LifeSaver in Estonia programmi järgmised sammud

Saatja: Taavi Aasma <[email protected]>

Saadetud: 01.04.2024 09:03 Adressaat: SiM info <[email protected]>

Teema: FW: LifeSaver in Estonia programmi järgmised sammud Manused: LifeSaver Letter to Estonia Ministry of Interior 16 February 2024.pdf; LSE_ministries_InnovationModules.pdf; Feedback_InnovationModules_03_2024.docx

Tere Palun registreerida e-kiri. Saajaks Krista Aas, täitmise tähtajaks 10.04.2024. Tervitades ja tänades! Taavi Aasma

From: Asso Uibo <[email protected]> Sent: Thursday, March 28, 2024 4:11 PM To: Krista Aas <[email protected]> Cc: Taavi Aasma <[email protected]> Subject: LifeSaver in Estonia programmi järgmised sammud

TÄHELEPANU! Tegemist on väljastpoolt asutust saabunud kirjaga. Tundmatu saatja korral palume linke ja faile mitte

avada!

Tere Nagu teisipäeval kokku leppisime, siis edastan dokumendi kogumaks kõigi nelja ministeeriumi esindajate käest ootusi ja arvamusi seoses LifeSaver in Estonia programmi innovatsioonimoodulitega ning nendes planeeritud tegevustega. Täidetud dokumenti ootan tagasi hiljemalt 10.04.2024. Lisan ka lühikokkuvõtte kõigi innovatsioonimoodulite oodatavatest tulemustest ja võimalikest kasudest, mida välispartnerid on iga ministeeriumi jaoks välja toonud. Täiendavalt saadan manuses Airbus ja International SOS poolt SiM’le veebruaris edastatud kirja seoses järgmiste sammudega. Kui on küsimusi, täpsustusi või tagasisidet, siis pöörduge julgelt. Häid kevadpühi! ASSO UIBO

regionaalne investorkonsultant Lõuna-Eestis

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EASi ja KredExi ühendasutus

+372 5340 8320

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EAS ja KredEx ühinesid. Ühendasutuse juriidiline nimi on Ettevõtluse ja Innovatsiooni SA, kuid üleminekufaasis

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Commercial in Confidence

1

LifeSaver in Estonia

Our Recommendation

Innovation Module Reason for Recommendation Visibility and Impact

EMS Data Lake

Foundation

● Leveraging value of Estonian health data and natural next step for Estonia’s e-Health system

● Positions Estonia as a leader within the EU for implementation and use of the European Health Data Space

● EMS is a good starting point, can then scale to all other areas of public health / healthcare

● Provides the data and regulatory foundation for numerous other Innovation Modules

● Links to AI Decision Making Support, EMS System Management Platform, Immersive Digital Twin, HealthPorts

Moderate visibility as is rather a foundation for other applications

High impact as an enabler.

EMS System

Management Platform

Core EMS Efficiency

● Clear need of Health Board to determine how to optimally cover Estonia with EMS assets and teams

● Can integrate AI for supporting decision making at system level, e.g. in redistribution of resources

● Opportunity for local IT company to co-develop system with Lifesaver and optimise for local use

● Exportable product to other countries implementing LifeSaver

● Potential to evolve / merge with Immersive Digital Twin

● Links to Advanced Air Response, Healthports, AI Decision Support, Autonomous Eco-EMS

High visibility and impact - enhances the EMS system through

optimised response-times. Government can use this positively in

communications to general population.

AI Decision Making

Support

Significant potential

beyond EMS

● EMS teams reported multiple application possibilities to optimise decision-making at the various stages of the

EMS system, e.g. 112 response center severity assessment, ambulance crew diagnoses, hospital triage, …

● In line with “personalized government / public services” policy of Estonia

● Very large industry/technology potential, global need, assume high exportability of developed solutions

● Links to EMS Data Lake, First on Scene

High visibility for certification and integration of AI applications

into EMS / healthcare operations and high impact from better

decision making and significant economic potential beyond EMS.

Advanced Air Response

High visibility, high impact

● Core EMS: reducing response times and maximising the operational range of resources (medics, blood, ….)

● High motivation expressed by Tartu ecosystem (EMS and city / region), alignment with U-space sandbox

● Can start with UAV technology (beyond sensing for situational awareness) and scale to eVTOL

● Could include HEMS (to be further discussed) as a step to uncrewed operations

● Links to HealthPorts (landing sites)

High visibility and impact - positions government as providing

cutting-edge technology to enhance the EMS system.

