EXPAND e Health international from an Austrian point

EXPAND & e. Health international from an Austrian point of view Kathrin Trunner

Background

e. Health Network (1) • Directive 2011/24/EU on the application of patients’ rights in cross-border healthcare • Article 4, section (2): The Member State of treatment shall ensure that: … (f) in order to ensure continuity of care, patients who have received treatment are entitled to a written or electronic medical record of such treatment, and access to at least a copy of this record in conformity with and subject to national measures implementing Union provisions on the protection of personal data, in particular Directives 95/46/EC and 2002/58/EC. • Article 14: The Union shall support and facilitate cooperation and the exchange of information among Member States working within a voluntary network connecting national authorities responsible for e. Health designated by the Member States. 06. 10. 2020 3

e. Health Network (2) • Last meeting 19 Nov. 2013 • Agreement on the formation of 2 sub-groups: – (a) Proposal for a Standing Coordination Group for deployment of semantic and technical interoperability; – (b) Preparatory work for new Multi-annual Work Plan of the e. HN • Guidelines on PS minimum data set adopted • Next meeting 13 May 2014 during e. Health Forum 2014 in Athens 06. 10. 2020 4

EIF • As part of the Digital Agenda (one of 7 flagship initiatives in Europe 2020 Strategy): EC adopted Comm. 2010/744. • Annex 2 of Comm. : European Interoperability Framework (EIF) which provides guidance to European public administrations about the design of European public services incl. 25 recommendations • Purpose of EIF: 1. 2. 3. 06. 10. 2020 promote and support the delivery of European public services by fostering cross-border and crosssectoral interoperability; guide public administrations in their work to provide European public services to businesses and citizens; complement and tie together the various National Interoperability Frameworks (NIFs) at European level. 5

e. Health EIF • In 2012 EC set the objective to develop, with advice of e. HN, an e. Health European Interoperability Framework in the context of the generic EIF • Goal: Define common set of standards, profiles and procedures relevant to the electronic provision of healthcare services – e. Health EIF study (2013) proposes high-level structure & conceptual framework of the e. Health EIF and assesses (10) technical specifications; – Results to be used to specify deployment of cross-border e. Health services in the frame of the Connection Europe Facility (CEF) and on national levels. • MS will be invited to use the framework when deploying e. Health. The Framework should be deployed by 2015 06. 10. 2020 6

EIP-AHA • EIPs streamline, simplify & coordinate existing instruments and initiate new actions where necessary • Overarching target of European Innovation Partnership on Active and Healthy Ageing (EIP-AHA): Increase average healthy lifespan by two years by 2020 – Bring together key stakeholders (end users, public authorities, industry); actors in the innovation cycle (research to adoption), along with those engaged in standardisation and regulation • Goals: – Foster innovation in products, processes and services; – Facilitate innovation chain and reduce the time to market for innovative solutions; – Produce benefits for innovation's final users – the older people and care providers. 06. 10. 2020 7

Multi-Stakeholder Platform on ICT Standardization

Multi-Stakeholder Platform on ICT Standardization (1) • Commission Decision of 28 November 2011 setting up the European multi-stakeholder platform on ICT standardisation • Article 2: “The platform’s tasks shall be to: – (a) advise the Commission on all matters related to European ICT standardisation policy and its effective implementation; – (b) advise the Commission on its ICT standardisation work programme and its priorities; – (c) identify potential future ICT standardisation needs in support of European legislation, policies and public procurement; – … see full Decision here • As from the Austrian Federal Ministries Act responsibility with BMWFW (former BMWFJ). Austrian representative: Martin Prager 06. 10. 2020 9

Multi-Stakeholder Platform on ICT Standardization (2) • MSP: Asked by the European Commission to discuss & advise on set of proposed specifications for specific e. Health use-cases; • CEN leadership in close collaboration with MSP members ISO, ETSI, CENELEC, OMG, GS 1 & e. Health specific org. including HL 7, IHE, Continua, IHTSDO propose to involve e. Health bodies (within their own organisations); • Discussion in MSP meeting June 2013 led to questions that have been discussed during European e. Health Standards Summit in September, in the broader context of e. Health standards. 06. 10. 2020 10

Multi-Stakeholder Platform on ICT Standardization (3) • „Towards an e. Health Specifications Platform (e. SP)“, steps: – Discussion with MS through e. HGI and e. HN to arrive at a simplified structure – Follow-on discussions with National e. Health Competence Centres – Exploration of e. Health Specifications Platform contribution to the uptake of ep. SOS specifications • Aim to involve relevant health and ICT industry partners & inspire them to turn to int. standards recommended by MSP and endorsed by EC 06. 10. 2020 11

Related • PHC-34 -2014 H 2020 Call on e. Health interoperability (deadline 2014 -04 -17) • 4 Challenges, each addressed by individual Coordination and Support Action • No. 1 Common clinical reference standards for e. Health deployment in Europe – Expected impact: Convergence in use of e. Health Standards in Europe and the world; contribution to e. H EIF + deployment of e. Halth services (including crossborder). 06. 10. 2020 12

Austrian Activities

EU Projects • • • e. HGI LSPs: ep. SOS, STORK 2. 0, e-SENS Trillium Bridge PARENT Terminologie-Vorstudie D-A-CH Since 01. 2014: EXPAND 06. 10. 2020 14

National • Setup of national EHR system ELGA - Health Telematics Act 2012; - ELGA Portal 01/2014 (Opt Out, no data); Opt-Out offices & services; - Connecting first domains (local affinity domains) autumn 2014; - Until 2016 successive compulsory introduction. • Commission on telemedicine: „Telegesundheitsdienste-Kommission“ • OID-Management & Terminology Server 06. 10. 2020 15

EXPAND

06/10/2020 EXPAND Objective • EXPAND – Expanding Health Data Interoperability Services – is a Thematic Network funded by ICT Policy Support Programme • Progress towards an environment of sustainable cross border e. Health services established at EU level by the CEF and at national level through the deployment of suitable national infrastructures and services 17

06/10/2020 Project Overview EXPAND in figures Project duration 1 st January 2014 – 31 December 2015 Time period 24 months Volume Number of beneficiaries 989. 988€ funded by the European Commission Competitiveness and Innovation Programme (CIP) within the ICT Policy Support Programme National health authorities, competence centers, universities, standardization organizations 20 Number of countries 14 EU Member States Formation of consortium 18

06/10/2020 EXPAND’s localisation in the project world Visit http: //www. expandproject. eu/ for further information 19

Kathrin Trunner - kathrin. trunner@bmg. gv. at THANK YOU FOR YOUR ATTENTION 06. 10. 2020 20