Suzan Ikävalko Culminatum Innovation

Pre-commercial procurement in eHealth: 1. EU PCP Preco -project 2. Finnish PCP landscape

The missing link in the EU innovation cycle? - in order to deliver, change management must engage all

involved actors

Innovation – no man’s land?

Technology and research push

Market pull

(Public) demand and user driven open innovation (procurers, suppliers and users) to ensure integrated eHealth services and market entry.

WHY PCP? Studies show that demand driven public procurement has a greater impact on innovations than traditional public aid in R&D activities.

Conclusion : A clear shift towards financing demand driven innovation (life cycles) is needed – connect also to private investment (venture capital)

PreCo actions:

Benchmark: Collecting and analysing best practices

Facilitate discussion between procurers and suppliers.

Establish a thematic network of experts on PCP.

Identify domain specific guidelines, policy recommendations and PCP strategies. Delivered to the Commission by the end of 2011.

Joint events and public PreCo website www.preco.share2solve.org

WHERE ARE WE NOW in EU? Both the EU Commission and national/regional actors have become active – interesting developments taking place in several EU countries at the moment ! PCP projects are still rare in Europe – most concrete models and results so far with the UK and Dutch SBIR models (national catalytic proc.) and the UK NHS/NIC model. Use of Demand and User Driven Innovation practices in connexion to PCP type models e.g in Denmark.

How to speed positive development?

“Identified skills and knowledge gap seems to be the most significant factor that impedes progress” “More widespread skills and knowledge in taking and delivering eHealth (PCP ) investment decisions is more important than more finance”

Required : • High level policy support for PCP / ”Green light”

and new incentives (financial instruments & others)

• Training and consultation services for the public sector actors involved in the strategic procurement planning.

• Cost/benefit and impact analysis to show evidence

PCP not just a tool for innovation procurement

Can also be used as a tool for remodelling public services and anchoring innovations into reality.

Should be seen as an interactive collaborative learning

process; buyers , vendors and end-users. Potential for Innovation on product/solution level –

and on service level - > complete carepaths !

PCP PRACTICES CAN DELIVER WIN-WIN-WIN RESULTS: Support and boost sustainable and innovative investment in R&D&I in the domain of eHealth Create public demand and user-driven eHealth innovations Create opportunities for European companies & economies Ensure market deployment and wider commercialization

The Finnish PCP landscape • The framework has been identified by the Ministry

of Economy & Employment • Tekes (technology funding agency): financial

instrument supporting PPI and PCP in place • First national and EU cross-border PCP pilots

starting

BUT – in reality PCP is not a familiar instrument to most public authorities in the healthcare sector.

Pre-conditions for PCP eHealth in Finland

• strong awareness raising & training activities • jointly agreed strategic approaches for eHealth

uptake • pooling of demand and actions (and sharing) while

demand-side structures extremly fragmented • a national competence center on PCP (and eHealth)

or other type of holistic support organization such as the Norwegian difi or Dutch Nictiz?

HEALTHY HELSINKI - eHEALTH LIVING LAB EXPERIENCE Opportunities: • Innovation potential, All key players involved • Increased demand for innovations due to aging society and lack of

personnel • Potential to increase understanding of demand and supply and

operational environment • Potential for large cuts in costs with innovations Challenges • Co-operation difficult, Different cultures, and perspective in time • Need to change the mindset in public sector – • Technical challenges: no interfacing to the existing systems, closed city

network -Reluctancy to changes

The Mobile Health PPI Project of the Healthy Helsinki

• Analysis suggest that a case adopted PCP process

could have been an answer to the challenges identified in the Mobile Health project.

• The recommendations have identified a need for a

systematic tool for the R&D&I process with focus on the different phases and aspects of the process in line with a PCP process.

