview of actions with responsibility
by the Member States: 2006
Common approach to patient identifiers Interoperability standards Health data messages Electronic health records Support and boost investment in e-Health
392005-04-28
Report of theHigh Level Group on Health
Services and Medical Care 2004to the Council of the European Union
Interoperability is the corner stone supporting citizens mobility and patient centred care
Appropriate structures for cooperation on information and e-health must be implemented
The needed resources must be secured
402005-04-28
eHealth Standardisation Focus GroupMain Recommendation
(2005)
Establish a platform with a mandate and the
necessary resources to facilitate co-
operation between European Member States
with support of the European Commission to
promote e-Health interoperability for the
mobile citizen
The Member States` Interoperability Initiativefor a European eHealth Area
Initiated byGermany, Austria, France, Norway, Slovakia,
The Netherlandssupported by
the EC
2004-06-01, Brussels
Member States`ministries of health
Interoperability Initiative
41
The Member States` Interoperability Initiativefor a European eHealth Area:
Supporting EC projects on the management level
InformalSteering Committee:
EHTEL Healthcare Authorities Governmental Group
I2-Health?
Member States`ministries of health
Interoperability Initiative
42
The Member States` Interoperability Initiativefor a European eHealth Area:
First supporting or proposed projects
InformalSteering Committee
Member States`ministries of health
Interoperability Initiative
I2-HealthTMA-Bridge Netc@rds ++ERA eHealth CA
...
BilateralProjectD – F
cross borderhealth cards
BilateralProject
ePrescription /medication
management
BilateralProjectA – D
connector ...
BilateralProjectD – NL
document WebSite
43
442005-04-28
Interoperability Initiative for a European e-Health Area – Support Action
I2-Health Support Action for the eTEN Programme
Slides from: Dr. Karl & Dr. Veli Stroetmann
empirica Institute for Communications- and Technology Research
Oxfordstraße 2, 53111 Bonn, Tel.: +49 (228) 985 3044, email Karl dot Stroetmann at empirica dot com
A Good Practice Case: The I2-HealthI2-Health project
452005-04-28
Interoperability of health information systems:
• “Member States have expressed the need to support actions that cover the development of standards addressing the interoperability of diverse systems and services and
• to explore in particular the possibilities of open source applications to achieve this objective. ...
• The exchange of experience in the use of open standards and open source solutions among health administrations in Member States should be promoted.”
Communication from the European Commission (COM(2004)356) 30.4.2004 “e-Health – making healthcare better for European citizens:
An action plan for a European e-Health Area”
Background
I2-HealthI2-Health
462005-04-28
Project start: 1 February 2005
Project duration: 24 month
Consortium: • empirica Institute for Communications- und Technology Research,
Bonn, Germany (Coordinator)Members to empirica:• Work Research Centre Ltd. (WRC), Dublin, Ireland• Central Research Institute of Ambulatory Health Care in the Federal Republic of Germany (ZI), Berlin, Germany• Technical University of Košice (TUK), Slovakia
• European Health Telematics Association (EHTEL), Brussels, Belgium
Reports are given to:(Informal) Steering Committee of Member State Healthcare Authorities
I2-HealthI2-Health
472005-04-28
• Initiate a coordination process for accelerating the deployment of e-health infrastructures and functional applications which are interoperable for trans-European use
thereby
• Enabling cross-country, interoperable e-health applications
while
• Safeguarding appropriate data security and privacy requirements.
Strategic goal
I2-HealthI2-Health
482005-04-28
• Identify interoperability and connectivity issues and priorities, barriers and gaps, and solution approaches
• Focus on fundamental interoperability issues (identification of actors, organisations, adequate measures to achieve interoperability, integration tests and certification)
• Analyse similarly key topics relating to e-prescription and messaging
• Develop a roadmap and concrete projects involving all relevant actors - guided by an open discussion process amongst Member State Healthcare Authorities and stakeholder groups
Objectives
I2-HealthI2-Health
492005-04-28
Workpackage overview and interrelationships
WP
1 C
on
cep
tual
Fra
mew
ork
WP2 Analysis of infrastructure concepts and building blocks, services and applications
WP6 Management
WP4 Workflow interoperability, prescribing and messaging
WP3 Identification management of actors, organisations and system components;
fundamental interoperability issues,
WP5 Dissemination
I2-HealthI2-Health
502005-04-28
Expected results
• Report on European-level key e-health interoperability issues and activities needed to overcome barriers
• Identification management e-health interoperability issues: gaps and needs analysis, and solution proposals
• E-prescribing and messaging: gaps and needs analysis, and solution proposals to achieve interoperability of existing implementations
• European e-health interoperability plan and roadmap: enabling the Interoperability Initiative
• Policy level
• Management level
• Implemenation level
I2-HealthI2-Health
512005-04-28
Project website in preparation
Project coordinator: http://www.empirica.com
e-mail: veli at empirica dot com
More information about I2-Health
I2-HealthI2-Health
522005-04-28
What can we learn from good practices?
idea with a real market chance? idea supporting urgent political needs? idea has support from the political scene? idea pragmatic / practical? consortium partners from different EU countries? consortium partners with experience in EC funded
projects? consortium leader is well accepted by EC staff? industry and relevant stakeholders involved?
532005-04-28
Do you have questions?
Tel. +49 228 941 3199
Many thanks for your attention!