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The Nordic healthcare systems: Innovation PotentialsNordic Health and Welfare Innovation ArenaStockholm, May 22, 2013
320 consultants
Leadership
IT Management
Strategy & Growth
Operational Excellence
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NHS Scotland: Projected demographic changes
Statistics produced by the Scottish Government Health Directorate
A new 600 bed hospital every 3 years for 20 years A new 50 bed care home every 2 weeks for 20 years Virtually all school leavers into the care sector by 2030
The perspectives for Scotland…
Scotland’s 65+ population is projected to:» Rise by 21% by 2016» Rise by 62% by 2031
For the 85+ age group specifically, the population is projected to:» Rise by 38% by 2016» Rise by 144% by 2031
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”Reality check”
•Presently, the tender process does not foster innovation
1) It supports buying at the lowest cost
2) It supports existing processes and structures
3) It does not support innovation – neither on the customer side or on the vendor side.
• Presently, public/private cooperation does not foster innovation and innovative business growth. Promising examples can be found, but on a general level – we are not yet there!
• Presently, the research institutions and universities are playing a role – but they are mainly interested in the “innovation money” for institutional purposes … they are not really in it to help with the (business) development of innovative services
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”Reality check”
• (In many ways) present economic incentives favors increases in hospital based activity – more of the same …in a situation, where it is generally recognized, that we cannot go on with traditional forms of healthcare delivery … where it is generally recognized that innovation in healthcare deliveries are needed.
• Do we invest in healthcare innovation on a level, corresponding to the hype, we have created – healthcare innovation as a kind of great savior?
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”Reality check”
Overall Healthcare Healthcare innovation0
5
10
15
20
25
30
35
40
45
50
50
12.5
0.9
Research and development resources. Public and private. Nordic countries. Billion US $.
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Viewpoint from ”Mini survey expert”
“Our own self image: Is it actually build on facts, when it is stated, that
“There is a huge potential for the Nordic public sector to foster innovative
and smart healthcare solutions – building on already established solutions
and pilots.” What exactly are the great pilots and the great solutions
developed in the Nordic countries – that are outstanding and special,
compared to initiatives and solutions in the rest of the world?
Are we aware, that healthcare innovation is not a business to be created –
that healthcare innovation is already a global business – with innovation
taking place in US, China and elsewhere, involving major healthcare
chains and hospital systems … often with very little time span from
thought to execution. And often with huge funds.”
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“Talking about IT-solutions: Companies in the Nordic countries make good
profits with proprietary solutions sold to the Nordic countries: This is a
comfortable market – but is decreasing the ambitions (necessity) of Nordic
companies to try to enter non-Nordic markets.
Also, with this tradition, new companies are prevented from entering the
Nordic market. The solutions often do not comply to international standards
and are therefore not very competitive outside the Nordic countries.”
….
”I think, you find many regional and local entities in the Nordic countries –
each having their own will power, their own say. Do the national levels in
the Nordic countries have an efficient eHealth strategy?
Viewpoint from ”Mini survey expert” (Austria)
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The innovative Nordic countries
“The overall ranking remains relatively stable with Sweden confirming its innovation leadership.”
“The performance of Denmark, Finland, Germany and Sweden is well above that of the EU27 average.
These countries are the innovation leaders.”
European Commission, Innovation Union Scoreboard. 2013
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Some of the preconditions are there: • We have skilled people with great understanding for acting in
an international world.• We have skilled population, who is actually capable of using
healthcare innovative products services, requiring the ability of citizens/patients to act within the sphere of information and communications technology.
The innovative Nordic countries – doing it!
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Some of the preconditions are there: • We have a setup and a culture within the healthcare sector
making it possible to engage with healthcare professionals on innovation. innovative dialog.
• When it comes to identification and documentation (personal id, personal data, level of documentation on healthcare contacts, interventions etc.), the Nordic countries are quite unique globally – actually, an infrastructure for healthcare innovative solutions that are the envy of many other countries.
