eHealth Solutions Evaluation For Business models Evaluation, akey-element for successful projects Emilie Masselot

1. eHealth Solutions Evaluation
For Business models
FORUM CIS - April 19th, 2013, Barcelona

2. Increase of healthcare and social services demand
 Ageing population :
o In 2060, 23,6M pepole +60 years old (+80% compared to 2007)
o A new concept of frailty, between autonomy and dependance
 Increase of people suffering from chronic diseases
o In France, 8,3M people getting full reimbursement for long lasting complaint in
December 2008
Lessening of healthcare and social services supply
 Decreasing of medical demography (rural areas and suburbs)
 Loss of the social and intergenerational links
 Decreasing of health systems funds : need for long-lasting
business models
Challenges of the health system

3. Specificity of eHealth market
 At the crossing of different public policies :
healthcare/social/innovation-technologies
 Complex system : multiples actors/many funders ->
responsabilities and decisions authorities diluted
 Difficulties for the Proof of Concept (POC)
o Distributed expertises
o Heterogeneity of standards and norms
o Transferability of solutions (heterogeneous contexts)
A necessary collective approach
 Users : Patients & Health Professionals
 Suppliers : solutions and products providers
 Funders : public and private actors
The eHealth market

4. Need of a new way to deliver care and social services
Increase efficiency of health systems
But keep main aims :
 Increase quality of healthcare services
 Develop a best access to healthcare
 Develop Home care
 Best coordination of Healthcare professionnal
 Formation (e-learning)
Challenges and stakes
The main challenge for eHealth development
isn’t technologic but organizational :
 Define lasting Business Model
 Convince of medical and economic impact

5. Project carried by the Centre e-santé – certified by
the French Ministry of Industry in 2011
Need noticed during the Centre e-santé activities :
• Lack of knowledge about the health sector :
vocabulary, practices…
• Lack of medical and organizational projects previous the
formalization of technical projects
• Lack of expertise « bi-sectorial » : health and ICT
• Need for accompaniment on the new eHealth market
• Need for information about the market and evaluation
methods
• Need for normalization of solutions through a multicriteria and
certified evaluation
Genesis of Platinnes

6. platinnEs is a single window offering a portfolio of recognized
experts and test sites in high-tech sectors to accelerate e-health
technologies development and its market access:
• eHealth Contract Research Organization (CRO) :
o Management of eHealth clinical trial
o Multidimentional Assessment
• e-health market decoding for companies, economic models
analysis and access to health and home care services
funders
• Support for public and private actors in the definition of
strategy in e-health
• Support for the management of collaborative projects
Platinnes : unique e-health innovative
platform in Europe

7. Example of telemonitoring
 Who and where are the patients ? Which target ?
 Who and where are the caregivers or medical/social services?
 We need eHealth solutions :
 Who and where are techologies providers?
 What is the value chaine ? The value sharing ?
 Who will pay for that ?
 Public or private funders ? Both ?
 Which business models ?
 How to assess eHealth Solutions ?
 We need experts on many fields and coordinate them
 We need to recruit patients
 We need to check normative and legal aspects, administrative
processes
eHealth Evaluation : why and how ?

8. Aim of evaluation : support to the decision
Why ?
 Prove the adequacy to the needs of professionals (health & social)
and of patients
 Prove the economic relevance
 Prove the organizational relevance and improve the efficiency of the
systems
How ?
 Mutidimentional evaluation
 Medical and social impact (health, quality of life, wellness…)
 Organizational models
 Technologies : reliability, robustness, interoperability…
 Legal, regulatory, normative and ethical aspects
 Acceptability and ergonomy of eHealth solutions for professionals and
patients
 Economic assessment
eHealth Evaluation : why and how ?

9.  Platinnes Organization
o A multidisciplinary internal team :
economist, engineer, healthcare
professional, sociologist, clinical research assistant, jurist…
o A pluridisciplinary Experts Network
(medicine, technology, law, economy, sociology, ethics, psyc
hology / ergonomy)
o A test sites Network (inside laboratories or at home) to
welcome experimentations
eHealth Evaluation : why and how ?

10. Perspectives for Europe
Develop common standards
 Example : interoperability Healthcare Information Systems (project
EpSOS)
Harmonization of eHealth solutions assessment
methodologies
Develop certifications of eHealth solutions
 Good practices
 Common performance indicators
 Barriers : different health and social systems between Member
States

11. Thank you for your attention
More information :
Emilie MASSELOT, Project Manager
emilie.masselot@centre-esante.com
www.platinnes.com
Tel : +33 5 34 46 63 36

12. FòrumCIS
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www.forumcis.cat
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