Digital transformation in Health and Care

Specific Challenge : The Communication on the mid-term review of the implementation of the Digital Single Market Strategy (COM(2017)228) identified three priorities on digital transformation of health and care (DTHC): citizens' access to their data; data infrastructure; interaction between citizens and healthcare providers for better health management. That document indicated that specific measures would be elaborated in a dedicated Communication to be adopted in the months to follow. Progressing significantly at EU scale on the referred priorities requires aligning the efforts of many relevant players across Europe, namely their efforts on research and innovation, in line with activities supported by H2020, as well as efforts on deployment, political coordination, stakeholder awareness and mobilisation, etc. Such coordinated European action on is already supported through various frameworks including the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA), the eHealth network of Member State representatives, the eHealth stakeholders group, the health and care activities under the Digitising European Industry platform and other. It is also the focus of actions under European programs including H2020 (notably its societal challenge 1), the Active and Assisted Living Joint Programme, the IMI and ECSEL Joint Undertakings and the Knowledge and Innovation Community on Health from the European Institute of Technology. Scope : The action should address the activities indicated below, in close coordination with European Commission services, while considering the coordination activities and programs mentioned above, relevant projects and actions supported by the EU, and other relevant initiatives. 1) Delivery on the third DTHC priority of the DSM (focusing on user-centred integrated care), which should represent approximately 75% of the total effort of the action. This will concentrate on supporting and extrapolating the lessons from practical experiences across Europe that are particularly impactful, successful and replicable. The focus will be on large scale deployment of digital solutions for chronic diseases and integrated care (that absorb the majority of healthcare budgets and where there is a big scope for improvement) and patient-centred care, considering a limited set of implementation scenarios which seem particularly impactful. The experiences to be considered may cover public and non-public initiatives, including from the reference sites and other participants of the EIP on AHA, as well as relevant European projects (finished or not) on integrated care. Three tasks will be undertaken: 1.1. Support the identified initiatives and projects, assessing their impact, analysing their strengths and weaknesses, and providing advice for further deployment, including on available funding from public (EU or other) and private sources as well as other types of assistance. In all cases, and notably for EU funding and assistance, the aim should be to maximise their leverage effect and demonstrable impact. 1.2. Replicate the lessons from the selected initiatives and projects, through a common framework for assessing impact (with particular consideration to the MAFEIP [1] ), twinning activities, and collaboration actions between relevant initiatives and stakeholders. The later may include a variety of instruments including pre-commercial and innovation procurement. Success and failure factors will be analysed and compared in view to assess their potential replicability. This work should build on the H2020 support action funded under SC1-HCO-17-2017 [2] , and any other relevant efforts to link initiatives in the scope of the third DTHC priority of the DSM. 1.3. Scale up the deployment across Europe of DTHC solutions, analysing, elaborating on and promoting enabling factors and "building blocks", which may lead to European reference frameworks. These may relate e.g. to mHealth, smart homes, smart hospitals, legislation a