eHealth Procurement – a Pan-Europea Development Network. Boyle T. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

1. eHealth Procurement
Tom Boyle
Co-Chair European Connected Health Campus
(VP Market Development, CA Inc.)

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

3. Procurement
• The fine art of purchasing goods and services at
the most cost effective price, while assuring that
delivered 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

4. The Problem with Procurement
“85 per cent of expenditure is spent on external
providers yet sourcing is highly fragmented, and
procurement is decentralised and uncoordinated.
Existing contracts focus on inputs rather than end-
to-end accountabilities for business outcomes
[and] sourcing acts as a bottleneck, hindering the
delivery of business outcomes.”*
*Defence Information and Communications Technology Strategy 2009 report

5. The Problem with ICT Procurement
• Lack of alignment between:
• Procurement Agency
• Requestor
• End User
• Conflicting Goals
• Processes are complex
• Decision making is occasionally obscure
• Prioritization is malleable
• End user/requestor disassociated from the final process
• Application experience lacking with Procurement Agent
• Vision vs. Practicality/Today vs. Tomorrow

6. Harmonization
The Problem of Square Pegs and Round Holes
Admin • Record Keeping
• Communication
• Systems Integration
Clinical
• Workflow
• Clinical review Operations
• Clinical Response
Approval
• Needs Based • Cost Analysis
•Deployment
• Application • Preferred Vendor
•Support
Knowledge • Budget Allocation •Training
List
• Vendor • Timeframe • RFP Process
Prioritization
Relationship • Lease vs. Buy
• Strategy Alignment
Purchasing
Requisitioner
Agent

7. For Instance
1) Which of these components is an integral part of an eHealth System?
A) Computers
B) Communications
C) Networks
D) None of the Above
E) All of the Above
2) Which of these components is an eHealth System?
A) Computers
B) Communications
C) Networks
D) None of the Above
E) All of the Above

8. Multiple technologies = Multiple Vendors
Building an Ecosystem
• Requirement for eHealth solutions
• The more complex the solution, the more complex the
procurement 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

9. 2 Major Challenges
• Current procurement processes typically focus on
one element w/in the solution
• Greater issue for Public entities than private
• Government Agencies must engage at start of the
process 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 of
focus including addressing Procurement processes

10. A Shameless Plug
Help 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” standard
procedures for procurement
• Evaluating current RFP’s for “use case” standards
• Providing educational opportunities for ecosystem
participants
• Developing educational forums for all participants

11. THANK YOU