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“Our writing equipment
takes part in the forming
of our thoughts”




                            Friedrich Nietzsche
                            1844 - 1900
Innovatie in de zorg
Beleidsdag AMSTA



@martijnkriens
Partner Upstream
Martijn Kriens   Director Health-Lab
                 Board member IIP-SaaS
                 Founder Medical Data Recorder
Technologie in de zorg
Health-Lab
•  Platform on Care and ICT
  –  Care institutions, companies, Science and
     Government
  –  Sharing information and setting priorities
•  Living Lab locations
  –  Developement and test of user oriented solutions
  –  Fysical locations an real life
•  Education
  –  Impact on curricula
Village
Religion
Community
Changes in my parents lifetime
•  Families got dispersed
Changes in my fathers lifetime
•  Families got dispersed
Changes in my fathers lifetime
•  Families got dispersed

•  Increase of wealth
Changes in my fathers lifetime
•  Families got dispersed

•  Increase of wealth

•  Welfare state & pensions
Changes in my fathers lifetime
•  Families got dispersed

•  Increase of wealth

•  Welfare state

•  Anonymity in cities
Changes in my fathers lifetime
•  Families got dispersed

•  Increase of wealth

•  Welfare state

•  Anonymity in cities

•  Loss of public live
AWBZ
•  Great intentions
  –  Independent living, not dependent on charity
  –  Product of a social and civilized society…


•  Side effects
  –  Dependancy on professionals, less personal
  –  Explosion of costs
Growth AWBZ
The (near) future
  2025
  - 40% more demand
  - 20% less labor capacity


                                   ice s
                            e serv
                    of   car
               Need
                                           the
                                           care
                                           gap	

              Peop
                   le de
                          liver
                               ing c
                                    are
Twice the workload in
2025
Van
de
eeuw
van
mijn
vader
naar
de
eeuw
van
mijn
zoon
Mixed realities
                  Physical and Digital
Digital
space
Digital
Pub
900 million Digital Friends
Digital marketplace
Digital search
Digital hardware
Gebruik social media
                                          social media
    100

     90

     80

     70

     60

     50
                                                                              social media

     40

     30

     20

     10

     0
            20 - 34 jaar   35 - 49 jaar         50 - 64 jaar   65 jaar e.o.




Cijfers O&S Amsterdam, Februari 2012
Stijging internet thuis 2006-2010
 30%




 25%




 20%




 15%
                                                                                           Series1



 10%




 5%




 0%
       16-24 jaar   25-34 jaar   35-44 jaar   45-54 jaar   55-64 jaar   65 jaar en ouder
Uren Internet per dag
  4


 3.5


  3


 2.5


  2
                                                                   Series1

 1.5


   1


 0.5


  0
       20 - 34 jaar   35 - 49 jaar   50 - 64 jaar   65 jaar e.o.
Neelie Kroes
ICT radically alters how people
  inhabit the world, how they
 interact, how they perceive
the world around them: indeed,
 it is changing what it is to be a
     human being in society.
Neelie Kroes
      ICT radically alters how people
        inhabit the world, how they
       interact, how they perceive
      the world around them: indeed,
       it is changing what it is to be a
           human being in society.

http://www.europa-nu.nl/id/viskg1vdzwxf/nieuws/toespraak_eurocommissaris_kroes_over?ctx=vig9egsodqzy
Sherry Turkle
Immersion?
Social?
Not just the
                               technology

People helping each other is scalable
-  Customers
-  Patients
-  …
Direct
  communication
from politician and
  with politicians
The Paradigm Shift for LEGO


                   From                         To
 100 LEGO designers ave. age 29   1,000,000 LEGO designers ave.age 9

 300 new LEGO sets p.a.           3,000,000 new LEGO sets p.a.

