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How to drive innovation with deep customer
understanding and job-to-be-done logic
1
No Pain — No Gain
Vendbridge at the Leadership in Health Care conference, Berlin September 8, 2016
We put the customer 

into your strategies
The world is changing fast
Source: http://vignette3.wikia.nocookie.net/39clues/images/3/38/Marie_Curie.jpg/revision/latest?
cb=20110103003654
2
Which role do consumers, users, patients, stakeholders play?
Source: Competitive Strategy In The Age Of The Customer, Forrester 2013
ǹ
Ɏ ƒ
Age of 

manufacturing
Age of 

distribution
Age of 

information
Age of the

customer
Beyond
1900 1960 1990 2010
|
Ǽ
3
Organizations
Biased
Generic No risk
Users
Trapped
There are some serious pitfalls
4
Strict separation between ‘user insight discovery’ and ‘innovation’
5
Source: Inspired by various design schools
USER DISCOVERY
Explore
user reality
Understand
user relevance
CUSTOMER FOCUSED INNOVATION
Create
choices
Make
choices
User
Point of
View
We use the Job-to-be-done approach, a proven, powerful concept
6
Source: http://www.claytonchristensen.com
To travel
To communicate

over distance
2000 BC 1500 1950 2000
User job Technology over time
2015
The idea is simple: Products come and go, ‘jobs’ stay forever
7
Thoughts shape the job-to-be-done, various solutions address it
8
Action, solutionExperience, perception, 

beliefs, knowledge, etc.
I never want to
depend on othersI do not want 

to get sick
I want to recover from
a disease quickly
Health 

check in a 

clinic
Young 

wife
Nutrition
Cruise ship
Wellness 

hotel
Personal 

disciplineDoctor
Gym
Personal 

coach
…
JOB-TO-BE-DONE
To stay
healthy
Influencer groups Core job (= goal)
User To lead a normal life
«Candidate» To regain hearing capabilities
Family To spend time with deaf loved ones
Audiologist To manage patients
Surgeon To implant device
Clinic To operate economically
Different influencers have different jobs-to-be-done, 

and therefore different pain points
Example of core
jobs around hearing

impairment
9
User experience journey Focus of solution
During exploration the core job is explored along a job map, which
embeds the decision for a solution into a user experience journey
10
Core Job: To regain hearing capabilities

Recognize issue Decide to solve Get information Evaluate options
• Value metric 1
• Value metric 2
• Value metric 3
• …
• …
• …
• …
• …
• …
• …
Enjoy hearing
Experience
difference
Learn usage Receive device
• …
• …
• Value metric n
• …
• …
• …
• …
• …
• …
• …
• …
• …
Key is a deep exploration at zero distance to the customer
11
Typically more than 200 user expectation metrics are
uncovered, all very specific
12
▪ Know as fast as possible when my child is not able
to hear

▪ Miss as few words as possible during a conver-
sation without reading lips

▪ Dress as normal people do, e.g., wearing a cap, a
helmet

▪ Pick up a phone call as quickly as possible

▪ …
Build-up # of expectations 

during explorative interviews
Examples of CFI Value Metrics 

around hearing impairment
Percentofexpectationscaptured
Number of individuals interviewed
0%
20%
40%
60%
80%
100%
0 5 10 15 20 25 30
2
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
9.0
10.0
0.0
 1.0
 2.0
 3.0
 4.0
 5.0
 6.0
 7.0
 8.0
 9.0
 10.0
Validate – to bet on the right things
13
Importance
Fulfilment
Pain points
Increase value
Essentials

Maintain value
Over-served

Reduce value
Sleepers

Monitor
to be able to use as many
head speakers available on
the market as possible
to miss as few words as
possible during a
conversation without reading
lips

to increase the choice of
color of the coil and/or
speech/sound processor
Median
Median
Source: Inspired by various design schools
USER DISCOVERY CUSTOMER FOCUSED INNOVATION
Explore
user reality
Understand
user relevance
Create
choices
Make
choices
User
Point of
View
Now the real work starts: from pain to gain
14
Holistic, deep understanding of the user reality + Pain Points 

= The most relevant user insights and users point of view
15
15
Source: fotolog.com
Setting priorities for ideas, 

innovation pipeline and patents

16
Improved dual microphone: 

Better speech understanding in noise
Automated T-coil: 

