Vortrag von Prof. Guus van Montfort von "Actiz" im Rahmen des 5. Tag der Gesundheitswirtschaft im NINO-Hochbau in Nordhorn

1. TECHNOLOGY for CARE.Telemedicin: von der forschung in den Gesundheidsmarkt28-09-2011 , Nordhorn

2. Issues in thislecture Analysis health care problems TechnologicalDevelopments: Problemor solution!!?? Succes andfail factors: policy context

3. Future Health Care Problems 1 Aging of the population: Health care sector becomes a 65+ sector!!! 2 Costproblems ( financial crisis) 3 Labormarket ( extra increasewage level) 4 PATIENT PREFERENCES!!!!

4. Consequences trends - developments. Consequencesfor the healthcare system. 1. Patient in the lead. 2. Selfmanagementand care at home. 3. Pressure on efficiency 4. Especially on laborproductivity. 5. Substitutionand flexibility 6. More private payingandinvestments

5. Meaning of “Technology” Contribution of technology in solvingthisproblems?? Innovation more thantechnology

6. TECHNOLOGY and Healthcare Technology and Health care a difficultcombination!!!! ( in the past) Imago: Technology = Costincrease Technology is not the problem but the solution!!!! . Technology : product innovation & processinnovation!!!!!! .

7. Health care system CASE OF HOSPITALS. outcomes Effect on health level outputs Type patients DBC 1 Type patients DBC 2 Type patients DBC ….. Intermediate products X-rays Nursing Activit. Labora. examens operations staff Medical equipment buildings drugs inputs

8. Healthcare System Movingfrom: Supply oriented system to Demandoriented system (Value- andoutcome-driven , Kaplan and Porter,2011, Harvard Business Review)

9. Health care system Past 30/40 yearspaying system : input oriented & intermediate product oriented . Since 2005/2008/2012. more output oriented. free andintegraltariffs.

10. Health care system CASE OF HOSPITALS. outcomes Effect on health level outputs Type patients DBC 1 Type patients DBC 2 Type patients DBC ….. Intermediate products X-rays Nursing Activit. Labora. examens operations staff Medical equipment buildings drugs inputs

11. TechnologicalInnovations. Productinnovations: more supplyoriented. licenseregulated . Processinnovations: . more outputoriented . internalallocationresponsibility management

12. Health care system CASE OF HOSPITALS. Product innovations outcomes Effect on health level outputs Type patients DBC 1 Type patients DBC 2 Type patients DBC ….. outreaching Process innovations Intermediate products X-rays Nursing Activit. Labora. examens operations staff Medical equipment buildings drugs inputs

13. Changing policy context . Succesfactor forimplementingtechnology changing policy context. . Processtechnology : input output . Product technology : input input/ license . (Exception: acute care)

14. New tariff “ Care at distance” New tarifffor care at distance at home “Innovation” was payed. Outreaching / care at home Substitution

15. Implementinginnovations. “Inventing” is not the big issue. Sucessfullimplementationis the big issue. Combine the inventorsand the implementators. Combine the docters,thescientistsandenterpreneurs Practical problems are more important thanscientifical issues.