Project: HELIUM - Health Innovation Experimental Landscape through Policy Improvement -

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European Union European Regional Development Fund Sharing solutions for better regional policies Annex 1 Action plan template Produced by each region, the action plan is a document providing details on how the lessons learnt from the cooperation will be exploited in order to improve the policy instrument tackled within that region. It specifies the nature of the actions to be implemented, their timeframe, the players involved, the costs (if any) and funding sources (if any). If the same policy instrument is addressed by several partners, only one action plan is required. Part I General information Project: HELIUM - Health Innovation Experimental Landscape through Policy Improvement - Partner organisation: ANI - Portuguese National Innovation Agency Other partner organisations involved (if relevant): University of Porto Country: Portugal NUTS2 region: NORTE Contact person: Alexandre Almeida email address: alexandre.almeida@ani.pt phone number: (+351) 214 232 100 Part II Policy context The Action Plan aims to impact: x Investment for Growth and Jobs programme European Territorial Cooperation programme Other regional development policy instrument Name of the policy instrument addressed: ROP North 2020 (Norte 2020) Norte region of Portugal is a convergence region undergoing a structural change process towards a more knowledge intensive economy. Norte 2020 is a key instrument to support this change,

comprising an integrated set of priorities and funding instruments addressing the main challenges and opportunities of Portugal s Norte region. Norte 2020 thus applies new instruments, i.e. Collaborative Projects, Demonstration Projects and Mobilization Projects, which support the development of new products and services, the valorisation of results from previous R&D projects, their demonstration in real life conditions, including setting up of pilot lines. Health is a key smart specialization sector to be targeted, with huge potential for interaction among different actors, cross fertilization and further valorisation. Although investment in R&D activities has strongly increased since 2003, it is still below the national level and much lower than the European average. The key challenges to be tackled in the region are improving knowledge and skills, facilitating the access to finance and business innovation. There is a need to support innovative companies applying and introducing new technologies in healthcare and foster the valorisation of research results into commercially successful innovations by further stimulating the collaboration between industry and research. Part III Details of the actions envisaged The 2018 edition of the European Innovation Scoreboard highlights that the EU's innovation performance continues to improve, that progress is accelerating, and that the outlook is positive. For Portugal, a Moderate Innovator, performance has declined over time relative to that of the EU in 2010. Portugal strongest innovation dimensions are an innovation-friendly environment and innovators, being the sales impacts and linkages the weaknesses that are the pointed out by the Scoreboard. One of the key assumptions of the HELIUM project is that efficiency of public funding dedicated to health innovation can be increased if at the end of the innovation process actual market implementation happens, and innovative products and services are able to be translated into successful business models. These needs raising awareness and changing the mindsets of all those actors who represent the potential market of these innovations, make them ready and willing to uptake innovative healthcare products and services. Thus, to raise awareness and disseminate knowledge to health actors, we will put in practice the good practices identified and knowledge learnt from other partners for the benefit of their own region, through the creation of one Living Lab that operates according to the development model open innovation functional region. The integration of Living Labs within our regional action plans will strengthen the collaboration within the quadruple helix and will improve the care system and competitiveness of the health industry. 2

The good practices to be implemented in the Action Plan described next, will follow mostly LiCalab s methodology, a mature care Living Labs based in Belgium that supports companies and care organisations in running R&D and innovation projects for the healthcare market. ACTION 1 Living Labs Innovation Call - Scouting Innovation 1. The background (please describe the lessons learnt from the project that constitute the basis for the development of the present Action Plan) Due to the long process involved in the market approach of health-related products (due to regulations and validation testing), it seems unrealistic to us to commit to an indicator that may not be successfully attained during the project s lifetime. Based on this, we decide to target our efforts to the scouting of innovative ideas that access to the open innovation ecosystem. This action intends to promote the submission of innovative ideas for the development of health technologies with potential for growth and value creation in the region's economy, applying the good practice of the Slimmer Leven Challenge of the Eindhoven University of Technology, were the five best care innovations in challenge will be trained and supported to further develop the innovation. Although this NL initiative is directed to graduation students, these good practices can be applied to a regional ecosystem of young entrepreneurs. The Action 1 - Living Labs Innovation Call - answers to our self-defined indicator which target is 50 enterprises that gain access to the open innovation ecosystem. 2. Action (please list and describe the actions to be implemented) As part of Action 1, the innovative ideas will be analysed and structured according to the needs they must respond to be able to be translated into successful business models. This needs cover since validation of prototypes and proofs-of-concept, end-users validation, advisory at regulatory issues, mentoring for business management skills, advisory at Industrial Property (IP), among others. This action also aims to structure a set of integrated services to respond to the diverse and demanding needs of new projects, that include life tests with real users, training sessions for idea s transformation into business, and finally, a professional and tailored advice through all the process and will take place with the following actions. For capture the interest of enterprises, startups and SMEs, we will use an appropriate communication and dissemination plan among our partners and the rest of the R&D&I ecosystem of the Region. This action will organize and coordinate the management of the one call for innovative ideas to access the "Living Labs". This call will include legal and technical clauses, guidelines for stakeholders 3

and evaluation process and selection. All the three players identified (ANI, UPorto and Porto4Ageing) have large experience in scouting health innovative ideas with market potential. A.1.1. Development and publication of the call A call will be published and will be disseminated through the communication channels described in Activity 5 1.1.1. Call outline 1.1.2. Dissemination of the call The call will be disseminated by all the beneficiaries among its partners and the rest of the R&D&I ecosystem of the Region through the communication channels described in Activity 3 (web, social networks, newsletter...). A.1.2. Evaluation and presentation of projects The manager of the Living Lab will receive the selected ideas and will be the interlocutor and guide of the idea promoter(es) throughout the set-up of the innovative project at the Living Lab. 3. Players involved (please indicate the organisations in the region who are involved in the development and implementation of the action and explain their role) Porto4Ageing consortium Porto4Ageing brings together more than 90 organizations, most of them established within the Porto Metropolitan Area, in the Northern Region of Portugal. The partnership is built on the quadruple helix approach - which involves different stakeholders (Decisionmakers / Caregivers; Business / Industry; Academy / Research and Civil Society / Users) who are well placed to conduct structural changes in real-world contexts. Porto4Ageing consortium will be responsible for the scouting and evaluation of the health innovative ideas with market potential with the strait collaboration of the two HELIUM partners (ANI, UPorto), which have large experience in innovation contest actions. 4. Timeframe 2019 5. Costs (if relevant) Action 1 costs will be attribute to (i) human Resources expenses, to (ii) promotional and dissemination materials and (iii) consulting services. 6. Funding sources (if relevant): Not Known Yet 4

ACTION 2 Living Labs Innovative Projects - Creating Innovation 7. The background (please describe the lessons learnt from the project that constitute the basis for the development of the present Action Plan) LiCalab good practices provides entrepreneurs with an environment in which they can extensively test innovative solutions together with end-users and with professional advisors. This approach addresses the need recognized by us as one of the lessons learned throughout Helium project, which is the enormous benefit of facilitating users/citizen to engage in a phased co-creation process. We define as priority for the Creating Innovation process the following: - To design and develop user-centric innovative projects in real life setting. Actively engaging with people living with specific health condition through the co-creation process. - To develop ways of working (living lab) that ensures that people living with specific health condition are central to the development of new technologies and new solutions - To actively collaborate with interested partners that engaged open and sustainable innovation Based on face-to-face talks with end-users and professional advisors, LiCalab advise on which approach is suitable and determine the necessary steps and which techniques and methods will yield the best results. 8. Action (please list and describe the actions to be implemented Different activities like training, mentoring and coaching actions are critical to the success of products or services development. Training sessions are a tool for the idea s transformation into sustainable innovation, providing concepts and paving the way for ideas validation and for launching technology-based projects in the market (Living Labs Valorising Actions). On the other hand, mentoring and coaching sessions with professional advisors with multiple domains of competence, will help the entrepreneurs to create the best and most suitable patient solution adjusted to the key aspects of their products / services. During Project Development implementation, entrepreneurs validate the process and/or product by testing innovative solutions and improving it according to the feedback received. A.2.1. Training plan A.2.1.1. Product design 5

A. 2.1.2. Product Development A.2.2. Project Design and Development A.2.2.1. Need Identification with end-users A. 2. 2.2. Development od the Product /Service requirements support A. 2. 2.3. Design concept development and Product design support A. 2. 2.4. Prototype manufacturing A. 2. 2.5. Prototype testing and evaluation with end-users 9. Players involved (please indicate the organisations in the region who are involved in the development and implementation of the action and explain their role) Fraunhofer Portugal (FhP) - FhP have expertise in Living Lab through which they engage with people who use the technology. COLABORAR is the FhP living lab, that is mostly composed of older adults and caregivers who take part in activities such as interviews, observations, focus groups, usability tests, ideation workshops, professional validation, human activity data collection, amongst others. The Living Lab has over 1000 participants from 76 partner institutions. Based on the described expertise, this action has a great probability of success having FhP as a partner. Nortexcel 2020- Associação para um Centro de Excelência em Dispositivos Médicos Nortexcel streamline the Norte region ecosystem, facilitating the joint development of R&D projects in medical technologies by companies and non-corporate entities of the national R&D system. It promotes applied development activities, proof of concept and feasibility, development of prototypes, technology transfer, among others, and an adequate results exploitation these activities in order to guarantee the creation of value. Nortexcel 2020 this action partner for the development of prototypes and the proof of concept and feasibility studies. 10. Timeframe 2019-2020 11. Costs (if relevant) Action 2 costs will be attribute to (i) human Resources expenses, to (ii) consulting services for Training sessions and to (iii) service acquisition for the Project Design and Development 12. Funding sources (if relevant): Not Known Yet ACTION 3 Living Labs Valorising Actions - Valorising Innovation 6