Government can use this positively in communications to general

population. Enables eVTOL ecosystem in Estonia.

HealthPorts

Social impact and

innovation

● Enables several innovative medical applications, incl. telemedicine / remote diagnostics / monitoring of chronic

conditions / medicine dispensing / AED base/distribution

● Addresses lack of proximity of rural populations to medical care (global issue)

● Provides landing site for drones with scaling potential to Vertiport for eVTOL

● Exportable product to other countries with substantial rural areas

● Links to: Advanced Air Response (landing sites), EMS Data Lake, AI Decision Support

High visibility and impact - medical coverage expands into rural

areas demonstrating government commitment to deliver equitable

health care to the entire population. Government can use this

positively in communications to general population.

Commercial in Confidence

Overview of Areas of Improvement and Solutions per Innovation Module

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LifeSaver in Estonia

Innovation Module Areas of Improvement Solutions

EMS System

Management

Platform

● Response times and coverage

● Service areas and ambulance locations

● Holistic System Status

● Digital platform for better asset location and asset type for optimum coverage

● Analyses the current situation and provides comprehensive optimisation recommendations

● Provides a holistic view of the overall EMS system status

Advanced Air

Response

● Underutilization of drone technology

● Availability of Helicopter EMS (HEMS)

● Use of UAV (drones) for Emergency Medical Services: delivery of for example blood/AEDs

● Can scale to future eVTOL for medical applications and regional mobility

● Could include HEMS with a medical crew on standby for rapid take-off

● Better targeted response for improved patient outcomes

HealthPort ● Lack of healthcare personnel

● Optimising Telemedicine implementation

● Use of Telemedicine (beyond video calls) to reduce the workload on the EMS system and family doctors

● Ground element for Advanced Air Response

● Provide health, social, mobility and other services to remote populations

AI Decision Making

Support

● Prioritization of emergency calls

● Analysis of call prioritization

● Feedback loop

● Underutilization of AI / Machine learning

● Use of AI to optimise categorisation of emergency calls to the 112 centre

● Development of medical diagnostic / decision making support solutions

● Certification Framework for óther medical and aviation applications

EMS Data Lake ● Underutilization of health data

● Quality of (unstructured) health data

● Focused implementation of the EU Health Data Space framework

● Enables academic research and/or development of new health solutions by industry

● Forms the data foundation for other Innovation Modules

● Enriches Estonian e-health records and leverages Estonian digital infrastructure

Commercial in Confidence

LifeSaver in Estonia

3

Programme Alignment: Ministry of Economic Affairs

Key Benefits

• Make the next digital leap through innovative healthcare and aviation services

• Build new e-health solutions and services on existing e-governance digital backbone with effective PPP

• Bring Estonia to the forefront as an innovation testbed

• Advance the Estonian Health Tech market and export potential

• Expand international partnerships to attract expertise and investments

EMS Data Lake

• Enable the standardisation of health data for building new healthcare services and products (diagnostics, telemedicine)

• Create more value from higher-quality health data and further advance personalised medicine

AI Decision Making Support

• Enable development and utilization of AI applications that require validated health data

• Pioneer system-wide integration of AI in the medical domain

• Develop an AI Certification Framework to increase market and export potential of new Health Tech solutions

Advanced Air Response

• Access large and fast-growing UAV and AAM markets

• Use aviation technology as a catalyst and showcase for regional economic development

Commercial in Confidence

LifeSaver in Estonia

4

Programme Alignment: Ministry of Social Affairs

Key Benefits

• Addressing the challenges of overburdened EMS system and improve patient outcomes

• Increasing accessibility of primary healthcare services with implementation of new health technologies

• Securing additional funding for the Estonian healthcare system through innovation and digitalisation

EMS System Management Platform

• Better resource allocation and EMS service delivery

• Digital Platform for Health Board to define EMS services areas and plan service procurement

EMS Data Lake

• Implement EU Health Data space and build a foundation for developing new healthcare services

• Enable data-driven policy making and healthsystem management

• Enable evaluation to demonstrate success

AI Decision Making Support

• Integrate AI applications for higher efficiency of the overall EMS system

• Automate repetitive tasks to mitigate staff shortages

HealthPort

• Implement advanced telemedicine solutions to increase access to healthcare services and reduce burden on EMS

• Enables stratification of services

Commercial in Confidence

LifeSaver in Estonia

5

Programme Alignment: Ministry of Interior

Key benefits

• Optimisation of resources for emergency response

• Leverage additional data from NG112 implementation for developing tools to support PSAP in risk assessment / dispatching

