Structural Funds and health: why EUREGIO III?Brussels 3 February 2011Professor Jonathan Watson PhD FRSMHCN Executive DirectorEUREGIO III Project leadSpecial Professor of Health & Public Policy, University of Nottingham Medical SchoolLay Court Member – Edinburgh Napier UniversityExternal 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 doesGenerate 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 2014-2020)

who is EUREGIO IIIAssociate 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, QeC-ERAN, EIB, EHMA, EUREGHA, European Association of Development Agencies)

the Structural Fund processSF management

SF delivery

evaluating the SF process

EU policy priorities

Regional priorities

2000-2006

2007-2013

The

SF

proc

ess

stakeholder experiences

Understanding and communicationTactical versus strategicEU procurementSecuring joint fundingGetting adviceInflexible processMainstreaming

practical knowledge: profile of a HR Beacon

DevelopmentLocal

PoliticalDelivery

IntersectoralOrganisationalParticipation

DisseminationExperiential

Take-home value

Tipping pointsIntegration

Doing itAccountability

EvaluationModel of changeClear outcomes

the crash and financial instability

The impact of an ageing population – a demonstration of a critical EU problem area

2010 - 10 to 1

2030 - 4 to 1

Ratio of working population toelderly retired

* Europe 2020

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

challenges for regionsDemographic and epidemiological trends

The explosion in new clinical and ICT technologies

Patient safety and quality

The need for economic sustainability

organisational challengesKey governance issuesFamiliarGovernance basicsRisk management ProductivityQuality and patient safetyIncreasing demandTactical and not strategicEfficiency

EmergingSystems-wide perspective and commitmentProcess improvement methodsCapacity buildingEvidence-based decision-makingReturn on investment principles Risk assessed sustainability

Changing the mindsetUnderstanding the problemMaking the case for sustainable investmentsAdopting new financial models and ways of measuring successAdded value from return on investmentMeasurable health gains

Adapted from: Ontario Hospital Association (2009) Health Care Governance in Volatile Economic Times: Don’t Waste a Crisis

20/20 vision?

STRATEGIC VISIONOPERATIONAL

PRIORITIES

REGIONAL ECONOMIC STRATEGY 5 YRS

STRUCTURAL FUND PERIODS 10 YRS

POLITICAL CYCLE 4-5 YRS

HEALTH SECTOR REFORM18 MTHS

SOCIAL ENTERPRISE12 MTHS

SME 48 HRS

VALUESATTITUDESBEHAVIOUR

emerging lessons from EUREGIO III

Was siehst Du?

Grrrr…Ich sehe

Veränderungen

www.healthclusternet.eu www.euregio3.eu