CyRIC EU|BIC and Aretaeio Hospital working together to improve Responsible Healthcare Ecosystems in Cyprus

Science and technology are transformative forces that have granted humans the capacity to alter ecosystems, the Earth’s climate, and even the building blocks of matter and life itself. R&I have improved our world and our lives in many ways and will most likely continue to do so. However, parallel to the large positive impact on human welfare and wellbeing, science and technology sometimes create new risks and ethical dilemmas, fail in solving the problems they are meant to, and spur controversy (source: RRI-tools.eu).

Within the Health sector, there is a steadily growing number of new technologies being introduced in health systems (e.g. wearable devices, robotics, genomics, artificial intelligence, 3D printing, mobile applications, etc.) that raise complex challenges for all stakeholders, including policymakers, regulatory authorities, payers, physicians and patients. The current ways in which new health technologies are being financed, developed and brought to market make health systems increasingly inequitable and unsustainable.

Cyprus, with a population of 1.17M population;  is the third largest Mediterranean island after Sicily and Sardinia, and a full EU member since 2004 and given the size of the island CyRIC EU|BIC maintains a national role in supporting and nurturing the ecosystem.

Alongside an ageing population, the calibre of health care is improving in leaps and bounds with new specialized medical services and research in Cyprus. It includes, among others, the long-anticipated implementation of a comprehensive national health care system, which is set to make the sector more streamlined, resource-efficient and cost-effective.

In 2013 Cyprus decided to establish a national health care system, introducing the General Healthcare System (GeSY) which is fully operational since June 2020. The Ministry of Health is responsible mainly for the organisation of the healthcare system and the provision of state-financed healthcare services. Besides its medical, public health, dental and mental health services, the ministry oversees Cyprus’ General Laboratory and Pharmaceutical Services.

As a small country with a highly centralised public administration system, public health services are provided through a network of hospitals, health centres, sub-centres and dispensaries. Most of the system’s organisational, administrative, and regulatory functions take place at the state level; the lower administration levels cooperate with the central administration primarily for the implementation of public health and health promotion initiatives. Yet, following recommendations, a reform of the Ministry of Health is underway. New departments are being established and the administration of public hospitals decentralised based on modern systems of management and medical audit.[1]

Simultaneously, the business, research and innovation ecosystem in Cyprus is described as “a young but fast-developing ecosystem”[2].  With the recent appointment of a Chief Scientist forming the Executive authority for managing all activities including Policies, Incentives and Funding to Research, Innovation and Entrepreneurship seeks to enter a new era for research and innovation in Cyprus.

In Cyprus, the main territorial support actors of the business and innovation ecosystem are the privately-owned R&D centre CyRIC and its incubator Gravity Ventures. Cyprus Research and Innovation Center is a pioneering company with the strategic aim to become an important regional Innovation Center developing novel products for the world markets. Using continuously upgraded infrastructure and the scientific know-how of highly educated researchers and professional engineers, CyRIC also designs and executes Applied Research Projects for the development of Innovative Solutions.

CyRIC leads the CHERRIES work package which aims to establish the territorial experimentation process, prepare the stakeholder system for the RRI based demand articulation, experimentation and to the co-creation process. The objectives are:

  • Create an RRI toolbox covering organisational and institutional aspects of implementing RRI in the healthcare context
  • Establish the knowledge base for the territorial experiments
  • Train multipliers and key stakeholders in facilitating bottom up RRI and need articulation processes
  • Finalise the experiment design based on territorial preconditions and stakeholder landscape and publish a call for needs

The CHERRIES experiments address opportunities and challenges associated with the role of demand at the crossroads of challenge-oriented, economy-enhancing, and sector-specific policy making within the healthcare sector, thereby addressing the SGC of health, demographic change and wellbeing. It ensures bottom-up involvement of all kind of citizens, irrespective of their age, gender, ethnicity and socio-economic background. With CyRIC deeply rooted connection in the regional society, bringing together research, innovation, business and industry organisations utilising state of the art infrastructure, it is a role that well fits the Cypriot EU|BIC.

