Before I start promising others, I should promise myself and finnish my PhD about eHealth before the end of 2009.
The Swedish government has released their Swedish Strategy for eHealth for 2009:
Safe and accessible information in health and social care
Swedish ehealth Strategy for 2009
The time has come to move from words to action,
and take the National Strategy for eHealth from vision
to reality. The national ICT solutions which we
have been preparing for many years are now in the final
stages of development. They have been procured
and are ready to be rolled out on a broad scale.
We thus leave behind us a period of technological
development and enter the next phase, which will be focused on organisational
change. The work of improving information flows and continuity
of care with the help of new ICT support systems, will not be fully effective
until work processes, methods and issues relating to patient/user reception
are adapted to realize the potential of integrated ICT systems.
In 2009, we will take the next major step in the implementation of the
eHealth strategy, namely the work of better describing the needs of county
councils, municipalities and private as well as not-for-profit care providers.
The purpose of this process is to develop a common description of the activities
of the health and social care services, focused on the need for an integrated
view of individual health and social care services. We will accordingly be
stepping up our efforts, as part of this undertaking, to keep decision-makers
and care personnel fully informed and to broaden and formalise ongoing dialogue
with key stakeholders in the sector.
By clearly identifying issues that we cannot solve individually, we can
make significant progress towards better care for patients.
The EU perspective and the international dimension will be strengthened
in 2009, mainly on account of Sweden’s presidency of the EU during the second
half of the year, but also by virtue of Sweden’s role as coordinator of the
EU project epSOS. Patient mobility both between and within member states
underscores the importance of strong collaboration.
We are starting to see the emergence of a modern, accessible, needs-based
health and social care sector, and can now, at last, begin to meet our citizens’
long held expectations of an efficient, integrated health and social care service.
Göran Hägglund
Minister for Health and Social Affairs
Sweden’s presidency of the EU
in the autumn of 2009
eHealth will be among the issues to be highlighted
during Sweden’s presidency of the EU in the autumn
Chapter 4
EU collaboration and
international cooperation
of 2009. The Swedish Government will seek to
raise awareness of and support for eHealth among
EU health ministers and to put eHealth on the EU
political agenda. A presidency report on eHealth will
show potential care costs if the necessary investment
in efficient and effective information supply is not
made. The report will also present a model linking
ICT projects to overall policy goals for health and
medical care and to tangible benefits to patients and
health care professionals. A number of meetings and
activities will be organised with a view to achieving
progress in strengthening political awareness at the
highest level of how eHealth can be used to reform
and modernise care.
epSOS – Smart Open Services for European
Patients
The aim of this project is to take the first concrete
steps towards the adoption and implementation of
the proposed Patient Mobility Directive, and to make
it possible for patients to seek care in other member
states. Efforts will focus on establishing a European
patient summary which will make key information
available in the event of an emergency in another
member state, and on enabling e-prescriptions (ePrescriptions)
to be sent between member states.
This will be a pioneering undertaking in many
ways; it will mark the first time that member states
engage in politically approved cooperation to develop
specific cross-border care services. The project,
which will run between 2008 and 2011 will have a
budget of 22 million euro, of which almost half will
be financed by the European Commission, making
it the biggest EU initiative in the health and medical
care field to date. There is every likelihood that
the project will have a significant political impact on
future EU cooperation.
Sweden will act as project coordinator, a role
which will be undertaken in close cooperation with
the Ministry of Health and Social Affairs. Sweden
plans to test the results of various sub-projects in
pilot schemes to be carried out by a number of county
councils. The EU project will provide a valuable
opportunity to quality assure and validate national
projects, leaving the Swedish health and medical care
service well prepared for increasingly close European
cooperation in this area. The EU project will also
strengthen the already close cooperation between the
Government and SALAR in this area and thereby
help ensure that our national investment in eHealth
services impacts on care activities more quickly and
cost-effectively than would otherwise be the case.
Global collaboration for uniform terminology
In 2007, the International Health Terminology
Standards Development Organisation (IHTSDO)
was established by Sweden and eight other countries
to own, manage and further develop the Systematized
Nomenclature of Medicine Clinical Terms
(SNOMED CT). Several countries have since joined
the organisation and negotiations with further countries
are currently in progress.
Strategically important issues for IHTSDO include
improving documentation on SNOMED CT
in order to support quality development, developing
common methods and tools, and continuing to deepen
cooperation with WHO and other international
standards bodies. Sweden is represented on the board
of the IHTSDO through the Ministry of Health and
Social Affairs and in the body’s General Assembly
through the National Board of Health and Welfare.
Sweden’s membership of IHTSDO not only entitles
it to access to the international version of SNOMED
CT, but also gives Swedish government agencies,
organisations and users the opportunity to influence
future development.
One of the consequences of the initiative at national
level, has been an ongoing, long-term effort to
create a national consensus on IHTSDO and establish
a national nomenclature for health and social
care. A national reference terminology adapted for
use in digital information systems combined with a
common information structure constitute the basic
prerequisites for achieving the objectives of the National
Strategy for eHealth.
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