Secondary Level of Use of Health Data in Europe
editor
Adriatic team
The global pandemic of COVID-19 shook established social systems, but it was the use of data that played the leading role in coordinating cross-sectoral responses in the field of public health. However, we must not forget that even before the pandemic, optimization and modernisation of health systems were necessary. This is of particular relevance with regard to more efficient management of the limited resources required to cater for the needs of a growing and ageing population. Slovenia is among several European Union member states that are expected to face one of the largest increases in social expenditure relating to the ageing of the population, by 2060.
Where does Slovenia rank on the ODI (Open Data Institute) scale?
The Institute for Strategic Solutions, together with representatives from key organizations in the Slovenian healthcare system, validated a report on the secondary use of healthcare data in Slovenia; matrices were checked and updated based on the initial research into the Secondary use of Health Data in Europe and Slovenia’s ranking was estimated. We also exchanged views and opinions on the challenges and opportunities facing the stakeholders. Statistics is the language of science and our purpose was to translate the numerical results into words and to provide additional insight into the minds and attitudes of local medical experts.
The informative value of the report validation brings to the fore local insight into specific key areas, namely – infrastructure, capacity, innovation, justice, ethics and inclusion. All of which a modern and credible healthcare system in Slovenia is dependent on. The report is intended for key decision-makers in the field of healthcare, enabling them to discuss and implement new initiatives that will enhance the Slovenian healthcare system and make for a better future. The baseline survey was prepared by the Open Data Institute (ODI) and published in September 2021. Its main contributor was Mark Boyd. The ODI is an independent and not-for-profit consultancy founded in 2012 by Sir Tim Berners-Lee and Sir Nigel Shadbolt. The ODI offers training, research and strategic advice to organizations seeking to explore the applied value of data. It works from its headquarters in London, as well as through its global network of start-ups, members, and hubs. Its research report, The Secondary Use of Health Data in Europe, is based on the importance of the secondary use of health data in improving and enhancing the European health system of the future. The main theme of the research is based on the idea that transparent and trustworthy data systems relating to healthcare are the key to helping countries respond to the many challenges facing society and the economy. The vital question is, how well equipped are the individual countries of the European Union prepared for the transformation?
Secondary Level of Use of Health Data in Europe
The concept of the secondary use of data includes the utilisation and processing of data collected in medical records for efficient patient treatment – both for primary use at the doctor-patient level as well as using anonymized data to identify phenomena and trends. It can also play a key role in the development and planning of the health system through various analytical approaches and the grouping of data into meaningful data sets.
The authors of the initial research focused on several key areas, namely, infrastructure, capacity, innovation, equity, ethics and inclusion, all of which a modern and credible health system is based on. The research also identifies the main components and indicators of success that are necessary to optimize the health systems of individual EU countries from secondary level use of health data. In addition to the data that is created at the patient-doctor level i.e. the primary, secondary or tertiary level of health care, there is also the health data that individuals create for themselves, for example, daily activities, such as exercise and sleep levels. This is also very significant, however, even more important is the awareness that the aforementioned data can be anonymized and combined in a way that serves to identify phenomena and trends for more effective treatment leading to increased accessibility to good quality and safe health services. This all culminates in a more sustainable health system. The results of the baseline survey showed that European countries can be classified and organized into the four main groups shown below.

According to The Secondary Use of Health Data report, the ODI classified the countries into four groups, each group occupies a quadrant on the graph above:
Leading Countries: Policy quality is strong and the implementation level is advanced. This category includes Austria, Belgium, Czech Republic, Denmark, Estonia, European Commission, Finland, France, Israel, Italy, Luxembourg, Norway, Portugal, Spain, Sweden, and the United Kingdom.
Energy-constrained Countries: Policy quality is good, but the level of implementation is less advanced. None of the countries under consideration meet these criteria.
Countries with Limited Vision: The quality of policy is weak but the level of implementation is more advanced. This category includes Croatia, Ireland, Germany, Netherlands, Poland, and Slovakia.
Less Prepared Countries: The quality of policy is weak and the level of implementation is less advanced. This category includes Bulgaria, Greece, Hungary, Latvia, Romania, Slovenia and Switzerland.
Local Insights
Individual interviews with key stakeholders who are part of the Slovenian healthcare system confirm the assessment attributed to Slovenia by the authors of the initial research into Secondary Use of Health Data in Europe. This is most noticeable in the absolute numbers we calculated as the statistical means of the ratings of the Slovenian experts interviewed. The overall assessment of the quality of Slovenian healthcare was 39 out of a possible 88, which is only slightly better than the ODI score, namely 38. Slovenian experts rated Slovenia better than the London researchers in the following categories – Infrastructure (23 versus 20 points out of a possible 52 points) and Justice (4 versus 2 points out of a possible 8 points). However, Slovenian experts rated Innovation worse than the London researchers (1 versus 4 points out of a possible 8 points). Slovenian experts also rated Ethics worse (6 points versus 8 points out of a possible 8 points), which is in line with international research in other areas. For example, in perceptions of corruption, domestic experts generally perceived more ethical slippages and violations than foreign observers. The Slovenian evaluators and evaluators from London gave the same ratings regarding the quality of Performance (both scored 0 out of a possible 4 points) and Inclusion (4 points out of a possible 8 points). As for the Implementation assessment, the overall assessment of Slovenian experts (46 points out of a possible 88 points) is only slightly better than the ODI assessment (44 points out of a possible 88 points). The average scores of Slovenian evaluators were better in the areas of Infrastructure (28 points versus 25 points out of a possible 52 points) and Justice (4 points versus 1 point out of a possible 8 points), but they were worse in terms of Innovation (3 points versus 4 points out of a possible 8 points), Ethics (7 points versus 8 points out of a possible 8 points) and Inclusion (4 points versus 5 points out of a possible 8 points). There were equal scores in the field of Capacity implementation (1 point out of a possible 4 points).
The openness to health data in Slovenia according to the ODI assessment compared to the average assessment of the Slovenian experts interviewed by the Institute for Strategic Solutions (ISR)

The state of implementation with regards to the openness of health data in Slovenia according to the ODI assessment compared to the average assessment of Slovenian experts

