The leadership challenge: Inventing the future while managing the present. Relevant dilemma for anskaffelser av medisinsk teknologi?

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1 The leadership challenge: Inventing the future while managing the present Relevant dilemma for anskaffelser av medisinsk teknologi? Dag Hjelle Brigader/ Fagdirektør Forsvarets sanitet/ Oslo universitetssykehus/intervensjonssenteret

2 Strategiske utviklingstrender the global healthcare industry will register a stable growth rate of 4.82% during With high spending on healthcare, prices of medical devices, consumables and drugs will continue to decline in the developed markets of the US and Western Europe. This would provide the impetus to change the paradigms of product development and geographic rollouts across high growth, emerging healthcare markets, especially the Asia-Pacific region. Ledelse en glemt dimensjon? Strategisk? Taktisk? Kultur for utvikling? Kan organisasjoner som ikke er gode til det de gjør i dag skape løsninger for morgendagen? Hvem kan ta i bruk ny teknologi og nye løsninger? Hvem kan medvirke til å skape fremtiden?

3 LEDELSE Sjef Stabssjef Avd sjef Avd sjef Avd sjef The Interventional Centre

4 Understanding the Change Ambiguous, Complex, Rapidly Changing Operational Context Space Demographics Climate Change Economics Resources Use of Technology Proliferation of WMD Globalisation Cyber

5 Political Shifts of Global Power Shifting Political Structures Polycentric World Role of Non-State Actors Power Politics Democratic Discontent Human Changing Demographics Urbanization Human Network Fractured Identities Transparency Ideological Polarization Environment Natural Disasters Environmental/Climate Change 15+8 Economics/Resources Globalization of Financial Resources Increased Resource Scarcity Decreasing Defence Expenditures Global Inequality Science and Technology Technology Accelerates Change Increased Access to Technology Centrality of Dynamic Networks Evolution of Robotics Breakthrough Energy Technology

6 Robotics, Genomics, Nanotechnology, Brain- Computer interfaces/neuroscience, TeleMedicine, Virtual and Augmented Reality, 3D Bio-printing, Artificial Intelligence, Synthetic biology

7 Den medisinske teknologien endrer behandlingen og datatilfanget.. Billeddiagnostikk Røntgengjennomlysning Ultralyd Kikkhullskirurgi Digitalisering Automatiske prosedyrer Roboter Kommunikasjon Digital informasjon Telemedisin Pasientinformasjon Miniatyrisering Avbildning: fmri, PET, Optisk Mikroteknologi; sensorer Nanoteknologi Molekulærbiologi Genomics Cell engineering BIGMED

8 ..og IKT endrer måten vi kan behandle og bruke dataene på Infrastruktur Lagring Prossessering Overføring Brukergrensesnitt Design thinking Mobilitet VR og AR Algoritmer Big data Robotics Språkgjenkjenning (NLP) Maskinlæring Artificial intelligence (AI) BIGMED

9 Globale trender i helsemarkedet Product as a Service (XaaS) business models becoming the norm: the XaaS model will open new revenue streams driving future sustainability for the healthcare industry Cloud emerging as core platform across multiple sectors as stakeholders demand cost efficiency: total healthcare cloud computing market for providers will cross the $5 billion mark in global revenues by 2018 Big Tech companies experiencing high rewards from their investments Virtual and remote clinical trials adoption increasing with focus shifting to efficiency and patientcentricity Robotics, ranging from automation to care delivery, progressing in provider utilities Asia-Pacific countries taking the lead on Smart hospital projects Cyberattacks on the healthcare industry doubling, despite increased investments during 2018 Data insight-driven incentives impacting premiums and becoming standard for payer-corporate partnerships, spurring wellness programs globally The Interventional Centre

10 Konklusjoner Value-based Care Will Continue to Drive Growth Opportunities for Emerging Technologies as They Move Out form Pilot Testing into Production Environments Medisinsk tekniske anskaffelser: (både hva man kjøper og hvordan man kjøper) kan ha strategisk betydning For helsevesenet (pasientene) For teknologi utvikling For industri og næringsutvikling Medisinsk tekniske anskaffelser: Gjøre det på rett måte eller kjøpe det «rette» Medisinsk tekniske anskaffelser: Er det rom for strategisk og taktisk ledelse i dagens anskaffelsesregimer? The Interventional Centre

11 Do we see the big picture? Are we looking in the right direction?

12 Spørsmål? Kontakt: Dag Hjelle Sivil epost: Telefon: