An Industry Perspective Nicole Denjoy COCIR Secretary General

Table of Contents About COCIR Common challenges for Health Systems Common responses Conclusion

1. About COCIR

Industry sectors covered by COCIR COCIR is a non-profit trade association, founded in 1959 and having offices in Brussels and China, representing the medical technology industry in Europe COCIR covers 4 key industry sectors: Medical Imaging Radiotherapy Health ICT Electromedical Our Industry leads in state-of-art advanced technology and provides integrated solutions covering the complete care cycle Central Patient’s EHR Home Pharmacy Laboratory Polyclinic Hospital Government

32 COCIR Company Members We have 2 types of members (companies and national trade associations: Here is the overview on companies members of COCIR. COCIR is unique in such a way that we have several EU headquarted companies (big and small) as well as industries in the IT and Telecom domains. This is a great opportunity to bring complementary competences towards integrated care solutions. 5

15 COCIR National Trade Associations Members 6

COCIR at international level 2016: DITTA MoU with the World Bank 2015: DITTA was granted a NGO status with WHO 2014: DITTA has official liaison with AHWP

2. Common challenges for Health Systems

There is a wide agreement that current trends … demographic transition to an ageing society combined with increasing burden of chronic diseases and growing complexity of physical and mental health comorbidities … are putting pressure on health and social care systems across the Globe that struggle to meet population needs We need a transformational change in the funding, designed and delivery of care systems. Digital health and the principles underpinning Integrated care must be part of that transformation

30-year increase in percentage aged 60 years or over

Noncommunicable diseases (NCDs) are one of the major health and development challenges of the 21st century NCDs are the leading cause of death globally, responsible for 38 million (68%) of the world’s 56 million deaths in 2012. More than 40% of them (16 million) were premature deaths under age 70 years Their impact is specially severe in low-and middle income countries: Almost ¾ of all NCD deaths (28 million), and the majority of premature deaths (82%), occur in low- and middle- income countries Source: Global Status Report on Noncommunicable diseases, 2014, WHO

3. Common responses and COCIR recommendations

Digital innovation and transformation Digital Health Transforming Health and social care systems Better Quality Care for citizens More efficient health and social care delivery systems Improve Population Health Digital innovation can support health and social care systems in their transformation journey Digital health can Drive efficiency, generate insights for clinical decision-making and facilitate health systems management, accelerate medical research and improve health outcomes

Common responses (1/3) POLICY Secure political leadership and develop national and regional digital health evidence-based roadmaps Align innovation and industrial policies with health and social care policies to create a multi-sectorial response to the demographic change and the burden of chronic diseases Seek better alignment in demand-side and supply-side innovation policies to establish a stronger industry competitiveness and support market growth 1 2 3

Common responses (2/3) ECONOMIC MODELS and FINANCING 1 Develop viable economic models for digital health solutions and value-based reimbursement models for health ICT that recognise and reward the value of these solutions Secure transitioning funding for health and care transformation Develop a coherent funding framework for digital health, and seek alignment of regional, national and international financing instruments Set up new financing models that bring together public and private organisations involved in health and social care to support continuous innovation and large scale deployment 2 Secure transitioning funding for health and care transformation. Beyond the investment in connectivity, alignment and collaboration within and between the health and social care sectors, we need to put equal focus on service delivery mechanisms, process & workflow design, financial flows, workforce changes and patient and citizen engagement 3 4

Common responses (3/3) ENABLING FRAMEWORK 1 Facilitate the deployment of interoperable solutions and the adoption of international standards Develop Health data governance frameworks to clarify and streamline the processes to manage the use of health data Train and educate the health and social care workforce. Create a new generation of ICT skilled workforce and data scientists for the health and social care sector. Build public confidence in information security and make the public case for sharing health data, addressing public concerns around the misuse of health data 2 3 Develop Health data governance frameworks to clarify and streamline the processes to manage the use of health data, including access, quality, security of information, as well as the consequences for the misuse 4

Our health systems face common challenges and we share common goals Conclusion Our health systems face common challenges and we share common goals Greater international cooperation in the field of digital health innovation will allow us to compare policy strategies and leverage technical expertise and experience to accelerate the transformation of our health and social care systems and scale-up digital health innovations.

Thank you! www.cocir.org