To summarise, there are encouraging signs that the Slovenian healthcare system is maturing in the context of effective use of the secondary level of data. However, the method in which the data is stored is still fragmented and a lot of work will be needed to get the secondary data infrastructure utilized to ensure an up-and-running strong and resilient healthcare infrastructure. Throughout the validation, Slovenian evaluators also expressed their own opinions regarding the international comparison, most specifically about which countries to look to in terms of good practice in the use of secondary data in healthcare, and identified Finland, Belgium, Sweden, Denmark, France and the Netherlands.
2022: A year marked by numerous crises
editor
Adriatic team
Epidemic, pandemic, energy crisis, health crisis, climate crisis! In the last few years, we have all had to go through changes that have significantly affected our everyday lives. The summation of these changes can be felt most in the economy, in rapidly escalating inflation and price rises in almost everything!
Is there anything we can do about it?
Let’s look at the latest crisis in this sequence of global crises, the energy crisis between Russia and the European Union. Just when we thought it couldn’t get any worse, it has! The impact of the energy crisis has deepened the economic and financial insecurity of the European Union countries and has further burdened state coffers causing dramatic changes in governmental priorities all over Europe. If we thought that this was a problem that could be solved quickly without major repercussions, we were delusional. Due to sanctions imposed by the European Union against Russia, Russia has stopped supplying gas through the Nord Stream 1 gas pipeline, the predominant gas line for the European Union. It supplied 40% of natural gas to the EU. It has also led to scarcity and rising prices of raw materials, creating a shortage. A large number of European Union countries have begun to take urgent measures to reduce energy consumption, while also searching for alternative sources of gas supply and raw materials. Undoubtedly, difficult times are coming for society, as well as businesses.

However, these times can also create opportunities for new businesses. Why? Because challenging times create new opportunities. Everything from innovations and additional jobs with higher earnings. Through creative and innovative thinking, we can financially help not only corporates but also individuals, by providing additional jobs demonstrating that we are a society-friendly country. Happy workers, happy company, happy country!
But because we live in uncertain times, decision makers need a rudder to manage potential risks. Especially in business, it is difficult to predict the future. Nevertheless, it is expected to predict one. This is precisely why we present you Strategic Navigator.
What is Strategic Navigator?
Strategic Navigator is a tool Institute for Strategic Solutions (ISR) has created. It is a tool for decision makers to help manage business decisions in uncertain and unpredictable times. It supports strategic decisions necessary for successful navigation in the business field. Both in-depth and quick decisions.
With the help of the strategic navigator, we move the boundaries. The tool combines two key approaches for modern management: Big Data and Data Science. It provides an index of the information and skills required for successful management.
The final document of the strategic navigator consists of different scenarios for strategic decisions, stakeholders and also arguments, and is supplemented with a visual matrix and its qualitative interpretation. Scenarios are the key part on which the strategic navigator stands. Within the scenarios, it is possible to define indicators on the basis of which we can determine which of the scenarios is the one taking place in reality – whether we like the current scenario or not.
The strategic navigator gives a different and complementary view of what is happening in the world itself, which opens up new perspectives and thus a new consideration when making decisions. It offers a unique and fresh perspective for strategic decision-makers, grounded in original methodology and untapped and current data sources. At the same time, it detects intangible knowledge in the company and its mapping into a form suitable for making strategic and operational decisions.
For more information about Strategic Navigator please contact us at info@adriaticjournal.com.
Footsteps toward Footprints: Calculating the Carbon Footprint
Sustainable Future
editor
The Adriatic Team
Presentation of the methodology for calculating the Carbon Footprint
The “carbon footprint” is the common term for the total amount of carbon dioxide (CO2) and greenhouse gas (GHG) emissions released into the atmosphere as a direct result of the activities of a particular individual, organization or community. The carbon footprint can be calculated and evaluated. It measures the impact on the environment of our actions and decisions. For example, based on data obtained, we can lead a more sustainable existence by changing our lifestyle or purchasing habits. Organizations can also improve energy efficiency in business or production processes and use renewable energy sources. The carbon footprint of organized events can be reduced by careful consideration of the method of transportation of participants and organizers, the choice of location and locality of food providers, economical use of packaging, recycling of garbage and the use of electricity from renewable sources.
From Words to Actions
At the Institute for Strategic Solutions (ISR), we designed the “From Words to Actions Project”, which gave us the opportunity to organize the first regional Net-0 carbon event in Slovenia. The purpose of the project was to gather and connect representatives of corporations and companies, politicians, non-governmental organizations, international agencies, as well as innovators of breakthrough solutions and representatives of the financial community, at one event.
The co-organizers of the event were the Ministry of Foreign Affairs of the Republic of Slovenia and Spirit, the public agency of the Republic of Slovenia for the promotion of entrepreneurship, innovation, development, investment and tourism.
The red thread of the program was carbon neutrality and zero emissions. All important stakeholders and partners agreed that these are the key proponents of a sustainable future. However, strategies differ and seldom apply to entire organizations as well as their supply chains, and this inclusion presents unique and difficult challenges. The participants and guests at the event gained access to new ideas and integrated solutions – and most importantly, a network of potential partners. When organizing the event, we were committed to careful monitoring, as well as to planning measures to reduce emissions and thus benefit our environment. We also made sure that we balanced emissions released into the atmosphere by planting trees so that there was a Net-0 end result.

The ISR’s Approach to the Challenge
The participants helped each other using international standards for planning low-carbon projects and using international conversion factors. These established standards do not exist yet for Slovenia, except in the electricity grid. However, we followed the ISO 14064-2:2019 standard and guidelines for quantification, monitoring and reporting of greenhouse emissions for each individual part of the project. As part of the methodological framework, we compared the basic (business as usual) and alternative (Net-0) scenarios for the event organization, preparation and implementation. We carefully evaluated and verified all data based on each identified activity and took the steps necessary for the successful implementation of the Net-0 event. This included the arrival and transportation of organizers and participants, careful selection of the local and energy-efficient cooling of the space. In addition, we served local food and drinks, gave local gifts to the guests, recycled garbage, monitored transportation of local food, to and from the event and used low-emission electronic devices in sound and lighting the event.

