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tisdag 2 oktober 2018

Bridgehead made to US. East Coast

Celebrating 200 years of diplomatic relations between USA and Sweden, Swecare Foundation and Swedish Medtech signed a multilateral MoU with Maryland Department of Commerce as part of the CB Health Access Program.
Deputy Secretary, Benjamin Wu welcomes both Swedish and the central-baltic companies to Maryland, and offer supporting them as part of the joint agreement and with the and 2019 is just around the corner making the connection is a great way of preparing yourself and your company.

While on the business mission our colleague had several fruitful meetings in Philadelphia and Baltimore identifying key organisations and people (such as Bruce Ellsworth ) for entering into the US market and attending as supporting partner together with   where former PM Tony Blair reminded that Healthcare reforms are the hardest thing you can do in politics because vested interests are also important in public sector and inertia. So there is plenty of work left to do but some first strides have been made for our mutual aim to improve healthcare.

onsdag 19 september 2018

Collaboration across borders to new markets - CBHA Final Seminar

The Central Baltic Health Access program has been part of our work at Swecare for a couple of years now. This interesting collaboration with Swedish Medtech and similar organizations in Finland, Estonia and Latvia to facilitate entry to new markets for our companies, has now come to an end. More information about the program can be found below, or check the label CBHA for all blog entries relating to the program.

The program has involved 65 companies and included home market coaching, target market coaching, tailor-made market information and business missions to all four target markets: India, USA, South Korea, and Uganda. There have even been some sales - not bad considering the long lead times in life science and health care - and several partnership agreements, in addition to the MoUs between the Baltic partners and coaches and organizations in the target markets.


The seminar began with a welcome by Malin Hollmark from Swedish Medtech and Piret Hirv, our program partner from Estonia who was also the moderator of the event. The seminar consisted of presentations from a coach for each market, as well as the sharing of experiences by one or two participating companies per market.

Sachin Gaur from InnovatioCuris, Target Market Coach for India, led the discussions. He presented his recommendations under the title: ´The good, the bad and the ugly´ which was appreciated by the audience. With a population of 1.3 billion and a 90% out-of-pocket expenditure on health care, there is great need for products and services at low prices.

Pavan Asalapuram presented EMPE Diagnostics' story and how their test kits can provide rapid information about drug-susceptibility in TB patients, which simplifies and assists doctors in providing the right treatment. The product has been received with great interest in the market and he will continue to work with Sachin to enter the Indian market. Pavan listed some of the advantages of the program, such as getting exposure and valuable contacts, proper guidance and access to local authorities.

The next market discussed was USA and Nima Jokilaakso, the Swedish local coach from Swecare, presented lessons learned and recommendations for entering the market. Some conclusions were that companies must realize that competition is really fierce in the US market and that in order to succeed you need to do business the "American Way" (don't be shy), to partner with local associations in order to use their network and in-house competence, and make sure you have legal coverage "for when you get sued".


Priit Kruus from the Estonian company Dermtest, that empowers general practitioners in fighting melanoma, expressed his struggle with being a small but growing company and the difficulties in prioritizing. Rasmus Hautala from Finnish Labrotex also shared his experience from the program. Their clearly defined goal of targeting the right key opinion leaders has enabled the company to reach their desired position.

This was followed by an inspirational speech from Birgit Linnamäe, both based on her experience from assisting and preparing companies to enter the South Korean market, as well as her reflections on cultural differences. Interactions between two people can be interpreted in many ways. How people perceive things such as time, space, temperature, family, truth etc are some examples she lifted.

Thomas Lööw from Swedish company Lifeclean presented their CBHA journey which has led to the shipping of one 40 feet container full of Lifeclean disinfectants to South Korea. Thomas mentioned that the program gave Lifeclean the opportunity to be part of a group, and he now realizes how important regular contact and relationships are for the process, both between company and coach, and with partners in the target market. The South Korea part of the seminar was concluded by Julie Yi, target market coach who gave her view of the program.

The last market was Uganda, where Anna Riby from Swecare presented some defining characteristics of the Ugandan market which has a heterogeneous and less regulated structure, with stark differences between city / country, private / public, and high out-of-pocket spending. Important things to consider for market entry are to offer the relevant product for the patient segment and an adapted business model. She also urges companies to use WhatsApp as a means of communication rather than emails and to persevere - it will take time!
Nina Nilsson from Bactiguard began her presentation by discussing September 13 - World Sepsis Day. Every day, every 3rd second someone dies of sepsis. With that said, she gave her input on how Bactiguard is looking at the Ugandan market potential. She described Bactiguard's process for market assessment and distributor selection. They focus on private hospitals since their buying power is much stronger. She confirmed that the process is slow, but they have not given up hope on landing a deal in the future, as demand for high-quality health care is increasing. 
Continuous training for medical staff in infection control and use of the products will be necessary when there is a sale.

