The Central Norway Regional Health Authority (HMN) and the City of Trondheim, together with all other municipalities in the Central Norway Health Region, has invited to a competition to deliver a new electronic health record solution with adjacent systems and services for the specialist and primary health services in Central Norway.
The procurement is handled by the programme Helseplattformen. The programme has been appointed as a first step towards the realization of national targets set in "Én innbygger - én journal" (EIEJ) - "One citizen - one health record") by the Norwegian Ministry of Health and Care Services. The Norwegian Directorate of eHealth is in close cooperation with the programme.
Four companies that were prequalified for the procurement have recently submitted their tenders in the competition. After an evaluation process the remaining contractors in the competition are Cerner Norway, Epic Systems Corporation and DXC Technology AS (former CSC Scandihealth).
For further information, please contact Helseplattformen via email firstname.lastname@example.org or via contact information listed on this page.
The patient’s health care services
Norway has one of the best health care systems in the world. The joint effort to establish a new health record interconnecting all levels of health care will support the ambition of high quality services, efficiency and patient safety through new systems. With this procurement, the entire health care service will be interconnected through a common patient record solution, and we can gather all necessary health information in one updated place.
The solution shall, to a greater extent, be built around the patient. The system must encompass all health care service used by patients, whether it is municipal health services, a family GP in the patient’s municipality, the local hospital or the region’s university hospital.
The new patient record system should have integrated knowledge content which actively supports the user. This will enable health care professionals to provide appropriate treatment at the right time, in line with the best practice for patient care. The patient records system will also reduce the risk of making mistakes. Combined with predictable patient pathways, we will obtain a more efficient and coherent health care service which will improve patient safety and quality of services across different levels of care throughout the region.
In the first phase, extensive work related to specifying the requirements for the new solution has been undertaken. The invitation to dialogue was sent to the pre-qualified suppliers on February 2nd, 2017, initiating the dialogue phase. During the dialogue, the scope of the procurement and purchase will be adjusted based on the resources made available. After a supplier has been selected, the work associated with replacing the health care service’s key ICT tools will commence.
A new and modern patient record system will provide the people in the health care services with a platform that will enable further improvements to the provision of health care services. And not least: the citizens of the Central Norway region will have easy access to their own patient record and greater opportunities to influence their own care pathway.
The Central Norway Regional Health Authority and the municipality of the city of Trondheim are owners of the programme, which consists of several projects in the coming years: Procurement - Implementation - Benefits realisation. The hospitals and specialist health care in the region, and all municipalities in the region, are the customers in the procurement, with optional arrangements for GPs and private clinics.
The leader of Helseplattformen is the Programme Director, Torbjørg Vanvik.
The Programme Director reports to a Programme Board composed of representatives from the hospital trusts, municipalities, service users and employee organisations as well as national representation from the The Norwegian Directorate of eHealth (NDE), a sub-ordinate institution of the Ministry of Health and Care Services.
The Programme Board is lead by the Managing Director of the Central Norway Regional Health Authority, Stig Slørdahl, who in turn reports to the Board of the Central Norway Regional Health Authority.
Helseplattformen is located in Trondheim, but the programme is in close contact with the hospital trusts and municipalities as part of their work. Nearly 400 professionals from hospitals and municipalities have been contributing in a number of workshops to ensure that the new solution will provide an improved health care service and higher quality care for the patient.
A poster exhibition has been developed to visualize the concept of Helseplattformen. This has been shown to contractors, health personnel and administrators from the region on several occations and at five of the hospitals in Central Norway.
Here's a film from the exhibition of the requirements for the new solution.
Invitation to compete for the delivery of an Identity and Access Management ("IAM") solution with adjacent systems and services
The Central Norway Regional Health Authority ("HMN"),
through the programme Helseplattformen, hereby invite Contractors to compete
for the delivery of an Identity and Access Management (“IAM”) solution with
adjacent systems and services (hereafter the "IAM solution"). The
type of procedure used will be Competitive Dialogue.
In addition to Helseplattformen this procurement
comprise four Customer options where IAM solution areas can be procured for
purposes and needs outside of Helseplattformen. The Customers thus comprise
Helseplattformen, the Central Norway Regional Health Authority (“HMN”) and its
subsidiaries, the North Norway Regional Health Authority and its subsidiaries
(“HN”), the Municipality of Trondheim, as well as the other municipalities in
the Central Norway Health Region. See Appendix C3 for further information on
the Customers. Parts of the requested scope may also be procured as options.
This will be clarified through the dialogue.
Overall, the Customer Helseplattformen requires a
partner for delivering a broad set of IAM capabilities to support the delivery
of Helseplattformen as a groundbraking and comprehensive electronic health
record (EHR) service for the health care service in Central Norway.
This Electronic Health Record concept,
Helseplattformen, will offer broad functionality to support clinical and administrative core processes in the Central Norway
Health Region. In addition, the Municipality of
Trondheim, the other municipalities in Central Norway, private actors
with a contract with the health trusts, contract specialists and GPs have an
option to use Helseplattformen. The procurement
project of Helseplattformen EHR is conducting final proceedings with the
intention of signing contract with a EHR provider in Q1 2019.
IAM capabilities will be important to implement the
EHR provider’s EHR solution in an efficient and secure manner. Hence the EHR
implementation project is dependent on a timely and quality delivery of the IAM
solution subject to this procurement. The IAM Contractor’s execution
capabilities are therefore important, and managing the interdependence between
the EHR and IAM implementation projects will be central.
A premise is that Helseplattformen is to be delivered
as a service to several different user organizations from a single service
provider organization. The EHR, the infrastructure and the IAM capabilities are
integrated parts of Helseplattformen as a service.
