Post on 20-Apr-2018
Transities en innovaties
in het zorgstelsel
27 november 2014
15:00 uur Welkom door dagvoorzitter Prof. dr. Richard Janssen
15:10 uur Presentatie sprekers:• Carla Irene Koen• Femke de Boer en Beatrijs Voorneman• Freena Eijffinger
15:50 uur Discussie
16:45 uur Afsluiting en borrel
Programma
Prof. dr. Carla Koen
Transities en Innovation
in de Zorg
Onderwerpen
• De voorspelbaarheid van transities
• De betrokkenheid van de klant bij innovatie
• De logica van decentralisatie
• Radicalere of disruptieve innovaties vergen
nieuwe organisaties
Performance
Time
Emerging technology
Takeoff
Mature technology
Discontinuity
Design Competition SubstitutionNew Entrants
Dominant Design Selected
Elaboration of dominant design
Era of Incremental Change
Product Life Cycle/ S-Curve
Technology vs market evolution
Diffusion of the CAT scanner
0
100
200
300
400
500
Ship
me
nts
, units
1974 1975 1976 1977 1978 1979 1980
Year
CAT scanner shipments
Diffusions rates in the US for selected
consumer products
Source: Hall and Khan, New Economy Handbook, 2002.
Plugging new technologies into old business models has caused health care costs to rise rather than fall
Surg
ical
su
ites
Specialty care
Source: Jason Hwang, Innosight
Centralization followed by decentralization in computing
Source: Jason Hwang, Innosight
Copyright Clayton M. Christensen
Decentralization through disruption leads to accessibility
Pe
rfo
rma
nc
e
Time
Plan for next
minicomputer
60% on
$500,000
DEC
minicomputer
45% on
$250,000
40% 20%
on $2,000
Time
Incumbents dominate
sustaining battles
Entrants
typically win
at disruption
The decentralization that follows centralizationis only beginning in healthcare
Surg
ical
su
ites
Specialty care
Source: Jason Hwang, Innosight
Complexity of diagnosis and treatment
Time
Performance that patients need or can use
Disruptions of Health Care Institutions
Convenience clinics: location, timelyattention, transparent pricing
Six types:
Sources & magnitude of cost differences: Specialty vs. General Hospitals
9.02.7
751
$7,000$2,300
$6030$1600
$670$600
$300$100
General HospitalShouldice Hospital(hernia repair)
Cost of materials & supplies
Cost of direct labor
Overhead burden
Total cost for equivalent length of stay
# service families offered
Overhead burden rate
Complexity of diagnosis and treatment
Time
Performance that patients need or can use
Disruptions of Health Care Professions
UMC Utrecht
patients with dermatological problems are able to communicate the status of their problems electronically and to receive feedback
The use of web-based solutions as a driver of disruptive innovation
Meander MC, Amersfoort
diabetic patients communicate their blood- sugar-levels electronically, which reduces the number of face-to-face visits
Disruption is facilitated by [sophisticated] technology that makes things foolproof
Complex
Simple
Experimentation & problem-solving
Pattern recognition
Rule-Based
Copyright Clayton M. Christensen
- Healthcare
- Banking- Accountin
g- ...
Telehealth /
e-visits
Wireles
s health
devices
Hospital
at home
Wellness programs
Retail
clinics
Medical homes
and care teams
Telecommunications
Precision
diagnostics
A new ecosystem of disruptive business models must arise
Worksite
clinics
Automated
kiosks
Home
visits
Mobile care
services
Home
monitoring
Services while
traveling abroad
Information management
and decision-making tools
Source: Jason Hwang, Innosight
Femke de Boer en
Beatrijs Voorneman
10-15%
download temstem
Reframing Studio
Reframing
Reframing
Vision in Design
Paul Hekkert /
Matthijs van Dijk
Reframing Studio – Herstel van psychose door design
verantwoordelijkheidReframing
Reframing Studio – Herstel van psychose door design
dingen betekenisverantwoordelijkheid
Reframing
Reframing Studio – Herstel van psychose door design
gisteren nu toekomstdingen betekenisverantwoordelijkheid
Reframing
Reframing Studio – Herstel van psychose door design
innovatiegisteren nu toekomstdingen betekenisverantwoordelijkheid
Reframing
Reframing Studio – Herstel van psychose door design
Reframing Studio
herstel van psychosedoor designParnassia Groep /
Reframing Studio /
TU Delft
Reframing Studio – Herstel van psychose door design
schizofreen
Reframing Studio – Herstel van psychose door design
Reframing Studio – Herstel van psychose door design
Reframing Studio – Herstel van psychose door design
1. de aanpakker
motivatie, rol i.d. maatschappij
2. temstem
strijd met stemmen
3. project network
sociale re-integratie
herstel van psychosedoor design
Reframing Studio – Herstel van psychose door design
temstemeen appvoor mensendie stemmenhoren
Reframing Studio – Herstel van psychose door design
“We willen mensen die
stemmen horen een
betrouwbare toevlucht
bieden en hen zo in staat
stellen het contact met
de buitenwereld weer
aan te gaan.”
Reframing Studio – Herstel van psychose door design
temstem ≠ spel
Reframing Studio – Herstel van psychose door design
3 werkingsprincipes
1. activering taalgebied
2. werkgeheugen belasting
3. versterking zelfvertrouwen
Reframing Studio – Herstel van psychose door design
1. activering taalgebied
Reframing Studio – Herstel van psychose door design
taaltikker woordlink
Reframing Studio – Herstel van psychose door design
2. belasting werkgeheugen
Reframing Studio – Herstel van psychose door design
Reframing Studio – Herstel van psychose door design
3. versterking zelfvertrouwen
Reframing Studio – Herstel van psychose door design
Reframing Studio – Herstel van psychose door design
1. de aanpakker
motivatie, rol i.d. maatschappij
2. temstem
strijd met stemmen
3. project network
sociale re-integratie
herstel van psychosedoor design
Reframing Studio – Herstel van psychose door design
beatrijs@reframingstudio.com
femke@reframingstudio.com
www.reframingstudio.com
Met dank aan:
Eefke Barneveld, Marieke Hamming, Anne Bode, Mandy de Goederen, Mark van der Gaag, Nynke Tromp, Paul Hekkert,
Mara Rosendahl, Nishant Bhaskar, Viki Pavlic, TU Delft & alle zorggebruikers die mee hebben gewerkt aan het
ontwikkelen van temstem en de andere interventies
Freena Eijffinger
Fragment ‘Nerd in actie voor haar broer’
• 17 december 2014 Promotie Meriam JanssenSocial marketing in alcohol prevention:Intervention development for adolescents
• 9 januari 2015 Promotie Leonieke van BoekelStigmatization of people with substance use disorders
• 6 februari 2015 Ochtend-symposium 'Zorg in de Keten - Downsyndroom' Middag-symposium 'Antibody deficiency in the health care chain‘Oratie van prof. dr. Esther de Vries 'Verdwaald in de zorg?'
Kijk voor de volledige agenda op www.tilburguniversity.edu/tranzo
Agenda 2014 / 2015