1 st 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 – 1 st PPI/PCP Calls of Horizon 2020 – Influence future PPI/PCP Calls of Horizon 2020
Provocation Paper Challenges Needs Solutions More elderly patients and ICT for healthcare chronic diseases Reduce burden on hospitals (new healthcare models) Patient empowerment and Innovative materials and devices demand for new technologies for healthcare delivery Pressure on budgets and unsustainable rise in spending Reduce operational Technologies to improve costs/impacts Rise of healthcare medical procedures associated infections Technologies to improve Workforce shortages and operational procedures skills gaps Reduce occurence of hospital Rising cost of resources acquired infections Technologies to reduce environmental impacts Impact of climate change
Feedback from FP7 Participants There is a knowledge gap and disconnect within The practice of procurement units that procuring the obstructs the cheapest option is introduction of new deep-seated within technology healthcare systems Barriers to Exploitation? Ethical and legal barriers can be significant stumbling blocks to introduce radical new Innovators find the technologies tendering process very complicated. It is There is great extremely challenging resistance to change to enter this market within healthcare with a new solution systems at all levels
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) Lack of capacity/time Management culture/structures Technical Risk Procurement processes Lowest price favoured Uncertain cost of ownership Agree Pre-existing solutions favoured Partly Agree Procurement Risk-averse healthcare org's Partly Disagree Practice Disagree Lack of independent validation Lack of R&D budgets Operational budget constraints Funding Clinical budget constraints Lack of demonstration funding 0% 20% 40% 60% 80% 100%
Stakeholder Survey (Top Six Barriers) “Pressure of work and dealing with yesterday's problems allows no time for strategic thinking” “Senior management does Lack of capacity/time not understand the potential of procurement” Management culture/structures “Hospitals are unaware and/or underequipped in terms of knowledge” Agree Procurement processes Partly Agree Partly Disagree “Hospitals work on the Lowest price favoured Disagree philosophy of doing the same thing again and again (don't welcome change )” Uncertain cost of ownership “Procurement is only a Pre-existing solutions favoured priority for costs saving, not for supporting innovation” 0% 20% 40% 60% 80% 100%
Stakeholder Survey (Unmet Needs) Improve operational efficiency Move towards community models Move towards prevention Energy efficiency technologies Very High Priority Microbiological detection/control High Priority Efficiency of healthcare professionals Medium Priority Reduce use of hazardous substances Low Priority Novel cleaning solutions Resource efficient technologies No particular Demand-led ventilation theme 0% 20% 40% 60% 80% 100% dominating
Stakeholder Survey (Technology Priorities) Technologies to reduce environmental impact Technologies to improve operational procedures Technologies to improve medical Very High Priority procedures High Priority Innovative materials & devices for Medium Priority healthcare delivery Low Priority ICT for healthcare operations ICT for healthcare delivery ICT-related 0% 20% 40% 60% 80% 100% seem higher priority
Stakeholder Survey (Potential Actions) DEMAND SIDE ACTIONS Funding for pre- procurement trials Expert help to define unmet needs Joint technology accelerator Training for procurement professionals Very High Impact Procurement centre of excellence High Impact Medium Impact SUPPLY SIDE ACTIONS Low Impact Funding for independent validation Funding for solutions development Funding for market scale up Funding for prototype demonstration Underwriting of life cycle risk 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Joint Action Plan (Input from Expert Panel) Hospitals are unaware Lack of IP replication Joint requirements Information for procurement Standard approach/vocabulary and/or underequipped in activities by followers in drafting (joint statements professionals (via for PPI in healthcare (people terms of knowledge other hospitals of unmet needs) associations/institutions) love a prescriptive process) Wider dissemination of Hospitals work on the philosophy Procurement is only a Awareness raising at EcoQUIP associates existing/emering of doing the same thing again and priority for costs saving, not programme hospital board level More peer learning statements of unmet needs again (don't welcome change) for supporting innovation (needs good practice events examples) Need more good case What actions can we take to help Support from hospital examples (new products CEO/Boards is a condition make 'innovation procurement ' arising from PPIs) ISSUES IDEAS for success projects a success for healthcare customers, suppliers and society Promote at bigger conferences (reach out to more people) Health agency interest in Network of innovative Scalabilityof innovation Need experts/facilitators, innovation is highly variable Hospitals must have hospitals leaders and followers procurement actions facilitators (change agents) Network of Low awareness that you can buy regional/national Communityof things in a different way (without healthcare innovation Unmet needs could to be learning events contravening EU Procurement rules) Difficult for hospitals to identify units managed by dedicated innovation and articulate unmet needs units (eg like in some Spanish regions). Also, should lead on Pressure of work and dealing with 'Introduction to PPI 'presentation deck Senior management does not fund raising yestersday's problems allows no for promotion to senior management and A'compact' of PPI understand the potential of time for strategic thinking procurement team healthcare organisations procurement (influence EC Calls)
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 1 st 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
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