Transcript Health and Structural Funds in 2007

Structural Funds
and health: why
EUREGIO III?
Brussels 3 February 2011
Professor Jonathan Watson PhD FRSM
HCN Executive Director
EUREGIO III Project lead
Special Professor of Health & Public Policy, University of
Nottingham Medical School
Lay Court Member – Edinburgh Napier University
External Partner to European Masters degree in Sustainable
Regional Health Systems (Deusto, Vilnius, Corvinus, Verona)
the story…
Structural Funds and health
2007-2013
What EUREGIO III does and
who the partners are
The Structural Fund process
Assessing process and
projects
Challenges: economic,
financial, regional,
organisational
health-related SF investments 2007-2013
Direct
Indirect
non-health sector
investment
what EUREGIO III does
Generate practical knowledge (examine
SF management; collect case examples of
projects; consider needs your needs;
identify directions for capacity building)
Share practical knowledge (training
workshops; master classes; inventory of
case examples; inventory of stakeholders,
expertise and resources; publications;
website; conference; stakeholder events;
external events)
Inform improvements in the SF process
(management, delivery, planning for 20142020)
who is EUREGIO III
Associate Partners (HCN, European
Centre for Health Assets &
Architecture, Veneto Region, University
of Maastricht, Liverpool University,
EMK-Semmelweis University)
Reference Group (National SF
Managing Authorities for Hungary,
Poland, Slovakia, Estonia, Bulgaria,
Greece, Ruppiner-Kliniken/UMC
representing Brandenburg, AER)
Collaborating partners (Regional
Development Committee-European
Parliament, EUROHEALTHNET, QeCERAN, EIB, EHMA, EUREGHA,
European Association of Development
Agencies)
the Structural Fund process
SF management
SF delivery
evaluating the SF process
2000-2006
The SF process
EU policy
priorities
Regional
priorities
2007-2013
stakeholder experiences
Understanding and
communication
Tactical versus strategic
EU procurement
Securing joint funding
Getting advice
Inflexible process
Mainstreaming
practical knowledge: profile of a HR Beacon
Development
Local
Political
Delivery
Intersectoral
Organisational
Participation
Evaluation
Model of change
Clear outcomes
Tipping points
Integration
Doing it
Accountability
Dissemination
Experiential
Take-home value
the crash and financial instability
The impact of an ageing population – a demonstration of
a critical EU problem area
2010 - 10 to 1
Ratio of working
population to
elderly retired
2030 - 4 to 1
Each year that passes sees a greater pressure being placed on the
working population to fund the current healthcare needs of the elderly.
Increased unemployment, as a result of the financial crisis, is making
the problem worse
* Europe 2020
challenges for regions
Demographic and
epidemiological trends
The explosion in new
clinical and ICT
technologies
Patient safety and quality
The need for economic
sustainability
organisational challenges
Key governance issues
Familiar
Emerging
Governance basics
Risk management
Productivity
Quality and patient safety
Increasing demand
Tactical and not strategic
Efficiency
Systems-wide perspective and commitment
Process improvement methods
Capacity building
Evidence-based decision-making
Return on investment principles
Risk assessed sustainability
Changing the mindset
Understanding the problem
Making the case for sustainable investments
Adopting new financial models and ways of measuring success
Added value from return on investment
Measurable health gains
Adapted from: Ontario Hospital Association (2009) Health Care Governance in Volatile Economic Times: Don’t Waste a Crisis
20/20 vision?
O
P
E
R
A
T
I
O
N
A
L
P
R
I
O
R
I
T
I
E
S
STRATEGIC VISION
STRUCTURAL FUND
PERIODS 10 YRS
REGIONAL ECONOMIC
STRATEGY 5 YRS
POLITICAL CYCLE
4-5 YRS
HEALTH SECTOR REFORM
18 MTHS
SOCIAL ENTERPRISE
12 MTHS
SME 48 HRS
VALUES
ATTITUDES
BEHAVIOUR
emerging lessons from EUREGIO III
Was
siehst Du?
Grrrr…Ich
sehe
Veränderungen
www.healthclusternet.eu
www.euregio3.eu