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Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
Participatory Healthcare Innovation
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Participatory Healthcare Innovation

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Participatory Healthcare Innovation …

Participatory Healthcare Innovation
#med2 '10 MECC Maastricht

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  • Personal experience om innovating health care (product development) molded into aan method called PHI.
  • All missed requirements of missed stakeholders.
  • A rather strange career…
  • B&W because I like to make a statement.
  • I like to deposit this statement

  • Mankind desired to fly like a bird. Icarus tried.
  • Leonardo Da Vince tried.
  • Fokker tried en succeeded.
  • Fokker’s tryplane.

  • The gras on the other side of the hill always seems greener ? 8).
  • Innovation is at hand just because of the existing technologie.


  • The 1st incubator was build by a craftsman from St-Petersburg in 1835. Named Ruehl’s cradle after the court physician of czar Feodorowna.


    Heated by warm water. Combining humidity and temperatuur control in one!

    De eerste echte couveuse was uitgevonden door een handwerker uit Sint-Petersburg in 1835. Deze couveuse noemden ze een Ruehl'se wieg, genoemd naar de lijfarts van de tsarin Feodorowna. Het bedje lag in een bak met 10-12 liter warm water die iedere 2 uur werd vernieuwd. De 'couveuse' was van boven afgesloten met een doek. De temperatuur van het wiegje en van het water konden gemeten worden. De baby's lagen er aangekleed in.

    Bron: http://mediatheek.thinkquest.nl/~lld193/index.html

  • …and when the first engineer came around it suddenly became a spacecraft 8). Engineers took over healtcare innovation. And from that moment on it all went down the hill 8).
  • This realy is a nice design where mothers are waiting for.
  • … and more visible technology came around.


    Bron: http://www.medischerfgoed.nl/default.aspx

  • Conclusion is that we can develop almost everything. We just (only) have to specify what we like/ must innnovate.
  • For communication sake we need a standard format for a requirement.
    These attributes are only the most inportant ones.







  • Introduce the V-model (commonly used technique to gather requirements but never the less not widely used.

    1 two domains
    2. Requirement and its accaptence criteria
    3. Stakeholders spread over both domains but with different rolls.
  • Good practice with two projects of Reqcare since its startup.

  • Take stakeholders sirious.
  • Support on toilet to help the eldery to sit and stand up.

    Part I (fitted on the cot) support bracket with wheel
    Part II (fitted in the vihicle ) Folding Support
  • Support on toilet to help the eldery to sit and stand up.

    Part I (fitted on the cot) Bracket with wheel
    Part II (fitted in the vihicle ) Folding Support
  • A solution is at hand outside the box.
  • Transcript

    • 1. <br />Participatory Healthcare Innovation<br />PHI <br />
    • 2. >75% of ‘innovations’ fail. Why?<br /><ul><li>Failed to meetcustomerneeds
    • 3. Incorrect pricing
    • 4. To late to market
    • 5. Supplychain issues
    • 6. No new uniquevallue
    • 7. Incorrect forcast</li></ul>www.accenture.com<br />
    • 8. InnovationbarriersPolitics | Culture | PrivacyOrganisational | RegulationsJargon | Technologie…and more<br />
    • 9. Barriers to tackle:are NOT technological<br />
    • 10. Bio<br />Clark Nowack(www.reqare.com)<br />Instructoraircraft<br />systems<br />Trainer <br />database design<br />Lecturerhealth<br />care technologie<br />Health care product <br />development<br />
    • 11. Participatory Healthcare Innovationa Black&WhitePresentation<br />
    • 12. Health care (needs) basicallydo(es) notchangeTechnology does,rapidly, soinnovation is at hand<br />Statement<br />
    • 13. Icarus<br />
    • 14. Da Vincy<br />
    • 15. Fokker Spyder<br />
    • 16. Fokker Tryplane<br />
    • 17. Fokker F50<br />
    • 18.
    • 19. Basic ‘need’ is the desire to flylike a bird, and more, bigger, faster.WhiteInnovationat hand becauseof new technology<br />
    • 20. COUVEUSE<br />Sint-Petersburg in 1835<br />
    • 21.
    • 22.
    • 23.
    • 24.
    • 25. Basic ‘need’ is keepingthe infant a live(regulate damp and temperature)Innovationbytechnology<br />
    • 26. Conclusion:Explorewhat to innovateNOT how to innovate!(technologycertainly is at hand)<br />
    • 27. Butwithwhom?All requiredStakeholdersPatients | Family | Caretakers | Researchers | Business | Consumers | Developers | Engineers | End-users | IT Professionals | Friends | Ensurers | ...<br />
    • 28. don't understand what they want <br />won't commit to written requirements <br />insist on new requirements<br />communication is slow <br />do not participate in reviews<br />are technically unsophisticated <br />don't understand the development process<br />… <br />…typicalstakeholders...<br />
    • 29. Requirements engineeringengineer the needNOTthe solution‘Stakeholders are not capable to specifytheir needs unambiguous’. “they preach their own jargon” “no standardization”“mankind thinks in solutions”<br />
    • 30. A requirement and it’sattributes<br />Originator person whom raised this requirement<br />Event/ usecase / protocol the source of the requirement<br />Descriptiona onesentence statement of the intension of the requirement<br />Rationalea justification of the requirement<br />Fit for use criteria a measurement of the requirementsuchthatit is possible to test if the solution matches the originalrequirement<br />Source : www.systemsguild.com<br />
    • 31. Problem domain<br />V-model<br />Statement<br />of needs<br />Market<br />WHAT<br />Stakeholder<br />requirement<br />Acceptance test<br />HOW<br />System<br />test<br />System<br />requirement<br />Solution domain<br />Prototype<br />
    • 32. Good practice examples<br />
    • 33. Ambulance cotloading system<br />I want to beable to load a cotinto /unloadfroman ambulance vehicle without lifting.<br />I do not want to changethe existing procedure<br />I do not want to lose time<br />I …<br />
    • 34. Move-in (Cotloading system)patent 103741<br />Existing concept<br />
    • 35. Move-in (Cotloading system)patent 103741<br />
    • 36. Hydrotherapie & core stability<br />I want to beable to help more thenone cliënt at the time withhis/ her core stabilityhydrotherapyexercises.<br />Reasening: At the moment I am the mainstay in various exercises in water and as a result I can only treat one patient at a time. I cannot reduce the waiting list.<br />
    • 37. Core Stability Trainerpatent 1036505<br />Existing concept<br />
    • 38. Core Stability Trainerpatent 1036505<br />
    • 39. Participatory Healthcare Innovation<br />Specifyingthe problemwilllead<br />simplyto anexisting<br /><ul><li>out of the box-</li></ul>solution<br />www.reqcare.com<br />
    • 40. Solutions lay underneath<br />the ‘surface’<br />… Requirements in plain sight<br />End 23:16<br />www.reqcare.com<br />
    • 41. New projects (reqcare)<br />
    • 42. Vowel sound visualisation<br />I want to beable to practice speech anytimeanywhere at myownpace (client is deaf).<br />Follow me on twitter to <br />readabout a sollution<br />aroundfall 2011<br />clarknowack<br />
    • 43. Compressionstocking 2.0<br />I want to be able to put my compression stocking on (and of) by myself.<br />Without any extra tool/instrument<br />I want to be able to wearthe compression stockingin summer…<br /> clarknowack<br />
    • 44. Needs are timeless<br />… so are requirements<br />End 22:25<br />www.reqcare.com<br />

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