• Rise the attractiveness of emergency services, incl. PSAP personnel and volunteers

• Update the regulatory framework for the next (digital) lifecycle

EMS System Management Platform

• Enable feedback loop analyse data of the emergency event to improve the system and risk assessment methodology

• Integrating volunteer network to increase coverage for emergency and disaster response, effective crisis management

AI Decision Making Support

• Leveraging NG112 data for developing AI based assistance tools for emergency response

Advanced Air Response

• Faster emergency response by integration of new aviation technologies that enable more effective use of resources

Commercial in Confidence

LifeSaver in Estonia

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Programme Alignment: Ministry of Climate

Key benefits

• Realise Estonian potential to become a pioneer implementing new and innovative aviation technologies

• Advance Estonia to become a testbed for climate neutral aviation:

– Establish sandboxes and living labs to support R&D for private and public sector entities

– Fastrack innovation to market with flexible policies and regulatory framework

• Support the growth of the innovative aviation sector in Estonia as a new market with high export potential

• Reduce CO2 emission and reach climate goals through implementation of sustainable aviation technologies

Advanced Air Response

• Medical drone applications reduce the use of ground transportation and replace them with climate neutral energy solutions

• Social acceptance of drones in medical use will expand these applications to other areas (logistics, agriculture etc).

HealthPort

• Cross-modal integration of unmanned aerial and ground vehicles for sustainable mobility services

• Leveraging aviation, AI and smart technologies to bring healthcare, social and mobility services closer to the public and

reduce transportation and commuting for services

To From

Tuuli Räim Frédéric Balme

Vice-Chancellor Senior VP Global Healthcare

Ministry of Interior International SOS GmbH

Republic of Estonia

Hubertus Groepper

LifeSaver Programme Manager

Airbus Helicopters Copy

Kadi Luht-Kallas Ref: LS/2024-0203 Raiko Reimann 16 February 2024 Taavi Aasma

Next Steps for the LifeSaver in Estonia Programme

Dear Vice-Chancellor Räim,

Following the successful completion of the LifeSaver in Estonia (LSE) project for the design of a national innovation programme, we would like to thank you and your team for your support and numerous contributions already in 2022 and during the project in 2023.

We have shared the proposed LSE Programme Design in the form of a report that was validated on 24 January 2024 by representatives of all involved ministries and agencies. The LSE Programme is designed to be an opportunity to advance your stated policy in the field of public health and support the Estonian health, aviation and technology sectors.

Work is now focussing on preparing for a proposed launch of the LSE Programme in 2024, and we are pleased to share that regions and municipalities (Ida-Viru and South Estonia), experts from Tartu University and TalTech, and the private sector have expressed their interest in the programme.

While we focus on Q1/2024, we would also like to outline expectations for the remainder of 2024 as well as the implementation phase of the LSE Programme until end of 2027:

1. Q1/2024: Confirmation of interest of involved ministries, resulting in a joint Letter of Intent with all involved ministries to enable next steps

2. Q2/2024 to Q4/2024: Confirmation of Governance, scoping of Innovation Modules with appointed Co-Leads to narrow down technical requirements and identification of available funding sources prior to LSE Programme Launch

3. From 2025 onwards: Enable the implementation of Innovation Modules during the LSE Programme execution phase

A detailed timeline with all steps for 2024 is attached at the end of this letter.

International SOS GmbH Dornhofstrasse 34, 63263 Neu-Isenburg Geschäftsführung/Managing Directors: Frédéric Balme, Torsten Reuter, Dominik Schaerer Sitz der Gesellschaft/Registered Office: Neu-Isenburg Register: Amtsgericht Offenbach am Main (District Court), HRB 41259 USt. Ident.Nr./VAT reg.no DE 215 997 859

Airbus Urban Mobility GmbH Prannerstr. 6, 80333 Munich Geschäftsführung/Managing Directors: Balkiz Sarihan, Roland Gassenmayer Sitz der Gesellschaft/Registered Office: Taufkirchen Register: Amtsgericht München (District Court), HRB 247 159 USt. Ident.Nr./VAT reg.no DE323258105

Q1/2024: Confirmation of Interest by the Ministry of Interior

To enable next steps, it is important that all stakeholders including your ministry confirm their general intent to work together towards the implementation of the LSE Programme.

