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COVID-19: an Opportunity for Healthcare in Austria

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COVID-19: an Opportunity for Healthcare in Austria COVID-19: An Opportunity for Healthcare in Austria © INiTS Universitäres Gründerservice Wien GmbH, 2021 Health Hub Vienna is a platform for open innovation in healthcare. Phar- maceutical companies, medical device manufacturers, tech companies, pri- vate and public insurance companies, healthcare suppliers and start-ups all This work is written by Health Hub Vienna. work together to develop new, holistic It is an initiative promoting the implemen- and patient-centric solutions. tation of our common goal: „TRANSFORMATION OF THE HEALTHCARE SYSTEM through innovation and entrepre- neurship.“ dwh simulation services technical solutions COVID-19: An Opportunity for Healthcare in Austria ABSTRACT The COVID-19 pandemic prompted an unprecedented acceleration of digital change within the Austrian healthcare system. Stakeholders have been offered a glimpse into the possibilities, benefits and pitfalls of the implementation of digital health solutions which had largely previously been blocked due to conflicting interests. We have conducted a series of interviews, asking various stakeholders how the pandemic has changed their digital health practices, and asked them to identify challenges and use-cases where digital health solutions can integrate into the pa- tient journey with the most impact. This paper outlines the ways in which the CO- VID-19 crisis has impacted the role of digital health solutions in Austrian healthcare. 9 areas are explored: telemedicine; health data; E-prescription; digital triage; operational solutions; patient empowerment; chronic care and oncology; mental health; and remote care. Then, the role of startups, the landscape of legal and regu- latory frameworks, and technical infrastructure are addressed and key suggestions for a national effort towards a digital health innovation strategy are highlighted. Ultimately, the paper calls for the dedicated action of decision-makers to maintain the progress made within this period so that what many see as a decade of growth will not be lost. First Author Yelvilaa Bodomo, Writer, Health Hub Vienna Contributing Authors Eszter Kormann, PhD, Operations Manager at Health Hub Vienna Sabria Lagoun, M.Sc., Program Manager at Health Hub Vienna Irene Fialka, PhD, CEO, INiTS Graphic design Lucas Mayerhofer, B.Sc. , Health Hub Vienna 1 COVID-19: An Opportunity for Healthcare in Austria INTERVIEWED EXPERTS This paper draws from the insightful contributions of diverse stakeholders gained through qualitative interviews during the period of July-September 2020 Gerald Bachinger, Patient Advocate, NÖ Patienten- und Pflegeanwaltschaft Marie-Isabelle Batthyány, CEO, XR Synergies Andrea Braga, Vice president, TELEMED Austria (Austrian Association for Telemedicine) INTER- Martin Brunninger, Director General, Austrian Federation of Social Insurances Felix Faltin, Principal, digital health cluster, Speedinvest Kathy Farndon, Non-executive Director, University Hospitals of Derby and Burton NHS Foundation Trust Philipp Freitag, Managing Director Austria, Online Doctor Michaela Fritz, Vice rector for research and innovation, Medical University of Vienna Martin Fuchs, General Manager, Premiquamed Stefan Gara, Health Spokesman Neos, City of Vienna Martin Gleitsmann, Expert and Strategist for Health Social and Labour Market, Gleitsmann e.U. Thomas Holzgruber, Director, Ärztekammer Wien Sven Jungmann, Chief Medical Officer, Founderslane Anton Kittelberger, CEO/Founder, MySugr Peter Lehner, Chairman, SVS Werner Leodolter, CIO, KAGes VIEW Philipp Lindinger, Director, AUSTROMED Claudia Maizen, Orthopedic, NHS Siegfried Meryn, Univ. Prof. Dr. internal medicine physician Christina Nageler, Director, IGEPHA Raymond Nistor, Head Clinical Operations, QMD Services GMBH Herwig Ostermann, General Manager, GÖ GMbH Austrian public health institute Cornelius Palm, Co-Founder & CEO, Happyr Health Tamás Petrovics, Co-Founder & CEO, Xund Maria Rauch-Kallat, Former Minister of Health, Federal Ministry of Health Bettina Resl, Country Head Public Affairs, Patient Advocacy & Communication, Sanofi Edeltraud Stiftinger, Managing Director, aws Daniel Svacina, Head of Care, Volkshilfe Wien Irene Szimak, Board member, SOS Kinderdorf Thomas Wochele Medical Director, Caritas 2 INTER- VIEW COVID-19: An Opportunity for Healthcare in Austria OVERVIEW OF THE HEALTHCARE SYSTEM IN AUSTRIA 6 INTRODUCTION 8 COVID-19, 2020 8 DIGITIZATION IN AUSTRIAN HEALTHCARE 9 THE WAY FORWARD 11 THE ROLE OF DIGITAL HEALTH SOLUTIONS 13 TELEMEDICINE 13 HEALTH DATA 16 E-PRESCIPTION 19 DIGITAL TRIAGE SOLUTIONS 20 OPRATIONAL SOLUTIONS FOR HEALTH SERVICE PROVIDERS 22 PATIENT EMPOWERMENT AND SELF CARE 25 CHRONIC CARE AND ONCOLOGY 26 MENTAL HEALTH 28 REMOTE CARE / COUNTRYSIDE 