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The Cleaning of 70.000 hospital bedsJeroen Veenendaal Independent procurement of innovation consultant

Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

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Page 1: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

“The Cleaning of 70.000 hospital beds”

Jeroen Veenendaal

Independent procurement of innovation consultant

Page 2: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,
Page 3: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

Erasmus MC Clean Beds

Jeroen Veenendaal, +31 6 28 48 22 52, [email protected]

Page 4: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

Results - Procurement of Innovation for 70.000 clean beds

• Reduction of CO2 (Kg CO2 eq.) 65%

• Reduction of Total Cost of Ownership 35%

• First ever use of robotic technology in bedwashing

• Parametrically validated cleaning process

• Better cleaning results (based on ATP measurements)

o Cleaning by hand results in 35%

o Cleaning with Vmarc results in 2% …

• Easily expandable (e.g. IV poles, wheelchairs)

• Less labor intensive

• Procurement process SME friendly

• Supply Chain Movement

Jeroen Veenendaal, +31 6 28 48 22 52, [email protected]

Page 5: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

Erasmus MC: Clean Beds

• Replacement necessary because of new hospital

• High CO2

• Overseeable (value approx. € 1.000.000,-)

• 1 Supplier

• Need for a new innovative procurement approach

Unmet needs

• Cleaning of 70.000 beds annually

• Substantial reduction CO2 footprint

• Substantial reduction TCO

Jeroen Veenendaal, +31 6 28 48 22 52, [email protected]

Page 6: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

Erasmus MC

• Largest academic hospital in NL (1200 beds, € 1.3 bilj

turnover, 13.000 employees)

Page 7: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

Forward Commitment Procurement

• Process overview o Setting the unmet needs (2011)

o Market Engagement

• Getting the challenge out there, media strategy

• Prior Information Notices

• Market Meeting Day

o Competitive Dialog

• Pre selection

• Competitive Dialog

• Final Offer

o Business Case validation

o Contract signing

o Building and parametrical validation

o Completion – Start Operation (2015)

Jeroen Veenendaal, +31 6 28 48 22 52, [email protected]

Page 8: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

Market engagement

Page 9: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

Market meeting day

Page 10: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

17-5-2016

Integral Client

orientated sustainable

social transport Competitive Dialogue – City Counsel Rotterdam

Program Social Transport

Page 11: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

The rough figures

• Per day 35.000 Rotterdammers

17-5-2016 11

Origin

Annual costs

(mln.€)

AWBZ 6,6

VOM 15,5

WSW 0,6

Leerlingen 7,7

Schoolzwemmen 0,5

Gymnastiek 0,5

Jeugd GGZ 0,2

Participatiewet 0,2

Total 31,8

Page 12: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

Little errors – Big consequences

17-5-2016 12

Page 13: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

“Marketplace” on last breath

17-5-2016 13

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17-5-2016 14

Lessons Learned

• Branch strongly divided about future

• “European tendering is annoying”

• Insufficient innovation

• High level of competition with negative margins of profit

• Focus strongly on savings. Client is not in the picture

anymore

• “Mobility Centre”, is that genuinely something new

Page 15: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

Unmet Needs – Rotterdam City Counsel

• Primary – Interest of client: o Client must be in the center of service

o Fitted in a flexible (new?) budget scheme

• Secondary - Overlaps o Contribution program “Durability”

o Contribution program “Langer Thuis” (stay home longer)

o Contribution program “Eenzaamheid” (loneliness)

o Contribution program “Social Return”

17-5-2016 15

Page 16: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

Marketplace goals

• Make use of existing expertise

• Confidential competitive dialog with a genuine and

credible demand

• Paying a fair and profitable price o We rather focus on lowering the “Q” instead of lowering margins of profit (“P”)

• Integration of the complete client customer journey

17-5-2016 16

Page 17: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

The client in centre of service – 2 elemental features

17-5-2016 17

Page 18: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

17-5-2016 18

Page 19: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

The costumer journey

17-5-2016 19

Traditional focus tenders

New focus on information disclosure and communication

Page 20: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

Why the competitive dialog

• Tender aims to serves goals of client, supplier and City Counsel

• Room for newcomers, stimulate consortia

o Carriers

o ICT

o Car manufacturers

o Public Transport

o Advisors

• Procedure and length of the contract stimulate innovation (contract

period is 7 years)

17-5-2016 20

Page 21: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

Stimulating consortia - market meeting days

• 22 September – “De gebruiker centraal”

• 15 October – “Verbinding maken”

• 24 November – “Integrale oplossingen”