We therefore kindly ask the Ministry of Interior to endorse in principle the implementation of the LSE Programme as it is currently outlined, and to designate a point of contact for the ministry who can further support the LSE Programme team for the remainder of 2024. Taking into account the short timeline, we propose to proceed through a basic unilateral Letter of Support from your ministry ideally until 4 March 2024.

On this basis, we will be able to allocate internal resources at our risk and continue with initiating the LSE Programme as specified in the timeline below.

Going forward, we would kindly request to sign a non-commercial and non-binding Letter of Intent (LOI) with the Ministry of Interior to record our agreement on the following points:

- General intent to launch the LSE Programme and willingness in principle to support the LSE programme financially (subject to funding availability and other conditions)

- Readiness of the Ministry to join the proposed LSE Programme Board (see the following chart) and clarification of other aspects of governance as needed

- Mandate for the LSE programme team to work with designated agencies as so-called “Innovation Module Co-Leads” as far as they relate to your ministry

- Details of the work that the LSE Programme team would carry out in 2024 - Details of the support that your Ministry would be able to provide in 2024 and during the LSE

Implementation Phase - Outline of key policy priorities and potentially programme targets as a first steering input from

the Ministry

For the purpose of notably this last element of the proposed LOI, the LSE project team has identified several areas that we believe are in line with the policy objectives of your Ministry:

- Optimise resources for emergency response across different authorities (e.g. Rescue Board, Health Board, other organisations)

- Strengthen the integration and coordination of operational emergency teams incl. volunteers - Leverage the implementation of the Next Generation 112 (NG112) service to further support

the 112 Emergency Centre (PSAP) with efficient assessment of emergencies and dispatch - Reduce the load on the 112 Emergency Center by further promoting the 1220 service and

offering alternative pathways (e.g. via HealthPort) - Increase the attractiveness of emergency services, incl. PSAP personnel and volunteers - Meet upcoming and future regulatory requirements from the EU - Update the regulatory framework for the next (digital) lifecycle

Please feel free to amend this overview as necessary so that we can fully reflect the priorities of your Ministry in the draft of the Letter of Intent.

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As of February 2024, the proposed LSE Programme Governance is as follows:

Please note that not all Innovation Module Co-Leads (e.g. ZeroEst) are confirmed yet.

Q2/2024 to Q4/2024: Support detailed scoping and funding of Innovation Modules

The most critical step consists in securing resources for a central PMO team in 2024 to work with the Module Co-Leads on the detailed technical and financial requirements of each Innovation Module.

On the basis of the aforementioned LOI, the LSE team of Airbus and International SOS is willing to start working with the designated Module Co-Leads towards a more narrowly defined scope of each Innovation Module. We will also support to the best of our abilities the identification and allocation of EU and national funding sources.

In parallel, we will work closely with Enterprise Estonia on the contracting scheme for the central LSE PMO team. Upon confirmation of funding, we will also launch the recruitment of Estonian team members as a first step of forming a LifeSaver “Hub” in Estonia.

Detailed steps are outlined in the attached timeline. In essence, these steps will enable - A LSE Programme Announcement at the Latitude 59 event in Tallinn at the end of May 2024

to facilitate the onboarding of strategic partners - A range of cooperation and partnership agreements that will be required to coordinate all

partners from the public and private sectors - The development of precise funding applications for 2025 onwards - The launch of the LSE Programme and opening to external participants in Nov. 2024

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We kindly ask the Ministry of Interior to support these steps as follows: - Support and validate the objective setting as part of the detailed scoping for each Innovation

Module. Specifically, this includes alignment with the long-term development plans for volunteers and other services that operate under the oversight of the Rescue Board

- Facilitate the alignment with UAV (drones) related initiatives - Provide initial guidance for the design of EMS and social services for the HealthPort - Support the identification and potential allocation of funds from EU Structural Funds and other

funding instruments as far as the Ministry or its agencies are either an Implementing Agency (IA) or Application Unit (AU) or otherwise concerned with financing decisions

- Identify and support changes to the regulatory framework that might be required - Contribution to the funding of the central PMO team (the exact allocation of funds is to to be

determined by all Estonian stakeholders)

3: Enable the Implementation (2025 onwards)

Once the LSE Programme is launched, we kindly ask the Ministry of Interior to support the implementation of the following Innovation Modules that are most relevant to your ministry:

● EMS System Management Platform ○ Digital Platform to optimize the allocation of assets for EMS and potentially related

services, taking into account risk factors for the population of Estonia ○ Better definition and strategic planning of necessary resources for different future

scenarios (incl. evolution of risk factors) ○ Enable feedback to the 112 emergency center and improve dispatch decision making ○ Integrating volunteer network to increase coverage for emergency and disaster

response and provide an effective crisis management ● AI Decision Making Support

○ Leveraging NG112 data for developing AI based assistance tools for emergency response

