Monitoring of healthcare reality and healthcare quality in the SHI and PHI under market access restrictions

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1 , Empirical healthcare research Monitoring of healthcare reality and healthcare quality in the SHI and PHI under market access restrictions Expert-reports about special healthcare themes Databased empirical consulting, concepts and strategy formation MONITOR s & NAVIGATOR s in the healthcare sector

2 Aim and purpose of the institute The ITC Institut TakeCare has been founded in the year 2007 as a scientifically independent, empirical research institute in Hamburg, Germany. Monitoring of healthcare reality and healthcare quality in the relevant sectors in the SHI and PHI are central task fields of the institute. Essential determinants are the economic efficiency and the medical effectivity of healthcare from the perspective of the patient, i. e. patient relevant outcomes. Data of healthcare reality and healthcare quality is recognized in three hierarchical levels: Data and facts about the structure quality Illustration of the process quality and the corresponding key-performance-indications Depiction of outcome quality and the outcome of healthcare The institute has several research topics: Empirical foundation of the current realities in healthcare focused on areas and/ or indications Surveys on structure-, process- and outcome-quality of healthcare Investigation of over- and under-supply and misuse Elaboration of differences in healthcare-quality SHI versus PHI Implications of the AMNOG-procedure for orphan drugs and the supply-quality of involved patients Development of benchmark-trials and best-practice-concepts Identification of market development, trends and shift of interests Development of concepts to enhance adherence, compliance or shared-decisionconcepts Direction of the institute Scientific Direction PD Dr. rer. pol. habil. Christoph von Rothkirch Commercial Direction Dr. med. Klaus-Jürgen Preuß cv.rothkirch@institut-takecare.de kj.preuss@institut-takecare.de

3 Target and purpose of the institute The institute systematically collects primary data with telephone-interviews, mailings and surveys. Available secondary data of the health care system is made accessible by desk research. The institute publishes corresponding national and international publications. Another focus of the institute is the field of rare diseases and the suitable orphan drugs which are used for the treatment. The Institut TakeCare offers extensive consulting value for this theme. From development of the integral marketing strategy to the support of the proccess-steps which are important for the AMNOG act including support with the price negotiations against the SpiBu. The institute also supports the development of MEA-contracts (Market Entry Agreements). The handling of specific issues, as well as the generation of client specific solutions for patientmarketing (e.g. hotline) and market access for pharmaceuticals, medical devices, genetic tests and AMTPs & companion diagnostics of the outpatient and inpatient sector round off the portfolio. The institute works at the entire medical value chain from prevention to palliative care. The clients of the institute TakeCare are public institutions, organisations of the health care system, payers of the SHI and PHI, health providers in the outpatient and inpatient healthcare, patient-associations as well as companies of the pharma-market, medical device-companies or providers of diagnostics and corresponding service provider for the industry. Research-Focus Research Priorities Empirical foundation of the care reality segmented by sectors and indications Capturing the strucure-, process- and outcomequality of healthcare-treatments Uncovering of over-, under- or misprovision Working out differences in healthcare-quality between SHI and PHI Implications of the AMNOG act for orphan drugs and the healthcare-quality for the affected patients Conceptioning of benchmark-studies and best practice approaches Identifications of market developments, breaks in trends and trends Development of concepts to improve adherence, compliance or shared-decision-making approaches.

4 Consultancy-Focus Consulting focus Development of strategic RoadMaps for market access and reimbursement in Germany Conception of value dossiers for orphan drugs, medical devices and ATMP s Concepts for understanding particular reimbursement-issues in both outpatient and inpatient sector Hotline for different issues Development of stakeholder-mappings and programs Conception of tariffs and/or supply concepts for SHI/PHI Multi-dimensional pricing studies in Germany and the EU Strategic workshops using following NAVIGATORS: - Market Access ATMPs & Companion Diagnostics - Market Access Orphan Drugs Services of the institute The Institut TakeCare offers the following services: Construction of MONITOR s for specific healthcare sectors Conception of reports regarding the supply-quality in sectors or indications Development of outcome-reports in sectors or indications Creation of NAVIGATOR expert-reports Conception of benchmark studies, best-practice concepts or key-performance-indicators Compliance-studies, adherence-strategies, SDM-concepts Market analyses and trend scenarios on terms of health economics Empirical pricing studies for pharmaceuticals and medical devices Contentment surveys of patients and insurants Conception and organization of surveys regarding relevant healthcare issues Conception and organization of workshops, training & coaching aswell as tutorials for specific issues

5 Our Specific Services Transparency Tools - MONITOR s The MONITOR-series includes detailed information, data and facts for the relevant payers (SHI & PHI) as well as for care providers, such as physician networks or medical care centers. The MONITOR s are up to date, neutral and of high quality. They are available as PDF or data base. These transparency data is essential to define both operative and strategic decisions. NAVIGATOR Expert-Reports NAVIGATOR Expert-Reports are an innovative information service from the Institut TakeCare. Because of the interactive menu navigation and the hierarchical structure of the NAVIGATOR Expert-Report the user can be led in a both deep and wide information area. Particularly the targeted communication of relevant contents in a complex and eclectic database is of high importance. Current NAVIGATOR Expert-Report: The Orphan Drug Market, parameters, legal framework, determinants, perspectives aswell as trends and scenarios until Published in the second quarter Market- and Trend-Research, Surveys and Scenarios The institute focuses on innovative and evidence-based market research and innovative trend research for the different care segments and for specific indications or diseases. Furthermore we are offering the conception and modeling of specific scenarios for the development in selected care segments. ACT Academic Consulting Team With the Academic Consulting Team the ITC is exploring new paths in scientific and conceptual consultancy. The ATC team works project-related and focused on specific issues. Members are master-degree-students with a bachelor-degree coming from universities or universities of applied sciences including a health economics faculty. The ACT members have gathered more than two years of operative experience in different consultancy-projects. Furthermore different scientific-empirical reports were published by them.

6 ACT Academic Consulting Team The ACT members speak and write on a high level, including English, and are familiar with MS Word, PowerPoint, Excel, Access and SPSS. The ACT team offers market research by phone as well as hotline support for reimbursement issues in the SHI and PHI. Cooperating partners of the institute TakeCare The ITC - Institut TakeCare has a wide and deep network of cooperating partners. Many senior experts and skilled industry executives are supporting us to solve specific issues. There is an advanced cooperation with the following institutions and organisations: Institut TakeCare GmbH Alte Rabenstr. 32 Phone: +49 (0) Fax: +49 (0) Mobile: +49 (0) Web: kj.preuss@institut-takecare.de institut-takecare.de Institute TakeCare, Version 1.0 September 2015

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