30 INFRASTRUCTURE/FRAMEWORKS 32 WHERE DO STARTUPS COME IN? 32 Startup innovations and healthcare 32 The multi-stakeholder model 34 Considerations for startups 34 FRAMEWORK FOR DIGITAL HEALTH 36 Legal Frameworks 36 Medical Safety 38 Financing and reimbursement models 38 National & international models 38 DIGITAL HEALTH OUTLOOK FOR AUSTRIA 41 A DIGITAL PATIENT JOURNEY 41 Pandemic Solutions 41 Patient empowerment and digital mental health 41 Chronic illness and elderly care 42 OUR FUTURE WITH DIGITAL HEALTH 45 Thank you to our interview partners 48 Sources 29 4 COVID-19: An Opportunity for Healthcare in Austria INTRO OVERVIEW OF THE HEALTHCARE SYSTEM IN AUSTRIA A rough overview of the stakeholder landscape INDUSTRY & FUNDING INSURANCE SUPPORT EDUCATION Private equity Industry Business agency Medical Angel investors (aaia), Ven- Pharmaceutical industry Provides funding, advice and Medical universtities ture Capital (Speedinvest, (FOPI, Pharmig), Medical networking for Austrian and Apex Ventures, Calm/Storm, technology, IT, Consulting International Businesses Digital health education ISTCube, Uniqa ventures...) Digital health education is Private Insurances Chamber of commerce more promninent in Fach- aws Patients can complement Local (WKW, WKS...) or na- hochschulen (technical Austrian federal investment with a private insurance tional (WKO), various health colleges) bank. Invests yearly EUR 2Bn to get extra services (e.g. focuses for innovative business. private room) or as a first in- tention if they don‘t fall under Networks FFG public social security sche- LISA (life science), w-HIT mes e.g. overseas tourists Available funding for applied (women in health IT) innovation projects STARTUPS Window of opportunity COVID has accelerated the implementation of digital health startup solutions in Austria HEALTH HUB VIENNA Is a platform for open innovation in healthcare. Health Hub Vienna activities include understanding healthcare‘s unmet needs, having in-depth understanding of digital health opportunities and hurdles, as well as facilitating multi-stakeholder collaboration (start-ups, pharmaceutical industry, device manufacturers, insurance companies, legal experts, public sector, non-profits, doctors, patients, nurses, and all other HCP and delivery partners. 6 COVID-19: An Opportunity for Healthcare in Austria \ Overview of the Healthcare System in Austria HEALTH CARE PUBLIC PLAYERS & PROVIDERS DECISSION MAKERS Chamber for health Goverment professionals Ministery of health gives im- Chamber of physicians, pulse, vote with parliament, chamber of pharmacists DIGITAL usually coalition model PATIENTS Hospitals INFRASTRUCTURE Regional powers Hospitals and consultations maternity and infant care, Patient advocates with doctors can be publicly ELGA youth welfare, hospital Electronic Health Records At a regional level, appointed paid, or private (where HCPs related laws have to be im- company whose owners are also in hospital can charge beyond reimbur- plemented by the provinces. sed amount) state, regions and social security Der BVSHOE Dachverband Other “Federation of self-help IT-SV National federation of all patient groups“ Other care functions such as social insurances ambulances, elderly care can coordinate the IT activities be executed by non-profit of the Austrian social securi- Social Securities groups (Caritas, Volkshilfe, or ty system ÖGK (main one, 7.2 million in- the Red Cross) sured), AUVA (accidents and work-related mental/physical Other health health), BVAEB (public ser- Physiotherapy, Psychology, vants), SVS (self-employed, Dentistry, can be reimbursed freelancers), PVA in certain cases Cities City (Vienna) -> Gesundheits- verbund (organizes all hospi- tals in VIE including AKH) INSIGHTS Gesundheit Österreich National research and plan- ning institute for the health system and central body for health promotion. Research labs on public / digital health AIT, MedUnis, Ludwig Boltz- mann institute etc. 7 COVID-19: An Opportunity for Healthcare in Austria \ Introduction \ Covid-19 , 2020 INTRODUCTION COVID-19, 2020 In the wake of the COVID-19 pandemic, healthcare in ground and provided a valuable glimpse into the pos- Austria and around the world has seen rapid changes sibilities of a concrete adoption of digital health so- in a short span of time. The crisis has demanded im- lutions into our healthcare system. We are now also mediate amendments to healthcare procedures in becoming aware of how to address the pitfalls and order to adapt to precautionary measures and keep challenges that arise. There is a strong consensus the damaging impacts of the coronavirus to a mini- that a decade of growth has occurred in just the past mum. Digital health technologies have been at the fo- six months and stakeholders believe that it is import- refront of managing the spread and the effects of the
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