○ Leveraging EMS data to help 112 emergency center personnel with decision making ● Advanced Air Response

○ Faster emergency response by integration of new aviation technologies that enable more effective use of resources

○ Potentially provide aerial data for emergency response and disaster management between EMS system and public services that report to Rescue Board (data fusion)

At this stage of the LSE Programme, it is difficult to specify the exact support that will be required from the Ministry of Interior, as this partially depends on the next level of scoping and priority setting. However, actual support will likely consist in potentially updating the regulatory framework (if needed, for example around the use of AI for decision making support at the 112 emergency center or with aerial data for disaster management), providing direct expert inputs and facilitating the cooperation with key stakeholders such as the Rescue Board, volunteer organizations, relevant academies, municipalities and the like.

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In any case, we kindly ask the Ministry of Interior to support the setting of objectives for the overall LSE Programme and the individual Innovation Modules, validate the achievement of agreed milestones, monitor progress and provide general guidance as a key member of the LSE Programme Board.

We would also appreciate any support that the Ministry would be willing to provide together with the other members of the LSE Board for international outreach and communication activities, highlighting the positive impact that innovative new solutions can have on Emergency Medical Services in Estonia and elsewhere in the world. This would contribute to the shared objective of supporting the Estonian economy and its active startup ecosystem.

We once again would like to thank you for your collaboration during the past nearly two years and look forward to taking the next steps together. Please do not hesitate to contact the LifeSaver team of Airbus and International SOS or Enterprise Estonia for any questions and suggestions you may have.

With our best regards,

_________________________ ___________________________ Frédéric Balme Balkiz Sarihan Managing Director CEO International SOS GmbH Airbus Urban Mobility GmbH

___________________________ Stefan Hedtstück Head of Procurement Airbus Urban Mobility GmbH

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Annex: Next steps and timeline

As outlined and discussed in the project closure meeting on 24 January 2024, we propose the following (ambitious) timeline in order to keep the momentum and secure broad buy-in.

Please note that this timeline assumes that all parties - including the LifeSaver team of Airbus and International SOS - work on the basis of a Letter of Intent and without dedicated funding notably throughout Q2/2024.

Q1/2024: Confirmation of Interest

15 February 2024 → Until 4 March 2024 → Until 25 March 2024

This present Letter outlining the request for endorsement of the LSE Programme

Clarification and exchanges with your Ministry and its designated Point of Contact

Receipt of letter of support from your ministry in response to this present letter

Draft of a formal LOI to confirm governance and general intent to launch the LSE Programme (no commercial elements)

Signing of a joint Letter of Intent with the Ministries of Social Affairs, Interior, Climate and Economic Affairs

Q2/2024: Launch Preparation

Until 12 April 2024 → Until 17 May 2024 → 22 to 24 May 2024

Constitution of LSE Programme Board and formal mandate of Innovation Module Co-Leads for 2024

High-Level scoping of Innovation Modules with Co-Leads and budget allocation with support of ministries (focus on 2024 activities)

Confirmation of funding for central PMO team and agreement on final contracting scheme

Launch recruitment of the Estonian LSE PMO (Programme Management) Team

LSE Programme Announcement at the occasion of the Latitude59 Event

Q3/2024: Detailed Technical Design and Funding Applications

June 2024 → → End of September 2024

Agreements with Module Co-Leads on resources and governance (roles and responsibilities, scope of work, etc.) for 2025 to 2027

Detailed definition of technical requirements for each Innovation Module by Module Co-Leads and central LSE PMO team

Development of detailed Funding Applications for implementation of Innovation Modules from 2025 to 2027

Onboarding of Strategic Partners from the private sector and (international) key stakeholders to anchor the LSE Programme

Q4/2024: Programme Kickoff with external participants

October 2024 → Until 31 Oct. 2024 → 20/21 November 2024

Cooperation agreements with existing initiatives, municipalities, universities and other public stakeholders in Estonia

Partnership Agreements with strategic partners (private sector) and potentially other countries (“founding partners”)

Formal Allocation of Funding for implementation of Innovation Modules from 2025 to 2027

Promotional activities to create momentum ahead of the Programme Launch / Kickoff

Formal Programme Launch / Kickoff at the occasion of the Slush 2024 event

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