The innovative Nordic countries – doing it!
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The Healthcare Quality Strategy
We will have to involve the people of Scotland to a greater extent in the ‘co-production’ of health and healthcare.
We will need major investments in telehealth and ehealth to support more people at home achieving better outcomes at less cost.
Developments in technology and in information and communications technology, will give us the tools to fundamentally reshape how healthcare is delivered …”
“We must encourage whole system improvement … transform the way we deliver and engage in our healthcare system.”
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“… we would have to make sure, that healthcare innovative solutions are not seen as a kind of supplementary to a static healthcare system, as being “on top of an unchanged healthcare system” – but are seen as one of the major ways to support necessary transformation of and within the healthcare system …” - one of the major ways to create more cost-effective
healthcare solutions, - one of the major ways to make sure, that expensive hospital
resources and capacity are used efficiently,- one of the major ways to involve and make citizens
responsible for their own health and healthcare provision
The innovative Nordic countries – doing it!
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The health care delivery system – basically the
same, only adjustments are needed
Healthcare innovation
The innovative Nordic countries – doing it!
Transformation of provision of health and delivery of
healthcareHealthcare innovation
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In a perspective towards 2020/2025, the Nordic countries – in a publically supported and strategic drive, promoting healthcare innovation and healthcare innovative market possibilities, could
• increase resource and investment levels on healthcare innovation
• pilot innovative public/private cooperation on healthcare innovation
• pilot business growth within the healthcare innovation field
On the basis of a shared set of specific strategic targets for health provision and healthcare delivery.
The innovative Nordic countries – doing it!
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• We need two or three geographical areas in the Nordic countries – in each of the areas involving a hospital, GP´s, municipalities and citizens
• We need 5-10 private companies, having the capacity to develop healthcare innovative solutions
• We need the private companies to accept the frame, set by the shared, specific strategic targets
• We need the hospitals, GP´s, municipalities to accept being “test lab´s” for healthcare innovation and being first movers on new healthcare innovative solutions
• We need to accept, that the hospitals, GP´s, municipalities are compensated in their role as “test lab´s”
• We need the chosen private companies to use the selected hospitals, GP´s, municipalities, GP´s as “test labs” and as first movers with operational solutions
The innovative Nordic countries – doing it!
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35
25
25
105
Prioritities on healthcare innovation. Perspective towards 2020/2025.
Structured storage of / access to information
Access to/sharing of information - healthcare suppliers
Citizens/patients and healthcare suppliers - shared acess to citizen/patient and supplier informa-tion
Home based healthcare solutions (products and services)
Intelligent housing facilities (censors etc.)
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35
25
25
105
Prioritities on healthcare innovation. Perspective towards 2020/2025.
Structured storage of / access to information
Access to/sharing of information - healthcare suppliers
Citizens/patients and healthcare suppliers - shared acess to citizen/patient and supplier informa-tion
Home based healthcare solutions (products and services)
Intelligent housing facilities (censors etc.)
IT infrastructure / architecture – structured storage of data and information, facilities/applications, accessing and being able to use data
Public funding!
1820
NHS Scotland – major investments in tele Health and e Health in the period from 2006. Part of the ”shift of balance”-policy (towards integration of healthcare and social care and towards community healthcare) and a major program for supporting the overall Healthcare Quality Strategy.
Approximately 30.000 citizens / patients involved in the program in the period 2006-2011.
Evaluation (2011):
- Reduced length of stay in hospitals
- Reduced number of unplanned hospital admissions and outpatient visits
- Reduced needs for nursing home capacity
New national e Health strategy, 2012-2017
- Support people to communicate with NHS Scotland- Support people to manage their own health and wellbeing- Support people to become more active participants in the care and services they receive- Contribute to care integration - Support people with long term conditions- Improve the availability of appropriate information for healthcare workers- Improve the safety of people taking medicines and their effective use- Secure information and technology across the health and social care spectrum
NHS Scotland tele Health /e Health