We successfully reduced our carbon footprint by:
- using public train service as transport for participants and organizers (round trip)
- selecting an inner space that did not require cooling
- choosing a local food provider and a vegetarian menu for the banquet
- economical use of packaging and recycling of garbage
- using electricity from renewable sources
When collecting data, we adhered strictly to the concepts of relevance, completeness, consistency, accuracy, transparency and conservatism. We took special care when choosing food for the event. As a starting point, we used specific modules in the Gastronomy and Hotel Services Guide (Zalar et al 2008), which systematically outlines all the guidelines and know-how that eco-friendly chefs utilise. It also prescribes energy-efficient technological processes of food preparation, which helped us to select suitable food providers and vegetarian menus. It also showed us how to calculate the carbon footprint of the banquet. By choosing a local food provider, we saved as much as 90% of the carbon footprint and we also saved 31% of the carbon footprint by deciding to serve only vegetarian food at the event, in comparison to the basic, business-as-usual scenario, and through the economical use of packaging and recycling, we succeeded in reducing the carbon footprint by as much as 87%, again, compared to the basic, business-as-usual scenario.
Committing to the organization of a carbon-free event was a brave decision, which is why we prioritized reducing the event’s carbon footprint, which we successfully achieved using all the strategies above. We undertook the final calculation of the footprint ourselves, as existing tools are insufficiently accurate, be it that they are intended for the overall operations of companies or multi-day events. We attributed data to certain activities and multiplied them by two conversion factors. In the basic (business-as-usual) scenario, we used the International Hydropower Association as a source of data, and in the alternative (Net-0) scenario, we used the conversion factor used by the Energy Agency in the document Total Remaining Composition of Production Sources for 2021. This takes into account the share of electricity production from fossil fuels, based on the rest of the European composition of production sources and according to the data of the International Hydropower Association. We succeeded in achieving total residual CO2 emissions of 0.023kg CO2/kWh and in the case of the Energy Agency 0.872kg CO2/kWh.



At the Event – Details Matter
Or to put it another way, is it permissible for one single participant to arrive on a trans-oceanic flight, and release carbon emissions into the atmosphere? In addition to the choice of transport used, the other most important factor to consider is catering. Careful attention should be paid to the choice of the food provider, and also to the food that is served. It makes eco-sense to avoid meat, even if local beef has a smaller carbon footprint than Patagonian beef!
However, even the lowest amount of carbon produced must be removed from the atmosphere, and this can be attained by planting trees, not alien species, but indigenous ones from Slovenia. In the case of our event, the Carbon produced amounted to 506kg of CO2. To counteract this, we will plant 51 saplings of native Maribor tree species and thereby “return” the CO2 we emitted back to nature.

EXPORTERS 2022 business conference
Exporters 2022
editor
Adriatic team
Ljubljana, September 28, 2022 - Labor Business Exporters 2022: Lessons from the Winners.The business conference was opened with welcome speeches given by Bojan Budja, Editor-in-Chief of Delo Media House, Mag Aleš Cantarutti, General Director of the Chamber of Commerce of Slovenia, Dr Jure Stojan, Director of Development and Research at the Institute for Strategic Solutions and Matjaž Han, Minister of Economic Development and Technology.
The conference focused on risk management during one of the most turbulent and uncertain periods in recent history. Directors of the most successful Slovenian companies and foreign guests from the sphere of economy, finance, diplomatic relations and associates from neighbouring countries discussed ways of managing risk during the three recent global shocks. The question was asked, are there opportunities for the Slovenian economy in this rapidly changing environment? Marjan Drmota, Director of Kolektor Mobility emphasised that if electricity prices continue to rise, companies will only have to work harder to cover their costs. Tibor Šimonka, Vice President of Sij and President of the Chamber of Commerce of Slovenia, added that the high cost of energy could also cripple the Sij group, and that Slovenia is now importing energy from countries that have cheaper energy sources, but are significantly worse in terms of carbon emissions than suppliers from the EU. He was also convinced that if the conditions regarding energy output change significantly, the Slovenian economy will have big problems and the forecasted results of Slovenian export companies will no longer be realistic.

In the long term, dependence on non-EU suppliers will diminish.
Dr Alexander-Nikolai Sandkamp, Professor of Economics at the University of Kiel and a researcher at the Kiel Institute for the World Economy, noted that the economy is currently facing two major challenges, the pandemic and the war in Ukraine. He argued that giving up dependence on Russia is feasible for the EU. The scenarios prepared at the university show that if dependence on business with Russia were to be broken, imports and exports would decrease, and production would move to other locations outside of the EU. In addition, the division of work and specific skills would decrease, while production costs for semi-finished products would grow. As a result, reducing dependence on Russia could work, but exports would suffer, and Slovenia, as an export-oriented economy, would certainly feel the pain, he said. They should strengthen their resilience by connecting with several different suppliers in different regions, with enhanced storage strategies and recycling, which would reduce raw material dependance. The EU must strategically plan its reserves and strengthen international relations as well as removing trade barriers, Professor Sandkamp stated.
The Anti-crisis Recipe: Big Projects that Keep the Momentum Going.
How to Manage Risks During Three Global Shocks was moderated by Dr Slobodan Šešum from the Ministry of Foreign Affairs.
Nuša Pavlinjek, Director of the company Roto, explained that Roto is overcoming broken supply chains by recycling, with as much as 70 percent of their products containing recycled materials. They have new products prepared in advance for the market, which enables them to respond and adapt quickly to new conditions. They have also increased product diversification by cooperating with different industries and regions. They are increasingly visible on the African market, where they are already doing business in 11 countries.
Julijan Fortunat is a Strategic Consultant in the Wietersdorfer Group, which is the majority shareholder of Salonita Anhovo, a construction company that is energy intensive. He said that the petrochemical products used in construction processes cause them headaches. Their supplies have been greatly diminished and they need to find new solutions to the crisis by themselves. The reduced consumption of electricity will have dramatic impact on their business, and the strategy to prevent bankruptcy will be dependent on the company’s large construction projects having a stabilising effect, according to Julijan Fortunat.
The President of the Board of Sava Re, Marko Jazbec, said that the year 2022 has already brought a number of new problems, which correspond to pre-pandemic levels and high inflation. The insurance industry is not among the winners of this period, many insurance products are no longer attractive. The US, for example, will fight inflation by slowing down the economy, which will include a recession, which is more daring than what the European Central Bank is doing, Marko Jazbec stated.
Marjan Drmota, Director of the company Kolektor Mobility, which is part of the Kolektor Group, notes that although the characteristics of the crises are similar, the world is constantly changing, so past experience cannot just be simply mapped onto the present day. It is always necessary to look for new and innovative solutions, he emphasised. In the future, the impact of energy on industries could be increasingly problematic. At Kolektor Mobility, energy accounts for 2.5 percent of total costs, which means 10 million euros per year of the company’s costs. The price of energy could double or triple, but if it quadruples, it means that electricity costs will negate any profit whatsoever, M. Drmota warned.

