The HSE Telehealth Roadmap 2024-2027 supports the vision for telehealth in Ireland to seamlessly integrate telehealth into business-as-usual within the healthcare service, providing high quality and safe healthcare, accessible to all, no matter who they are or where they live.

The Telehealth Roadmap is aimed to identify and assign the key building blocks which are critical to a firm foundation for telehealth in Ireland.

7 building blocks and requirements have been identified including: 1- Funding & Resources (e.g., procurement frameworks); 2 - Technology and Infrastructure (e.g., reliable and secure connectivity, equipment); 3 - Leadership, Governance and Implementation (e.g., safety & quality standards); 4 - Healthcare Workforce (e.g., digital capabilities & buy-in); 5 - Patients, Family Carers, Service-users & Community (e.g., accessibility); 6 - Monitoring, Evaluation & Research (e.g., risk assessments & evidence building); 7 - Innovation (e.g., mainstreaming innovations).

In the HUMAN project there will be a main focus in addressing the adoption and spread of telehealth consultations in the delivery of integrated care and hospital clinics.

The HSE Telehealth Roadmap 2024-2027 is part of the Digital Health Framework for Ireland (2024-2030). It is specified that the delivery of this framework will follow an incremental approach to continue through 2030. Telehealth is included as a key area of investment.

"Good and close care” is a national agreement between the state and the Swedish Association of Local Authorities and Regions (SKR). The SKR represent the municipalities at national level. The municipalities have been assigned as responsible to deliver primary care in their territories.

In addition, the municipalities have the legislation which states that the region must take responsibility for the level of doctors for special accommodation and there is a regional agreement on the availability of doctors in special accommodation.

The municipalities have the Municipal Act to operate the healthcare and welfare activities as efficiently and economically responsibly as possible.

Across Sweden, the transition to good and close care is underway. The changeover is aimed at health and medical care that is provided cohesively based on the patient's individual needs and conditions so that the individual's entire life situation can be considered.

The national work with the transition to good and close care which the policy instrument above aims at is in line with WHO's goal of achieving universal health coverage (Universal Health Coverage, UHC) around the world.

"Good and close care" is an overarching goal for the transformation that is taking place within health and medical care, which aims for care to a greater extent to be organized and conducted based on the patient's needs and conditions.

Local Action Group (LAG) Heart of Slovenia covers 6 municipalities from Eastern and Western Slovenia. Litija, Šmartno pri Litiji, Kamnik, Moravče, Lukovica and Dol pri Ljubljani are mostly rural environment and one of LAG’s priority is to address vulnerable target groups. Also, elderly and persons with special needs and disabilities

LAG priorities in 2021-2027 are promoting employment, raising quality and developing rural services and infrastructure, strengthening social inclusion, health, cooperation and networking of rural people and promoting integrated and inclusive social, economic and environmental local development, culture, natural heritage, sustainable tourism and security in non-urban areas.

Healthcare falls under Action 5 - Strengthening local communities: promotes the active participation of all residents, including vulnerable target groups, development support services for quality living and encourages the use of modern ICT. The aim is to involve vulnerable target groups and improve access to services for all and to promote digital inclusion - development and improvement of accessibility of services in the LAG area, in particular in the fields of social care, health and other areas supporting social inclusion and quality of life.

The indicator in the strategy relating to this theme is: number of trainings/programmes/products aimed at health protection, ensuring accessible services and raising awareness of the local population to improve health.

Health Strategy of the Canton of Bern 2020-2030 (Gesundheitsstrategie 2020-2030) aligns with the national Health2030 Strategy but with specific cantonal nuances. Bern’s strategy is shaped through public and stakeholder consultation, addressing local healthcare system strengths and weaknesses.
Bern’s specific goals are organized around six axes:
1) Promoting Health Literacy: Focuses on enhancing the health competence, ensuring that individuals have the knowledge and skills to make informed health decisions.
2) Integrated Healthcare Promotion: Emphasizes the importance of integrated care facilitating seamless care coordination across various healthcare providers.
3) Interprofessional Collaboration: Aims to improve collaboration among healthcare professionals while addressing the shortage of skilled health workers through targeted training and recruitment initiatives.
4) Supporting Research and Innovation: Encourages research, development, and innovation in healthcare, aiming to incorporate cutting-edge medical technologies and treatments into everyday practice.
5) Digital Transformation: Prioritizes the integration of digital technologies in healthcare, such as the use of AI and big data, to improve diagnostic accuracy and patient outcomes.
6) Cost Containment: Focuses on curbing the growth of healthcare costs through efficient practices, preventive care, and optimized resource use, ensuring the sustainability of system.
In HUMAN we will specifically address axes 2, 3, 4 and 5.

