Istanbul, Wed. 4 June 2014

Introduction to COCIR

How to ensure successful development of eHealth? Kevin Haydon

COCIR President

Executive Vice President, Philips Healthcare

Table of Contents

1. COCIR Outline

2. Innovation in Medical Technologies

3. How to ensure successful development of eHealth?

4. COCIR Publications

1. COCIR Outline

What does COCIR do?

COCIR covers 3 key industry sectors: • Medical Imaging • Electromedical • Health ICT

Our Industry leads in state-of-art advanced technology and provides integrated

solutions covering the complete care cycle

With offices in Brussels and in China, COCIR promotes the use of advanced medical and ICT technology towards seamless care delivery and shared knowledge to build a better world with improved access to affordable, quality and safe healthcare

COCIR is a non-profit trade association, founded in 1959, representing the medical technology industry in Europe

COCIR Member Companies

Belgium UK Spain

Netherlands Netherlands Finland France

Germany Germany Sweden Turkey

Germany

COCIR National Trade Associations Members

COCIR at international level

COCIR’s Focus: Sustainable Healthcare systems

• At the crossroads of medical imaging, clinical processes and Information and Communication Technology, COCIR develops and promotes strategies to move towards sustainable Healthcare systems in Europe and beyond.

• COCIR aims to:

1. Represent the interest and activities of its members at international, European and national level

2. Engage with key stakeholders on economic, market, environmental, regulatory, technical, research and innovation matters

3. Support International and National Trade Associations

4. Demonstrate the value of medical and ICT technology and encourage its wider availability, deployment and adoption

5. Act as an open and trusted forum and foster cross-sectoral collaboration

2. Innovation in Medical Technologies

Challenges

Cardiovascular diseases Cancer Chronic respiratory disease

Diabetes

17.5mm

7.6mm

4.1mm

1.4mm

Chronic disease deaths Worldwide

35 million deaths from chronic disease

2

60% of all deaths result from chronic disease

Deaths from chronic disease will increase by 17% by 2015

1

2

3

• eHealth/Telemedicine

• Mobile solutions

• BioSensors

• Computer Aided Diagnostics

• Patient monitoring

IT & bioengineering

• Targeted therapy

• Proteomics/DNA

• Biomarkers

• Rapid screening tools

• Vaccine development

Biotech & Genomics

• Faster, accurate imaging

• Molecular imaging

• Miniaturisation/portability

• Point of Care diagnostics

• Therapy selection/monitor

Prevention, Diagnostics & Therapy

Innovation in Medical Technology

Emerging

MR Anatomical Imaging (Tissue Visualization)

‘80s Mainstream

X-Ray-based Anatomical Imaging: XR, CT

Ultrasound

Emerging

Functional Imaging MR, PET

MR Spectroscopy (Characterization)

‘90s Mainstream

•CT, MR, US Anatomical Imaging

•Digital Xray

Emerging

Anatomical Registration of Molecular Imaging

Molecular Therapeutics, Diagnostics & DI

‘00s Mainstream

Anatomical Positioning (Registration) of

Functional Imaging: PET/CT, MR

Emerging

Image-guided Gene Therapy

Next Mainstream

Molecular Imaging

+ Molecular

Therapeutics +

Molecular Diagnostics

Medical Imaging Evolution

eHealth supports the delivery of a more efficient and higher quality care

• Healthcare IT and eHealth proven

high clinical and societal value

•Telehealth linking patients with

care providers

•IT infrastructure ensure that

systems derive maximal value from medical technology (Cloud computing)

•IT connectivity through IHE (Integrating the Healthcare Enterprise) improving quality and

reducing cost

•More investment in eHealth best-

practice clinical pathways / patient’s mobility throughout Europe

Central Patient’s

EHR

Home

Pharmacy

Laboratory

Polyclinic Hospital

Government

Personalised Medicine: profound conceptual shift in clinical practice

• Improvement of clinical outcomes driven by molecular understanding of disease

• Reduction of damaging side-effects and treatment costs through tailored treatment

• Efficient patient management made possible by electronic medical records

• Capability of using big data to make healthcare more personalized

Innovative technology will enable a shift in care

• Episode care •Focus on acute conditions • Hospital centred • Physician dependent • Episodic, reactive care • Passive patient • Slow uptake of technology • Budget silos

Longitudinal care Focus on acute & long term conditions Community centred Team based Integrated preventive care Knowledgeable patient Localised integrated high tech solutions Fund continuum of care

Uti

lizati

on

Hospital Home Community clinic

Acuity

FUTURE

Low High

PRESENT

3. How to ensure a successful development of

eHealth?

Presented by Nicole Denjoy, COCIR Secretary General

COCIR vision and mission on eHealth

Vision:

Transform Healthcare

towards seamless integrated care

Mission:

Act as a EU Hub

& Support national and regional deployment

COCIR Goal on eHealth

Promote the use of advanced medical and ICT technology towards seamless care delivery

and shared knowledge to build a better world with improved access to affordable,

quality and safe healthcare

COCIR Focus on eHealth

• Digital hospitals: focus on HCIT for Acute care organisations .

• Continuum of care: Shared care workflow (information and knowledge sharing) and the inter-professional collaboration mechanisms required to support HIE/EHR, including interoperability requirements (organisation, semantic and technical).

• Telehealth, supporting infrastructure and related connectivity devices, governance, regulation and business models.

• mHealth, supporting network infrastructure and the impact of mobile platforms on workflows, governance and business models.

