Alexandre Lourenço's Keynote on "Ten steps for everything remains the same - opportunities for hospital's engagement". The keynote was part of the Health InnovAction, that took place in Bologne - Morning Health Talks launched by the EIT Health Regional Innovation Scheme e organizadas pela ART-ER, Bio Check Up S.r.l., Synlab SDN S.p.a. em novembro de 2022.

1. Alexandre Lourenço
Ten steps for
everything remain
the same
opportunities for the Hospital's
engagement
Hospital Administrator & Adjunct Assistant Professor
Coimbra University Hospital (CHUC) & Nova National School of Public Health
www.alexandrelourenco.eu

2. Outline
1. Maintain the routine
2. Accept professionalism and bureaucracy
3. Maintain the healthcare silos
4. Limit participation
5. Maintain payment models
6. Limit management autonomy
7. Not deal with IT interoperability
8. Ask for more regulation
9. Ignore innovation
10. Ignore population needs

3. 1. Maintain the routine

4. 2. Accept professionalism and bureaucracy
clients are dehumanized objects
bureaucracy
“the doctor knows best”
professionalism
“the patient knows best”
patient-centered care

5. ©
2020
ALEXANDRE
LOURENÇO
CONFIDENTIAL
AND
PROPRIETARY
Adapted from OECD, 2018
3. Maintain the healthcare silos

6. 4. Limit participation

7. ©
2021
ALEXANDRE
LOURENÇO
CONFIDENTIAL
AND
PROPRIETARY
www.alexandrelourenco.org
5. Maintain payment models

8. 6. Limit organizational autonomy

9. 7. Not deal with IT interoperability

10. 8. Ask for more regulation

11. 9. Ignore innovation

12. 10. Ignore population needs
©
2020
ALEXANDRE
LOURENÇO
CONFIDENTIAL
AND
PROPRIETARY

13. Uber lessons for healthcare
©
2022
ALEXANDRE
LOURENÇO
CONFIDENTIAL
AND
PROPRIETARY
LEADERS HAVE THREE CHOICES:
1. ignore innovators and hope for the best
2. call for increasing regulation to make it harder for
innovators to enter the market
3. compete on quality and efficiency, disruptive though
that might be
Detsky, A.S., and A.M. Garber (2016) N Engl J Med 374: 806-.

14. Grazie mille
• www.alexandrelourenco.eu