Allows using a phone easily
SmartSound Environment: 

Makes listening effortless in 

every acoustic environment
Remote assistant:
Gives confidence 

that system operates

as intended
BESTPRACTICE
Example: Cochlear Nucleus 5
Creating communication to 

customers that resonates much better
2006 2013Example: Cochlear / Cochlear SmartSound iQ website
BESTPRACTICE
17
What can happen when you 

listen to the young user carefully BESTPRACTICE
18
BEFORE AFTER
Example: GE Health Care
It’s all about the customer – true also in Health Care?
19
The only purpose of a business is
to create and keep a customer.
Peter Drucker
“
”
Leading to more
focus, and thus
better performance
Innovation hit rate
Market strategy
Sharpening 

value proposition
M&A targeting
Eye opener for the
organization
Discovery of a more
authentic user reality
• Jobs
• Journey / map
• Expectations
• Usage & behaviour
An understanding of the
true user alternatives
• Set of solutions
• Work arounds
Unbiased and
unfiltered view
Newly discovered,
prioritised from outside-in
• User pain areas
• Specific pains 

and gains
• Usage and 

habit pattern
Enabling strategic
reframing
(New) Business
opportunities and models
Existing and up-

coming competition
New customer insights,
to link product to user
Impact of CFI and JTBD thinking on strategy
Looking through the eyes of a user / customer / consumer
20
Final take aways
• Push for concrete over abstract when building the customer understanding
21
• Dig deep and systematic to bet on the right things
• Use the authentic user point of view as navigator for innovation
• Focus innovation to solve customers biggest pains, not to improve products and services
• Make sure your customer sits at your table when you define your strategy
✔
✔
✔
✔
✔
Thank you for your attention
22
Alice Sachova
Vendbridge AG

Dreikönigstrasse 47

8002 Zürich
Beat Walther
Vendbridge AG

Dreikönigstrasse 47

8002 Zürich
+41 43 243 6777 +41 43 243 6777
@Vendbridge @Vendbridge
alice.sachova@

vendbridge.com
beat.walther@

vendbridge.com
linkedin.com/in/

alice-sachova-

17875a12
linkedin.com/in/beatwalther

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No pain? No gain in innovation!

