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EHTEL 2018 Symposium Empowered Partners

3-5 December 2018 in Brussels: the European Digital Health community met at the 9th annual EHTEL Symposium. Conversations were anchored on the well-being of European societies. The symposium provided it attendants with insight and dialogue on how user-driven digitisation is delivering benefits to empower all stakeholders in health.


Over the first two days, participants explored how user-driven digitisation – enabled by all those working to innovate in technologies and services – is delivering benefits to empower: • Consumers and Patients: With smart tools enabling health promotion and prevention and linking to information – including health records – and resources in health and social care; • Health care managers and providers: For next-generation care planning, integrating individual patient data and big data using a population health approach; • The health workforce: So that jobs gain from carefully designed and adjusted digital tools, and personnel are trained to use their digital skills to create meaningful documentation and workflows. By tackling these three areas of digitisation, the symposium will cover the three priority pillars set out by the European Commission in its 2018 Communication – patient access, personalised medicine, and digital interaction. Finally, in a forward-looking mode, the symposium will debate how artificial intelligence and machine learning systems could contribute to these policies.

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Session D1-S1 Welcome and Setting the Scene

“Seeding statements” set the scene for user needs [patients/ citizens and health care planners/authorities] that need to be taken into account by “User driven digitisation”. Setting the Scene: “User-driven Digitisation” – Viewpoint of Patients/Citizens by Christoph Thalheim, European Multiple Sclerosis Platform and Eur. Patient Forum, Brussels / Setting the Scene: “User-driven Digitisation” – Health Care Planners and Authorities by Don McIntyre, Digital Health and Care Institute (DHI), Scotland, United Kingdom / EESC Opinion INT/852 Digital transformation/health and care on COM(2018)233 by Diego Dutto INT Section, Rapporteur on Opinion INT/852, EESC, Brussels

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Session D1-S2 From Lightweight Wellness Apps to Managing Serious Conditions

Learn about state-of the-art for wellness and patient centric Apps, health games for pre­vention and more; see examples in support of chronic conditions & secondary prevention: State of the Art for Wellness and Patient Centric Apps by Dee O’Sullivan, Director, at PatientView, United Kingdom / State of the Art for Health Games and their Impact for Health, Prevention and Rehabilitation by René Luigies, Games for Health Europe, The Netherlands / The Case for Patient-Apps to Improve Prevention and Management of Chronic Conditions in Integrated, Hospital-based, Health Networks in Israel by Rachelle Kaye, ConneCare, Assuta Medical Centres and Maccabi Healthcare, Israel / The Case for Patient-Apps to Improve Prevention and Management of Chronic Conditions for Cystic Fibrosis Patients in Europe through APP-based Diet Advice by Hilde De Keyser, MyCyFAPP & Cystic Fibrosis Europe Association, Belgium / Commentary: Consumers’ and Patients’ Voices on the Impact of Health and Fitness Apps by Jelena Malinina, Digital Health Policy Officer, BEUC, Brussels

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Session D1-S3 Creating Value from Well-Being Data: Enabling Care Innovations

Explore the huge potential for secondary use of well-being and health care data for research, deve­lop­ment, innovations & management, creating better health perspectives for patients and societies. Session Chair: Dr Hannu Hämäläinen, Senior Advisor, Sitra Mission Statement by the Session Chair: Data as an Enabler for Care Innovations Mining Well-being Data for Better Care: Eleven Forerunner Countries in Europe Saara Malkamäki, Specialist, Sitra – the Finnish Innovation Fund, Finland Enabling Secondary Use of Health Data in Europe – Lessons Learned from Finland Dr Hannu Hämäläinen, Senior Advisor, Sitra – the Finnish Innovation Fund, Finland Data Saves Lives – a Partnership to Improve the Use of Health Data in Denmark Anne-Katrine Nielsen, Business Dev. Manager, Copenhagen Healthtech Cluster, Denmark Analysis & Behavior - an Ecosystem for Value Based Remuneration in Holland Koos Pecht, Wietse Rypkema, i2i - Intelligence to Integrity, The Netherlands

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Session D2-S4 EU-wide Vision for Better Medicine and Health Gains with Digitisation

Learn on the European Policy Agenda for Digital Health and Care moving to the next decade, supported hopefully by (pending) Multiannual Financial Framework 2021 – 2027. How to Translate Health Policy Aims through eHealth into Tangible Patient Benefits: Lessons Learned from the Implementation in Czech Republic Dr Alena Steflova, Deputy Minister of Health, Czech Republic European Vision for Digital Health: How the Commission Proposes to Boost Digitisation Ioana-Maria Gligor, Head of Unit European Reference Networks and Digital Health, DG Santé, European Commission, Brussels; Moving Towards a Data Sharing European Health Community: First Steps Dr Ceri Thompson, Head of Sector e-Health and Ageing policy, DG CNECT H3 eHealth, Well-Being and Ageing, European Commission, Luxembourg

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Session D2-S7A Making Digital Healthcare Meaningful: Role of the Health Work Force

Making Digital Healthcare Meaningful: Role of the Health Work Force How to best integrate health-specific digital into the education of health professionals. How to teach digital natives now entering the health work (Chair/Facilitator: Stephan Schug, EHTEL) * EU*US eHealth Work Case Studies by Toria Shaw, TIGER/HIMSS North America * Digital Skills and Quality of Care by Liat Todris, Rachelle Kaye, Assuta, Israel * Medical Students Needs for Digital Skills’ Education: Results from an EMSA Survey by Lina Mosch & Felix Machleid, European Medical Students Association (EMSA) * Needs & Gaps: Insights from a Global Survey: Commentary by the Session Chair * Panel: Education towards Digital Healthcare – a Building Block for Future Patient Safety

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Session D2-S7B Innovation Initiative Spotlight: “Living Labs for Digitisation in Healthcare”

Innovation Initiative Spotlight: “Living Labs for Digitisation in Healthcare” Learn how living labs support digitisation for health and care. Hear on examples of co-design in Denmark, Scotland, and Spain. How can demand and supply sides can be brought together in co-creative ways. Chair/Facilitator: Marc Lange, EHTEL * The Role of Design Innovation in the DHI Don McIntyre, Digital Health and Care Institute (DHI), Scotland, United Kingdom * Innovation in Belgium – an Introduction Katrien Van Gucht, imec, Belgium * OuluHealth: The Ecosystem for Innovation Kalevi Virta, CHT, Univ. of Oulu, Finland * Business Support and Co-creation: eHealth Hub and InDemand Myriam Martin, TicBioMed, Murcia, Spain.

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Session D2-S8 Looking Ahead: Leveraging Synergies of Machine Learning and Digitisation

Participants were informed on the big promises of Artificial Intelligence (AI) and machine learning and how pervasive digitisation is emerging to provide the foundation for meaningful new services. / [not published: Year 2025 Vision: How Artificial Intelligence will Change Patients and Physicians Lives in Daily Practice by Lester Russell, IBM, United Kingdom] / Re-Inventing Histopathology through AI and Improving the Clinical Impact by Norman Zerbe, Dep. Digital Pathology, Charité and Berlin Institute of Health, Germany / A Wider User Perspective on Artificial Intelligence as a Component of Health Care by Tomasz Szelągowski, Polish Innovative Medical Cluster PIKMED, Poland (Followed by debate: AI as a Game Changer: Patients’, Professionals’ and Provider Views, an interactive debate reflecting the existing achievements of Artificial Intelligence, how do they integrate into and change daily medical practice. What will we see in the next years? Is it realistic that young doctors should stop investing into becoming specialists in fields like radiology? Or will be just see a gradual change in tasks that Health IT can deliver? chaired by Lester Russell, IBM, United Kingdom)

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Session D3-M2 Personas: Modelling Citizens and Patients Needs for Digital Services

A third day has been added to the EHTEL 2018 Symposium as a spinoff workshop, a matchmaking event designed primarily for health care managers and all those engaged in modernising their health care system. The workshop has two phases: 1) Participants were invited to review the needs for digital health and care services of the population and will learn about the experiences of managers who have successfully deployed these services in the field. 2) Participants engaged in round table conversations to discuss in detail the context and policy elements which have enabled the successful deployment of these services. As a result, participants may identify potential partners for twinning and coaching activities and get the necessary operational support for future twinning activities. The matchmaking event has been organised in close collaboration between EHTEL, the Reference Sites Coordination Network (RSCN) as well as the WE4AHA and SCIROCCO projects. In session M2 participants learned from the most recent work done in EIPonAHA on further developing the Blueprint for the Digital Transformation of Health and Care. / Introduction to the Blueprint and the Personas by Veli Stroetmann, empirica and WP4 leader in WE4AHA project, Germany / Needs of Personas who are Generally Well by Maddalena Illario, RSCN, Campania Region / Needs of Personas with Chronic Conditions by Diane Whitehouse, EHTEL / Needs of Personas with Co-morbidities by Donna Henderson, TEC &Digital Health & Care Innovation, Scotland / Overview of Digital Services Addressing the Personas’ Needs by Strahil Birov, empirica and WP4 leader in WE4AHA project, Germany

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Session D3-M3 Deploying Digital Services: Field Experience and Actual Impact

Participants were be presented, in a structured way, a few examples of Digital Services deployed in the field and at scale, with a view to learn about what has been actually deployed, for whom and to pursue which objectives. / Diraya - ICT Support to Integrating Healthcare in Andalusia by Ana Maria Carriazo, Junta de Andalucía, Spain / Patient Access to PHR in Turkey by Ilkay Kaynak, Ministry of Health, Turkey / Hospitalisation at Home in Puglia by Francesca Avolio, AReSS, Puglia Region, Italy

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Interactive Session D3-M4 Matchmaking around Conditions for Successful Deployments

Participants were invited to join the presenters of the previous session to explore what are the main conditions that made the deployment at scale successful. During the conversation, participants will have the opportunity to report on how these conditions are met in their own local environment and understand what they can learn from each other. As a result, participants could identify potential partners for twinning with a view to locally develop implementation plans and may also connect with new projects that are under negotiation (DigitalHealthEurope, SCIROCCO Exchange, VIGOUR) aiming at providing support to twinning. The Maturity Model developed by the B3 AG for Integrated Care and operationalised by the SCIROCCO project will serve as an instrument to structure the conversation.

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