Deglobalization is not only a Threat, it is also an Opportunity.
The data shows that Slovenia is strengthening the added value of exports, the key to improved export results is the trade and service exchange of our country within the EU area, said Bojan Ivanc, Chief Economist of the Chamber of Commerce and Industry. In 10 years, Slovenia has increased exports to EU countries by around 15 billion euros, this year is estimated to peak at 33 billion euros.
According to Rok Capl, Acting Director of the public agency, SPIRIT Slovenia, an important factor for local companies is assistance in finding new foreign markets. At Spirit, they can promote and strengthen the visibility of Slovenian companies, as companies that can offer foreign partners alternatives to achieve business goals.
Saša Keleman, Executive Director of SID Banka, which supports Slovenian exporters with financial tools, emphasised the fragility of today’s global equilibrium, highlighting the prices of energy products, the availability of raw materials and inflation. All of these factors bring advantages and opportunities as well as disadvantages to small businesses, and at the same time, deglobalization is taking place, which again brings forth both opportunities and threats.
Eva-Ricarda Willems, Deputy Ambassador and Head of the Economic Department at the German Embassy, presented a forecast predicting that the economic situation in Germany in the coming period, will be analogous to that of the other European countries. The economic conditions in Slovenia and Germany are similar, which is the result of the countries strong connection in production and development.
According to Serenella Marzoli, Director of the Agency for the Promotion and Internationalisation of Italian Companies at the Department of Economic Promotion of the Italian Embassy, stated that Slovenia is an important partner of Italy. Slovenia usually helps between 300 and 350 Italian companies interested in doing business with Slovenia. Cooperation between the two countries did not stop even during the pandemic, the reason being proximity, historical ties and the good business environment in Slovenia, in addition to research and development and a circular economic. An important anti-crisis approach for Slovenia could also be a blue economy, which is relevant mainly for maritime countries, but could also apply to Slovenia.
Alenka Hudek, Minister Plenipotentiary at the Embassy of the Republic of Croatia, said that entrepreneurs from Slovenia and Croatia know each other and cooperate well in business. It is expected that the business relationship will improve further with Croatia’s entry into the Euro area. She also sees opportunities in the field of infrastructure and energy.

About Proper Business Etiquette.
The shock of recent years have completely changed the world and what is permitted to do or say, and what is not. In the final part of the event, Dr Jure Stojan, Deputy Mayor of the Municipality of Ljubljana, Tjaša Ficko and Janez Škrabec, Director of the company Riko pointed out behaviour, that, in their opinion, do not belong in the business world, but that people revert to more and more these days. For example, men wearing suits without a tie, being unpunctual, contentious topics are amongst the many mines in todays business world. There are rules that should not change and must be preserved. It is also important to remember that when you compete in the business world, you should treat your fellow human beings with courtesy and respect, as it is a small world and you may encounter these people again, in very different circumstances. Therefore, it’s very important to build and maintain good relations at all times. Tjaša Ficko also emphasised that when travelling abroad, one must adapt to local rules or as the saying goes, “When in Rome, do as the Romans do.”. Janez Škrabec added that it is important to be curious and interested, but not judgemental and to be free of preconceptions and prejudices because people can feel the negative energy.

Business conference EXPORTERS 2022
Exporters 2022
editor
Adriatic team
On 28 September 2022, the media house Delo, together with the co-organizer Chamber of Commerce of Slovenia and the Institute for Strategic Solutions (ISR) as a program partner, is organising a business conference EXPORTERS 2022 entitled "Lessons from the Winners". The event will feature three panel discussions, covering risk management in times of three global shocks, the opportunities for the Slovenian economy in a changing environment, and international business relations as well as new trends in global business etiquette.
Successful Slovenian entrepreneurs and businessmen will gather at the conference and share their views on management during the global crisis, as well as the risks that accompany it. They will cover the advantages and disadvantages, challenges and opportunities of international business cooperation. Business etiquette is also important for success, which we will touch on in the concluding part of the event.
The business conference will be held in Slovenian and partly in English. Due to the limited number of places available for live attendance, the general public will be able to follow the conference via a live broadcast on the website of the Delo newspaper.
HEALTH business conference 2022
editor
Adriatic team
Ljubljana 2022 – Delo's Health business conference 2022, ‘By Connecting to Progress’, focused on the functioning of Slovenian healthcare and its basic building blocks, namely, system and subsystem foundations, employees and technology. The conference brought together all the key players in Slovenian healthcare in Ljubljana, and the attendees and speakers compromised representatives from the medical profession and the public health fund, contractors, private insurance companies, as well as, senior representatives from the pharmaceutical and IT sectors.
The conference was opened with an introductory speech by Andrej Kren (Media House Delo), Igor Zorko (Chamber of Commerce and Industry and President of the Association for Informatics and Telecommunications) and Tine Kračun (Institute for Strategic Solutions). The opening address was given by Tadej Ostrc, M.Sc. from the Ministry of Health of the Republic of Slovenia.
The keynote speaker of the conference was Mark Boyd from the Open Data Institute, who illustrated the steps needed for providing more efficient healthcare. According to Mark Boyd, improving the patient’s journey or access to a doctor and strengthening innovation are both very important.