  • 1. How to drive innovation with deep customer understanding and job-to-be-done logic 1 No Pain — No Gain Vendbridge at the Leadership in Health Care conference, Berlin September 8, 2016 We put the customer 
 into your strategies
  • 2. The world is changing fast Source: http://vignette3.wikia.nocookie.net/39clues/images/3/38/Marie_Curie.jpg/revision/latest? cb=20110103003654 2
  • 3. Which role do consumers, users, patients, stakeholders play? Source: Competitive Strategy In The Age Of The Customer, Forrester 2013 ǹ Ɏ ƒ Age of 
 manufacturing Age of 
 distribution Age of 
 information Age of the
 customer Beyond 1900 1960 1990 2010 | Ǽ 3
  • 5. Strict separation between ‘user insight discovery’ and ‘innovation’ 5 Source: Inspired by various design schools USER DISCOVERY Explore user reality Understand user relevance CUSTOMER FOCUSED INNOVATION Create choices Make choices User Point of View
  • 6. We use the Job-to-be-done approach, a proven, powerful concept 6 Source: http://www.claytonchristensen.com
  • 7. To travel To communicate
 over distance 2000 BC 1500 1950 2000 User job Technology over time 2015 The idea is simple: Products come and go, ‘jobs’ stay forever 7
  • 8. Thoughts shape the job-to-be-done, various solutions address it 8 Action, solutionExperience, perception, 
 beliefs, knowledge, etc. I never want to depend on othersI do not want 
 to get sick I want to recover from a disease quickly Health check in a clinic Young wife Nutrition Cruise ship Wellness hotel Personal disciplineDoctor Gym Personal coach … JOB-TO-BE-DONE To stay healthy
  • 9. Influencer groups Core job (= goal) User To lead a normal life «Candidate» To regain hearing capabilities Family To spend time with deaf loved ones Audiologist To manage patients Surgeon To implant device Clinic To operate economically Different influencers have different jobs-to-be-done, 
 and therefore different pain points Example of core jobs around hearing
 impairment 9
  • 10. User experience journey Focus of solution During exploration the core job is explored along a job map, which embeds the decision for a solution into a user experience journey 10 Core Job: To regain hearing capabilities Recognize issue Decide to solve Get information Evaluate options • Value metric 1 • Value metric 2 • Value metric 3 • … • … • … • … • … • … • … Enjoy hearing Experience difference Learn usage Receive device • … • … • Value metric n • … • … • … • … • … • … • … • … • …
  • 11. Key is a deep exploration at zero distance to the customer 11
  • 12. Typically more than 200 user expectation metrics are uncovered, all very specific 12 ▪ Know as fast as possible when my child is not able to hear ▪ Miss as few words as possible during a conver- sation without reading lips ▪ Dress as normal people do, e.g., wearing a cap, a helmet ▪ Pick up a phone call as quickly as possible ▪ … Build-up # of expectations 
 during explorative interviews Examples of CFI Value Metrics 
 around hearing impairment Percentofexpectationscaptured Number of individuals interviewed 0% 20% 40% 60% 80% 100% 0 5 10 15 20 25 30
  • 13. 2 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 Validate – to bet on the right things 13 Importance Fulfilment Pain points Increase value Essentials Maintain value Over-served Reduce value Sleepers Monitor to be able to use as many head speakers available on the market as possible to miss as few words as possible during a conversation without reading lips to increase the choice of color of the coil and/or speech/sound processor Median Median
  • 14. Source: Inspired by various design schools USER DISCOVERY CUSTOMER FOCUSED INNOVATION Explore user reality Understand user relevance Create choices Make choices User Point of View Now the real work starts: from pain to gain 14
  • 15. Holistic, deep understanding of the user reality + Pain Points 
 = The most relevant user insights and users point of view 15 15 Source: fotolog.com
  • 16. Setting priorities for ideas, 
 innovation pipeline and patents
 16 Improved dual microphone: 
 Better speech understanding in noise Automated T-coil: 
 Allows using a phone easily SmartSound Environment: 
 Makes listening effortless in 
 every acoustic environment Remote assistant: Gives confidence 
 that system operates
 as intended BESTPRACTICE Example: Cochlear Nucleus 5
  • 17. Creating communication to 
 customers that resonates much better 2006 2013Example: Cochlear / Cochlear SmartSound iQ website BESTPRACTICE 17
  • 18. What can happen when you 
 listen to the young user carefully BESTPRACTICE 18 BEFORE AFTER Example: GE Health Care
  • 19. It’s all about the customer – true also in Health Care? 19 The only purpose of a business is to create and keep a customer. Peter Drucker “ ”
  • 20. Leading to more focus, and thus better performance Innovation hit rate Market strategy Sharpening 
 value proposition M&A targeting Eye opener for the organization Discovery of a more authentic user reality • Jobs • Journey / map • Expectations • Usage & behaviour An understanding of the true user alternatives • Set of solutions • Work arounds Unbiased and unfiltered view Newly discovered, prioritised from outside-in • User pain areas • Specific pains 
 and gains • Usage and 
 habit pattern Enabling strategic reframing (New) Business opportunities and models Existing and up-
 coming competition New customer insights, to link product to user Impact of CFI and JTBD thinking on strategy Looking through the eyes of a user / customer / consumer 20
  • 21. Final take aways • Push for concrete over abstract when building the customer understanding 21 • Dig deep and systematic to bet on the right things • Use the authentic user point of view as navigator for innovation • Focus innovation to solve customers biggest pains, not to improve products and services • Make sure your customer sits at your table when you define your strategy ✔ ✔ ✔ ✔ ✔
  • 22. Thank you for your attention 22 Alice Sachova Vendbridge AG
 Dreikönigstrasse 47
 8002 Zürich Beat Walther Vendbridge AG
 Dreikönigstrasse 47
 8002 Zürich +41 43 243 6777 +41 43 243 6777 @Vendbridge @Vendbridge alice.sachova@
 vendbridge.com beat.walther@
 vendbridge.com linkedin.com/in/
 alice-sachova-
 17875a12 linkedin.com/in/beatwalther