  Predefined, individual          Self-selected, interactive and
  LEGO (play) experiences         social LEGO (play) experiences

 Trying to understand Consumers   KNOWING the consumer

  Only product innovation         Also PROCESS innovation

                                  Product & SERVICE and
  Product revenue streams         EXPERIENCE revenue streams


 Bron: Sophie Jenkins
The Paradigm Shift for LEGO




    Past consumer experience:

       LEGO defined                           Experience




     Future consumer experience:

       LEGO defined     Consumer Experience




 Bron: Sophie Jenkins
InnoCentive
Age   Rooms       Hotels Countries
Couchsurfing           8    1.200.000             237
Intercontinental      60    645.000     4400      100
Accor                 43    500.000     4100      90
Hilton                90                3400      79
Marriott              50                3000      67




Source: Robin Chase
Urban Photo collective
Digital shared space
Buurtzorg en ICT
Broadcast
Community
Many2Many
(1 − z3 / 6) / (z − z2 / 2)2 + c
Hidden Themes
•    (Unlimited) Scalability/Adaptability
•    (Ubiquitous) Communication
•    (Seamless) Cooperation
•    (Realtime) Anytime, Anywhere
•    (Maximum) Transparency




                                 (1 − z3 / 6) / (z − z2 / 2)2 + c
From
Institution centric

        To

  People centric
76
We choose to go to the moon. We choose to
    go to the moon in this decade and do the
    other things, not because they are easy, but
    because they are hard, because that goal
    will serve to organize and measure
    the best of our energies and skills,
    because that challenge is one that we are
    willing to accept, one we are unwilling to
    postpone, and one which we intend to win,
    and the others, too.
http://er.jsc.nasa.gov/seh/ricetalk.htm
We choose to go to the moon. We choose to
    go to the moon in this decade and do the
    other things, not because they are easy, but
    because they are hard, because that goal
    will serve to organize and measure
    the best of our energies and skills,
    because that challenge is one that we are
    willing to accept, one we are unwilling to
    postpone, and one which we intend to win,
    and the others, too.
http://er.jsc.nasa.gov/seh/ricetalk.htm
79
Zorg en ICT   80
2025	




                                                       2020	



                                                       2015	


                                                       2013	

Organisatie	

   Regelgeving	

 Technologie	

 Onderwijs
Doelstelling
         In 2025 is
  iedere Amsterdammer
in staat om zelf de regie te
 voeren zijn of haar zorg
Gevolgen
•  Diensten in plaats van Stenen

•  Professioneel en Informeel

•  Lokaal in plaats van Centraal

•  (Sociale) technologie
Nieuwe diensten
•  Overvloedige capaciteit delen
  –  BuzzCar, Couchsurfing
•  Transparantie door peer review
  –  Marktplaats, Amazon, eBay
•  Gebruikers grootschalig laten meedenken
  –  InnoCentive, Lego, Quirky
•  Communities mee laten sturen
  –  PatientsLikeMe, MijnZorgNet
•  …
Perpectieven AMSTA
•  Uitgaande van de aanwezigheid van Amsta in Amsterdam,
   richten we ons op het verbreden van het aanbod in de
   volgende buurten:
•  - Gaasperplas /Nellesteinbuurt
•  - Watergraafsmeer/ Jeruzalem
•  - Plantage buurt/ Oostelijke Eilanden/Czaar Peterbuurt
•  - Centrum/ Nieuwmarktbuurt
•  - De Pijp
•  - Vondelparkbuurt
•  - Oud-West /Fred. Hendrikbuurt
•  - Geuzenveld
•  - Slotervaart /Hemsterhuisbuurt
•  - Osdorp /Wildemanbuurt
Nieuwe diensten AMSTA
•  Bedenk een aantal nieuwe diensten
  –  Gericht op de wijk
  –  Eigen regie
  –  Schaarste arbeid


•  1 idee per blaadje
•  Mag best wild zijn
Vragen?


martijn@upstream.nl, @martijnkriens
Centralised   Distributed   De-Centralised




                                        Rand
From Pyramids to Pancakes
“If the Pyramid era was about
accountability, management, planning and
controlling, then the Pancake is about
responsibility, questioning, learning and
creating.”

