eHealth Procurement - World of Health IT

eHealth ProcurementTom BoyleCo-Chair European Connected Health Campus(VP Market Development, CA Inc.)

Agenda• What is Procurement• The problem with Procurement• The Challenge of Harmonization• Where to look for help

Procurement• The fine art of purchasing goods and services atthe most cost effective price, while assuring thatdelivered goods provide optimal value• With Special Considerations:• Total cost of ownership• National Policy & Priorities• Managing SLA’s• Supplier Sustainability• Deference to national suppliers• Supply chain• Quality metrics• Time of year/budget cycle• Standards compliance• Material sourcing• Risk assessment

The Problem with Procurement“85 per cent of expenditure is spent on externalproviders yet sourcing is highly fragmented, andprocurement is decentralised and uncoordinated.Existing contracts focus on inputs rather than endto-endaccountabilities for business outcomes[and] sourcing acts as a bottleneck, hindering thedelivery of business outcomes.”**Defence Information and Communications Technology Strategy 2009 report

HarmonizationThe Problem of Square Pegs and Round HolesAdmin• Record Keeping• Communication• Systems IntegrationClinical• Needs Based• ApplicationKnowledge• VendorRelationshipRequisitioner• Workflow• Clinical review• Clinical ResponseApproval• Budget Allocation• TimeframePrioritization• Strategy AlignmentOperations• Cost •Deployment Analysis• Preferred •Support VendorList •Training• RFP Process• Lease vs. BuyPurchasingAgent

For Instance1) Which of these components is an integral part of an eHealth System?A) ComputersB) CommunicationsC) NetworksD) None of the AboveE) All of the Above2) Which of these components is an eHealth System?A) ComputersB) CommunicationsC) NetworksD) None of the AboveE) All of the Above

Multiple technologies = Multiple VendorsBuilding an Ecosystem• Requirement for eHealth solutions• The more complex the solution, the more complex theprocurement process• Current procurement processes built around“point” purchases• Who owns coordinating the vendors?• Who owns integrating the technologies?• Standards (e.g., Continua) start to help

2 Major Challenges• Current procurement processes typically focus onone element w/in the solution• Greater issue for Public entities than private• Government Agencies must engage at start of theprocess to understand Procurement Procedures• Critical to understand the Budgeting Cycle• Current Procurement Processes typically are for“standard” items• Systems aren’t designed for Procurement of Innovation• ICT Work programme for 2011-12 proposes areas offocus including addressing Procurement processes

A Shameless PlugHelp is on the Way• European Connected Health Campus(www.ECHCampus.com)• Creating exchange forums for procurers, vendors,and users• Working to develop “best in class” standardprocedures for procurement• Evaluating current RFP’s for “use case” standards• Providing educational opportunities for ecosystemparticipants• Developing educational forums for all participants

THANK YOU