Opportunities with The New Danish Super Hospitals ehealth Roadshow, April 28-2014
What is facing Denmark? An increasing elderly population New treatments and technologies Increasing expectations among patients Health service sector under tremendous pressure Better planned patient pathways Patient safety (i.e. single-rooms) Effective workflows through new technologies Fewer transport of patients, staff and goods Merging of administrative units and technical functions
Trends in health care in Denmark Reduction in number of hospitals and beds (20% down from app. 17,000 in 2011) Centralization and specialization Fewer hospitals with emergency wards Focus on pre-hospital emergency care Focus on intermediate care Hospitals to be renovated + new hospitals built GP s collaborating in larger clinics Huge increase in outpatient visits (up 50% from 10.7 million in 2012) Average length of stay is now 4 days
Danish patients are guaranteed free treatment All Danes holding a national health insurance card, The yellow Sundhedskort, are entitled to: free consultation and treatment at emergency wards including any subsequent hospitalisation free consultation and treatment at a local doctor s free consultation and treatment at specialist doctors free choice of doctor, clinic or hospital National Health Insurance tax-financed Copenhagen Capacity 13/12/2013
Future Investments in Super Hospitals Officially planned until 2020: DKK 41.7bn / 5.6bn Five new super hospitals Modernisation and extension of eleven hospitals Construction and modernisation of health centres and emergency wards Approx. 50 % of total investments are allocated to Eastern Denmark Copenhagen Capacity 13/12/2013
Regional Investments The South Denmark Region DKK 8.45bn / 1.14bn Odense: 6.3bn, Kolding: 0.9bn, Aabenraa: 1.25bn Central Denmark Region DKK 10.65bn / 1.44bn Aarhus: 6.35bn, Viborg: 1.15bn, Gødstrup: 3.15bn The Capital Region of Denmark DKK 12.85bn / 1.73bn Rigshospitalet: 1.85bn, Herlev: 2.25bn, Hvidovre: 1.45bn, Sct. Hans: 0.55bn, Bispebjerg: 2.95bn, Hillerød: 3.8bn Region Zealand DKK 5.35bn / 0.72bn Slagelse Psykiatrisk: 1.05bn, Slagelse Akutmodtagelse: 0.3bn, Køge: 4bn The North Denmark Region DKK 4.10bn / 0.55bn Aalborg: 4.1bn Copenhagen Capacity 13/12/2013
The New Super Hospitals in Denmark Det Nye Universitetshospital i Aarhus. Budget: 800m. Investments in Health IT: 70m. Rollout: 2020, whereas the first phase will be ready for operation in 2016. First investments in Health IT: 2012 Det Nye Hospital i Vestjylland (Gødstrup) Budget: 450m.5659 Investments in Health IT: 35m. Rollout: The construction will break ground in 2013 and the complete rollout is set to 2020. The first investments in Health IT: 2016. Odense Universitets Hospital Budget: 850m. Investments in Health IT: 70m. Rollout: The construction will break ground in 2014 and the rollout is set to 2018-2020. First investments in Health IT: 2016 Aalborg Universitets Sygehus Budget: 550m. Investments in Health IT: 45m. Rollout: The construction will break ground in 2013 and the complete rollout is set to 2020. First investments in Health IT: 2016. Køge Sygehus Budget: 850m. Investments in Health IT: 70m. Rollout: The complete rollout is set to 2020. First investments in Health IT: 2016. Herlev Hospital (expansion) Budget: 560m. Investments in Health IT: 45m. Rollout: The construction will break ground in 2014 and the complete rollout is set to 2017. First investments in Health IT: 2014. Bispebjerg Hospital (expansion) Budget: 400m. Investments in Health IT: 30m. Rollout: The construction will break ground in 2013 and the complete rollout is set to 2020. First investments in Health IT: 2016. Hospital Nordsjælland (in the planning process) Budget: 500m. Investments in Health IT: 40m. Rollout: The construction will break ground in 2017-2017 and the complete rollout is set to 2022. The first investments in Health IT: 2018.