The participants were divided into smaller groups for lunch in order to discuss and agree on recommendations for the CBHA team with regards to the program structure, coaching, and common challenges.

After lunch, the group discussions were summarized and the common-thread for all four markets seem to be the advice that a company wanting to access the market has to be willing to spend time onsite – with potential partners – sending occasional emails is not enough. Companies should consider their own resources, collaboration is key, and the local coaches invaluable. Also, it is important to spend time to “teach the coach” – the target market coach needs to understand your needs, your products, and your offer. Plan regular meetings with the both target market coaches and local coaches.


Before bidding farewell, Memoranda of Understanding with partners in the US market were signed by the partners on this side of the Atlantic. The American partners, the Commonwealths of Maryland and Pennsylvania and target market coach Bob Anthony, will sign during a ceremony which is part of the follow-up business mission to the US in a couple of weeks.

The last activity of the program will be a follow-up mission to India, organized by Swecare with the support of InnovatioCuris, after which this segment of the program will be wrapped-up. However, we will continue developing the contacts and networks that the project has resulted in and the Baltic partners have agreed to apply for a second phase, covering new markets, for which the input from the final seminar will be invaluable. So even if this was the Final Seminar, we hope that it will only be one step in the ongoing collaboration with partners in the Baltics and in target markets, so that we can support companies in reaching those distant markets!


CB Health Access program was initiated in 2016 between Estonian, Finnish, Latvian and Swedish organizations to support entrepreneurship in health technologies. The program has facilitated the entry of Estonian, Latvian, Swedish and Finnish health, med and bio- tech companies to distant markets – South Korea, USA, India and Uganda. CB Health Access provided the companies with an introduction of the target market, individual coaching both from the home country and from target market experts, market information, business missions, and support in identifying and contacting potential partners. The program has had a strong focus for the companies to achieve sales in the chosen market. The program is financed by the Central Baltic Interreg Program.

fredag 27 april 2018

One crucial factor we often take for granted

In our 40 years, there is one lesson Swecare learned early, and which has been proven time and time again: successfully launching a Swedish healthcare company in a new market requires solid collaboration with a local partner. One with intimate knowledge of the local healthcare systems, long-term relationships with the key players within it, and a determination to do good. As a celebrity recently claimed – healthcare is complicated. Even those working in other industries, including defense, would agree that nowhere does local values, politics, culture, economic means have more impact than in healthcare. Projections of GDP growth, investment figures, risk assessments, population dividend and other macro figures are not enough to determine whether a product or service from within the Swedish healthcare and life science sector will be successful in a new market. Ours is a traditional sector by definition – nothing is as sacred as saving lives. Introducing new solutions even within our own borders is a challenge, doing so in countries which do not share our language, culture, social structure, even more so. Swecare realised early that our secret weapon is, and despite the advent of AI will remain for some time, our partners around the world - partners who have a stake in our success: who understand the way doctors work, hospitals purchase, politicians fund, and patient seek care.
Swedish Medtech, Swecare, and InnovatioCuris
representatives signing the MoU at Vitalis 2018 in Gothenburg

This week marked another milestone in Swecare's work within the EU-funded Central Baltic Health Access project. While we served as 'local' coaches for the companies within this Swedish Medtech-led project, the success of the program was very much dependent on our 'target market' coaches. In March we signed a Memorandum of Understanding with Uganda Healthcare Federation strengthening our commitment to work together in order to support more companies in entering the Ugandan Market. And on Tuesday this week Swecare signed an MoU with Sachin Gaur of InnovatioCuris at Vitalis 2018, pledging:
  • exchange of information
  • promotion of opportunities
  • initial contact and consultation
  • networking services
Sachin has proven to be an incredible partner, with InnovatioCuris providing the companies that traveled to India under CBHA with invaluable support. He is an expert on cyber security and innovations in healthcare management. Together with his CEO Dr VK Singh, they have turned InnovatioCuris into one of the few leading consultancies focussing solely in healthcare and life sciences in India. We hope that this project is once of many more collaborations to come.

Tallinn Science Park Technopol, Uganda Healthcare Federation,
and Swecare representatives signing the MoU with
Swedish and Ugandan Ministries of Health as witness in Kampala
CB Health Access program was initiated in 2016 between Estonian, Finnish, Latvian and Swedish technology organizations to support entrepreneurship in health technologies. The program facilitates the entry of Estonian, Latvian, Swedish and Finnish health tech companies to distant markets – South Korea, USA, India and Uganda. CB Health Access provides the companies with an introduction of the target market, individual coaching both from the home country and from target market experts, market information, business missions, and identifying and contacting potential partners, and business missions. The program has a strong focus for the companies to achieve sales in the chosen market. The program is financed by Central Baltic Interreg Program.