The formula for a successful healthcare system was discussed by Dr Tatjana Mlakar, Dr Bojana Beović, Dr Davorina Petek and Eva McLellan.
Dr. Tatjana Mlakar (ZZZS) is certain that the Slovenian healthcare system is based on a very good model, however, it has not been adapted to the rapidly changing circumstances of modern life. She sees opportunities for improving waiting times and greater efficiency in the functioning of subsystems, with each subsystem having specific responsibilities and autonomy.
Dr. Bojana Beović (Medical Chamber of Slovenia) estimates that the Slovenian healthcare system achieves similar results to stronger and larger healthcare systems in Europe. However, she believes that changes are necessary to keep up with the rapidly changing circumstances in society today. ‘On one hand, we have an ageing population, and on the other hand, we have new technology that residents and patients want to use to maintain their health.’, she said.
Dr. Davorina Petek (ZZ Zdravje Ljubljana and Kirurgija Bitenc) highlighted the problem of the shortage of family doctors, which is a European problem, not unique to Slovenia. The multi-disciplinary treatment of patients can be improved by using other health professionals to take over certain treatments instead of using only doctors. For her, the most important factor is that every patient can have access to a primary level of healthcare.
Eva McLellan (Roche Slovenia) says that the Slovenian system has many positive similarities with healthcare systems in Belgium, Canada and Switzerland. She also rates the Slovenian healthcare system as good. She also points out that primary-level care is an example of the standard model used in Central Europe and one on which we should build. She also reiterates that Slovenia’s main advantage is its small size, which allows for controllability and opportunities for improvement.
The moderator of the round table was Petra Juvančič (Management Association).

Milan Obradović, Tomaž Gornik, Milica Gregorič Kramberger and Urška Močnik spoke about recent breakthroughs in healthcare.
Milan Obradović (Roche Slovenia) presented the example of the use of advanced diagnostics for lung cancer, which is one of the main causes of mortality in Slovenia. In the majority of cases, the disease is only diagnosed at the irreversible fourth stage. The main reason for that is the late diagnosis, and the solution is in the use of early diagnostics and enhanced accessibility for patients.
Tomaž Gornik (Better) explained how they established a digital data access system for all healthcare stakeholders in the UK, seven months ago. The benefit of the system is that the data is centralised, thereby enabling everyone to have access to the same data at the same time. He also said that due to its small size, Slovenia has a great advantage, as it can introduce and implement innovations quickly that can improve the healthcare system. Lack of money has always been a problem up until now, however, now Slovenia has access to European funds, which is proving a great benefit.
Milica Gregorič Kramberger (UKC Ljubljana) said that we need to build up good and effective cooperation, help from the local environment and information on which patients should be contacted. We need a holistic approach based on data and cost analysis, which, unfortunately, is not possible now.
Urška Močnik (Idrija Retirement Home) highlighted the infrastructural problem, which manifests itself in the overcrowding of homes for the elderly. She also mentioned the attitude towards care home residents during the epidemic as a major problem. According to Urška Močnik, the standard of single rooms in retirement homes should be the same in Slovenia as it is in other European countries.
The moderator of the round table was Barbara Matijašič (Institute for Strategic Solutions).

The last part of the conference was devoted to opportunities to promote health in the workplace. Speakers of the last round table were Dr. Maja Fesel Kamenik (HRM One and Beep Institute), Dr. Zala Kuret (URI Soča) and Darko Đurić (para-athlete and entrepreneur). They all agreed that a healthier environment and society can be achieved by setting examples, both in the family and in schools, through adherence to proper nutrition and exercise. Employers also have an important role to play, and they should do more to invest in the health of their employees.

Until we change our habits, we cannot talk about change
Sustainability
editor
Team Adriatic
September 6, 2022 – The Institute for Strategic Solutions (ISR) held the first regional Net-0 event From Words to Actions. The main theme of the event was a discussion on how to implement substantive activities and business processes into companies and organizations that will benefit the environment, and won’t contribute to the carbon footprint. In attendance were the ISR, and representatives from the event's co-organisers, as well as the companies - Petrol, Resalta, Elektro Maribor and NLB. Together they discussed which strategies and actions would be most effective in the implementation and drive towards green transition.
“The trend towards green transition has been around for some time now, however, the geopolitical situation we are currently facing is new. I believe that the common denominator of all the issues raised and the future itself is technology. We have a lot of technology available today to help accelerate decarbonization. However, I am convinced that the main driving force for the future of humanity and real changes in collective integrity will be based on individuals changing their lifestyles,” said Jože Bajuk, a member of Petrol Group’s management board. Blaž Brodnjak, Chairman of the board of NLB, is also convinced that responsibility does not start with companies, but with each individual. “Until we change our habits, we cannot talk about change . We need a focus, a clear vision and clearly defined priorities. But everyone has to start with themselves, in their everyday life”. Brodnjak added.
The unique feature of the Net-0 event was in its execution, as all activities were environmentally friendly and operated with the lowest possible carbon emissions. The co-organizers of the event were the Ministry of Foreign Affairs of the Republic of Slovenia and the public agency, Spirit. The Municipality of Maribor hosted the event. Maribor has been a leading example of how a local municipality shows positive action and direction on the road towards good environmental initiatives.
“We can all physically feel the effects of climate change on our skin, and I hope that this awareness will cause a positive shift to a green transition at all levels – that is, at the global, regional, state and local levels of organizational and business activities and processes,” said State Secretary Samuel Žbogar at the start of the event.
“A carbon-free future may have seemed like a distant dream years ago, but today it is clear that we need to act as a society and that by taking decisive steps we can influence what kind of future we will shape for ourselves and our descendants. Today’s participants consisted of partners and companies that all understand the importance of green transition and actively strive for it. “This is proof that we are taking steps in the right direction,” said Tine Kračun, Director of the Institute for Strategic Solutions (ISR), in his address to the participants. “ISR, together with the co-organizers, the Ministry of Foreign Affairs and the public agency Spirit, have successfully launched the first Net-0 event in the region.’’
“When we talk about the green transition, it sometimes seems that we are behaving like an elephant in a china shop. Data shows that the topic of so-called greenwashing has exploded in recent years. Just talking about being carbon-free is not enough. For this event, we developed a methodology that complies with ISO standards and they have been implemented in various scenarios throughout the organization and execution of this conference. When documenting and talking about these activities, it is essential to adhere to the principle of transparent, consistent and accurate collation of information, in conjunction with transparent reporting.” Dr. Jure Stojan, Director of Research and Development at ISR, said in his speech.

