An ehealth innovation map for Small and Medium-sized Enterprises

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1 An ehealth innovation map for Small and Medium-sized Enterprises Ruud Janssen, Marike Hettinga, Lianne Bodenstaff, Timber Haaker, Sikke Visser, Robbert Menko, Hilco Prins, Irene Krediet

2 Succesful Entrepreneurship in ehealth (SEE) Two-year research project with 28 participants in The Netherlands 15 ehealth SME s innovation specialists, research institutes health providers, organisations health insurance companies, national health organizations Aim: to establish guidelines for successful ehealth innovation innovation routes in the health system stakeholders and their interests in ehealth innovations feasible and convincing evidence for ehealth innovations

4 The project s approach Phase 1: inventory creating an overview of the Dutch health system stakeholders, their interests, and the kinds of evidence they require Phase 2: case studies descriptions of paths followed by SME s and lessons learned Phase 3: guidelines and best practices synthesis of lessons learned into a systematic approach validation of the approach in a second set of case studies Phase 4: consolidation and tool development development of a workshop format, web tool, and handbook

5 The landscape The parties in the Dutch health system, and how they relate to one another promotes interests provides pays premium ehealth entrepreneur offers a service develops standards provider reimburses health insurer regulates publicly insured government supervises health sector professional

6 Parties within parties Within some parties you may encounter other parties nurses ICT department medical specialists board promotes interests innovation purchasing commerce investments provides pays premium ehealth entrepreneur offers a service develops standards provider professional reimburses health insurer regulates publicly insured government supervises health sector health insurance board health authority ministry of public health inspection

7 will it improve the quality of for our group? Interests Examples of the interests that parties may have in an ehealth innovation will it aid in my recovery or improve my wellbeing? has it been proven effective? will it earn me a living? will it improve the quality or efficiency of my work? is it effective for a reasonable price? does it contribute to affordable? ehealth entrepreneur provider health insurer government is it safe and well-founded? professional

8 research results and experiences from our group Evidence Examples of the types of evidence with which parties may be convinced positive experiences from other s research results of the highest possible quality a strong vision or a sound business case a business case based on research results public demand and opinions of professionals ehealth entrepreneur provider health insurer government research results and experiences from professionals professional

entrepreneur offers a service develops standards provider reimburses

9 The consumer route A service or application is offered to and paid by s or consumers promotes interests provides pays premium ehealth entrepreneur offers a service develops standards provider reimburses health insurer regulates publicly insured government supervises health sector professional

10 The provider route A service or application is offered to and paid by health providers promotes interests provides pays premium ehealth entrepreneur offers a service develops standards provider reimburses health insurer regulates publicly insured government supervises health sector professional

11 The insurer route A service or application becomes part of a treatment already offered and reimbursed promotes interests ehealth entrepreneur offers a service develops standards provides provider reimburses pays premium health insurer ministry of public health regulates publicly insured supervises health market health authority health advises on insurance board publicly insured professional

provider reimburses pays premium health insurer ministry of public health regulates publicly

12 The government route A service or application leads to a new treatment not yet offered or reimbursed promotes interests ehealth entrepreneur offers a service develops standards provides provider reimburses pays premium health insurer ministry of public health regulates publicly insured supervises health market health authority health advises on insurance board publicly insured professional

13 Four sets of factsheets Condensed information on stakeholders, routes, evidence, and certification stakholders stakholders stakholders stakholders stakholders stakeholders routes routes routes routes evidence evidence evidence evidence certification roles interests convincing evidence applicability main pitfalls relevant stakeholders methods guidelines references to background info applicable norms european CE-mark

14 Interactive webtool Learn about innovation routes, and determine the best fitting route for your innovation

ISBN/EAN: 978-90-77901-52-6 Handy booklet All the information at

15 ISBN/EAN: Handy booklet All the information at hand, concise and accessible, with references for further reading

16 An international map? What does the health system look like in your country? how comparable are health systems in, e.g., Western Europe? could the approach be applicable to your country? Would you like to cooperate with us to create an international version of the ehealth innovation map? incorporate country-specific legislation and best practices extend and validate the approach in your own country start a cooperation (or perhaps a European project)? Note: ehealth SME s often need to act on an international scale

17 Thank you for your attention Ruud Janssen, Marike Hettinga,

Innovation Routes and Evidence Guidelines for ehealth Small and Medium-sized Enterprises

Innovation Routes and Evidence Guidelines for ehealth Small and Medium-sized Enterprises Towards Feasible yet Convincing Evidence Ruud Janssen, Marike Hettinga, Sikke Visser, Robbert Menko, Hilco Prins,