Public procurement to strengthen innovation - 3rd PPI2Innovate Day Székesfehérvár 14 May 2019

1. Public procurement to strengthen innovation - 3rd PPI2Innovate Day Székesfehérvár 14 May 2019 Possibilities to implement PPI in healthcare sector in Hungary National Healthcare Service Center, Hungary - István Csizmadia, leading counsellor

2. Definitions • ‘pre-commercial procurement action’ means an action with the primary aim of realising pre-commercial procurement implemented by beneficiaries that are contracting authorities or contracting entities; • 'pre-commercial procurement' means the procurement of research and development services involving risk-benefit sharing under market conditions, and competitive development in phases, where there is a clear separation of the research and development services procured from the deployment of commercial volumes of end-products; • ‘public procurement of innovative solutions action’ means an action with the primary aim of realising joint or coordinated public procurement of innovative solutions implemented by beneficiaries that are contracting authorities or contracting entities; • 'public procurement of innovative solutions' means procurement where contracting authorities act as a launch customer for innovative goods or services which are not yet available on a large-scale commercial basis, and may include conformity testing. Proposal for a REGULATION OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL establishing Horizon Europe - the Framework Programme for Research and Innovation, laying down its rules for participation and dissemination

3. OO + NT = COO CHALLENGES • LACK OF WORKFORCE • AGING POPULATION • GROWING NEEDS • GROWING EXPENCES • TECH VALIDATION (HTA) • SUSTAINABILITY • ACCES / EQITY Old Organization + New Technology = Costly Old Organization ’Hal Wolf, President and CEO, HIMSS

4. Israel encourages digital innovation Digital medicine innovation holds promise to help reduce inefficiencies in health-care delivery, improve access, increase quality, and make medicine more personalized and precise in an era of increasing budget constraints.  With its many start-up enterprises Israel encourages digital innovation and this culture will help tackle some of the key challenges facing the country's health systems Published: May 08, 2017 - https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)30876-0/fulltext Traditional care models are unlikely to sustain the escalating growth in patient needs and health-care costs in high-income economies. 

5. DIGITAL INNOVATION DATA  DIGITAL  EMPOWERMENT Reserch and Innovation

6. Focus on patient experience As patients take on more and more financial responsibility for their own care, the industry is responding by turning healthcare into a consumer experience. As hospitals look to earn the loyalty of consumer-patients, patient experience must become a focus. Patient experience is coming into vogue over the term "patient engagement" because it makes patients a subject and not an object. If the patient is a consumer, patient experience is paramount Publishedon May 01, 2019 - https://www.mobihealthnews.com/content/focus-patient-experience-if-patient-consumer-patient-experience-paramount?hootPostID=b120bb79a8e94bd999434460ab814fb3

7. 1.9.6 EU Project EESZT developments • What is the EESZT? • Preconditions / Background – favorable landscape • Basic data systems of financing and registry • External factors promoting the successful introduction of the EESZT • Financing model with a single insurance entity • E-government services for the citizens • Standards – paving the way for the national digital health system • Internal (project) success factors of the start • HRDOP - 1.9.6 EU Project: EESZT developments since 2017 • Needs and expected impacts • Objectives

8. 1.9.6 EU Project EESZT developments • National eHealth Infrastructure (EESZT) Information portal • provides essential info about the Hungarian eHealth Service Space by the following functions • ePrescription, • eMedical history (EHR repository), • Event catalogue - online patient pathway tracking, • eReferral and • eProfile activities • For every citizen (patients) since Nov 2017 • first public providers, and now private providers too • and foresees further functions  HRDOP-1.9.6 EU Project 1. What is the EESZT?

9. 1.9.6 EU Project EESZT developments • Basic data systems of financing and registry • Registry of data of financed health care services (NEAK) • Registry of doctors and health care professionals (ÁEEK) • Registry of operating permits of health service providers (NNK) • External factors promoting the successful introduction of the EESZT • Effective policymaking support (incl. Security) • Financing model with a single insurance entity • Financing model with a single insurance entity • Nationally standardized social security number (SSN) • E-government services for the citizens • Centralized citizen registry and identification system • Standards – paving the way for the national digital health system • Internal (project) success factors of the start 2. Preconditions / Background – favorable landscape

10. 1.9.6 EU Project EESZT developments • Needsand expectedimpacts 3. Human Resources Development Operational Program (HU)

11. 1.9.6 EU Project EESZT developments • Objectives 3. Human Resources Development Operational Program (HU) • Data migration - uploading past data • Verification of documents appearing in the EESZT for usage outside the EESZT • Developing EESZT access channels (Mobile Gateway development) • EESZT services supporting so-called ‘Telemedicina’ services • Creating special health care records • Digital Image Forwarding and Remote Consultation_v2 - developing digital image forwarding

12. EESZT invites care providers and industry • Yet fully digital hospitals – that run the gamut of clinical applications and advanced hospital information systems interconnected by a robust and reliable infrastructure – are exceptions rather than the rule.More efficient, digital hospitals are emerging as critical hubs to drive greater efficiency, improve quality of care and provide access for more people than ever before.https://www.himss.eu/sites/himsseu/files/education/whitepapers/IBM%20Digital%20Hospital%20Evolution%20GBW03203-USEN-00.pdf • Cerner EHR alert helps Missouri provider reduce blood transfusion rate, save $1 million Blood is a precious commodity nationwide and notably wasted. At University of Missouri Health Care, the mean red blood cell transfusion rate is now 22.4 percent below the original baseline rate. The medical director of transfusion services explains how.https://www.healthcareitnews.com/news/cerner-ehr-alert-helps-missouri-provider-reduce-blood-transfusion-rate-save-1-million?mkt_tok=eyJpIjoi%E2%80%A6 Develop new applications and add/switch them to EESZT!

13. Recommendations (IE projects) Recommendations – Support! Procurers and biddersin PCP/PPI QuadrupleHelixinHungarian Health Innovation Ecosystem LivingLabs & Innovation Hubs HELIUM & HoCare „Health Innovation Experimental Landscape through Policy Improvement” „Innovative solutions for Home Care by strengthening quadruple-helix cooperation in regional innovation chains“

14. Thank you! CSIZMADIA, István Chief Executive Advisor National Healthcare Service Center (ÁEEK) E-mail: csizmadia.istvan@aeek.hu Mobil: +36204690557