The document discusses innovation governance and three models: hierarchy/bureaucracy, new public management/market, and networks. It outlines the objectives and trends in innovation policy in Europe, including a shift from government to multi-level governance involving local, regional, national and supranational authorities working in networks. The case of electronic health records in the Netherlands is used to illustrate issues in governing healthcare innovation across different levels.

1. Innovation Governance Prof. Dr. Bernhard Katzy Winter 2011

3. Wouter Mensink

6. Supporting innovation by investing in R&D Wouter Mensink There is a strong belief in the power of investment… Therefore, the so-called “Framework Programmes have invested heavily in mostly R&D since the mid 1980’s FP6 FP5 FP4 FP2 FP3 FP1 FP7

7. Budget composition Wouter Mensink Networks are getting bigger and bigger. What does that mean from a network management perspective?

10. Schematic overview of the first half of the class Wouter Mensink Traditional state government Supranational authorities Local and regional authorities network market “ Multi-level governance” “ Shift from government to governance”

14. Three governance models: views on government and technology Wouter Mensink March 6, 2008 Bureaucracy Market / NPM Network View on the role of government Public provision of a function is more equitable, reliable and democratic than provision by a commercial or voluntary body - Dunsire, 1999, p. 361 “ Government failure” or “public failure” argument replaces the traditional “market failure” argument: ‘[T]here is no market failure so bad that the US government and political process could not do even worse’ - Dixit (1993) in Moreau, 2004, p. 850 The role of public policy extends far beyond the mere correction of market failures [..] Public policy may facilitate the market process - Moreau, 2004, p. 847 View on technology Determinist technology- and industrial policy implies that policy-makers would consider certain technological paths to be inevitable - Williams & Edge, 1996 Instrumental and ‘neutral’ view of technology: ‘technologies will just 'appear to order', in response to the demands of the market at any one time’ - Williams & Edge, 1996, p. 871 Constructionist view of technology: social/political construction of technology

16. Schematic overview of the first half of the class Wouter Mensink Traditional state government Supranational authorities Local and regional authorities network market “ Multi-level governance” “ Shift from government to governance”

20. What do Forms of Institutional Action mean in practice? Wouter Mensink King et al., 1994, p. 151

21. Governance of healthcare innovation Wouter Mensink Author Name XX XXXXX XXXX Community: the patient and his/her context Case study on public and private systems for managing care in a networked context – Master thesis project with Raymond de Vos Individual: the patient (or consumer?) as principal Case study around the notion of personal healthcare budgets – Master thesis project with ??

22. When do you need your healthcare data? Wouter Mensink Traditional state government What if you are skiing?... … are in need of more …or want to buy than one doctor? medication on eBay? … or want to manage your health at home?