                             Josephine Green
   Senior Director Trends and Strategy at Philips
                                          Design
Robert
Coase




         The Nature of the Firm (1937)
Transaction cost & Firm size




  Breakup in logical and more
  consistent units
Models for
                    cooperation
                        Theatre production model



Common interest model
Blackboard organisation



              Data
New organisation models
Markets
          aanbod   vraag
Beleidsdag amsta 5 Juni 2012

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Beleidsdag amsta 5 Juni 2012

  • 1. “Our writing equipment takes part in the forming of our thoughts” Friedrich Nietzsche 1844 - 1900
  • 2. Innovatie in de zorg Beleidsdag AMSTA @martijnkriens
  • 3. Partner Upstream Martijn Kriens Director Health-Lab Board member IIP-SaaS Founder Medical Data Recorder
  • 5.
  • 6. Health-Lab •  Platform on Care and ICT –  Care institutions, companies, Science and Government –  Sharing information and setting priorities •  Living Lab locations –  Developement and test of user oriented solutions –  Fysical locations an real life •  Education –  Impact on curricula
  • 7.
  • 11.
  • 12.
  • 13. Changes in my parents lifetime •  Families got dispersed
  • 14. Changes in my fathers lifetime •  Families got dispersed
  • 15. Changes in my fathers lifetime •  Families got dispersed •  Increase of wealth
  • 16. Changes in my fathers lifetime •  Families got dispersed •  Increase of wealth •  Welfare state & pensions
  • 17. Changes in my fathers lifetime •  Families got dispersed •  Increase of wealth •  Welfare state •  Anonymity in cities
  • 18. Changes in my fathers lifetime •  Families got dispersed •  Increase of wealth •  Welfare state •  Anonymity in cities •  Loss of public live
  • 19. AWBZ •  Great intentions –  Independent living, not dependent on charity –  Product of a social and civilized society… •  Side effects –  Dependancy on professionals, less personal –  Explosion of costs
  • 21. The (near) future 2025 - 40% more demand - 20% less labor capacity ice s e serv of car Need the care gap Peop le de liver ing c are
  • 24. Mixed realities Physical and Digital
  • 31.
  • 32. Gebruik social media social media 100 90 80 70 60 50 social media 40 30 20 10 0 20 - 34 jaar 35 - 49 jaar 50 - 64 jaar 65 jaar e.o. Cijfers O&S Amsterdam, Februari 2012
  • 33. Stijging internet thuis 2006-2010 30% 25% 20% 15% Series1 10% 5% 0% 16-24 jaar 25-34 jaar 35-44 jaar 45-54 jaar 55-64 jaar 65 jaar en ouder
  • 34. Uren Internet per dag 4 3.5 3 2.5 2 Series1 1.5 1 0.5 0 20 - 34 jaar 35 - 49 jaar 50 - 64 jaar 65 jaar e.o.
  • 35.
  • 36.
  • 37. Neelie Kroes ICT radically alters how people inhabit the world, how they interact, how they perceive the world around them: indeed, it is changing what it is to be a human being in society.
  • 38. Neelie Kroes ICT radically alters how people inhabit the world, how they interact, how they perceive the world around them: indeed, it is changing what it is to be a human being in society. http://www.europa-nu.nl/id/viskg1vdzwxf/nieuws/toespraak_eurocommissaris_kroes_over?ctx=vig9egsodqzy
  • 42. Not just the technology People helping each other is scalable -  Customers -  Patients -  …
  • 43. Direct communication from politician and with politicians
  • 44.
  • 45.
  • 46. The Paradigm Shift for LEGO From To 100 LEGO designers ave. age 29 1,000,000 LEGO designers ave.age 9 300 new LEGO sets p.a. 3,000,000 new LEGO sets p.a. Predefined, individual Self-selected, interactive and LEGO (play) experiences social LEGO (play) experiences Trying to understand Consumers KNOWING the consumer Only product innovation Also PROCESS innovation Product & SERVICE and Product revenue streams EXPERIENCE revenue streams Bron: Sophie Jenkins
