Competitive Dialogue: An Instrument Toward Value-based Procurement in Health Care

The Conference Board of Canada, 44 pages, May 20, 2016
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This report describes and analyzes the competitive dialogue process, its application to health care systems, and its compatibility with legal frameworks in Europe, Ontario, and Canada at large.

Document Highlights

Competitive dialogue is a value-based procurement method that enables procuring entities to enter into dialogue with shortlisted candidates prior to the final tendering process to explore possible solutions capable of meeting their requirements. Despite the large potential of value-based procurement, there is still limited understanding of how these practices could be implemented in Canadian health care systems to produce innovative solutions for the benefit of patients, the health system, and the economy.

This report describes and analyzes the competitive dialogue process, its application to health care systems, and its compatibility with legal frameworks in Europe, Ontario, and Canada at large. The goal is to assist decision-makers in understanding the potentials and pitfalls of implementing value-based procurement approaches, and to provide case studies that highlight how competitive dialogue advances health care innovation and value-based health care.

Table of Contents

RÉSUMÉ

EXECUTIVE SUMMARY

Chapter 1–Introduction

Chapter 2–Competitive Dialogue

  • What Are Canada’s Procurement Principles?
  • What Is Competitive Dialogue?
  • What Is the Competitive Dialogue Process?
  • How Is Competitive Dialogue Different From Existing Procurement Models?
  • When Can Competitive Dialogue Be Used?
  • What Are the Benefits of Competitive Dialogue?
  • What Are the Potential Pitfalls of Competitive Dialogue?

Chapter 3–Opportunities for Competitive Dialogue

  • Health Care Procurement in Canada
  • What Is Canada’s Statutory Framework for Procurement?
  • What Alternative Procurement Opportunities Exist Within Canada?
  • Public Procurement in Ontario
  • Does Competitive Dialogue Exist in Ontario?
  • Is Competitive Dialogue Legal in Ontario?
  • How Are the Risks Associated With Competitive Dialogue Mitigated?

Chapter 4–Case Examples

  • Competitive Dialogue in Health Care

Chapter 5–The Future of Health Care Procurement in Ontario

Appendix A–Bibliography

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