1. Multi-Actor Analysis for
Identifying the Economic
Viability of eCare Solutions
Jan Van Ooteghem
IBCN – UGent
jan.vanooteghem@intec.ugent.be

2. IBBT TranseCare project
Transparant ICT platforms for eCare
Project duration 2007 - 2010
Project website http://projects.ibbt.be/TranseCare

3. Objective of the study
• A tool was developed for analyzing the economic viability
of eCare services in different settings
• Value network analysis
• Techno-economic evaluation incl. multi-actor analysis
• Showing incentives and advantages for all actors
involved in the eCare eco-systeem

4. €
€
€
Outline
4
Services Multi-actor
analysis
Cost/benefit
model
Value
network

5. Services
5
data
center
call
center
home
care
professional care
family friends
Home care
platform
Communication
eCareTelemetry
Emergency
calls

6. €
€
€
Outline
6
Services Multi-actor
analysis
Cost/benefit
model
Value
network

7. Generic value network
7

8. Generic actors – dominant scenarios
Insurance companyInsurance company
Connectivity providerConnectivity provider
GovernmentGovernment
External developerExternal developer
Home care organizationsHome care organizations
8
Profit model
Break-even model
Low-profit model*
* Belgian situation

9. Value network
9
InsuranceInsurance
ConnectivityConnectivity
GovernmentGovernment
End userEnd user
External dev.External dev.
Home careHome care

10. Value network
10
InsuranceInsurance
ConnectivityConnectivity
GovernmentGovernment
End userEnd user
External dev.External dev.
Home careHome care

11. 5 scenarios: dominant
11
InsuranceInsurance
ConnectivityConnectivity
GovernmentGovernment
End userEnd user
External dev.External dev.
Home careHome care
External dev.External dev.

12. 5 scenarios: dominant
12
InsuranceInsurance
ConnectivityConnectivity
GovernmentGovernment
End userEnd user
External dev.External dev.
Home careHome care
ConnectivityConnectivity

13. 5 scenarios: dominantInsuranceInsurance
13
InsuranceInsurance
ConnectivityConnectivity
GovernmentGovernment
End userEnd user
External dev.External dev.
Home careHome care

14. 5 scenarios: dominantGovernmentGovernment
14
InsuranceInsurance
ConnectivityConnectivity
GovernmentGovernment
End userEnd user
External dev.External dev.
Home careHome care

15. 5 scenarios: dominantHome careHome care
15
InsuranceInsurance
ConnectivityConnectivity
GovernmentGovernment
End userEnd user
External dev.External dev.
Home careHome care

16. €
€
€
Outline
16
Services Multi-actor
analysis
Cost/benefit
model
Value
network

17. Actors: expectations
17
eCare platform
•Hardware provider
•Software provider
•Call center
•Data center
•Connectivity
provider
Professional
care
•Primary care
•Home care
•Rest home with
nursing care
Financing
•Government
•Insurance companies
•Patient
Purpose of the model
Showing incentives and advantages for each actor

18. eCP
aankoopkost
23%
eCP
operationele
kost
14%
Call center
31%
Data center
7%
Connectiviteit
25%
Total cost of ownership eCare platform
18
eCP
purchase
eCP
operational
cost
Call center
Data
center
Connectivity

19. Primary care (GP)
19
Personal loss New gains
29%
71%
Consultaties bij de huisarts
Thuisconsultaties
94%
6%
eConsultaties
Nieuwe consultaties
=
In practice consultations
Home consultations
eConsultations
New consultations

20. Besparingenperjaar
Besparingen thuiszorg
Minder consultaties Minder tijdverlies
Aantalbezoekenperjaar
Extra aantal huisbezoeken thuiszorg
door vrijgekomen tijd
Home care
20
Savings home care
Savingsperyear
Decrease in visits Less waste of time
Additional number of home visits
thanks to extra time
Additionalnumberofvisits

21. 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019
Niet voldane behoefte van intramurale zorg
Aanbieden van transmurale zorg
Norm
Rest home (with nursing care)
21
-30%-30%Unserved level of intramural care
Offering of additional transmural care

22. €
€
€
Outline
22
Services Multi-actor
analysis
Cost/benefit
model
Value
network

23. eCP
purchase
eCP
operational
cost
Call center
Data
center
Connectivity
Financial contribution patient
23
Cost of primary care
Decrease in consultations
eConsultations
Monthly cost
patient
Break-even
Subsidy /
reimbursement

24. Maandelijksekostpatiënt
Dominante scenario's
Multi-actor analysis: scenarios
24
Externaldeveloper
Connectivityprovider
Insurancecompany
Government
Homecareorganization
Monthlycostperpatient
Profit model
Break-even model

25. Conclusions
25
Actor + -
Patient Better care
Social contacts
Cost per month
Willingness to pay?
Primary care eConsultations
Time gains  new patients
Beter follow-up patients
ICT threshold?
Home care Time gains  new patients
Beter follow-up patients
Offering additional services 
new customers
Improvement of distribution
system

26. Conclusions
26
Actor + -
External
developer
Selling eCarePlatform Large upfront investment
Difficulties installation
Call center New service Finding and instructing new
personnel
Connectivity
provider
New market segment Very small market segment of
non reachable customers
Government Innovation health care
sector
Subsidies eCare platform
and/or development services
Insurance
company
Offering new services 
new customers
Improvement distribution
system

27. Thank you for your attention
www.smartcareplatform.eu
Questions?
Jan Van Ooteghem
IBCN – UGent
jan.vanooteghem@intec.ugent.be
Care becoming smart through ICT:
innovations and initiatives in Flanders