1. User involvement can drive sustainability in eHealth investment

and service provisions: Insights from users can help to create more flexible and better needs adopted innovations. Innovations are also more likely to adjust to the complete care chain/path i.e. to the “larger system” and deliver better return on investment ratio (ROI). End user involvement is especially important in cases where the users play a significant role in the care delivery system and function as real end users of the new solution. This ensures correct adoption and use of the solution having direct implication to how beneficial the new solution is.Change in user behavior can have a greater impact than investment in new technology alone. 2. Start early, finish late User involvement can be used in all different phases of an innovative PCP process, including at the very beginning of the project i.e. the needs assessment – i.e. once the demand has been established. Users can also be involved in the development and prototyping phase and during the post commercial procurement phase i.e. while the new solution is taken into use. Early evaluation and feedback can be useful. The pre-commercial procurement process: a tool for the complete Innovation chain including the users as co-creators: Pre-R&D&I phase phase 0 phase
Exploratory phase, Needs assessment, ideas

R&D&I phase Development phase
Planning, development, Cost/benefit analysis Prototype, testing

Post –R&D&I Commercial up take
Deployment, Supervision, follow up Commercialization

3. Define your user groups Key user groups have to be clearly defined and sometimes also individually targeted and can include many different stakeholders on many different levels (political, managerial, clinicians or patients), depending of the case in question. E.g. there could even be a need to include politicians in order to have backing and understanding for the eHealth investment. The usual reference groups are not always the best and only ones to be used.

4.are a potential source for innovation. A Living Lab employs four main activities: 1. Examples of the application of the Living Lab concept in public services in the eHealth sector: HealthLab: Tsaar Peter MobileHealth PPI Healthy Helsinki Living Lab Danish Welfare technology neighborhood and the Hospital bed of the future cases The Danish experience with user driven innovation – some conclusions derived from three cases: Thomases slide : User driven innovation with the 3 cases . Experimentation: implementing live scenarios within communities of users 4. competitions and bonuses in order to change user’s behavior in different ways.ergonomic. Evaluation: assessment of concepts.g. Living Labs have been characterized by the European Commission as Public-PrivatePeople Partnerships (PPPP) for user-driven open innovation. family members . Co-Creation: co-design by users and producers 2. Clinicians. behaviors and market opportunities 3. ************************************************** What is a Living Lab? A Living Lab is a real-life test and experimentation environment where users and producers co-create innovations. 5. Actively involve your users in different ways and with different methods/tools Different user groups can be integrated systematically in the co-creation/codesign of new innovation in different ways. Targeted impacts or behavioral transformation more likely to take place. to ensure that “old fashioned clinicians” really make use of a new solution once it is deployed. Sometime it could be useful to introduce games. One way to integrate the users is through the Living Lab methodology (see box). Exploration: discovering emerging usages. products and services according to socio. E. socio-cognitive and socio-economic criteria. patients. User information Timely and easily accessible information for users increases their knowledge about and commitment to use the new solution in an appropriate way.

.focused on the individual user (time. Rather than getting more discounts. Procurement departments use of old paradigms such as lowest price or recommendations from the focus-groups. 2.) 2. could be replaced with insights from user-driven-innovation projects and thereby ensure the flexibility of the products and adjustment to the ‘larger’ system. User-driven-innovation also makes good sense. place. if we look at the characteristics of products. as an alternative input to the way public institutions are procuring products in Denmark today. In conclusion: Thomases chart here. services etc.focused on the whole (system. which needs adjustment to the context of the products. The products are often low tech or mature technologies. Authorities can focus on getting more customized solutions to the specific situations/needs User-driven-innovation also makes good sense. interactions. Here a user-driven-approach is very suitable. which are mainly procured in the health care sector. as a way to overcome some of the present barriers for pre-commercial procurement identified in relation to the procurement departments.User-driven-innovation also makes good sense. Rather than traditional categories/specifications public authorities can set up demands to the total delivery – including the “total economy” of the product (cost/benefit analysis). as well as the ‘service system’ surrounding them.) A User-Driven-Innovation approach can enable to identify the effect needed (for instance in the area of welfare technology) and invite tenders for this : 1. because it is: 1. needs. whishes etc.

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