Transities en innovaties in het zorgstelsel 27 november 2014
Programma
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
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
Product Life Cycle/ S-Curve Mature technology Era of Incremental Change Elaboration of dominant design
Performance
Discontinuity Takeoff Dominant Design Selected
Emerging technology Design Competition Substitution New Entrants
Time
Technology vs market evolution
Diffusion of the CAT scanner CAT scanner shipments
Shipments, units
500 400 300 200 100 0
1974
1975
1976
1977 Year
1978
1979
1980
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
Surgical suites
Specialty care
Source: Jason Hwang, Innosight
Centralization followed by decentralization in computing
Source: Jason Hwang, Innosight
Decentralization through disruption leads to accessibility
DEC minicomputer 45% on $250,000
Performance
Incumbents dominate sustaining battles
Plan for next minicomputer 60% on $500,000
Time
Time
Entrants typically win at disruption
40% 20% on $2,000
Copyright Clayton M. Christensen
The decentralization that follows centralization is only beginning in healthcare
Surgical suites
Specialty care
Source: Jason Hwang, Innosight
Disruptions of Health Care Institutions Complexity of diagnosis and treatment
Performance that patients need or can use
Time
Convenience clinics: location, timely attention, transparent pricing
Six types:
Sources & magnitude of cost differences: Specialty vs. General Hospitals Shouldice Hospital (hernia repair)
General Hospital
Cost of materials & supplies
$100
$300
Cost of direct labor
$600
$670
Overhead burden
$1600
$6030
Total cost for equivalent length of stay
$2,300
$7,000
# service families offered
1
75
2.7
9.0
Overhead burden rate
Disruptions of Health Care Professions Complexity of diagnosis and treatment
Performance that patients need or can use
Time
The use of web-based solutions as a driver of disruptive innovation UMC Utrecht
Meander MC, Amersfoort
patients with dermatological problems are able to communicate the status of their problems electronically and to receive feedback
diabetic patients communicate their blood- sugar-levels electronically, which reduces the number of face-toface visits
Disruption is facilitated by [sophisticated] technology that makes things foolproof
Complex
Experimentation & problem-solving Pattern recognition
Rule-Based Simple
- Healthcar e - Banking - Accountin g - ... Copyright Clayton M. Christensen
A new ecosystem of disruptive business models must arise Wellness programs
Worksite clinics
Telecommunications
Mobile care services
Wireles s health devices
Telehealth / e-visits Hospital at home Automated kiosks
Precision diagnostics
Home monitoring Retail clinics
Information management and decision-making tools Home visits
Medical homes and care teams
Services while traveling abroad 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
verantwoordelijkheid
Reframing Studio – Herstel van psychose door design
Reframing
dingen betekenis verantwoordelijkheid
Reframing Studio – Herstel van psychose door design
Reframing
gisteren nu toekomst dingen betekenis verantwoordelijkheid
Reframing Studio – Herstel van psychose door design
Reframing
innovatie gisteren nu toekomst dingen betekenis verantwoordelijkheid
Reframing Studio – Herstel van psychose door design
Reframing Studio
Reframing Studio – Herstel van psychose door design
herstel van psychose door design Parnassia 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
herstel van psychose door design
1. de aanpakker
2. temstem
motivatie, rol i.d. maatschappij
strijd met stemmen
3. project network sociale re-integratie
Reframing Studio – Herstel van psychose door design
temstem een app voor mensen die stemmen horen 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
herstel van psychose door design
1. de aanpakker
2. temstem
motivatie, rol i.d. maatschappij
strijd met stemmen
3. project network sociale re-integratie
Reframing Studio – Herstel van psychose door design
[email protected] [email protected] 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
Reframing Studio – Herstel van psychose door design
Freena Eijffinger
Fragment ‘Nerd in actie voor haar broer’
Agenda 2014 / 2015
•
17 december 2014 Promotie Meriam Janssen Social marketing in alcohol prevention: Intervention development for adolescents
•
9 januari 2015
Promotie Leonieke van Boekel Stigmatization 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
