EPACT – Advancing the digitalisation of medication management in European hospitals

Sponsor: Becton Dickinson
Project Status: ONGOING (February 2022)


What aims and scope

Medication management is one of the most complex and safety-critical processes within hospitals. It influences patient safety, workforce capacity, operational efficiency and the resilience of healthcare systems. At the same time, increasing medicine shortages, growing demand for care and workforce pressures have highlighted the need to modernise how medicines are managed across the entire hospital pathway.

EPACT was established to advance the digital transformation of medication management in European hospitals. By combining policy engagement, research and practical implementation, the initiative supports hospitals in adopting safer, more efficient and more resilient medication management pathways while helping European policymakers create the conditions needed for this transformation.

How it will become possible 

Recognising that digital transformation requires action beyond individual hospitals, EHMA established the EPACT Alliance in 2022, bringing together patient organisations, healthcare professionals, hospital managers, industry and other stakeholders around a shared vision for the future of medication management.

Over time, EPACT has evolved into a platform connecting European policy, evidence generation and practical implementation. Rather than focusing on a single policy file, the initiative has addressed the broad range of issues influencing medication management, from digital infrastructure and health data to medicine shortages, patient safety, controlled substances, sustainability, workforce capacity and the return on investment of digitalisation.

Influencing European policy

EPACT has contributed to discussions surrounding the European Health Data Space, the Pharmaceutical Strategy for Europe, the Critical Medicines Act and the future Multiannual Financial Framework. It continues to engage with European institutions, including the European Medicines Agency, to ensure that digital medication management remains part of Europe’s evolving health policy agenda.

Supporting implementation

Alongside policy engagement, EPACT develops practical guidance for healthcare organisations. Through research, implementation guides, funding recommendations, webinars and workshops, the initiative supports hospital managers, pharmacists and healthcare professionals in translating digital innovation into everyday practice. This work is increasingly extending to national initiatives with healthcare organisations and professional communities across Europe.

Where EHMA delivers 

EHMA leads the strategic direction of EPACT by bringing together policymakers, hospitals, healthcare professionals, patient organisations and industry around a common objective: modernising medication management through better health management.

Our contribution goes beyond policy advocacy. EHMA translates European priorities into practical tools that support implementation within hospitals, ensuring that digital innovation is accompanied by organisational change, leadership, workforce development and sustainable investment. Through EPACT, EHMA has developed policy papers, implementation guidance, evidence reviews and management resources while facilitating dialogue between European institutions and healthcare organisations.

Capacity building

Beyond policy development and research, EPACT supports hospitals in translating digital medication management into everyday practice. Through workshops, webinars and peer-learning activities, the initiative helps hospital managers, pharmacists and healthcare professionals exchange experiences, strengthen implementation capacity and identify practical solutions to common challenges.

A key output of this work is the How-To Managers’ Guide on the Digitalisation of Medication Management Pathways in European Hospitals, which provides practical guidance for planning and implementing the digital transformation of medication management. The guide is available in multiple languages, including English, FrenchGermanItalianPolish, and Spanish.

WHY YOU WILL BENEFIT

Digital medication management is not simply about introducing new technologies. It is about creating safer hospitals, reducing the administrative burden on healthcare professionals, improving the availability and safe use of medicines, and enabling hospitals to make better use of increasingly limited resources.

By combining policy development, evidence and practical implementation, EPACT supports policymakers, hospital managers, pharmacists and healthcare professionals in making informed decisions about digital transformation. Ultimately, the initiative contributes to more resilient healthcare systems that improve patient safety while strengthening the capacity and sustainability of hospital services.

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What our Members say

I have been active in EHMA since the first years of the '90s and I have seen its evolution from a small association of members interested in sharing knowledge on health management practices to the current status of reference and advisory key player for EU, health systems and organisations, stakeholders associations, industry and universities. EHMA is now a unique knowledge hub, policy advisor, community of practice and network of best in class organisations involved in health policy and management. A place where health managers can build their competences, policy-makers and stakeholder associations envision how to implement and sustain change through health management, industry leaders understand how to engage more effectively with health organisations and systems. The right place to nurture and grow health management capabilities and capacity for every stakeholder of health systems.

Prof. Federico Lega, University of Milan, Italy

Health management has a crucial function in shaping public health and health system challenges. The Medical University of Varna, Bulgaria had success in collaborating with EHMA on EU-funded projects that has resourced us to create new health management competencies for the future workforce. In addition to all classical definitions, health management is a science dealing with individuals, groups, and society at large. It is an art contributing to the beauty of our lives and an interactive communication process at all levels of institutions and human energy. I have also had the pleasure to chair the South Eastern European Special Interest Group which gives members a space to discuss and tools to address how health systems are managed in our regions.

Prof. Todorka Kostadinova, Medical University of Varna, Bulgaria

I enjoy the high level of interaction and engagement in EHMA’s activities, in particular during the annual conference where the panel discussions are rich and well prepared. As a hospital manager and professor of health management, EHMA motivates and inspires me to be creative. You go back home feeling energised from seeing old friends and making new connections, as well as being convinced of serving as EHMA’s ambassador. It’s a strong feeling of interdisciplinary engagement, but it also feels like being part of family-like community.

Prof. Sandra C. Buttigieg, University of Malta, Malta

EHMA is a pre-eminent organisation for everyone working in planning, managing and delivering health services across Europe. As a long standing member of EHMA I have always been impressed by the vibrant community of managers, researchers and academics it has created and by the many opportunities for sharing knowledge and funding opportunities it has brought to its members. Its international scope is impressive and its impact is often felt in management and research across European and national health systems.

Prof. Axel Kaehne, Edge Hill University, UK

Health workforce has become more essential in operating, managing and maintaining health systems lately, particularly in crisis and emergency situations. European healthcare professions and the workforce need to be high on the agenda of managers and decision makers. The Health Services Management Training Centre, Semmelweis University in Hungary is a longstanding EHMA member, because it connects us with collaborators and experts, with whom we can have complex debates, from whom we can learn and at the end find solutions in various challenging fields of healthcare management.

Dr Eszter Kovács, Health Services Management Training Centre, Semmelweis University, Hungary

As a hospital administrator and health management professor, I see on a daily basis that the healthcare challenges require talented and skilled managers to transform it. the EHMA membership has been beneficial to bring healthcare management research and education to the demanding healthcare services world, promoting healthcare management competencies and knowledge creation.

Dr Alexandre Lourenco, APAH - Association of Portuguese Hospital Managers, Portugal

Many healthcare systems in Europe and beyond are facing similar challenges which require innovative and creative solutions. EHMA’s annual conference, webinars, Programme Directors’ group and other activities and resources provide incredible opportunities for networking, connecting and sharing experiences. A distinct feature of EHMA is the diversity of members with representation from many countries, sectors and different communities of practice – academic, policy-makers, practitioners, managers, leaders and students. The annual conference is a highlight in the calendar year, offering a friendly, fun and learningful environment for emerging and established members to engage, collaborate and meet up with old and new friends. I am proud to be a member of the EHMA Board.

Prof. Ann Mahon, University of Manchester, UK

Society evolution, pandemics and ageing modify health needs. So, health policies and services are to change dramatically. EHMA, through webinars, workshops and annual conference provides an excellent insight to a professional changing world, favouring closeness to management innovation and the protagonists of these changes. As a primary care services’ manager, participating in EHMA activities is really worth it and allows to involve oneself in the innovation processes.

Dr Antoni Peris Grao, Consorci Castelldefels Agents de Salut (CASAP), Spain

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