The Green Transition must be Coordinated with the Transformation of the Economy
Representatives from powerful and successful companies alongside regional players discussed how companies should approach the green transition and what steps they must take to achieve their goals. They presented solutions to the most common dilemmas and challenges they are currently facing. The discussion was also about the questions of who, what and how companies should deal with carbon neutrality and how to measure the effectiveness of steps taken to create a common living space that is significantly less harmful to the environment – and ourselves.
Given the current geopolitical situation and multi-level crisis created by the war in Ukraine and the related challenges in the field of energy supply and climate change on one hand, and our goals to save the environment on the other, one of the key questions is how will the economy adapt to these new conditions? And in addition – how long will adaptation to the constantly-changing conditions take? And to what extent is it even feasible?

Quality of Life is the Guide, and Technology is the Tool
According to Jože Bajuk MA, a member of Petrol Group’s management board responsible for the Energy and Solutions development pillar, the situation related to the Russian invasion of Ukraine, has revealed a dependence on fossil fuels and that this is a very complex issue as it conflicts with the current concept of the green transition.
‘The geopolitical situation we are now facing, however, is new, and I believe that the common denominator of all the issues raised as well as the future lies in technology. We have a lot of technology available today to accelerate decarbonization. Nevertheless, I am convinced that the driving force for humanity and real changes in morality will be based on the integrity and lifestyle of each individual.”
Tomaž Orešič, the procurator of Resalta, who deals with energy solutions, added: “It is important to increase resistance to price fluctuations – Europe has decided to invest in renewable technologies and there is no other way forward. What can the industry do? First, it must reduce consumption wherever possible.”
How can Companies React and Adapt to the Changed Conditions?
In line with the goals of the Paris Agreement, EU member states have agreed to strive to make the EU the first climate-neutral economy and society by 2050 and the EU has committed to reducing emissions by at least 55% (compared to 1990) by 2030. So far, calculations show that we are still far from the set goals, which means that we will most likely not be able to stop global warming within the set time frames.
Blaž Brodnjak, Chairman of the Board of NLB, is convinced that responsibility does not start with companies, but with each individual. “Until we change our habits, we cannot talk about change.” Brodnjak added, “We need focus, a clear vision and clearly defined priorities. But everyone has to start with themselves, in their everyday life”.
Jože Hebar, director of Elektra Maribor, pointed out an example. “We are facing a large increase in demand and interest in electrical devices that customers want to place on their roofs. This is a clear sign that due to the vulnerability of electricity, we need to find new alternatives.”
“At NLB, we are committed to sustainability within the organization of the company and also in the performance of our own activities,” emphasizes Blaž Brodnjak. “For example, we support working from home, which is consistent with a smaller need for workspace, we support the United Nations principles for responsible banking and we have stopped supporting all companies whose businesses are tied to the consumption of coal.”
The conversation was moderated by Večer newspaper journalists Andreja Kutin and Mitja Sagaj.

A Unique Event in the Region
In addition to the fascinating content, the most significant feature of the From Words to Actions Net-0 event was its design and implementation. ISR designed it in such a way that it followed the principles of locality, expedient logistics and low-carbon emissions, where they actively used digital tools and which did not cause a significant impact on the environment, as a result, the event placed less carbon burden on the environment.
Thanks to Slovenske Železnice, participants and guests arrived at the event by public transport – train. At the main train station in Ljubljana, they boarded the train to Maribor at 8 a.m. During the journey, they received digital links to interesting ad relevant content that they could read on their laptops, and at the event, food and drinks were served from local suppliers. At 10 a.m., Saša Arsenovič, the Mayor of the Maribor Municipality, welcomed the participants and guests at Maribor’s main railway station. Maribor has been a leading example of a local area with proactive and successful environmental practices. The participants and guests then rode their bikes towards the Minorite Church, where they attended the first regional Net-0 event.
The event was also attended by 23 diplomats and delegations from foreign embassies. The event was supported and co-organised by the Ministry of Foreign Affairs of the Republic of Slovenia and the public agency, Spirit.
Photos by courtesy of Matej Pušnik (ISR).

There are changes that companies should adopt with a sense of urgency
Sustainability
editor
Barbara Matijašič
JOURNALIST AT THE ADRIATIC
Gecić Law is a prominent regional law firm that helps clients navigate through the complex legal landscape of the region across multiple practice areas. It is especially known for its expertise in EU law and international trade - Gecić Law is the only regional law firm that has continuously represented clients in crucial matters before international institutions, including the European Commission, the Energy Community, the ECAA, and CEFTA. We spoke to Branko Gabrić, a counsel at Gecić Law about legislative framework to combat climate change.
How can the Net Zero Conference inspire your practice?
It was a pleasure to take part in the conference. We advise clients across the Adria and Balkans region and beyond, which includes both EU accession and member countries. EU law is therefore the backbone of most of our activities. Regardless of the type of client, specific mandate or jurisdiction, we are increasingly guided by developments in EU law, which are becoming increasingly relevant across the board. This includes EU’s legislative framework to combat climate change – the Fit for 55 legislative package, which is taking shape, as its ramifications will affect many aspects of business and law. In this sense, the Slovenian experience is especially interesting as perhaps our closest gateway to EU’s best practices and the conference provided a thorough insight and inspiration for our work. The conference was also an excellent opportunity to discuss this important topic with people who deal with it from different aspects and learn from their experience. I am deeply convinced that your conference created an enjoyable background for a prolific exchange of knowledge and different views, in which we were more than happy to participate and contribute.
In your opinion, what are the main challenges for the region on the path to net zero emissions?
Challenges in our region are numerous. At the level of countries, economies and the region as a whole, major steps lie ahead to change the energy mix as it remains heavily reliant on coal. Major plans for investments in renewable energy in the coming decades are being announced to catch up with EU plans, which are aiming for a 55 percent emissions reduction by 2030 and reaching net zero by 2050. To achieve this, another important challenge for the countries of the region is to introduce carbon pricing systems and viable emissions trading schemes, which are in line with the systems that have already been in place in the EU for many years. At the level of businesses, the biggest challenge will be to successfully incorporate the inevitable need to reduce carbon emissions into their strategies and adjust their business models to accommodate this overarching objective. For many companies, this will require significant changes which begin with a fundamental shift in strategic priorities and an entirely new approach to business. And these changes should take place with a sense of urgency, as there is not much time left.
What types of projects is Gecić Law currently working on in the field? Are they industry specific? If yes, how? If no, why not?
We are closely following the developments with one of the aspects of the Fit for 55 package that, once implemented, is likely to have an immediate and direct effect on the regional economies and this is the Carbon Border Adjustment Mechanism (CBAM). Dubbed the “carbon tax”, CBAM is a levy that the EU is aiming to introduce on the imports of products that generate high emissions in their manufacturing processes. This way, the EU is hoping to achieve a level playing field on the internal market. Regarding products manufactured in the EU, they already have to pay for carbon emission allowances under the unions ‘ emissions trading system. The introduction of the CBAM is likely to mark a tectonic shift in international trade that will affect whole supply chain including manufacturers, customers and consumers. Planned to be phased in starting 2023, the CBAM will initially include cement, steel, fertilisers, iron, steel, aluminum, and electricity from coal etc., but is likely to have a spillover effect on the costs of any finished goods that use these as components in their production processes. Our firm is advising on the multi-layered work that will be required both from governments and businesses to address these changes.
From a broader perspective, we are also working on some of the largest, most interesting and innovative renewable energy projects in the region. This field will see significant growth in the coming years and we are pleased that our team has the strength of expertise and unparalleled experience to fulfill the most demanding requirements in the area. We are looking forward to offer our knowledge and practice supporting our clients in diversification their energy portfolio to renewables, which could have many positive effects not only for their business but for our healthier environment.

