Articles

CONSUMER RULES

Extract No 1: 
From the blog: www.hospitalwatch.eu
Views: 157,232 (in last 24 hours)
Date: 29.11.2012

Hospitals are collapsing. The debts of hospitals are more than 50% of their annual revenues and the Association of Suppliers expressed that their claims are unpaid for more than 400 days. The government refused to increase the resources for healthcare due to an austerity package of the state budget. In order to maintain the remaining popularity, the government persistently refuses to introduce user charges for hospital stay.
 
In a university hospital, the suppliers of utilities were forced to stop the delivery of electricity, heat and water. The management of the hospital got into a desperate situation, because of freezing weather conditions. Due to this, patients were transported 30 kilometers to a private hospital, where they had to pay daily fees for admission. All patients except of the pensioners accepted this situation.
 
 
Extract No 2:
Consumer Survival Kit for the “Consumer Rules” Scenario
1. get internet access 
2. get a smartphone
3. get your licensed health consultant
4. get familiar with your health plan
5. get familiar with the new health coordination/purchasing companies

Watch an artistic view on future where CUSTOMER RULES
Fairy Julie


 
ATTENTION 
For full version of the Strategic Scenarios 2020: The Future of CEE Healthcare see pdf.

The facilitator of development of the Strategic Scenarios 2020: The Future of CEE Healthcare was Ivan Perlaki. For more details please see his website: http://www.perlaki.sk.


 
GOVERNMENT SERVES

Extract No 1: 
2014
In order to supervise correct implemention of protocols, the government established the third “Superbody”, the Central Quality Body. It had significant armories at the disposal to enforce the treatment protocols. In order to ensure this task number of medical supervisors was needed.
 
Each healthcare facility had to equally ensure provision of healthcare based on the treatment protocols, minimum delivery standards and provision of the treatments from the benefit package to each citizen. The fulfillment of these criteria by healthcare facilities was controlled by medical supervisors of the Central Quality Body. As the providers who did not fulfill the criteria faced serious fines, the unpublished control results became a serious media problem....
 
Extract No 2:
An excerpt from a disclosed analysis for a private investor

June 12th 2014

The Central Quality Body (CQB) is a new regulatory body of the government. According to our analysis, it will be a tool for fining providers rather than protecting patients. We expect that the government will use CQB to punish private providers more strictly than the state owned providers. Based on these expectations, we advice to increase legal and medical vigilance in all private hospitals in order to face serious controls.
 
Watch an artistic view on future where GOVERNMENT SERVES
Unity



 
ATTENTION 
For full version of the Strategic Scenarios 2020: The Future of CEE Healthcare see pdf

The facilitator of development of the Strategic Scenarios 2020: The Future of CEE Healthcare was Ivan Perlaki. For more details please see his website: http://www.perlaki.sk.

DOCTORS DICTATE

Extract No 1: 
2014
Since January, when the law came into force, only doctors ruled the system. The president of the Medical Chamber became the Minister of Health and every new law had to be discussed first with the Chamber of doctors while only after its approval, the law was released for further comments. The managers of hospitals were solely doctors, who had to be approved by the newly established ministerial advisory board constituted only from doctors. The power of doctors was further increased, because doctors acted also as staff at the Ministry of Health, heads of university hospitals, CEOs of insurance companies, health policy makers, academic staff at universities, and even as journalists reporting on medical affairs. An independent journalist, who was fired from a Medical Weekly characterized this situation as “white clan”....
 
Extract No 2:
Consumer Survival Kit for the “Doctors Dictate” Scenario
1. Become a doctor!
2. Marry a doctor!
3. Place your children to the medical faculty!
4. Become a member of the executive bodies of the National Doctors´ Service
 
Watch an artistic view on future where DOCTORS DICTATE
White Clan



 
ATTENTION 
For full version of the Strategic Scenarios 2020: The Future of CEE Healthcare see pdf

The facilitator of development of the Strategic Scenarios 2020: The Future of CEE Healthcare was Ivan Perlaki. For more details please see his website: http://www.perlaki.sk.

INDUSTRY DRIVES

Extract No 1: 
2015
 
In 2015, publishing individual provider data became very rare and usually this data collected was inaccurate or false. There was no drive for more transparency in doctors’ performance and publishing outcomes per provider. The only source of information was the Statistical Office and the insurers. Although the rules for market entry were liberalized, it paradoxically did not lead to more transparency on the market. The patient pathways were based on personal contacts or on cash payments – formal or informal. 

There was no chance for a fair access to care.According to an independent study, the differences in access between urban and rural population as well as between the poor and rich were increasing. The system was in strong hand of industry driven providers and they set the rules. Which treatment is suitable, which drug is the best was solely their decision. The empowered patients were seen as “problematic”. Waiting lists were a very strong tool in providers’ hands and they were using them to skim the economic rent from the patient....
 
Extract No 2:
A phone call of two sisters (Jane and Kate)
Jane: Hi Kate, I need your help – our mum called me right now, that she needs to arrange a hip replacement for our dad. But don’t tell her I called you (sighs)
Kate: I had the suspicion, that something is going on, but you know, I didn’t want to ask them, they are always so organized.
Jane: Yeah, but in terms of healthcare they are rather disoriented, so they need some help and I think they are rather conservative and want to manage it by “their way”, you know what I mean?
Kate: Yes, I know. Ivan, one of my best friends is a doctor, so I will call him to ask for advice. He helped me also last time, when I needed a dermatologist. It was not cheap, but I did not have to wait and the doctor was very cute.
Jane: You mean you had to pay something extra?
Kate: Yes. But he works in a state hospital, so I had to pay him informally. 
Jane: And you think it will be the same situation in this case?
Kate: I think so, maybe we even have to pay more…
 
PS: In 2020, Ivan turned 46 years and became one of the best personal access brokers.During this phone call he did not even know that such a profession will be highly rewarded in the future.

Watch an artistic view on future where INDUSTRY DRIVES
The Broker

 
 
ATTENTION 
For full version of the Strategic Scenarios 2020: The Future of CEE Healthcare see pdf

The facilitator of development of the Strategic Scenarios 2020: The Future of CEE Healthcare was Ivan Perlaki. For more details please see his website: http://www.perlaki.sk.
 
WILD CARDS

Wild cards or Black Swan events are events, which have extremely low probability but extremely high impact. They create existential risks for the stakeholders. Wild cards always appear as big surprises, therefore they can be randomly applied in any stage of the  scenarios.


CEE HPN is presenting 4 wild card events: 


 
Our 5th card is empty and it is called the Black Swan. It is to challenge your imagination. If you have any idea for another wild card, please This email address is being protected from spambots. You need JavaScript enabled to view it. .
 
Download the full version of the Wild Cards.

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