Notably, CyRIC’s function as coordinator of the Cyprus Digital Innovation Hub (CyDi-Hub) puts them as consortium partner in the ideal position for offering cutting-edge digital technology innovations and services to the manufacturing and health industry – bringing the fourth digital revolution in Cyprus.

The local industry partner collaborating with CyRIC in the healthcare ecosystem for CHERRIES is Aretaeio Hospital (AIK). AIK is a leading Private Hospital in Cyprus and a Medical Center of Excellence in the wider region. As the local Cypriot actor, it hosts the territorial experimentation, stakeholder’s engagement, and contributes to the co-creation of the solutions in Cyprus. Moreover, it engages in CHERRIES mapping exercise, provide evidence-base and stakeholder support for future regional development strategies (new S3).

Read the full story here

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Authors:

Bram Pawels, EBN (Communication Manager) @brampawels | @EUBIC

Moyses Moyseos, CyRIC (Operations Manager) @MoysesMoyseos | @Cy_RIC

Mapping science in the context of CHERRIES project

During the General Assembly that took place on June 16 -18, Leiden University represented by the Centre for Science and Technology Studies, shared the preliminary results from the Territorial mapping, as part of the development of Work package 2. This “chapter” entails the policy and stakeholder mapping and the Smart Specialization Strategy with a focus on Health and Innovation for the three pilot regions of Murcia, Örebro, and Cyprus.

The regional partners represented by the organizations CEEIM, OLL and CYRIC, communicated the ongoing work in relation to the collection and analysis of policy interventions and strategies, and an overview of the stakeholders’ identification process. This content was later on discussed during the breakout session, when the regions shared their considerations for the following steps, in relation to the engagement of territorial actors and the analysis of policy-related documentation.

Under the framework of the Smart Specialization strategy, the session continued with the presentation of Leiden University with a summary of the bibliometric analysis. These analyses consider the measurement of Knowledge production through scientific publications, in order to visualize the fields and subfields on which the 3 regions have strengths,  advantages, and opportunities for diversification. The data used for the analysis come from publications in journals processed for Clarivate Analytics’ Web of Science database (WoS).

This way, using maps depicting the main Fields of Science (Figure 1 below), was possible to identify the subfield or topics emerging as relevant in the territories (represented by each node or circle). The bigger the circles, the larger the set of scientific publications in that specific subfield, considering all the publications produced in this field. As an example, one of the biggest circles, labelled with the code ‘3769’ in the Figure below from Cyprus, is associated to the subfield of nephrology. The same analysis for Örebro region showed mental health and Psychiatry as important, and for Murcia functional foods, were among the relevant subfields.

Furthermore, a scientific relatedness space was presented for each of the three regions. In these spaces the scientific fields were represented in which the regions have a relative high amount of publications compared to other regions in Europe. The closer these fields were placed together in these spaces the more often these fields are found together in the same European region.

 

Figure 2,  showed that Murcia has an all-round scientific representation with some fields that are not often found together in the same region. Cyprus showed a predominantly engineering scientific representation, while Örebro was more focused on health and environmental sciences.

Maps of science and analysis like the aforementioned, lead us towards the following steps on the identification of priorities for Smart Specialization. The final selection of topics within Health and Innovation, will be afterward integrated with qualitative data coming from interviews, analysis of economic indicators, and the study of innovation behaviour among other variables to incorporate in the strategy for the territorial mapping.

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Author: Sonia Mena Jara, Leiden University – CWTS (MSc Researcher) | @cwtsleiden

Insights from CHERRIES General Assembly #2

16-18 June 2020. CHERRIES team gathered online for its second General Assembly.

After six months from the kick off meeting held in Vienna last January, consortium partners took this opportunity to take stock of the activities carried out so far and to plan the next steps.

CHERRIES | Constructing Healthcare Environments through Responsible Research Innovation and Entrepreneurship is an EU funded project aimed at enabling Responsible, Research and Innovation  policy experiments in the healthcare sector in three European territories – in Murcia (ES)Örebro (SE) and the Republic of Cyprus (CY).