How are legislative developments such as EU’s CBAM likely to affect companies in the region?
The economies of the Western Balkans are likely to be significantly affected by the introduction of CBAM. The EU accounts for nearly 70 percent of the region’s exports and products potentially affected by CBAM are an important part of the economy. The levy is likely to affect pricing and, therefore, the competitiveness of products imported into the EU market. A lot of work still needs to be done across the region to mitigate these risks. The process also involves both governments and lawmakers, who will take steps to ensure there is a basis for the introduction of functional local carbon emissions exchange systems, and businesses, that must be much more conscious of the impact of their production processes and the financial costs of their CO2 emissions that they will soon have to deal with. Failing to act on both ends may have far-reaching implications for the economies of the region. A firm renowned for its expertise in EU law, Gecić Law is proud to be the only law firm in the region with the experience and expertise to advise both sovereigns and affected companies on this highly specific and complex set of issues.
What is capacity of EU to support green transition on global level?
It is widely recognized the position of EU as a leader in green transition on global level. This is where proposals like CBAM helps to provide more structural market that is still looking to define itself at larger scale. By imposing environmental policies like carbon tax on imports via the CBAM the EU hopes to affect external change, by driving change from the inside-out. The powerful single market of the EU could have serious impact when it comes to conversation regarding the carbon and climate. EU through enacting environmental regulations that influence the global business stage raises standards all across the world. Due to factors including the size of internal market and its importance on global level, businesses who trade worldwide may discover that maintaining lower standards in non-EU markets is not convenient from an economic, legal, or technical standpoint.
ESG is another hot topic. What should be the main focus for businesses in the region to comply with new trends?
ESG is a very closely related but an even broader topic. The main challenge is that many businesses still take a short-term approach, seeing adherence to ESG standards as a “nice-to-have” voluntary action, rather than a strategic business shift. However, failing to prepare and adapt may soon significantly affect their ability to compete in the market, sell their products and have access to financing. Regulators, investors, creditors, customers, and other key stakeholders will increasingly insist on responsible business conduct in these vital areas.Therefore, we help our clients by closely monitoring government policies updates and have a smooth channel to communicate with government authorities with aim to fully comply their business with most recent developments in environmental policies. Beyond the reputational impact, many of these standards are becoming mandatory. As the region moves on in its EU accession process, we advise clients on emerging EU rules on ESG that are likely to define the business environment in the years to come, and how this may impact the Western Balkans.
As one of the few independent law firms advising in this area, we aim to provide bespoke solutions, taking into account the specific position and needs of each enterprise. We carefully analyze both the risks and benefits and prioritize our advice on how to best adapt from a regulatory, strategic, financial and operational standpoint.
You have a wide range of experience in the field of ESG - do you have any thoughts or advice for companies and organisations in the context of greenwashing?
It is most important that businesses take a long-term, strategic view of ESG considerations and understand how ESG standards can help their business adapt and grow. Greenwashing is a practice aimed at achieving short-term public relations or marketing gains. Ironically, as we have seen in many examples, greenwashing may have truly harmful effects and destroy the reputations of businesses. The truth is businesses will quite simply no longer be able to afford to greenwash as the regulatory framework develops. Even more importantly, key stakeholders are increasingly becoming aware and active, and are no longer willing to accept corporate behavior which does not adhere to standards in these areas. And they are especially sensitive to businesses being untruthful about their practices. This does impact enterprises in our region sometimes more than they realize.
In your opinion, how can companies and organisations contribute their fair share to carbon neutrality? Do you believe "the silver bullet" exists?
There are no simple solutions and ready-made recipes. Each company needs to look not only at the totality of its operations but increasingly at its supply chain and carefully balance and incorporate solutions. There are no silver bullets as every option has its advantages and disadvantages, and these need to be carefully weighted. From the perspective of our region and profession, it is also up to regulators and lawmakers to set the framework and define standards, a process that is gradually coming to fruition. At least for the moment, one must also take into consideration the current energy crisis and its potential effects on the path to net zero. At the same time, we should always keep in mind that ultimately there is no alternative but to persevere, as fundamentaly this is an existential issue for humanity as a whole.


