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VALUeHealth - Establishing the value and business model for sustainable eHealth services in Europe

VALUeHEALTH has established how eHealth interoperability can create, deliver, and capture value for all stakeholders. The consortium developed an evidence-based business plan for sustainable interoperability. The plan included sustainable revenue streams for developing and operating self-funding priority pan-European eHealth Services beyond 2020. The aim was to justify a sustainable market in scaling up cross-border interoperability. VALUeHEALTH got feedback on the models, concepts, business models and business plans, and roadmaps it was developing by involving experts in the eHealth interoperability field at meetings. The aim of the project was to set in place a dynamic and sustainable framework where the contribution of standards and standardisation for ICT could be maximised for active and healthy ageing. In a context of an ageing population, the project sought to increase older people’s engagement and inclusion in standardisation process as well as offer new ways of thinking to improve the impact and influence of standards.

VALUeHealth - Establishing the value and business model for sustainable eHealth services in Europe

VALUeHealth - Establishing the value and business model for sustainable eHealth services in Europe

Visit VALUeHealth Website at www.valuehealth.eu

What problem is VALUeHealth solving?

In recent years, a number of large-scale pilots have been undertaken in Europe that have focused on digital health. These included initiatives planned and supported by the Connecting Europe Facility (CEF) http://ec.europa.eu/digital-agenda/en/connecting-europe-facility. The CEF will end in 2020. It is therefore crucial, in the meantime, to explore what needs to be done after that date to sustain the work already undertaken or to orient new work in appropriate directions.

What is VALUeHealth about?

VALUeHEALTH established how eHealth interoperability can create, deliver, and capture value for all stakeholders. The consortium developed an evidence-based business plan for sustainable interoperability. The plan included sustainable revenue streams for developing and operating self-funding priority pan-European eHealth Services beyond 2020. The aim was to justify a sustainable market in scaling up cross-border interoperability.

VALUeHealth got feedback on the models, concepts, business models and business plans, and roadmaps it was developing by involving experts in the eHealth interoperability field at meetings.

VALUeHealth was a coordination and support action. The action ended in June 2017.

What is EHTEL's role in VALUeHealth?

EHTEL worked with empirica (Germany) on work package 3 (WP3) of the project.

The task of WP3 was to identify adoption challenges, success strategies and sustainable incentive schemes. WP3 has contributed to the final business plan in D5.3 through its recommendations and proposals for future CEF work on adoption, incentives and scale-up strategies. There was an especial focus on a roadmap.

This work package is focused on the success strategies and incentivisation strategies needed to continue eHealth (and integrated care) work. Two deliverables were the outcome.

D3.1, Chapter 5, explores these potential adoption challenges and success strategies: http://www.valuehealth.eu/ValueHealth/assets/File/VALUeHEALTH D3_1 Adoption challenges and success.pdf .

In D3.2, work that supported an adoption and incentives roadmap was developed http://www.valuehealth.eu/ValueHealth/assets/File/VALUeHEALTH_D3_2_Adoption_and_incentives_roadmap_Final.pdf. The chief focus was on policy, process and organisationally-related aspects of interoperability. A strong underlying assumption was that, to turn initiatives for change into credible, broadly endorsed, and financially sustainable endeavours, approaches need to be considered that win hearts as well as persuade minds. Particular emphasis was put on health data quality, health professional trust, and accountability. The incentives explored were both financial and non-financial.

For this purpose, EHTEL hospital experts were invited to a 2017 workshop that explored what incentivises hospital managers and clinicians to develop good quality data.

Towards the future

Many of the concepts and principles formulated in VALUeHEALTH fit well with later ideas that have been developed in the European Commission's 2018 Communication on the digitisation of health and care https://ec.europa.eu/digital-single-market/en/news/communication-enabling-digital-transformation-health-and-care-digital-single-market-empowering. They are particularly oriented towards the second pillar of the Communication's on better data to promote research, disease prevention and personalised health and care. They also fit with the first pillar on citizens' secure access to and sharing of health data.
Two concepts that will be of especial interest to EHTEL members are those which relate to future strategic activities in the digital health field and those which are based on useful tools for scaling-up and for health technology assessment.

VALUeHealth-Figure-20-Recommendations

See p79 of Deliverable 3.2 - Adoption and incentives roadmap http://www.valuehealth.eu/ValueHealth/assets/File/VALUeHEALTH_D3_2_Adoption_and_incentives_roadmap_Final.pdf

 

VALUeHealth-Figure-23-Scaling-Up-Toolbox

See p86 of Deliverable 3.2 - Adoption and incentives roadmap http://www.valuehealth.eu/ValueHealth/assets/File/VALUeHEALTH_D3_2_Adoption_and_incentives_roadmap_Final.pdf
EHTEL continues to work with empirica and the European Institute for Innovation Thr˜ugh Health Data (IH˜D) on data quality issues: https://www.i-hd.eu. Also key will be ongoing collaboration with JASeHN/eHealth Action, PROGRESSIVE on standards/interoperability, and MAFEIP and other useful assessment and measurement tools.
Many presently emerging initiatives may of interest to EHTEL members who are from hospitals, regional authorities or associations, or who are interested in population health.

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