13. The background (please describe the lessons learnt from the project that constitute the basis for the development of the present Action Plan). For the development and validation of socio-health innovation projects it is essential the access to specialized investors in health sciences. Specialized investors know the sector, the key actors in the industry and the regulatory steps that must be followed for the licenses that are needed for market entry. On the other hand, the presence of investors or specialized partners is in many cases essential to ensure that national or regional investment funds are encouraged to co-invest in the projects, to valorise the research effort and even to develop companies in the Region. LiCalab provides an example by giving the entrepreneur s access to the Comprehensive care ecosystem. They help them find partners in the health sector, knowledge institutions, businesses and governments. LiCalab has a large, diverse panel (+1500 members: patients, care professionals, seniors) that help to give insight not only at the market needs but also to funding opportunities. 14. Action (please list and describe the actions to be implemented Besides the support during the project growth and consolidation, the final phase of this action will consist of the final analysis of the projects developed. The degree of achievement of the general and specific objectives will be analysed from each of the projects, assessing the efficiency and degree of market readiness of the products and / or processes. The technology transfer experience of partners such as Nortexcel 2020 in the health and care strategic areas, will be essential for this success of this action. On the other hand, the National Authority of Medicines and Health Products, will support all the regulatory needs. A.3.1. Acceleration and transfer to the market A.3.1.1. Product requirements under Medical Devices Regulation consultancy.3.1.2. Industrial Property (IP) consultancy. A.3.1.3. Business and Team Management Skills development A.3.1.4. Development of a sustainability plan A.2.2. Project results A. 3.2.1. Preparation of final conclusions A. 3.2.2. Presentation Event of products and / or projects validated in real social environment (disseminated through the communication channels described in Activity 5) for technology centres, universities, investors, researchers, clusters, administration and other sectors involved in the sociohealth sector. 7

15. Players involved (please indicate the organisations in the region who are involved in the development and implementation of the action and explain their role) Nortexcel 2020- Associação para um Centro de Excelência em Dispositivos Médicos As a promoter of applied development activities, proof of concept and feasibility, development of prototypes, and particularly technology transfer activities, Nortexcel 2020 will be a key partner for the consultancy and advisory of the Acceleration and transfer to the market in MEDTECH related projects. Agency of Clinical Research and Biomedical Innovation (AICIB) - AICIB purpose is the financing and promotion of clinical research and translation and biomedical innovation. The new association, based in Oporto, has its founders INFARMED, FCT, APIFARMA and Health Cluster Portugal. The new body will be a key partner for the consultancy and advisory for the Acceleration and transfer to the market in clinical related projects and to boost the network engagement at the Presentation Event of the projects. National Authority of Medicines and Health Products, I.P. (Infarmed) - Infarmed is a Government agency accountable to the Health Ministry, that evaluates, authorises, regulates and controls human medicines as well as health products, namely, medical devices and cosmetics for the protection of Public Health. Amongst Infarmed top activities the regulation and supervision of medicinal and health products from research up to their use by healthcare professionals and patients is of particular importance. The National Authority of Medicines and Health Products will support all the regulatory needs related with the Medical Devices Regulation consultancy. 16. Timeframe 2020 17. Costs (if relevant) Action 3 costs will be attribute to (i) human Resources expenses, to (ii) consulting services for Training sessions and to (iii) promotional and dissemination materials 18. Funding sources (if relevant): Not Known Yet ACTION 4 Collaborative Living Labs Innovation Uptake 19. The background (please describe the lessons learnt from the project that constitute the basis for the development of the present Action Plan). 8