As you can imagine, working with stakeholders of the healthcare sector in the last few months has not been so easy as they were fully absorbed by the COVID-19 pandemic.

Nevertheless, partners turned this challenge into an opportunity, using those months to go deeper in the regional mapping exercises that the colleagues from University of Leiden are leading. You’ll read soon about the state of the art of CHERRIES mapping process, which is looking at the relevant regional stakeholders and policies in the healthcare sector (a dedicated news will be released in the coming days).

At the same time, partners have been working on the definition of the pilot procedures and supporting documents by looking at existing good practices and materials that could inform the CHERRIES methodology. K&I and CYRIC are working together with the other regional partners (in Cyprus, Murcia and Orebro) to get ready for the launch of the regional call for needs in early autumn.

After the summer break the three regions will call healthcare stakeholders to join dedicated awareness raising and training events that will kick-start the activities in and with the territories.

Follow us on our Twitter account and LinkedIn page to get latest updates from CHERRIES community and discover what is in it for you.

In the meantime, ZSI and EBN are working with the Advisory Board members to prepare a very interesting webinar series aimed at provoking some discussions and reflections around RRI, regional smart specialisation strategies,  the peculiarities of the healthcare innovation system and how demand driven approaches can lead to the procurement of innovative entrepreneurial solutions. We will be mixing academic insights with practical examples from public actors, businesses, funders, CSOs and business support organisations.

It looks like the upcoming months will be  quite busy for and with CHERRIES. Subscribe our newsletter, and make sure you do not miss our upcoming initiatives!

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Author: Chiara Davalli, EBN (Senior Project Leader) |@ChiaraDavalli @EUBIC @EBNimpact

 

 

 

 

 

Challenges of taking an innovation system perspective on health

CHERRIES aims at improving the framework conditions for healthcare innovations in responsible manners. Naturally, before intervening in such complex systems of general economic and domain-specific policies one must take stock of what is already out there, what is working well and where there might be blocking stones within the systems. Therefore, CHERRIES is mapping the regional healthcare innovation systems and learning about regional specifics as a first step for transforming healthcare innovation policy instruments towards responsible and problem-oriented healthcare policies

CHERRIES will take an innovation system (IS) perspective on healthcare innovation in the mapping and throughout the project. Innovation systems are a guiding paradigm of innovation research and have strongly influenced innovation policy. At the core, IS state that innovation and diffusion of technology is both an individual and a collective act, which direction and rate is influenced by the actors, networks and institutions comprising the system. But while the IS approach has been dominating innovation research and policy in most sectors, it has rarely been applied for innovation in healthcare (however studies of specific sub-sectors like pharmaceutical or biotechnological industries have been influential in the IS discourse). Arguably, one of the reasons for that is the complexity of healthcare innovation systems.

The World Health Organization (WHO) defines healthcare innovation as a means “to develop and deliver new or improved health policies, systems, products and technologies, and services and delivery methods that improve people’s health.” Whereby:

  • Health innovation responds to unmet needs by employing new ways of thinking and working with a special focus on the needs of vulnerable populations
  • Health innovation adds value in the form of improved efficiency, effectiveness, quality, safety and/or affordability
  • Health innovation can take place in preventive, promotive, therapeutic, rehabilitative and/or assistive care.

The challenge CHERRIES is facing is integrating all these aspects of innovation outputs (product, service, organisational, social innovations), subsystems (preventive, promotive, therapeutic, assistive care) and sources of innovation needs (patients, practitioners, payors and policy makers) into one analytical framework, that will allow for identifying variety in actor constellations, innovation dynamics, knowledge bases, innovation modes, geographical dimensions and the like.

The mapping guidelines – drafted by the CWTS team of the University of Leiden – provide a orientation on what information will help us in understanding the dynamics of the regional healthcare systems. Additionally, the ZSI team focuses on qualitative studies of specific innovations to understand their history – beyond the regional focus. The integration of these results and a reflection of these with regional stakeholder groups will allow us to capture present regional specialisations and specifics, understanding the innovation needs of regional actors as well as contributing to an academic understanding of healthcare innovation systems.

