1st EcoQUIP Workshop

Background Research on

Priorities and Opportunities

Angus Hunter

EcoQUIP Project Manager

Purpose of the Workshop

How to Move from: – Individual hospital ‘innovation procurement’ projects in different countries

TO – Collaborative cross-border actions involving multiple hospitals/stakeholders

– Leader—Led Collaborative Procurement Actions (6 hospitals)

– Annual Innovation Procurement Foresight Workshops (until 2016), leading to:

– Collaborative Innovation Procurement Actions

– Other Joint Actions?????

Joint Action Plan - How can European hospitals work together to effectively communicate their unmet

needs to potential solutions providers?

- How can European hospitals be mobilised to become early adopters of new and emerging solutions?

Pre-Workshop Research

Provocation Paper – Top-down analysis to identify important needs and potential areas for joint action

– Insights into some emerging solutions (EU R&D activities – FP7)

Stakeholder Survey – Based on provocation paper

– What are the most important unmet needs and under exploited solutions

– What are the barriers

– What actions would have the greatest impact on the barriers

Joint Action Plan - Initial ideas from virtual brainstorming (Expert Panel)

- Gaynor, Joram, Juan-Manuel, Marcin, Ville

Funding Opportunities – 1st PPI/PCP Calls of Horizon 2020

– Influence future PPI/PCP Calls of Horizon 2020

Provocation Paper

Challenges Needs Solutions

More elderly patients and chronic diseases

Patient empowerment and demand for new technologies

Pressure on budgets and unsustainable rise in spending

Rise of healthcare associated infections

Workforce shortages and skills gaps

Rising cost of resources

Impact of climate change

Reduce burden on hospitals (new

healthcare models)

Reduce operational costs/impacts

Reduce occurence of hospital acquired infections

ICT for healthcare

Innovative materials and devices for healthcare delivery

Technologies to improve medical procedures

Technologies to improve

operational procedures

Technologies to reduce environmental impacts

Feedback from FP7 Participants

Barriers to Exploitation?

There is a knowledge gap and disconnect within

procurement units that obstructs the

introduction of new technology

The practice of procuring the

cheapest option is deep-seated within healthcare systems

Ethical and legal barriers can be

significant stumbling blocks to introduce

radical new technologies

There is great resistance to change

within healthcare systems at all levels

Innovators find the tendering process very

complicated. It is extremely challenging to enter this market with a new solution

Stakeholder Survey

Questions – Barriers

– Priority areas of need for new solutions

– Technology priorities

– Potential actions – Demand Side

– Supply Side

Statistics – 50 completed questionnaires

– 56% from healthcare organisations

– 11 countries – Denmark, France, Hungary, Italy, Netherlands, Norway, Poland, Spain, Sweden, USA, UK

Stakeholder Survey (Barriers)

0% 20% 40% 60% 80% 100%

Lack of demonstration funding

Clinical budget constraints

Operational budget constraints

Lack of R&D budgets

Lack of independent validation

Risk-averse healthcare org's

Pre-existing solutions favoured

Uncertain cost of ownership

Lowest price favoured

Procurement processes

Management culture/structures

Lack of capacity/time

Agree

Partly Agree

Partly Disagree

Disagree

Technical Risk

Procurement Practice

Funding

Stakeholder Survey (Top Six Barriers)

0% 20% 40% 60% 80% 100%

Pre-existing solutions favoured

Uncertain cost of ownership

Lowest price favoured

Procurement processes

Management culture/structures

Lack of capacity/time

Agree

Partly Agree

Partly Disagree

Disagree

“Senior management does not understand the

potential of procurement”

“Pressure of work and dealing with yesterday's problems allows no time

for strategic thinking”

“Hospitals are unaware and/or underequipped in

terms of knowledge”

“Hospitals work on the philosophy of doing the same thing again and again (don't

welcome change)”

“Procurement is only a priority for costs saving, not for supporting innovation”

Stakeholder Survey (Unmet Needs)

0% 20% 40% 60% 80% 100%

Demand-led ventilation

Resource efficient technologies

Novel cleaning solutions

Reduce use of hazardous substances

Efficiency of healthcare professionals

Microbiological detection/control

Energy efficiency technologies

Move towards prevention

Move towards community models

Improve operational efficiency

Very High Priority

High Priority

Medium Priority

Low Priority

No particular theme

dominating

Stakeholder Survey (Technology Priorities)