COCIR presence and influence on eHealth

National level

European level

International level

Cooperation with national trade associations Direct links with governments, competent authorites, national agencies Participation in national events, as appropriate

COCIR sits in various fora: eHGI, eHealth stakeholder group, Strong relationship with EU institutions Participates in EU funded projects Stakeholder federator: COCIR is the initiator of the Healthcare Coalition on Data Protection

COCIR chairs the BIAC Healthcare Task Force COCIR contributes to EU-US cooperation on interoperability COCIR contributes to EU-China cooperation COCIR is a driving force behind the IMDRF COCIR is a member of DITTA

COCIR Toolkits Concept

2010 2011 2012 2013 2014

2013 eSağlık Rehberi Türkçe Çevirisi

Ücretsiz eSağlık

Rehberinizi almak için standımızı

ziyaret edin!

Industry views on key topics for 2014

Big Data Vendor Neutral Archiving Personalised Medicine Data Protection Medical Software

A- COCIR: a EU Hub

Snap shot on important matters at focus 1. European Commission efforts in eHealth

2. Importance of Interoperability

1. EU political agenda on eHealth

2004 2007 2008 2010 2012 2009 2011 2013 2014

Green paper on mHealth

1. The Green Paper:

– https://ec.europa.eu/digital-agenda/en/public-consultation-green-paper-mobile-health

– Launched on 10 April 2014 is a wide public consultation to collect ideas to unlock mHealth potential in Europe .

– Consultation will close on 3 July 2014

2. This consultation is accompanied with a Staff Working Document which clarifies the current legal framework applicable to lifestyle and wellbeing apps

2. Importance of Interoperability

The eHSG established by European Commission in 2012 – DG CONNECT- includes all key stakeholders active in the healthcare sector.

Five topics validated in 2013: 1. Patients access to health records

2. Interoperability

3. Telemedicine

4. Health Inequalities

5. eHealth Workforce

Those reports were published on 11 April 2014 on the European Commission Website http://ec.europa.eu/digital-

agenda/en/news/commission-publishes-four-reports-ehealth-stakeholder-group

The interoperability report prepared by members of the eHealth Stakeholder Group:

• Focus on semantic and technical interoperability

• Articulate recommendations to achieve eHealth interoperability by 2015 (part of Digital Agenda for Europe)

Structure of the report

1. Introduction

2. Goal of the report

3. The Potential

4. Main Obstacles

5. Analysis of the Landscape (developped in next slides)

6. Experiences at National level

7. Recommendations (listed in next slides)

5. Analysis of the landscape Four levels of interoperability

5. Analysis of landscape Standards choices in Europe

6. eHealth Stakeholder Group Recommendations

1. Focus on priority use cases

2. Clarify privacy and data protection requirements and establish general principle for organisational requirements for each of the use cases

3. Foster use of international standards and market focused profiles

4. Educate local level on eHealth interoperability

5. Address semantic interoperability incrementally (step by step)

6. Investigate the particular interoperability requirements of mobile health, big data, and online social networks

B. COCIR Support on national and regional deployment

B- Support national and regional deployment

• Countries at focus on eHealth:

– France

– Spain

• Countries linked to Structural Funds efforts (based on successful pilot in Poland in June 2013):

– Poland

– Romania

– Croatia

– Hungary

Analysis developed for COCIR members

3. How to successfully deploy eHealth?

The Gartner Generational model

Source: Freely adapted from Gartner

48

20

40

60

Red

ucti

on

of

Preven

tab

le E

rrors

80

100

1995 2005 2010 2015 …

Generation 1: The Collector

Generation 2: The Documentor

Generation 3: The Helper

Generation 4: The Colleague

Generation 5: The Mentor

year

• Generation 5: High impact of chronic diseases necessitates better population and disease management

• Generation 4: Workflows and inter-professional collaboration driving evolution towards Regional Health

• Generation 3: New imperatives – costs, quality & safety – driving demand for enterprise-wide solutions

• Generation 2: Integrated imaging and data reporting expanding to other clinicals

• Generation 1: Image collection at departmental level

PACS, RIS

PACS & RIS & Image Distribution

Enterprise HIS/CIS

Regional Health

National & preventive eHealth infrastructure

Five ways eHealth enables long-term healthcare sustainability

Regional

Health

Administrative IS

Clinical IS

• Significant progress in Europe and more “appetite”

• BUT very fragmented with insufficient investment • Most often locally driven/procured, with limited

scale and sharing to support digital transformation

• 100% of hospitals have an administrative information system in place

• Slow on-going replacement cycle to modernize

• Evolution towards advanced and predictive analytics

• 60+% of hospitals have some form of Clinical Information Systems (CIS) in place

• BUT majority still rely on paper as their main media to manage patient records

• Even when CIS is available, adoption in daily clinical-routine is lagging behind.

• Decision support have still a long way to go…

Where do we stand now in Europe? The Digital hospital: dream or reality?

COCIR Focus on eHealth

1. Federate a Strong and United Industry Voice

2. Monitor trends at EU level

3. Act and deploy at local level with the main goal to defragment the ehealth market

4. Build awareness on power of standards in interoperability and show how innovative technologies and services contribute to sustainable healthcare

5. Build trust and Cooperate with various stakeholders

4. COCIR Publications

COCIR Publications

• Launch Today: COCIR Executive Summary on Obsolescence of Imaging Equipment

• To come soon: COCIR Guide on Structural Funds for Health for beneficiaries

Please Visit the EU Industry Pavillion!

Lütfen EU Endüstri Standimizi Ziyaret Edin!

THANK YOU !

Teşekkürler!