eHealth Procurement – a Pan-Europea Development Network


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eHealth Procurement – a Pan-Europea Development Network. Boyle T. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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eHealth Procurement – a Pan-Europea Development Network

  1. 1. eHealth Procurement Tom Boyle Co-Chair European Connected Health Campus (VP Market Development, CA Inc.)
  2. 2. Agenda • What is Procurement • The problem with Procurement • The Challenge of Harmonization • Where to look for help
  3. 3. Procurement • The fine art of purchasing goods and services at the most cost effective price, while assuring that delivered goods provide optimal value • With Special Considerations: • Total cost of ownership • National Policy & Priorities • Managing SLA’s • Supplier Sustainability • Deference to national suppliers • Supply chain • Quality metrics • Time of year/budget cycle • Standards compliance • Material sourcing • Risk assessment
  4. 4. The Problem with Procurement “85 per cent of expenditure is spent on external providers yet sourcing is highly fragmented, and procurement is decentralised and uncoordinated. Existing contracts focus on inputs rather than end- to-end accountabilities for business outcomes [and] sourcing acts as a bottleneck, hindering the delivery of business outcomes.”* *Defence Information and Communications Technology Strategy 2009 report
  5. 5. The Problem with ICT Procurement • Lack of alignment between: • Procurement Agency • Requestor • End User • Conflicting Goals • Processes are complex • Decision making is occasionally obscure • Prioritization is malleable • End user/requestor disassociated from the final process • Application experience lacking with Procurement Agent • Vision vs. Practicality/Today vs. Tomorrow
  6. 6. Harmonization The Problem of Square Pegs and Round Holes Admin • Record Keeping • Communication • Systems Integration Clinical • Workflow • Clinical review Operations • Clinical Response Approval • Needs Based • Cost Analysis •Deployment • Application • Preferred Vendor •Support Knowledge • Budget Allocation •Training List • Vendor • Timeframe • RFP Process Prioritization Relationship • Lease vs. Buy • Strategy Alignment Purchasing Requisitioner Agent
  7. 7. For Instance 1) Which of these components is an integral part of an eHealth System? A) Computers B) Communications C) Networks D) None of the Above E) All of the Above 2) Which of these components is an eHealth System? A) Computers B) Communications C) Networks D) None of the Above E) All of the Above
  8. 8. Multiple technologies = Multiple Vendors Building an Ecosystem • Requirement for eHealth solutions • The more complex the solution, the more complex the procurement process • Current procurement processes built around “point” purchases • Who owns coordinating the vendors? • Who owns integrating the technologies? • Standards (e.g., Continua) start to help
  9. 9. 2 Major Challenges • Current procurement processes typically focus on one element w/in the solution • Greater issue for Public entities than private • Government Agencies must engage at start of the process to understand Procurement Procedures • Critical to understand the Budgeting Cycle • Current Procurement Processes typically are for “standard” items • Systems aren’t designed for Procurement of Innovation • ICT Work programme for 2011-12 proposes areas of focus including addressing Procurement processes
  10. 10. A Shameless Plug Help is on the Way • European Connected Health Campus ( • Creating exchange forums for procurers, vendors, and users • Working to develop “best in class” standard procedures for procurement • Evaluating current RFP’s for “use case” standards • Providing educational opportunities for ecosystem participants • Developing educational forums for all participants
  11. 11. THANK YOU