1 Status and Future of National e Health

Status and Future of National e. Health Initiatives in Estonia Triin Mahlakõiv Estonian e.

OUTLINE Allocation of Structural Funds in Estonia Slide 4 e. HEALTH history Slide 5

ALLOCATION OF STRUCTURAL FUNDS • In the period of 2007 -2013 allocated 3. 4

e. HEALTH HISTORY Project preparation (2003 -2005) Planning initiated 2000 2002 e. Health Foundation

e. HEALTH FOUNDATION Ministry of Social Affars Society of Family Doctors Tartu University Clinic

TRACTION No. of e. Prescriptions Issued (94% of Total) 1, 000 900, 000 800,

LEARNING POINTS Eligible for financing Financing plan Time factor Action plan Public procurement Objectives

SUCCESS FACTORS • Estonian final beneficiaries - quick and well regulated • Communication •

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Status and Future of National e. Health Initiatives in Estonia Triin Mahlakõiv Estonian e. Health Foundation Spring 2013

OUTLINE Allocation of Structural Funds in Estonia Slide 4 e. HEALTH history Slide 5 Successful projects Slide 7 Learning Points Slide 9 Success Factors for Estonia Slide 11 3

ALLOCATION OF STRUCTURAL FUNDS • In the period of 2007 -2013 allocated 3. 4 billion EUR in structural aid. • 2007 -2013 Structural Assistance Act (less bureaucracy) • Management, monitoring and evaluation in Estonia o Ministry of Economic Affairs o Final beneficiary: Estonian Information System’s Authority 4

e. HEALTH HISTORY Project preparation (2003 -2005) Planning initiated 2000 2002 e. Health Foundation established 2006 2004 Funding decision by Ministry of Economic Affairs Electronic Health Record Digital Images Digital Prescription Digital Registration e. Health Projects (2006 -2008) 2008 National HIE

e. HEALTH FOUNDATION Ministry of Social Affars Society of Family Doctors Tartu University Clinic Union of Estonian Medical Emergency East Tallinn Central Hospital North Estonian Regional Hospital Estonian Hospital Association Estonian e-Health Foundation Board Management board Standards & Services Development Family doctors Estonian HIE platform operation Hospitals Nursing Care Patient Portal Marketing & Communication Management Health Authorities 6 6

CURRENT e. HEALTH SERVICESSERVICES 7

TRACTION No. of e. Prescriptions Issued (94% of Total) 1, 000 900, 000 800, 000 700, 000 600, 000 500, 000 400, 000 300, 000 200, 000 100, 000 ja an m. 10 är ts. 1 0 m ai. 1 ju 0 ul i. 1 se 0 pt. 1 0 no v. 1 ja 0 an m. 11 är ts. 1 1 m ai. 1 ju 1 ul i. 1 se 1 pt. 1 1 no v. 11 ja n. 12 m ar. 1 m 2 ay. 1 2 - ISSUED SOLD 8

LEARNING POINTS 9

LEARNING POINTS Eligible for financing Financing plan Time factor Action plan Public procurement Objectives of project – measurable and precise • Reporting VS Real Work • • • 10

SUCCESS FACTORS • Estonian final beneficiaries - quick and well regulated • Communication • Online environment for the exchange of information • Supporting partners 11

e. HEALTH ROADMAP 12