17-5-2016 21

Page 22: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

Marktcommunicatie

Strategie&engagementfase Aanbestedingsfase Implementatiefase Uitvoeringsfase

Bepalenbeleidsdomeinen

endoelstellingen

Bepalenstakeholders

Inkoopstrategienotitie

concept

Oplevering

DoelgroepenonderzoekMuzus

Inkoopstrategienotitie

Definitief

Preselectiedocument

Concept– terreview

Preselectiedocument

Publicatie

PLANNINGENACTIVITEITENNIEUWDOELGROEPENVERVOER

Beoordelen

aanmeldingen

Januari2016

AfrondenDialoog

Startfinal offer

Dialoogdocument

Concept

Verspreiden

DialoogdocumentStartdialoog

September2015

Beoordelen

Inschrijvingen

Contract

ondertekening

Voorlopige

Gunning

November2016

Inrichten

dienstverlening

Januari2017

Infasering

WMO/AWBZVervoer

Infasering

CAV/WSW/ParticipatieVervoer

Infasering

Leerlingenvervoer

Juni2017

Augustus2017

VER VOER VOOR EEN GELUKKIG LEVEN

Voor Rotte rdammers

Burgers hebben inspraak

Burgers zijn meer ze lfredzaam

Bestrijding van Ee nza amheidPr ogramma: Voor Me kaar

Ma rijke de Vries Koppelen aan Muzus!!

Burgers langer thuisProgramma: Langer Thuis (voorjaar 2015)

Annemieke van der KooijPr ogramma: Eerder Thuis

Christl van Gerven

Ex cellente gebruikersbeleving

Bevorderen veiligheidsgevoel

Pr ogramma: Veilig Thu is

Bereikbaar voor een ieder die het nodig heeft

Uitv oering: L eerlingenvervoer

Reinier Mo uthaan

Liecenda Mu ngru

Me lanie Petiet

Pi a de Reus

Uitvoering: Wmo vervoer

Barbara Kamp

Alice Hofs tra

Uitv oering: WsW vervoer

Ronald Bergman

Ramon Dölle

Sa skia LaarmanUitvoering: Jeugd GGZ vervoer

Rian Sm it

Uitvoering: Vervoer Pa rti cipatiewet

Rita Joost

Ayla Sari

Uitvoering: Bijzondere Do elgroepen

GGZ intr am uraal

Edmee Lammerding

Project: Arrangementen in Opbouw

Laurens Ruijs

Uitvoering: Su bsidie wijkbussen

Anja van der Brugge

Pr ogramma: Wmo? Laurens Ruijs

Van Rotte rdammers

Sociale Cohesie

Pr ogramma: Huizen van de WIjkMi chel de Baan

Sa menwerking vervoer Welzi jn

Beleid: Mi rjam Turksma

Programma: NIeu we Rotte rdams Welzi jn

Laurens Ruijs

Annemarieke van Egeraat

Liselore Ooijen

Inzet van vrijwilligers

Versterken Eco nomie

Innovatie stimuleren

Opdracht toegankelijk voor MKBAccountmanagementYvonne Spijkers

Leonie Melchers - Kroon

Sti muleren uits troom naar werkWSPRRene van W ilgenburg

Do elmatige besteding van o verheidsgeldGoed Opdrachtgeverschap

Inze t personeel: VeiligheidOngewenste intimiteiten

Gezondheidskeuringen

Luchtk walite it

Koersnota lucht 2014

Raymond van Praag

Mobiliteitsagenda 2015 - 2018Pro gramma Rotte rdam El ektrisch Lutske Lindeman

Vi sie op schoon rijdenLu tske Lindem an

Taxibeleid Rotte rdam Quirijn Oudshoorn

Martin Guit

Mi lieuzo ne Berco V erhoef

Programma: Duurza am 2015 - 2018

Wiert-Jan de Raaf

METROPOOLREG IO

Capelle

BarendrechtEtc .

B ELA NG ENORGANISATIES

Exte rn: SPA22

Intern: OR WSW

Roelof Vennik Aad Gelderblom

Leerlingen en Jeugd

Adviesraad Leerlingenvervoer

Voorzi tter: Ma rijke K och

Sc holen voor Sp eciaal onderwijs

??

Pr o vincie

Naam? Naam?

Resu lta tante n van

het vervoer?

ZorgaanbiedersWerkgevers

tijdigheid van het vervoer =

afspraak is afs praak

Hardware

L easemaats chappijen

Verze keraars

Importe ursFabrikanten

Page 23: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

Traditional vs Innovative

Agreement Agreement

Reduction of suppliers

through financial and

reference demands

“Create” new suppliers by

specifing unmet needs

and creating more

market demand

Reduction of solutions

through List Of

Requirements

Reduction of

solutions based on

added value

Supplier selection

mainly based

on price

Supplier selection

based on resolution

of unmet needs

TRADITIONAL INNOVATIVE

Page 24: Jeroen Veenendaal Independent procurement of innovation ... Study 3... · Jeroen Veenendaal Independent procurement of innovation consultant . Erasmus MC Clean Beds Jeroen Veenendaal,

FCP summarized

• FCP combines progressive ideas with best practices from the private market which can achieve innovation

• It creates a credible demand to the market which ensures that suppliers conceive innovative and cost effective solutions

• FCP is an innovative philosophy which was developed for the public procurement sector and thus fits in procurement legislation

• FCP is based on unmet needs, not on existing solutions

• Commitment provides the actual incentive for suppliers to create better innovative (and often non-existent) solutions

• FCP works and exceeds expectations

Jeroen Veenendaal, +31 6 28 48 22 52, [email protected]