For more information on the CB Health Access program see https://www.cbhealthaccess.eu/ and visit Swecare Blog.

tisdag 23 januari 2018

Central Baltic Health Access - Dissemination Seminars



Central Baltic Health Access is an EU-funded program that aims to help health care companies access distant markets. The program started 2.5 years ago, and has helped more than 50 companies in the partner countries reach markets in India, South Korea, Uganda and the US. 

Swedish companies presenting at InnoHealth in New Delhi, September 2017

The dissemination seminars are part of the finalizing activities, and last week we met with companies who have entered India and Uganda through the program, as well as companies and organizations interested in learning from their experiences. The idea of sharing expericence and lessons learned proved to be just the right thing:

After having completed my post-graduate studies, I realized that I had, in fact, learned more from my classmates than from my coursework. This is similar to my experience when participating in, and sometimes even leading, Swecare seminars. When considering markets like South Korea, Uganda, India, and the US, the companies need us mostly as a platform to connect with each other and to potential local partners. This might seem trivial at the outset, but if you look for opportunities to meet possible competitors or like-minded companies interested in similar markets at a neutral setting, hosted by an organization without its own agenda - you may come up empty-handed. And this has really been the strength of the Central Baltic Health Access program from the outset.


The dissemination seminars are meant for the companies who participated in the trips, but Swedish Medtech and Swecare decided to extend the invitation to all the companies in our networks which may be interested in the chosen markets. The participating companies thus got the chance to share their experiences and also meet new potential allies in their efforts to enter a new market. It also gave us the chance to discuss concrete activities to ensure that the momentum of our relationships, with each other, the target market coaches, and local partners, could result in concrete deals.


Follow-up trips to all four countries are already being planned so make sure not to miss out! So far Swecare has plans for delegation trips to Bangalore, India (February 14-16) and Uganda and Rwanda (March 19-23). Contact us for more details.


CBHA Uganda Business Mission visiting International Hospital Kampala, August 2017





måndag 13 november 2017

The Largest Audience Ever - when Swedish Companies tour USA




Five companies from Sweden attended a business mission to USA in October-November 2017 to meet with healthcare insurance companies, legal and market entry experts, science parks and incubators and a lobbyist or two. The business visit was organized in cooperation with Swedish Medtech, Embassy of Sweden in Washington DC, The Swedish-American Chamber of Commerce (SACC-USA and SACC –DC), with support from AHP International and The Commonwealth of Pennsylvania. The business visit was performed under the framework of CB Health Access, a joint program between Sweden, Finland, Estonia and Latvia, which supports health technology companies entering distant markets.  
 


During the business mission to USA, the companies visited several sites in the Greater Philadelphia to Greater DC corridor.  The business mission started in Philadelphia where the companies met healthcare insurance companies, legal and market entry experts, science parks and incubators. The first day of meetings were held at the Morgan Lewis office, where meetings with Independence Blue Cross, and Ben Frankling Technology Partners, and the president for Sectra Inc. Which was concluded with socializing with the amazing local investors and Ulf Åkerblom the Swedish honorary consul to US.



The following day the companies visited Dreamit Ventures and other inhabitants at the Science Center, after which a meeting was held at the Chamber of Commerce for Greater Philadelphia with representatives of the regional eco-system such as City of Philadelphia, Select Greater Philadelphia and the Commonwealth of Pennsylvania. The latter has a collaboration with AHP International on Foreign Direct Investment (FDI) and thus had helped out with the Philadelphia program, thus the companies met AHP before traveling to Washington DC for a meeting on regulations with Advamed, located with a view of The Capitolium, what the companies managed to get a guided tour before closure.




The following day, the companies had a full day program at The House of Sweden, with experts on thrilling topics such as Macroeconomics & Political Outlook, Healthcare Laws & Regulations, e-Health interoperability initiatives, US.market entry from an academic and Swedish company experience outlook and finally what the essence of lobbying is. The program was done in cooperation with the Swedish-American Chamber of Commerce that was helpful in arranging meetings, speakers and logistics. In the evening the companies and speaker had a rendezvous at welcome reception hosted at the Swedish ambassador’s residence.



The final day, the companies had tours to Medtronic,where the companies learned about how the global leader in medical devices is reinventing its role in the healthcare chain, setting up it´s own clinics in Europe. After which the tour continued to the Inova Center for Personalized Health in Virginia, where the companies got to learn how ICPH uses the latest science and technology to focus on the integration of genomics into personalized medicine and individualized wellness, as well as having individual meetings with experts. So after dropping half of the people at the airport the brave few continued to Maryland for a meeting with Get Real Health, created the personal health account commissioned by the Swedish eHealth Agency, called Hälsa för Mig.





