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A digital-Health policy fully integrated in the post 2010 European Agenda, contributing to: economic recovery, growth and employment and economic, social and territorial cohesion.

2010 means a breaking point in EC institutional and policy development. Since December 1st we have a new Treaty, a new President and presidential structure. A new Commission will be in office on the following months. The Lisbon Agenda is coming to an end a whole series of strategic documents are being reviewed in the framework of a post 2010 Agenda. Work is also being made in face of the next financial and programming periods, in particular regarding Innovation, Research and Cohesion Policies. The Council Conclusions of the Swedish Presidency of 1st December mean a further step in the integration of e-Health in community Health policy. As a consequence, e-Heath should also be taken into account in other relevant Community policies. The Spanish Presidency has the vision of an e-Health policy fully integrated in the post 2010 European Agenda and contributing to its main goals of economic recovery, growth and employment and economic, social and territorial cohesion. This global vision could stimulate further development of post 2010 e-Health Policy objectives, such as:

• e-Health for a healthier Europe: ensuring quality and continuity of care in the European Health Space.
• e-Health for sustainable growth and employment: a healthy citizen for an efficient economy.
• e-Health for innovation and social change: technological and social creativity and innovation to improve living, working and ageing conditions.
• e-Health for local and regional development and cohesion: e-Health as a determinant of economic, social and territorial cohesion.

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Develop the Conclusions of Swedish Presidency Council and propose new Ministerial Agreements to further integrate e-Health in Community policy and implement governance mechanisms.

The 1st December 2009, the European Council, in its Employment, Social Policy, Health and Consumer Affairs formation, has adopted, under Swedish Presidency, Conclusions on “Safe and efficient healthcare through e-Health”. The Council recognises in them the need for further political leadership and to integrate e-Health into Health policy in order to develop e-Health services on the basis of public health needs. In order to further develop common action in those directions, the Spanish Presidency will put emphasis in:

• Further integration of e-Health in European policies
• Implementating reinforced governance mechanisms.

The Spanish Presidency will propose specific operational objectives and milestones in order to conceive and implement initiatives to:

• Reinforce leadership and political and strategic commitment
• Building confidence and acceptance, in particular in professionals and patients
• Bringing legal clarity and ensuring protection of data
• Solving technical issues and facilitating market development
• Making e-Health an important issue in regards to other policies as: Competitiveness, Growth and Employment, Information Society, Research, Innovation and Cohesion.

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• 60.000 computer equipments in more than 6.000 health centres, serving more than 33 million citizens and 250.000 professionals workers.
• Provision and assembly of servers, data storage, screens and radiology equipments, services of integration, network electronics, installation of wifi and wireless access points, telemedicine equipments, wiring of doctor’s offices.

With regard to the Central Node of the National Health System:

• Its capacity has been extended and its support centre has been well-established;
• The Information Security Management System has been developed and recently has received the AENOR certification ISO 27.00.

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For the first time, the Ministerial High Level Conference on eHealth and the World Health IT Conference and Exhibition are being held in the same week in a joint initiative called “e-Health Week 2010”, the most prestigious event in the European eHealth sector. Barcelona International Conventions Centre (CCIB) will open its doors from March 15 to 18 to receive the European meeting most attended by the healthcare sector interest groups.

With 2,500 delegates expected during the eHealth week, representing the majority of eHealth sector: ministers, members of the public administration, clinics, suppliers and managers of information and informatics systems, the eHealth week promises to be the central European event of the year in the health IT sector.

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• A reliable system for user identification, the Individual Health Card (IHC);
• Development of Electronic Health Record (EHR);
• Integrated processes for the provision of pharmaceuticals: prescription, verification, dispensing.
• Previous appointments on line with primary care doctors and specialists.
• Devices for remote diagnosis and treatment (telemedicine).

The NHS Quality Plan embraces these common lines of action, extending their benefits to the NHS as a whole, within its Equity, Quality and Innovation Strategy

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• To co-operate with the regions in supporting their own initiatives.
• To promote and fine-tune the interoperability at national and international level.

The main requirements for that are:

• to unequivocally identify every citizen;
• to agree common and normalized clinical contents, functional standard and interchange utilities;
• to establish conditions for access and use clinical information.

The availability of a system of interchange of information in the NHS, with a Central Node of communications, agile and of maximum safety, is another requirement sine qua non for the development of the project. A common Data Base has been created for all Regional Health Cards (RHC), which provides an exclusive NHS’ code of identification for every citizen. This Database is managed both by the Regions and by the General Administration, and integrates information from all the IHC in the country, as well as relevant information from the General Treasury of Social Security (situation in social security) and from the Department of Justice (deaths). Under coordination from the MHSP, 37 scientific societies in the field of health have taken part in the analysis and proposal of common contents in the clinical reports for the whole NHS. Other societies, in the fields of Health Law and Bioethics and associations representing the Civic Society, have also collaborated in the proposal for functionalities and conditions of access and use of the information. As a consequence of this collaboration, a project of Digital Health Record in the NHS was formally agreed by consensus with the Regions in the Inter-territorial Council of 10th October, 2007. At this moment a Pilot Project has been initiated in two regions: – Balearics and Valencia-, Murcia will soon initiate. In the next months it is foreseen that other 7 regions will be incorporating this solution in some of their centres, in pilot phase. The evaluation of the pilots will be done at the end of the year and, except unforeseen difficulties, full deployment would begin in the National Health System in 2010. The Ministry of Health ans Social Politics has created a Health Intranet to service this project, allowing the interchange of information between the Regions through the Central Node of the National Health System. A System of Information Security Management, that recently has received AENOR certification ISO 27.00, has also been implemented.

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