An eHealth innovation map for Small
and Medium-sized Enterprises
Ruud Janssen, Marike Hettinga, Lianne Bodenstaff, Timber Haaker,
Sikke Visser, Robbert Menko, Hilco Prins, Irene Krediet
Succesful Entrepreneurship in eHealth (SEE)
• Two-year research project with 28 participants in The Netherlands
• 15 eHealth SME’s
• innovation specialists, research institutes
• health care providers, patient organisations
• health insurance companies, national health care organizations
• Aim: to establish guidelines for successful eHealth innovation
• innovation routes in the health care system
• stakeholders and their interests in eHealth innovations
• feasible and convincing evidence for eHealth innovations
The project’s approach
• Phase 1: inventory
• creating an overview of the Dutch health care system
• stakeholders, their interests, and the kinds of evidence they require
• Phase 2: case studies
• descriptions of paths followed by SME’s and lessons learned
• Phase 3: guidelines and best practices
• synthesis of lessons learned into a systematic approach
• validation of the approach in a second set of case studies
• Phase 4: consolidation and tool development
• development of a workshop format, web tool, and handbook
The landscape
The parties in the Dutch health
care system, and how they
relate to one another
patient
association
promotes
interests
patient
provides
care
eHealth
entrepreneur
care
provider
offers
a service
develops
standards
professional
association
pays
premium
reimburses
care
health
insurer
regulates publicly
insured care
government
supervises
health care sector
Parties within parties
Within some parties you may
encounter other parties
patient
association
promotes
interests
nurses
ICT
department
medical
specialists
board
purchasing
care
provider
offers
a service
develops
standards
professional
association
commerce
investments
patient
provides
care
eHealth
entrepreneur
innovation
pays
premium
reimburses
care
health
insurer
regulates publicly
insured care
government
supervises
health care sector
healthcare
healthcare authority
insurance board
inspection
ministry of
public health
will it improve the
quality of care for
our patient group?
patient
association
Interests
Examples of the interests that
parties may have in an eHealth
innovation
will it aid in my
recovery or improve
my wellbeing?
has it been
proven effective?
patient
will it earn me
a living?
eHealth
entrepreneur
will it improve the
quality or efficiency
of my work?
care
provider
is it safe and
well-founded?
professional
association
is it effective care for
a reasonable price?
health
insurer
does it contribute
to affordable care?
government
research results and
experiences from our
patient group
patient
association
Evidence
Examples of the types of
evidence with which parties
may be convinced
positive experiences
from other patients
research results of the
highest possible quality
patient
a strong vision or
a sound business case
eHealth
entrepreneur
care
provider
research results and
experiences from
care professionals
professional
association
a business case
based on
research results
health
insurer
public demand
and opinions of care
professionals
government
The consumer route
A service or application is
offered to and paid by patients
or consumers
patient
association
promotes
interests
patient
provides
care
eHealth
entrepreneur
care
provider
offers
a service
develops
standards
professional
association
pays
premium
reimburses
care
health
insurer
regulates publicly
insured care
government
supervises
health care sector
The provider route
A service or application is
offered to and paid by health
care providers
patient
association
promotes
interests
patient
provides
care
eHealth
entrepreneur
care
provider
offers
a service
develops
standards
professional
association
pays
premium
reimburses
care
health
insurer
regulates publicly
insured care
government
supervises
health care sector
The insurer route
A service or application
becomes part of a treatment
already offered and reimbursed
patient
association
promotes
interests
patient
provides
care
eHealth
entrepreneur
care
provider
offers
a service
develops
standards
professional
association
pays
premium
reimburses
care
health
insurer
ministry of
public health
regulates publicly
insured care
supervises
healthcare market
healthcare
authority
healthcare
advises on insurance board
publicly
insured care
The government route
A service or application leads
to a new treatment not yet
offered or reimbursed
patient
association
promotes
interests
patient
provides
care
eHealth
entrepreneur
care
provider
offers
a service
develops
standards
professional
association
pays
premium
reimburses
care
health
insurer
ministry of
public health
regulates publicly
insured care
supervises
healthcare market
healthcare
authority
healthcare
advises on insurance board
publicly
insured care
Four sets of factsheets
Condensed information on
stakeholders, routes, evidence,
and certification
stakholders
stakholders
stakholders
stakholders
stakholders
stakeholders
• roles
• interests
• convincing
evidence
routes
routes
routes
routes
• applicability
• main pitfalls
• relevant
stakeholders
evidence
evidence
evidence
evidence
certification
• methods
• applicable
norms
• guidelines
• european
• references to
CE-mark
background info
Interactive webtool
Learn about innovation routes,
and determine the best fitting
route for your innovation
www.innovatieroutesindezorg.nl
Handy booklet
All the information at hand,
concise and accessible, with
references for further reading
ISBN/EAN: 978-90-77901-52-6
An international map?
• What does the health care system look like in your country?
• how comparable are health care systems in, e.g., Western Europe?
• could the approach be applicable to your country?
• Would you like to cooperate with us to create an international
version of the eHealth innovation map?
• incorporate country-specific legislation and best practices
• extend and validate the approach in your own country
• start a cooperation (or perhaps a European project)?
Note: eHealth SME’s often need to act on an international scale…
Thank you for your attention
Ruud Janssen, TJWM.Janssen@windesheim.nl
Marike Hettinga, M.Hettinga@windesheim.nl