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Author: Stefan Philipp, ZSI (CHERRIES coordinator) | @_PhilippStefan @ZSInnovation @zsi_fe

 

CHERRIES consortium e-meeting #2

In mid-June (16-18 June), CHERRIES team will gather online for an “unusual consortium e-meeting”.

Due to the current situation (COVID-19 pandemic), the second consortium meeting -that was meant to take place in Orebro, Sweden- will be held online.

Organised around three half day sessions, the meeting will see the active participation of all consortium members that will be progressing with the preparation of the territorial frameworks for RRI-based experimentations in the healthcare sector.

Partners are adjusting the original plans (physical workshops and training activities for stakeholders of the regional healthcare ecosystem) to deliver the project activities according to the current circumstances.

Stay tuned for more information about the regional experiments and the other CHERRIES opportunities.

”Blockchain use cases in healthcare” new report of the EU Blockchain Observatory and Forum

The EU Blockchain Observatory and Forum just released the thematic report “BLOCKCHAIN USE CASES IN HEALTHCARE“.

The paper examines how blockchain might be used to address a number of serious challenges that the healthcare industry faces today in Europe:

1) the problems from the perspective of the individual and his or her health data. The report looks at how blockchain could support self-sovereign identity paradigms to health data, allowing individuals to store their own health records and control access, and the possible advantages this could provoke.

2) the issues from the perspective of the healthcare industry, a strongly data-driven ecosystem. The report explores how blockchain could help to find and/or make better use of the huge amount of health-related data.

3) the challenges faced in the administration of healthcare. The report analyses the contribution of blockchain in re-shaping healthcare ecosystems by bringing together all players in the system on one platform and enable new models of healthcare distribution (towards a stronger decentralisation).

4) the COVID-19 pandemic. The report -prepared during the height of COVID-19- is also looking at how the blockchain community has been responding to the crisis.

The European Blockchain Observatory and Forum engages in analysis and reporting on a wide range of important blockchain themes, driven by the priorities of the European Commission, and based on input from its Working Groups and other stakeholders. As these insights become available, the European Blockchain Observatory and Forum creates a series of academic and thematic reports, which are available here: https://www.eublockchainforum.eu/reports

CHERRIES website goes live

CHERRIES team is pleased to welcome you on our brand-new project website. A virtual window on CHERRIES activities, learnings, and opportunities.

Started in January 2020, CHERRIES | Constructing Healthcare Environments through Responsible Research Innovation and Entrepreneurship is an EU funded project aimed at enabling Responsible, Research and Innovation (RRI) policy experiments in the healthcare sector in three European territories – in Murcia (ES), Örebro (SE) and the Republic of Cyprus (CY).

European territories are at the core of CHERRIES action.

The CHERRIES team applies the RRI framework to mobilise territorial stakeholder ecosystems and engage them into regional pilot actions aimed at:
1. identifying needs in the healthcare sector at territorial level

2. encourage the proposition and co-creation of innovative solutions to the identified needs

3. stimulate institutional reflection processes on how to innovate products and services in the healthcare sector through participatory approaches

4. present evidence-based recommendations for revision of sectoral policies, strategies and innovation support instruments.

 

You can discover more about CHERRIES by surfing our webpages.

Meet the team! Discover the 11 organisations which are part of CHERRIES consortium and our Advisory Board members.

CHERRIES in a nutshell! Check out CHERRIES project activities and the opportunities we can offer you (healthcare professionals, companies, NGOs, policy makers)

Discover CHERRIES ecosystems! Have a look to the Murcia (ES)Örebro (SE) and the Republic of Cyprus (CY) pages and discover more about their healthcare ecosystems.

Learn with us! The resources area will be populated with a series of practical information and inspiring materials to let other European regions replicate the CHERRIES experiments.

Stay tuned! Check out the News and Events section to learn about latest project updates and relevant opportunities.

Get in touch! Join the CHERRIES online community and drop us an email if you need any further information about the project and its activities.