ehealth Network meeting 7.6.2016 Status of the 2015 CEF call of setting up the ehealth DSI National Contact Points Tapani Piha Head of Unit Cross-Border Healthcare and ehealth Health Systems, Medical Products and Innovation
ehealth Digital Service Infrastructure under the Connecting Europe Facility tp 13.7.2015
Key documents for the evaluation Guideline on an Organisational Framework for ehealth National Contact Point Guidelines on eprescritpions dataset for electronic exchange under cross-border directive 2011/24/EU Guidelines on minimum/nonexhaustive patient summary dataset for electronic exchange in accordance with the cross-border Directive 2011/24/EU Governance model for the ehealth Digital Service Infrastructure during the CEF funding
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 2016 20 Member States sent proposals 2018 First countries go live tp 14/04/2015 2020 Last countries go live
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
2008-2014 Pilot the service infrastructure for cross-border health 2014-2015 Maintain and develop interoperability assets, handover to CEF 2013-2015 Use common IT building blocks in different public policy areas ehdsi under CEF 2015 -> Rely on the ehealth Network Guidelines Implementation by Member States and Commission tp/mk 27/9/2015
Week 1: 25-29 April Call Eligible proposals received Experts ehealth 21 6 7
2015-2 CEF Telecom ehealth call Improving patient rights in cross border exchange of patient data using ICT tools Call objective: Support the deployment of generic services by Member States, namely in the areas of Patient Summary and eprescription/edispensation Call data: - Overall indicative budget: 7.5 million - Eligible proposals to be evaluated: 21 - Corresponding CEF funding requested: 13.1 million (oversubscription rate: 1.75) 8 8
Services and options for ehealth DSI Services Patient Summary (PS) Options for the applicant country A (sending) B (receiving) eprescription (ep) A (sending) B (receiving)
CEF WP 2015 Adopted Budget of 15 Million (over 4 years) CORE SERVICES 7,5 Million ehealth-specific Services ICT infrastructure Terminology svcs NCP mngmt Building Blocks eid, edelivery, GENERIC SERVICES 7,5 Million Call for Proposals 75% EU financing Deployment of National Infrastructure for crossborder exchange of data Participation in the OpenNCP Community INEA manages Member States
Governance for ehdsi
Specific to the 2015 CEF call on ehealth DSI During the call Coordinated application instead of an application as a consortium, => soft mechanism to join forces Application coordination supported by the JAseHN and the Commission. Agreement on the general parts and the appilication structure Agreements on the provision of services, on the dates of entering in operation, argumentation on the benefits Similar text at the same parts of the application with the national input as MS are at different stages However, no obligation to use similar texts During the ehdsi Coordination of implementation through the ehdsi governance mechanism but benefitting from a strong basis of previous collaboration mg/tp 25.4.2016
Award criteria(*) Relevance Alignment to DSI implementation objectives & activities (WP) Alignment to EU/national policies, strategies and activities Quality & efficiency of implementation Maturity Coherence/effectivess with work plan Quality of consortium/consortium members Support from national authorities/industry/ngos Attention to security/privacy/ inclusiveness/accessibility Impact & sustainability Quality of the approach to facilitate wider deployment/take-up of the proposed actions Capability of long-term sustainability without EU funding (*) https://ec.europa.eu/inea/sites/inea/files/3_frederick_inea_evaluation_process.pdf
Differences in the provision of the number of services and the regional/national provision The usefulness of the service, and its impact, depends on complementing services provided in many Member States or regions within the similar time span. In the optimum case all MS would provide the same services at the same time but also natural clusters could be seen (eprescription cluster, tourist destination countries, Patient Summary cluster) mg 25.4.2016
mg 25.4.2016
Questions?
Relevance Commit to deploy and provide a cross border ehealth service within the CEF time frame (2017-20) Enter into a legal agreement with other MS, as soon as endorsed by the ehealth Network Participate in and contribute to the ehdsi activities Design and implement an evaluation strategy to measure national USE and IMPACT of cross border ehealth services provision Engage with the OpenNCP Community to develop and test the technical gateway open source implementation
Quality & efficiency of implementation Implement the Guidelines on an Organisational Framework for ehealth National Contact Point Produce a Patient Summary compliant with the ehn Guidelines on Patient Summary cross border exchange Produce a eprescription (edispensation) compliant with the ehn Guidelines on eprescription cross border exchange Establish an engaging national organisational structure composed relevant stakeholders towards service provision Create and maintain the Master Translation Catalogue (MTC), the national part of the Master ValueSet Catalogue (MVC) Perform functional testing and validation Ensure that physical and logic infrastructure is secure Assure maintenance
Impact & sustainability Which service mix is the MS planning to provide and by when? What is the range of coverage planned for service deployment? MS is able to provide numbers on the foreign Citizens treated in EMERGENCY ROOMS and their provenience country MS is able to provide numbers on the foreign Citizens dispensed a Prescription and their provenience country Connect the NCPeH technical gateway to the National Infrastructure Design and implement a communication strategy towards cross border ehealth services provision, reaching patients and professionals Design and implement a TRAINING program for professionals