The tool should address:

• a thorough early needs assessment including all key parties (companies, end-users & others)

• clear contractual and legal procedures, including the IPRs and transparency

• formal commitments and roles of the parties involved in the process

• focus also on the commercialization phase, i.e. in securing deployment (through commercial procurement ) of the new solution/service as a final step in the Innovation chain

CHANGE OF MINDSET NEEDED?

suzan.ikavalko@culminatum.fi +358-50-5834292

THANK YOU !

Create coherent and transparent European models for pre-commercial procurement

Towards European pilots for Innovation Procurement : Pilot PCP projects needed to show evidence

Commission ICT work programme supports these actions, e.g. ICT call 8 / PCP:

One targetetd call and one open call addressing ICT solutions in any area of public interest such as Health, and Aging

- ICT based solution needed in these sectors - High Business interest – even Venture capital - Potential for Innovation on product/solution

level – and on service level (complete carepaths) -> PCP is also a tool for remodelling services and anchoring innovations into reality.

Health and Aging: Societal challenge nr 1

- Aging / Home care - New Diseases / societal diseases such as Diabetes - Preventive (even mental) care / Active & Healthy living

– not only aging! - Pre / post operation care outside the hospital

environment - Services for mobile EU citizens

Fields where innovative ICT based solution are needed and where empowering the patients in

their care is vital:

Questions to be addresses: • How to bring about a cultural change so that the

understanding and will come from inside? • How to conduct co-creation? • What is the importance of financial support? • Capacity building within all authorities or centralized

support such as NHS/NIC ? • We are trying to create a Euren market -> common,

feasible topics?

- Facilitators, PCP experts, other professionals able to pull the

proposal together and contribute to a succesfull outcome – aiming at commercial procurement and solutions deployable even in wider markets

- Wide understanding of the thematic market - Knowledge of ongoing and supporting (project-) work relevant

to the proposal theme

Needed for ICT call (min. 3 procurers, diff. M.S.) :

We are trying to create common European market -> Take into account existing work facilitating this ! : • A number of PCP / Innovative procurement projects: PreCo,

LCB Healthcare, etc • Work on interoperability/standards • Thematic projects e.g. in the area of eHealth: epSOS, Calliope,

LOD2, Smart Personal Health, Preve etc • eHealth Strategies study (Jan 2011) : evidence on progress in

Member States and recomendations for cooperative action

Add on existing work

PCP pilots – in particular cross-border ones- should focus on

issues where common nominators and interest exist How does the innovation to be developed fit into the complete

service chain / path care –does it bring transformational changes implying remodelling of public services

Is there a real demand- and user driven need leading to

deployment of the procured innovations i.e. commercialization

Important issues

Many public authorities are completely unfamiliar with PCP - NL and UK are exception to this – need for selling!

Make the interface of purely market driven and strictly publicly

regulated health services to work smoothly together Find topics where also SMEs can really get involved -

(collaboration with industry organizations) Ensure usability and deployment – involve end –users

throughout the process (Desing led process) , possibly even Living Labs

Challenges

Budapest PCP event Health and Aging well breakout session:

Key issues in PCP implementation

1. Connected Health -> neww innovative

solution/service integrated into existing services, securing also deployment

2. Common Needs assesment – use also CIP

pilot call for this (to be announced 27.6.) ?

3. Functional user requirements 4. Demonstrate benefit / cost /impact analysis 5. Common patient data platform, sharing

(open) data: Making use of Epsos standards, addressing possibly several needs & solutions in the same project

6. Make use of patient / citizens /clinician

involvement (i.e. co-creation methods, inluding Living labs ) throughout the whole PCP process , PCP 0 phase important!

7. Thematic PCP Best practice data bank +

Guidencebook needed, illustrating concrete issues

1. Do you have any experiences of PCP like development processes in the field of eHealth, including user driven co-generation and Living Labs?

2. If yes – what have been the main lessons learnt and main benefits/gains?

3. Can you define obstacles/key issues for using PCP type approaches as:

a) preparatory R&D phase for commercial procurement in eHealth sector?

b) Policy instrument for deployment of connected health solutions in EU member states?