  • 47. The Paradigm Shift for LEGO Past consumer experience: LEGO defined Experience Future consumer experience: LEGO defined Consumer Experience Bron: Sophie Jenkins
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57. Age Rooms Hotels Countries Couchsurfing 8 1.200.000 237 Intercontinental 60 645.000 4400 100 Accor 43 500.000 4100 90 Hilton 90 3400 79 Marriott 50 3000 67 Source: Robin Chase
  • 58.
  • 59.
  • 60.
  • 61.
  • 63.
  • 65.
  • 66.
  • 67.
  • 69.
  • 73. (1 − z3 / 6) / (z − z2 / 2)2 + c
  • 74. Hidden Themes •  (Unlimited) Scalability/Adaptability •  (Ubiquitous) Communication •  (Seamless) Cooperation •  (Realtime) Anytime, Anywhere •  (Maximum) Transparency (1 − z3 / 6) / (z − z2 / 2)2 + c
  • 75. From Institution centric To People centric
  • 76. 76
  • 77. We choose to go to the moon. We choose to go to the moon in this decade and do the other things, not because they are easy, but because they are hard, because that goal will serve to organize and measure the best of our energies and skills, because that challenge is one that we are willing to accept, one we are unwilling to postpone, and one which we intend to win, and the others, too. http://er.jsc.nasa.gov/seh/ricetalk.htm
  • 78. We choose to go to the moon. We choose to go to the moon in this decade and do the other things, not because they are easy, but because they are hard, because that goal will serve to organize and measure the best of our energies and skills, because that challenge is one that we are willing to accept, one we are unwilling to postpone, and one which we intend to win, and the others, too. http://er.jsc.nasa.gov/seh/ricetalk.htm
  • 79. 79
  • 81. 2025 2020 2015 2013 Organisatie Regelgeving Technologie Onderwijs
  • 82. Doelstelling In 2025 is iedere Amsterdammer in staat om zelf de regie te voeren zijn of haar zorg
  • 83. Gevolgen •  Diensten in plaats van Stenen •  Professioneel en Informeel •  Lokaal in plaats van Centraal •  (Sociale) technologie
  • 84. Nieuwe diensten •  Overvloedige capaciteit delen –  BuzzCar, Couchsurfing •  Transparantie door peer review –  Marktplaats, Amazon, eBay •  Gebruikers grootschalig laten meedenken –  InnoCentive, Lego, Quirky •  Communities mee laten sturen –  PatientsLikeMe, MijnZorgNet •  …
  • 85.
  • 86. Perpectieven AMSTA •  Uitgaande van de aanwezigheid van Amsta in Amsterdam, richten we ons op het verbreden van het aanbod in de volgende buurten: •  - Gaasperplas /Nellesteinbuurt •  - Watergraafsmeer/ Jeruzalem •  - Plantage buurt/ Oostelijke Eilanden/Czaar Peterbuurt •  - Centrum/ Nieuwmarktbuurt •  - De Pijp •  - Vondelparkbuurt •  - Oud-West /Fred. Hendrikbuurt •  - Geuzenveld •  - Slotervaart /Hemsterhuisbuurt •  - Osdorp /Wildemanbuurt
  • 87. Nieuwe diensten AMSTA •  Bedenk een aantal nieuwe diensten –  Gericht op de wijk –  Eigen regie –  Schaarste arbeid •  1 idee per blaadje •  Mag best wild zijn
  • 88.
  • 90. Centralised Distributed De-Centralised Rand
  • 91. From Pyramids to Pancakes
  • 92. “If the Pyramid era was about accountability, management, planning and controlling, then the Pancake is about responsibility, questioning, learning and creating.” Josephine Green Senior Director Trends and Strategy at Philips Design
  • 93. Robert Coase The Nature of the Firm (1937)
  • 94. Transaction cost & Firm size Breakup in logical and more consistent units
  • 95. Models for cooperation Theatre production model Common interest model