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Innovation in health care : public entrepreneurship vs social innovation and digital health . Marco Meneguzzo – laboratory for health and public management University of Italian Switzerland Lugano CH Swiss Learning health system Univeristy of Luzern
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Innovation in health care : public entrepreneurship vs ...workspace.unpan.org/sites/Internet/Documents/2017 UN Public Service... · Innovation in health care : public entrepreneurship

Jul 26, 2018

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Page 1: Innovation in health care : public entrepreneurship vs ...workspace.unpan.org/sites/Internet/Documents/2017 UN Public Service... · Innovation in health care : public entrepreneurship

Innovation in health care : public

entrepreneurship vs social

innovation and digital health .

Marco Meneguzzo – laboratory for health and public management

University of Italian Switzerland Lugano CH

Swiss Learning health system Univeristy of Luzern

Page 2: Innovation in health care : public entrepreneurship vs ...workspace.unpan.org/sites/Internet/Documents/2017 UN Public Service... · Innovation in health care : public entrepreneurship

Literature on innovation in healthcare

Social innovation Public innovation and

public entrepreneurship

Innovation and healthcare

networks of «pracademics»

(IRSPM - SIG Health Management EHMA – European Health Management Association

IHEA

A framework on innovation in healthcare systems: 30 years of experiences, counsels, benchmarking, good practices and benchlearning

(national and international awards)

International experiences Innovation Awards KSG US European Public Sector Award EIPA United Nations 2017 Public Service Award

Page 3: Innovation in health care : public entrepreneurship vs ...workspace.unpan.org/sites/Internet/Documents/2017 UN Public Service... · Innovation in health care : public entrepreneurship

Track 2: Excellence in delivering health services A healthy population is the foundation for a country's human capital to achieve the 2030 Agenda and Sustainable Development Goals (SDGs). Without effective provision of health services the principle of leaving no one behind and other goals will not be achieved. Despite the progress made, a variety of diseases are yet to be eradicated. Ensuring access to good quality health services and integrated public health policies require mobilization of the government at all levels, the private sector, civil society, NGOs, and individuals. This track aims at providing a platform to exchange ideas on how to promote innovations in delivering health services. It will also look at how to strengthen public administration capacities for effective, efficient, responsive, equitable and accountable delivery of health services for sustainable development. Related SDGs: SDG 3: Good health and well-being SDG 5: Gender equality SDG 12: Responsible consumption and production

Page 4: Innovation in health care : public entrepreneurship vs ...workspace.unpan.org/sites/Internet/Documents/2017 UN Public Service... · Innovation in health care : public entrepreneurship

EHMA European health management association: key themes

2015 Evidence-Based Management: better decision, better healthcare Breda NL

2014 Leadership in health care from bedside to board Liverpool UK 2013 What healthcare can we afford? Better, quicker, lower cost

health services Milano IT 2012 Public Healthcare: who pays, who provides Berna CH

2011 Integration in health and health care Porto PT

2007 Managing Values in Health Care Lyon, France 2006, Entrepreneurial Behaviour: Opportunities and Threats to

Health Budapest, Hungary 2005 Managing Innovation in the Health Sector Barcelona Spain

2004 Citizen Empowerment: Opportunities and Threats for Health Management Potsdam, Berlin, Germany

Page 5: Innovation in health care : public entrepreneurship vs ...workspace.unpan.org/sites/Internet/Documents/2017 UN Public Service... · Innovation in health care : public entrepreneurship

Global consulting firms Mc Kinsey How US healthcare companies can

thrive amid disruption Applying lean IT to healthcare Health care digital future

Deloitte Lean in health care

The big "five"

Page 6: Innovation in health care : public entrepreneurship vs ...workspace.unpan.org/sites/Internet/Documents/2017 UN Public Service... · Innovation in health care : public entrepreneurship

MANAGERIAL DEVELOPMENT QUALITY SYSTEMS

CENTERS OFFERING HEALTHCARE SERVICES

Downsizing Merger Upsizing

Resizing

Re engineering Case Disease management Diagnosis and care protocols Management systems

Specialization of service centers focused factories

NETWORKS BETWEEN ORGANIZATIONS

Page 7: Innovation in health care : public entrepreneurship vs ...workspace.unpan.org/sites/Internet/Documents/2017 UN Public Service... · Innovation in health care : public entrepreneurship

Microchips modelling clinical trials, which aim to replace the use of animals in clinical trials, and also to improve testing procedures to ensure that products are safer and more effective for human patients; technology, which will increase the level of interaction between doctors and patients; 3D-printed biological materials, such as stem cells, skin, blood vessels, bones and cartilage, which could result extremely useful in providing fast responses in case of emergencies; Optogenetics, which would allow to control neural activity by using light, and in perspective to improve the current understanding of how the brain and neurons work; Hybrid operating rooms, i.e. traditional rooms equipped with advanced medical technology to improve the level of care provided to patients; Digestible sensors, that will be able to monitor the patient’s body functions and provide all the information the doctor would obtain in a physical exam, thus allowing continuous control and enhancing telemedicine opportunities; Cloud-based provider relationship management software, which would modernise communication between doctors and patients, and make it more efficient and effective, as well as less time-consuming. Source: 7 biggest innovations in healthcare technology (2014)

Page 8: Innovation in health care : public entrepreneurship vs ...workspace.unpan.org/sites/Internet/Documents/2017 UN Public Service... · Innovation in health care : public entrepreneurship

Future and potential spending on health 2015 – 2040 (health spending in 184

countries) Lancet 389 may 2017

Reimagining WHO: leadership and action for a new Director – general The

Lancet 389 february 2017

A global research agenda on migration, mobility and health The Lancet 389

June 2017

Page 9: Innovation in health care : public entrepreneurship vs ...workspace.unpan.org/sites/Internet/Documents/2017 UN Public Service... · Innovation in health care : public entrepreneurship

Pfannstiel M Rasche M Service Business Model Innovation in Healthcare and Hospital Management 2017

Singh VK Lillrank P Innovations in Healthcare Management: Cost-Effective and Sustainable Solutions 2015

Ramdorai A Herstatt C Frugal innovation in Health care 2015

Spurgeon P Burke R Cooper C The innovation imperative in health care organization 2009

Osborne S.P. Brown K Managing change and innovation in public service organizations 2005

Health policy, Health care Management review ( articles and contributions )

Literature on innovation in healthcare

Social innovation in the public sector

.

Page 10: Innovation in health care : public entrepreneurship vs ...workspace.unpan.org/sites/Internet/Documents/2017 UN Public Service... · Innovation in health care : public entrepreneurship

EVALUATION OF THE EXPERIENCES

Do they really

work? Do they bring

change? Are they

sustainable? Are they replicable?