0% 20% 40% 60% 80% 100%

ICT for healthcare delivery

ICT for healthcare operations

Innovative materials & devices forhealthcare delivery

Technologies to improve medicalprocedures

Technologies to improve operationalprocedures

Technologies to reduce environmentalimpact

Very High Priority

High Priority

Medium Priority

Low Priority

ICT-related seem higher

priority

Stakeholder Survey (Potential Actions)

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

Underwriting of life cycle risk

Funding for prototype demonstration

Funding for market scale up

Funding for solutions development

Funding for independent validation

SUPPLY SIDE ACTIONS

Procurement centre of excellence

Training for procurement professionals

Joint technology accelerator

Expert help to define unmet needs

Funding for pre- procurement trials

DEMAND SIDE ACTIONS

Very High Impact

High Impact

Medium Impact

Low Impact

Joint Action Plan (Input from Expert Panel)

What actions can we take to help make 'innovation procurement ' projects a success for healthcarecustomers, suppliers and society

ISSUES IDEAS

Hospitals are unaware and/or underequipped in

terms of knowledge

Procurement is only a priority for costs saving, not

for supporting innovation

Information for procurement professionals (via

associations/institutions)

Awareness raising at hospital board level

(needs good practice examples)

Need more good case examples (new products

arising from PPIs)

Promote at bigger conferences (reach out to

more people)

Support from hospitalCEO/Boards is a condition

for success

Hospitals must have facilitators (change agents)

Hospitals work on the philosophy of doing the same thing again and

again (don't welcome change)

Network of innovative hospitals

Health agency interest in innovation is highly variable Scalabilityof innovation

procurement actions

Unmet needs could to be managed by dedicated innovation

units (eg like in some Spanish regions). Also, should lead on

fund raising

Network of regional/national

healthcare innovation units

Joint requirements drafting (joint statements

of unmet needs)

Difficult for hospitals to identify and articulate unmet needs

Low awareness that you can buy things in a different way (without

contravening EU Procurement rules)

Pressure of work and dealing with yestersday's problems allows no

time for strategic thinking

Senior management does not understand the potential of

procurement

Need experts/facilitators, leaders and followers

Lack of IP replication activities by followers in

other hospitals

EcoQUIP associates programme

Communityof learning events

Wider dissemination of existing/emering

statements of unmet needs

'Introduction to PPI 'presentation deck for promotion to senior management and

procurement team

More peer learning events

A 'compact' of PPI healthcare organisations

(influence EC Calls)

Standard approach/vocabulary for PPI in healthcare (people love a prescriptive process)

Funding Opportunities

Horizon 2020 (2014-2020) – Research AND Innovation

– New instruments to support demand-led activities (PPI/PCP)

– Disappointing response to FP7 Pilot Calls

Regional/National Funding for some – Some Spanish Regions are exploiting EU Structural Funds for PPI/PCP projects

– Tekes in Finland is launching a €60m Smart Procurement Programme

– UK and NL have supply-side support schemes (e.g Eykona example)

– Others????

PPI/PCP in Horizon 2020

Horizon 2020 (2014-2020) – Public Procurement of Innovation (PPI)

– No R&D – normal EU Procurement Rules apply

– Pre-Commercial Procurement (PCP)

– Includes R&D (exemption under EU Procurement Rules)

Expected topics for 1st Calls (from January 2014) – Robotics for Healthcare (Budget €4-6m)

– Bio-based Materials

– Smart Textiles

– ICT for Healthcare

– Innovative eHealth Services

Next Briefing – 14-15 November, Krakow, Poland

Break-Out Groups

Break-Out Groups

• Discussion on Joint Actions - How can European hospitals work together to effectively communicate their unmet

needs to potential solutions providers?

- How can European hospitals be mobilised to become early adopters of new and emerging solutions?

• Members of the Expert Panel will Lead Discussion – Gaynor, Joram, Juan-Manuel, Marcin, Ville

– Build on initial brainstorming of issues and ideas

– Additional issues/ideas will be captured by note-takers

– Followed by Panel Session to share main ideas from each break-out group

• Please join your pre-allocated Group