With the implementation of Living Labs focused on healthcare market, it is intended to boost the innovation ecosystem of the region by providing regional actors with a set of tools that will enable them to test and validate innovations with end users, in their own living environment. A collaborative model that focus on the constitution and dynamization of long-term strategic partnerships between different regional actors, will allow not only a project capable of acting in the R&D capacity, but also in the applied development of solution and research-business cooperation s, that stimulate potential customers to buy and use innovative products and services. Similarly to LiCalab experience, we intend to create an experimental environment for companies and care organizations that hope to launch new products or services in the health domain. We predict a long-lasting synergies and exchange of good practices between Portugal and this living lab example, supported also by the Fraunhofer Portugal (FhP) expertise in COLABORAR Living Lab, through which they engage with elderly people who use the assisted living innovative technology. 20. Action (please list and describe the actions to be implemented This action goal is the implementation of collaborative Living Labs that will have as structural basis a cooperation between different actors in health innovation ecosystem. The intention is to understand what a collaborative Living Lab is, how it should be structured and implemented, and strategies for innovation in relation to what is already done at European level. Challenges and use cases relevant to Living Labs will be defined as well as models for collaboration and interaction between developers. This activity also includes the management and recruitment of end users and other stakeholders relevant to the definition of needs and requirements. With the conception of a physical structure that joins the features of the identified partners and player, namely Nortexcel 2020 and Fraunhofer Portugal (FhP), we will strengthen the implementation and success of previous actions. A.4.1. Collaborative Living Lab structuring and designing 4.1.1. Recruiting End-Users and Other Relevant Actors 4.1.2. Identifying the Living Lab Good Practice: User Involvement, Service Creation, Infrastructure, Organisation and Governance, Innovation Outcomes, Methods and Tools, Supporting SME Innovation A.4.2. Collaborative Living Labs implementation 4.2.1. Creating Collaborative Living Labs 4.2.2. Definition of protocols for pilot tests in Living labs 4.2.3. Analysis of results and improvement actions in Living Labs 9

21. Players involved (please indicate the organisations in the region who are involved in the development and implementation of the action and explain their role) Nortexcel 2020 - Associação para um Centro de Excelência em Dispositivos Médicos the installation of NORTEXCEL centre in the North region of Portugal, the hiring of qualified human resources to manage this implementation, and the development of an integrated program to support regional actors (SMEs, startups) in R&D&I projects focused on medical technologies, will support this new Living Lab structuring, designing and implementation. Fraunhofer Portugal (FhP) - FhP knowledge in the implementation of the COLABORAR Living Lab will bring to this action an expertise mentoring. 22. Timeframe 2020 23. Costs (if relevant) Action 4 costs will be attribute to (i) human Resources expenses, to (ii) consulting services for the Living Lab structuring, designing and implementation and (iii) cost related with Infrastructure implementation 24. Funding sources (if relevant): Not Known Yet ACTION 5 Collaborative Living Labs Management 25. The background (please describe the lessons learnt from the project that constitute the basis for the development of the present Action Plan). A communication plan is vital to expose the importance, purpose and impact of the topics, with a common goal and beneficial for the fourth-helix parties and society in general. 26. Action (please list and describe the actions to be implemented This action will promote projects dissemination in national and international networks, in order to attract potential investors and leverage the results exploitation. To this end, at national level, Agency of Clinical Research and Biomedical Innovation (AICIB) founders will be deeply involved, particularly HCP and APIFARMA, providing a very wide network of contacts in the various areas of health technology and medical devices. A.5.1. Communication and Distribution plan 5.1.1. Communication actions (web, social networks, newsletter...) 10

5.1.2. Distribution actions 5.1.2.1. Advertising and corporate image manual 5.1.2.2. Dissemination events for technology centres, universities, investors, researchers, clusters, administration and other sectors involved in the socio-health sector 5.1.2.3. Web development of the project 5.1.2.4. Social networks. Creation of profiles on twitter, facebook and linkedin 27. Players involved (please indicate the organisations in the region who are involved in the development and implementation of the action and explain their role) Agency of Clinical Research and Biomedical Innovation (AICIB) - AICIB purpose is the financing and promotion of clinical research and translation and biomedical innovation. The new association, based in Oporto, has its founders INFARMED, FCT, APIFARMA and Health Cluster Portugal. The new body will be a key partner to boost the network engagement and the dissemination efforts. Porto4Ageing consortium Porto4Ageing brings together more than 90 organizations, most of them established within the Porto Metropolitan Area, in the Northern Region of Portugal. Similarly to AICIB, Porto4Ageing consortium will be a key partner to boost the network engagement and the dissemination efforts. 28. Timeframe 2020 29. Costs (if relevant) Action 5 costs will be attribute to (i) human Resources expenses, and to (ii) promotional and dissemination materials. 30. Funding sources (if relevant): Not Known Yet Date: Signature: Stamp of the organisation (if available): 11

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