Healthcare eProcurement Challenges for efficiency

1. Healthcare eProcurementChallenges for efficiency Kostis Kaggelides

2. Increasing Healthcare expenditure Insurance Funds in trouble Low wage countries invade medical consumables with high risk products � but also complaints for efficiency and service Standards conformance in medical supplies Transparency and the public nature of healthcare problem statement

3. expenditure growing

4. e-procurement system Enabled by Internet / Web Workflow

5. How are things improved ? Process Efficiency Exploit Group Buying Better Needs Analysis Decrease Maverick Buying Centrally Managed Catalogues Avoid risky products Market Efficiency Transparent information introduces new players Advanced winner determination mechanisms Single European Electronic Market

6. system description 1

7. system description 2

8. take care of User Acceptance (web) Flexibility (no revolution overnight) (conventional compliance) Security and Trust (acceptance) Interoperability (technology) Cost of Ownership (footprint) Process Improvement (change management & technology)

9. increasing market efficiency 1

10. increasing market efficiency 2

11. a special issue: security Conventional �paper� procedure MS Word time locked documents Supplier authentication and non repudiation Organization executives authentication and non repudiation Auction bids security Products verification in relation with regulating bodies Global Trust Center compliant solution

12. Current status System application in the region of Macedonia and Thrace Project implementation in 10 months User acceptance completed Deployed in 12 hospitals Service to be launched end of year

13. and a slide for gnomon

15. Trust Enabled eProcurement system The function of a DTS enabled eProcurement system, with the presence of independent 3rd party witnesses, using Digital Identities and operating with a common legal framework matching between the physical and digital worlds, provides:

16. The establishment of the fundamental values of legality, integrity, accountability, security and privacy. The ability to prove the existence and accountabilities, of the Procuring Organisation by verification and references. The ability to prove the existence and accountabilities, of the Supplying Organisations by verification and references, enabling interoperability at National, pan-European & International supplier levels. The ability to confirm the individuals involved were authorised and empowered by their organisations to carry out their auctions by supporting verification & references. Secure Log-in PDI (aware & unaware) Legal entity, Identity Contract References Time stamp Signature Receipt Archive Witness (internal � external) Roles / responsibilities Time lock (not before � not after) Encryption Secure Log-in PDI (aware & unaware) Legal entity, Identity Contract References Time stamp Signature Receipt Archive Witness (internal � external) Roles / responsibilities Time lock (not before � not after) Encryption

17. Assurance of the integrity of the information � the ability to detect and prove the content of the information has not been opened or changed throughout any of the procurement process by using time-locking. Assurance of the integrity of the processes, the organisation & individuals � that the agreed processes have been followed and all activities took place in the correct order. The individuals, in delegated roles, were empowered and authorised by their organisations to engage in the processes. Assurance to the suppliers and providers that all procurement processes are fair, transparent and non-discriminatory. The ability to enhance the protection of the reputations of the organisation and individuals and support in non-repudiation incidents or disputes.