CB Health Access program was initiated in 2016 between Estonian, Finnish, Latvian and Swedish technology organizations to support entrepreneurship in health technologies. The program facilitates the entry of Estonian, Latvian, Swedish and Finnish health tech companies to distant markets – South Korea, USA, India and Uganda. CB Health Access provides the companies with an introduction of the target market, individual coaching both from the home country and from target market experts, market information, business missions, and identifying and contacting potential partners, and business missions. The program has a strong focus for the companies to achieve sales in the chosen market. The program is financed by Central Baltic Interreg Program.

For more information on the CB Health Access program see https://www.cbhealthaccess.eu/, or contact: Maarika.Merirand@tehnopol.ee, Malin.Hollmark@swedishmedtech.se or Anna.Riby@swecare.se

fredag 29 september 2017

Central Baltic Health Access trip to India - Sept 2017

Key takeaways


1. You have to be excited to be there. If being in India does not make you happy then it will be very hard to motivate yourself and your team to invest time and money necessary to succeed in the Indian market. Two of the participants woke up at 2am to visit the Taj Mahal from Delhi (+3hrs one-way by car) before their 11am meetings with agencies and distributors. This passion speaks for itself, and the Indian counterparts are much more likely to go an extra mile (in this case quite literally) if you show that you are doing so yourself.

2. A physical presence is extremely important. Most people will actually want to meet you first and then take it from there. If, in the Swedish manner, you try to book meeting weeks in advance with a set agenda, the response is unlikely to be overwhelming. One of our Swedish delegates was so concerned with what she saw as a lack of planning that she "almost didn't come, [...] but there were so many good meetings that were unprepared!" She booked her ticket days before this CBHA trip and was not disappointed.

3. When your extremely talented and dedicated local coach tells you to take an Indian SIM card, listen to him. I regretted not having taken an old phone with me as many of my texts did not go through and data connectivity was patchy at best. There was no WiFi at the conference venue which made it difficult to follow-up and set-up meetings with the leads one had just met, an Indian number would have made life much easier.

4. Use Whatsapp - one of the representatives of a government regulatory body said that he is unlikely to ever answer an email as he is constantly running between meetings and stuck in traffic (many official domains are inaccessible on the mobile). Get potential partners' mobile numbers and use them.


About the trip


The third installment of the Central Baltic Health Access project consisted of three days in Delhi and two days in Bengaluru over the third week in September. The sheer variety of meetings we managed to fit into these few days is nothing short of impressive. For this we have Sachin Gaur and his team at InnovatioCuris to thank. I believe I speak for all participants - six from Sweden, five from Estonia, and four from Finland - when I say that it was a productive trip. Company mission reviews have started to come in and we will book in coaching meetings over the next few weeks in order to ensure follow-up, but the general feeling, even after two days in Delhi, was that many promising connections have been made - with distributors, clinics, hospitals, start-ups, research institutes, regulatory agencies.
We were also privileged to have hands-on support from both the Estonian and Swedish Embassies in Delhi. The Ambassadors spent a considerable amount of time with the companies, in order to understand the needs, challenges, and expectations of each representative. This type of local support is key for success in foreign markets. In fact Swecare is already in talks with the Embassy, Business Sweden, InnovatioCuris, Confederation of Indian Industry (CII), and Federation of Indian Chambers of Commerce & Industry (FICCI) to explore the option of making this type of business-focused trips a regular event. If you are interested in this form of deep engagement, do let us know!


Participants:


Representative name
Organization
Dr. Jaanus Pikani
Documental, Estonia
Ms. Piia Vettik-Leemet
Tartu Biotechnology Park, Estonia
Mr. Jan Erik Hedborg
ApiRays, Sweden
Mr. Priit Aigro
Smart Do, Estonia
Ms. Maarika Merirand
Tehnopol, Estonia
Dr. Pieter Spee
Fibrotx, Estonia
Ms. Malin Hollmark
Swedish Medtech, Sweden
Ms. Shampa Bari
Swecare, Sweden
Mr. Hakan Jideus
Predicare, Sweden
Mr. Pavan Asalapuram
Empe diagnostics, Sweden
Ms. Caroline Danielson
RenaPharma, Sweden
Mr. Joonas Ihalainen
iCare, Finland
Mr. Tero Karhi
Turku Science Park, Finland
Dr. Katja Heikkinen
Turku AMK, Finland
Ms. Marjatta Häsänen
Turku AMK, Finland


Food for thought


Before signing off, I leave you with some few points I have pondering over since the trip.

- If the diagnostic test costs more than the 'cure,' often antibiotics, wouldn't you too just take the latter?
- How to tackle the aging challenge, which the Indian healthcare system is only now coming to see as a threat?
- Can our products be price-competitive when there is such heavy tax imposed on imports into India? Is manufacturing there a viable option?
- When it comes to product tests, must the companies fund the research themselves, or are there easily available funds in Sweden? The Indian research agencies have such funds for the work being done on their end but cannot finance the Swedish engagement, making the PPP project less tenable.