The 16 Hospital Construction Projects Copenhagen Capacity 13/12/2013
Copenhagen Capacity 13/12/2013
Copenhagen Capacity 13/12/2013
Expected gains with the new Super Hospitals 50% increase in outpatient treatment 20% fewer beds Bed stays down to approximately 3 days (from 4.5 today) Copenhagen Capacity 13/12/2013
The Patients of Tomorrow Patients regard doctors as advisors rather than an authority Patients families are active rather than passive Patients seek information and use it actively Patients want a team of experts Patients reserve the right to a second opinion Individual treatment instead of one size fits all Copenhagen Capacity 13/12/2013
Copenhagen Capacity 13/12/2013
The Hospitals of Tomorrow The patient as the central figure The framework for a positive experience A single room with computer, internet, monitor, etc. Space and room for the family E.g. ll options are kept open, for example: Environment-friendly buildings, tele-medical and diagnostic products, logistic systems, purchasing systems, intelligent beds, anti-bacterial curtains, food and beverages, etc. Objective for 2025: 25 % efficiency gain Copenhagen Capacity 13/12/2013
The Treatment of Tomorrow Large investments in med-tech products and equipment Future-oriented emergency wards Outpatient treatment will become more frequent Objective: quality gains in treatment and a better economy for public hospitals Copenhagen Capacity 13/12/2013
The Purchasing Structure of Today Each region has a purchasing office in the central administration The purpose of the centralised purchasing function is: to improve purchasing power to optimise standardisation All purchases with a value of DKK 500,000 take place through public tenders The five regions set up procurement partnerships for large-scale projects - and for high-volume standard products Copenhagen Capacity 13/12/2013
The Purchasing Structure of Today (cont.) The committee of the region ( Regionsudvalget ) composed of regional politicians draw up the hospital budget Purchases exceeding DKK 1.5Mio / 0.2Mio are carried out by way of EU tender procedures at www.ted.europa.eu Purchases exceeding DKK 0.5Mio / 0.07Mio are carried out by way of tender procedures at www.udbud.dk Purchases below DKK 0.5Mio / 0.07Mio fall within the decisionmaking powers of the individual hospitals Purchases below DKK 50,000 / 7,000 fall within the decisionmaking powers of the individual hospital wards Copenhagen Capacity 13/12/2013
The Purchasing Structure of Tomorrow Each hospital ward manages a procurement budget and makes all decisions as to purchasing equipment Purchasing conditions may differ between hospitals Hospitals have an equipment committee ( Apparaturudvalget ) composed of experts with a consultative function Hospitals have a med-tech department ( Medico-Teknisk Afdeling -MTA) responsible for installing and maintaining med-tech products and acting as adviser to the equipment committee Test equipment and diagnostic products must be accredited by the clinical chemical department ( Klinisk Kemisk Afdeling ) Copenhagen Capacity 13/12/2013
The Purchasing Structure of Tomorrow Intelligent purchasing instead of sole focus on price Consideration of all financial aspects of a product with regard to purchase and use The regions buy high-volume standard products through procurement partnerships New tenders value expected CA 1-1.5 Billion Euro In Capital region alone, 300 tenders to come Steering group in place May 2014, cross region tenders Timing: ca 2 years prior to opening of new hospitals Dialogue with key partners Copenhagen Capacity 13/12/2013
10 guidelines for joint initiatives 1.Strategic procurement for the new hospitals 2.Medicine 3.Technologies for transportation 4.Sterile inventory handling 5.Development of a dynamic virtual hospital 6.Total economic evaluations 7.Establishment of best practice at room level 8.Common tools for the building process 9.IT supported contact with patients and their relatives 10.Traceability of apparatus, equipment, patients and personal
Eight focus areas for content development 1. Organizational structures with focus on patient demand and need 2. New forms of management of hospitals 3. Cross sector boundaries and collaborations 4. Organization of emergency medicine 5. Easier and faster access to diagnostic 6. Workflow in operation rooms 7. Work flow in outpatient clinics 8. Offices and mobile work places
www.danishhospitalconstruction.com The best way to approach is Each region is responsible for the construction in their own region For each region a project/advisor group is established contact point for companies project executive Danske Regioner is ensuring coordination The web will be updated continuously with info on The framework and terms for the building projects Status of the building projects follow the building processes Contact persons for the building projects Expected time for procurements Relevant conferences and courses
Copenhagen Capacity 13/12/2013
Opportunities E-heatlh roadshow
Why Denmark? Major investments in super hospitals and focus on welfare technology Regional governments welcome Public Private partnerships and offer testing facilities Strong R&D capabilities with several universities and world leading research centers including medtech and industrial design Most flexible labor market in the Nordic region Traffic hub of Scandinavia (Copenhagen is the biggest international airport in Scandinavia)
How to Get Started? Local presence is highly recommended, for instance a sales office in Copenhagen with the purpose of: ensuring direct market contact showing real interest in the market (the costs of establishing an ApS will total approx. 10,000) Building up an organisation in Denmark that takes part in the development of hospitals that has thorough knowledge of the Danish rules on public procurement as well as EU tender requirements Copenhagen Capacity 13/12/2013
How to Get Started? Contact language: Danish (English not recommended), e.g. having a Danish-speaking person is strongly recommended. A consortium may be a possible solution for large-scale projects. Let your Danish presence serve as a springboard for entering the other Scandinavian markets Establish contact to European companies already operating in the Danish market. Copenhagen Capacity 13/12/2013
Specific business potentials Public/private partnerships Development of new technologies and solution within logistics, IT and diagnostics (telemedicine and home monitoring, patient/staff tracking, It supported interaction between patient, family and hospital/primary care sector) Patient empowerment through health-it solutions Effective energy solution and environmental solutions Non-patients related functions
Attractive features for R&D companies in Denmark Attractive tax schemes for foreign researchers and other key personnel Grants to employ PhD students Danish National Advanced Technology Foundation (EUR ~2 billion) Strategic Research Councils Private foundations (EUR ~43 million) 29 Copenhagen Capacity 27-04-2014
Copenhagen Capacity, the Capital region s inward investment agency supports you with : General or individual information on economic opportunities Contact with potential partners from different industries and research facilities Planning and execution of visiting programs and support during the visits Contact with venture capital companies and other investors Objective consulting: Individual cost calculations and location tools Support during and after your settlement in Copenhagen 27-3 04-0 Copenhagen Capacity
We support you through the different steps Before Information gathering/analysis During Practical Assignments After After-care services Business days Marketanalysis Introduction to relevant contacts Access to a large network Company establishment Assistance with practical assignments Matchmaking with potential partners Access to cluster partners Benchmarking: cost/quality calculations Support with expansion Support with consolidation Support with retention Copenhagen Capacity
3 2 Copenhagen where business is hot and life is cool.
Your contacts Sylvie Bove Senior Investment Manager/ Head of Life Science sbo@copcap.com Medicon Valley www.mediconvalley.com Copenhagen Capacity www.copcap.com
Thanks Sylvie Bove, Senior Investment Manager, Head of Life Science E: sbo@copcap.com www.mediconvalley.com / www.copcap.com