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Opportunities for Public- Private Cooperation in e-Health Care Implementation in the Euro-Atlantic Community

Opportunities for Public- Private Cooperation in e-Health Care Implementation in the Euro-Atlantic Community. George W. Handy Center for Strategic and International Studies FIRST NATIONAL E-HEALTH CONFERENCE February 1, 2006 Sofia, Bulgaria. CSIS Action Commissions Program.

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Opportunities for Public- Private Cooperation in e-Health Care Implementation in the Euro-Atlantic Community

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  1. Opportunities for Public- Private Cooperation in e-Health Care Implementation in the Euro-Atlantic Community George W. Handy Center for Strategic and International Studies FIRST NATIONAL E-HEALTH CONFERENCE February 1, 2006 Sofia, Bulgaria

  2. CSIS Action Commissions Program The CSIS Action Commissions Program has for 13 years focused on two forces for change: • Responsible government - business cooperation to increase economic growth • Focusing action on practical steps that will have near-term impact Until recently, health care has been outside of the agenda. • Lack of political will for reform • Lack of resources

  3. Action Commission’s Health Care Project for CEE The Euro-Atlantic Action Commission began a project for health care modernization in Central and Eastern Europe in 2005. • Clear aim for sharing global experiences • Organization that includes Johns Hopkins Bloomberg School of Public Health and top U.S. and E.U. businesses. • A five phase plan.

  4. KEY AREAS… The Johns Hopkins and U.S. and E.U. businesses have outlined primary areas for next steps in health care modernization 1. Financing of health care; 2. Health insurance and coverage; 3. Purchasing of health care services, including methods of payment to providers; 4. The depth of the benefits package; 5. The role of private insurance and private sector in health services delivery; 6. Strengthening primary health care; 7. Management and autonomy for public hospitals – including privatization of specific hospital functions or wards. 8. Human resources in the health system (including management capacity);

  5. KEY AREAS 9. Pharmaceutical products; 10. Medical devices; 11. Monitoring and improving health care quality; 12. e-Health; 13. Public health issues; 14. Factors influencing demand (co-pays, etc); 15. Creating competitive markets – including privatization and initiatives to attract private capital; 16. Social, political, and administrative obstacles; 17. The broader context: external stakeholders, funding, and support; 18. Role of international institutions – IBRD, IFC, EIB, EBRD. …. The key question is not what to do, it’s how.

  6. PRIMARY ISSUES Several fundamental issues are emerging, among them are: • Estimating budget costs and deciding where to reduce or add resources. • Estimating revenue flows and matching revenue with costs. • Determining how to efficiently transition from current system statues to more modern operations. ... Each issue and most areas will benefit from e-health applications, and from business and other private sector experience on options for e-health applications.

  7. PUBLIC PRIVATE PARTNERSHIP (PPP) • Leveraging public-private cooperation on e-health in a collective framework – the action commissions. • Business and other private sector players are working together to share experience in defining priority problems that could be addressed by e-health applications and identifying potential solutions. • Solutions highlight “types” of service or product that worked in best practices – as opposed to brand name. • Private sector experience also includes proven approaches for implementing possible solutions. • Results are presented as options for government consideration

  8. STEPS AND STRUCTURE • What are the steps and structure of this action commissions PPP project? • Identified e-health interest of Bulgarian Ministry of Health. • Organized an e-health team and basic action plan. • Began assessing problem areas and possible options for solving problems through e-health applications. • Will finalize options and present to ministry. • Suggest specific projects for e-Health implementation. • Will present results to neighboring countries during Health Care Modernization Conference in Washington in May.

  9. BENEFITS • There are some added benefits to this collective PPP approach: • e-Health is examined in framework of larger scope health care assessment • Information and ideas (non-proprietary) are shared broadly – to the advantage of business intelligence and government awareness. • New ideas and sources of expertise are more likely to be identified. • Open and transparent approach eliminates sources of misunderstanding that would occur in future contractual relations between government and e-Health businesses.

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