Walk the Talk: The First Regional NET-0 Event
Sustainable Future
editor
The Adriatic Team
CONTRIBUTOR
On 6 September 2022, the Inštitut za strateške rešitve (ISR) is organising a first regional NET-0 EVENT. Its focus will be the most pressing topic of our times: climate change. We will discuss how both companies and individuals can contribute to climate change mitigation and the reduction of greenhouse gas emissions. Only by working together, can we succeed.
The purpose of the event is to connect representatives of corporations and companies, politicians, non-governmental organizations, international agencies, innovators of breakthrough solutions and representatives of the financial community. The CEO Panel will focus on carbon neutrality and zero emissions, since virtually all major stakeholders and partners agree that they are the key elements of the future. However, strategies differ and rarely apply to entire organizations with their supply chains, which presents unique challenges. Our aim is to offer insights about ideas and integrated solutions – and to build bridges between potential partners.
The event is co-organised together with the Slovenian Ministry of Foreign Affairs and SPIRIT Slovenia – public agency of the Republic of Slovenia for the promotion of entrepreneurship, innovation, development, investment and tourism. It will take place at the Minorite Church and Monastery in Maribor (Vojašniški trg 2, 2000 Maribor), on 6 September 2022.
Please register HERE to join us on 6 September 2022 in Maribor, Slovenia.
WALK THE TALK: THE FIRST REGIONAL NET-0 EVENTHow can organisations contribute proactively to carbon neutrality?
In September 2022, the Institute for Strategic Solutions (ISR) is planning a NET-0 EVENT business forum. It will focus on the most crucial issue of our times – climate change. We will discuss ways in which both companies and individuals can mitigate the effects of climate change and reduce greenhouse gas emissions. The purpose of the event is to bring together key representatives from companies, politics, NGOs, and international agencies, together with innovators of breakthrough solutions and the financial community in a combined effort to try and find solutions to this serious and impending crisis.
Only by working together, can we succeed.
All relevant stakeholders agree that carbon neutrality and net-zero emissions are our key goals for the future. However, sectoral strategies vary, and seldom address the whole problem by failure to adequately align supply chains to their stategy, and by omitting to include the problems of transition – both of which are significant challenges. Therefore, we will aim to highlight these issues, through a series of articles from different platforms, prior to the business forum. Our obective is to equip readers with access to new ideas, good practice and integrated processes that are environmentally responsible and proactive in their quest for a positive future with net-zero emissions by 2050.
The Future for Our Energy Is Smart and Green
Sustainable Future
editor
The Adriatic Team
CONTRIBUTOR
Have you ever asked yourself what life without (or with limited access) to the electricity would be like? You press the switch and nothing happens. It seems like a scenario of a movie where the world just stopped.
Electricity is like food and water for people living in 21st century and is an essential power that drives our daily lives and our businesses. With the growing human population and growing need for electricity in our lives, throughout the history we have discovered many ways for its production (e.g., fossil fuels, nuclear energy, wind turbines, solar and hydro energy).
But one of the major challenges the world has been facing in last years is how to generate more (and enough) electricity in an environmentally friendly and sustainable manner. We can find the answer in transition to green, producing fewer negative effects as with fossil fuels. Going green is also the answer when we consider changes in global energy markets and growing dependence on some resources.
Green energy: clean and renewable
Green energy is coming from natural resources like sun, water, wind, biomass, geothermal energy. It is renewable and clean, with a lowest carbon footprint possible. Renewable means that it comes from sources, constantly being naturally replenished (sun, water, wind) and clean means that it releases far less greenhouse gases and pollutants into the air. This is not just good for the planet but is also good for the health of people and animals that breathe this air. Great example of renewable, green and clean energy comes from wind, environmentally friendly, self-replenishing and non-polluting source. But not all sources are green. Power generation that burns organic material from sustainable forests may be renewable, but due to the CO2 produced in the burning process, is not necessarily green.
Slovenia produces around 85 % of its own electricity (and the demand on consumption side is growing), the rest is imported. Renewables play an important role in electricity generation, but with current consumption rising, in short term, they are not expected to become the only source. The structure of electricity use is constantly changing due to heat pumps, air conditioning and increased electromobility.
Now the main source of green electricity is water. Solar and biomass energy follow, with only a sample of wind power; even though wind has become the most important renewable source of electricity in the EU in 2017, displacing hydro.
Electricity distribution networks – backbone of the green energy transition
Electricity distribution networks are acting as an essential infrastructure for sustainable development and the backbone of the energy transition providing advanced electricity services as key to successfully implementing the transition to a low-carbon society. One of main challenges is to continue with heavy investments in reinforcing the distribution network, aiming to increase capacity and to integrate distributed resources. Also digitalisation of the network in order to enable new services for users, to limit peak demands, provide flexibility in usage and the automation of processes is needed. By creating a smart grid, we want to ensure that investments are made where they will have the optimal impact.
Embracing shift in consumer behaviour
Elektro Maribor d.d., the second largest electricity distribution company in Slovenia, is going towards smart and green future. Being able to provide as green electricity with the lowest cost and power loss in our distribution network as possible, our job is also to make our users aware of the importance of environmental care and the role of green electricity as well as to help them make informed sustainable decisions.
Climate change might be the most complex risk facing society today and customers want companies and organisations to empower them to make more sustainable choices that result in broader environmental benefit. The fact is that fossil fuels need to become a thing of the past as they do not provide a sustainable solution to our energy needs. By developing a variety of green energy solutions, we create a sustainable future for our energy provision, without damaging the world we all live in. Especially younger generations are increasingly likely to make purchase decisions based on values and principles. They are willing to pay more for sustainable products.
Using clean energy, act on climate, love nature are also just few of Good Life Goals*, set of personal actions that help everyone contribute to the UN Sustainable Development Goals, that have been shaped through a multi-stakeholder collaboration between educational institutions, governments, environmental organisations as well as UN Environment, UNESCO and WBCSD.
* https://sdghub.com/goodlifegoals/
WALK THE TALK: THE FIRST REGIONAL NET-0 EVENTHow can organisations contribute proactively to carbon neutrality?
In September 2022, the Institute for Strategic Solutions (ISR) is planning a NET-0 EVENT business forum. It will focus on the most crucial issue of our times – climate change. We will discuss ways in which both companies and individuals can mitigate the effects of climate change and reduce greenhouse gas emissions. The purpose of the event is to bring together key representatives from companies, politics, NGOs, and international agencies, together with innovators of breakthrough solutions and the financial community in a combined effort to try and find solutions to this serious and impending crisis.
Only by working together, can we succeed.
All relevant stakeholders agree that carbon neutrality and net-zero emissions are our key goals for the future. However, sectoral strategies vary, and seldom address the whole problem by failure to adequately align supply chains to their stategy, and by omitting to include the problems of transition – both of which are significant challenges. Therefore, we will aim to highlight these issues, through a series of articles from different platforms, prior to the business forum. Our obective is to equip readers with access to new ideas, good practice and integrated processes that are environmentally responsible and proactive in their quest for a positive future with net-zero emissions by 2050.