OP “THALIA” 2021-2027’s objective is the sustainable growth, by reducing social disparities, with a focus on smart entrepreneurship, green growth and job creation.

Its Priority 1 “A competitive, smart and digital economy” under Policy Objective 1 ‘A more Competitive and Smarter Europe’ includes the Specific Objective (ii) "Digitization" which targets (among others) the promotion and development of e-health. Specifically, one of the relevant categories of actions that will be promoted in the context of this specific objective is the "Development of information systems / applications / infrastructure to further enhance e-health and e-learning".

The goal of this policy instrument is to see how digital applications come into everyday care - oriented towards patient well-being and not as an additional burden for service providers. The “Health Care BY Your Side” model region complements the gematik model (telematic infrastructure) region in Upper, Middle and Lower Franconia in a targeted manner and expands it into a digital ecosystem for the medicine and care of tomorrow. The guiding principle is: digitalization is not a means to an end! Service providers should be specifically helped with the digital transformation and citizens need to be addressed in a practical and understandable way.
Over more than 100 entities are involved: patients & patient representatives, medical professions, nursing staff, pharmacies, health authorities, industrial healthcare industry - forming the Healthcare Network Franconia.

“Health Care BY Your Side” is conceived to provide with:
1. Development and implementation of an information and communication strategy for citizens and service providers.
2. Digital transformation in health and care provision through tailored maturity models.
3. Skills & training to increase digital competence in the healthcare sector, e.g. in practice teams in the private practice sector and in care facilities.
4. Based on the funding guideline, the testing of innovative, new digital care solutions that go beyond the ICT applications could be realized in “Health Care BY Your Side” affiliated funding projects

The Central Danube Priority Area (CDPA) by way of public law is defined as a special development region of high priority. Resolution of Parliament no.1/2014 adopted on 3rd January 2014 lays down the foundations of these special regions with boundaries occasionally overlapping those drawn be means of public administration. Pursuant to the Resolution, each Area is to have its own development strategy and a development operational programme stemming from and building on the previous.

The Central Danube Regional Development Strategy 2021-27 and the pertaining Operational Programme (OP) 2021-27 both have been elaborated and are now in place. Human development is one of the OP’s six priority axes broken down into two measures: 1) CDPA-specific model projects for the improvement of care, 2) improving local health services in order to achieve adequate and efficient health care provision in situ.

The OP takes a complex stance on health care development combining health promotion, institutional capacity-building, strengthening infrastructure and formulating incentives specifically designed for innovative SMEs specialising in health so that they move into the Area.

Development Strategy of West Herzegovina Canton 2021-2027 is an integrated holistic framework for full-scale development activities. It defines 3 objectives as follows: 1) Economically developed canton, 2) Socially responsible canton, 3) Effectively organized canton. Objective no. 2 breaks down into 3 priorities, out of which the first one is 2.1. Increase the quality of health and social protection of the population. This reflects on the issues of access to health services and increasing its quality and efficiency such as digitalisation.

Until 2027, the Strategy determines the course for West Herzegovina Canton in terms of developing services and creating an atmosphere to increase the quality of life, which, in addition to economic development, will also enable a better quality of life. The Ministry is responsible to implement Priorities - Increase the quality of health and social protection of the population - increase the efficiency and availability of health services, ensure the protection and improvement of mental health, prevention of the development of diseases and the pertaining measures, the follow-up and ex-post monitoring in order to be able to provide feedback and lessons learnt for the following strategy.

The Strategy for the next programming period will start being drafted in 2026, so this political instrument will continue in the future.