Detailed information about the IAM solution is
detailed in the «Invitation to Dialogue Documents».
The Customer uses Mercell Sourcing Service. In order to register your
interest and gain access to documents, please use the following link:
87395170.aspx. Follow the instructions given on the
May 30, 2018
Helseplattformen continues procurement process with Epic
Helseplattformen is continuing the dialogue with Epic on the delivery of a common health record solution across all levels of health care in Central Norway.
From May, 2017 four vendor companies have been competing to deliver the solution. In October, the procurement was left with three vendors, and from January 2018, the companies Epic and Cerner Norway were left in the competition. Cerner have now concluded that they will not be submitting a final bid.
"As much as Cerner supports the overall vision «One Patient – One Health Record», we could not justify a business case that would fully address the specific development requirements of Helseplattformen", says Amanda Green, vice president and regional general manager of Cerner Nordics and BeNeLux.
Program director Torbjørg Vanvik says the dialogue with Cerner has been good and has provided invaluable insights throughout the whole process. - We would have preferred to end the dialogue with a final offer from Cerner, Vanvik says. - However, based on the good dialogue we have had, we are confident that we have established a sound basis for finalizing the procurement of the unified solution.
Both HMN RHF and Cerner stay committed to continued partnership in relation to the maintenance and support of Doculive, the current EMR solution, until the new platform is fully implemented.
January 18, 2018
Helseplattformen has completed the evaluation of the revised tenders received from the contractors by December 1, 2017 for the procurement of an EHR solution with adjacent systems and services.
Following the evaluation, two contractors are invited to participate in the continuing dialogue phase.
The contractors' tenders have been evaluated according to the following award criteria from the ITD document: Performance, Price and Risk.
The procurement was published August 29th 2016. Initial tenders were submitted by May 3rd, from four of the five prequalified contractors. Following individual meetings with each contractor, revised tenders were submitted by July 7th, 2017. After an initial down-selection on October 10th, 2017, revised tenders were submitted by the three remaining contractors by December 1st, 2017.
Following further evaluation, the following two (2) contractors (by alphabetical order) are invited to participate in the continuing dialogue:
Epic Systems Corporation
The Contractors have been informed about the outcome of the evaluation.
Oct. 12, 2017:
Helseplattformen has completed the evaluation of the tenders received from the contractors by May 3, 2017 for the procurement of an EHR solution with adjacent systems and services.
Following the evaluation, three contractors are invited to participate in the continuing dialogue phase.
The contractors' tenders have been evaluated according to the following award criteria from the ITD document: Performance, Price and Risk.
The procurement was published August 29th 2016 with Doffin reference 2016-257463. Initial tenders were submitted by May 3rd, from four of the five prequalified contractors. Following individual meetings with each contractor, revised tenders were submitted by July 7th, 2017. As described in the ITD documents, the intention was to have a down selection based on the initial tender.
The following three (3) contractors (by alphabetical order) are invited to participate in the continuing dialogue:
- Cerner Norway
- DXC Technology AS
- Epic Systems Corporation
The prequalification documents can be found here (Mercell):
and here (Doffin/TED):
The agreement between the Central Norway Regional Health Authority (HMN RHF) and Trondheim municipality is here (pdf, Norwegian only).
The power of attorney and Cooperation Agreement between the Central Norway Regional Health Authority and the municipalities of the region is here (pdf - Norwegian only).
The One citizen - one health record programme can be found here, please contact the e-health directorate for English updates.
This link is for the cooperation model between the Central Norway Regional Health Authority and the Directorate of e-health (Norwegian only).
A number of speakers at the HEMIT conference in Trondheim 22.sept.2016 mentioned the procurement - representatives from the Ministry of Health and Care Services, the Central Norway Regional Health Authority, the Directorate of eHealth and the programme itself.
Recordings and presentations from the conference can be downloaded here.
Programme director Torbjørg Vanvik tel.: 0047 469 30 187
Head of communication Sigrun Berge Engen tel.: 0047 986 28 811
Tender Documents - English
Helseplattformen enclosed the Tender documents for the procurement of a new electronic health record (EHR) solution with adjacent systems and services to the five pre-qualified candidates in February, 2017. Within the deadline of May 3rd, 2017 four of these candidates have specified their offered solutions. Based on the Contractors’ proposals there will be a dialogue process, which aims to identify and select the solution best suited to meet the needs of the health services in the Central Norway Health Region. Helseplattformen intends to sign the Contract with the most suitable Contractor in 2019.
The Tender documents are a comprehensive package consisting of e.g. Contract documents, Requirement Specifications, information documents and documents where the Contractors shall describe their proposal to risk management and project and progress plan etc. The documents Helseplattformen enclosed in February, 2017 are subject to adjustments during the dialogue phase. The original documents are listed in the following table.
Document (with hyperlink)
The document sets out the rules for the tender.
The document sets out the overall ambitions and objectives of the procurement.
The document contains definitions and other terms to provide a common understanding.
The document sets out general requirements.
The document sets out functional requirements.
The document sets out technical requirements.
The document sets out training requirements.
The document sets out functional options and service options.
The document contains the entire HL7 HER System Functional Model and information about how the Customer has used the model.
The document contains guidelines and principles for the project and progress plan that the Contractors shall base their plan proposals on.
The document sets out the duties of the Customer and the Contractors in connection to preparations of the Customer`s tests.
The document contains administrative provisions related to the project organization, role definitions, reporting, meetings etc.
The document sets out maintenance requirements.
The document sets out administrative provisions for the maintenance phase.
The document provides information about the Customer’s (the Central Norway Health Region’s) existing technical platform.
The document establishes the guidelines and principles for risk and risk management.
The document sets out the list of Customers.
The document provides a summary of the legal framework that the new solution must comply with.