This document discusses the need for pharmaceutical companies to build ecosystems to address "wicked problems" in healthcare. It notes that ecosystems require collaboration between many stakeholders to find solutions. It also highlights some trends in digital therapeutics, focusing on patients and providers, and issues around data governance. The document advocates that pharmaceutical companies get out of their buildings through various programs like innovation labs and hackathons to collaborate externally and build ecosystems.

1. An initiative managed by BaselArea.swiss in close collaboration
with the Canton of Basel-Stadt
Healthcare 4.0: Ecosystems!
NGN MSD Tech Talk, April 2019
frank.kumli@baselarea.swiss

2. Ecosystems!
Source: McKinsey

3. The Pharma Doomsday slide
Changing market dynamics!
End market? Sales growth?
Reputation? IRR?
Sources: icosystem, IQVQ, Edelman, KPMG

4. The Pharma Doomsday slide
The Kodak moment?
Source: Medium

5. The Pharma upside slide
An industry in transformation!
Source: EY

6. ©
Trend 1
Beyond the Pill - Digital Therapeutics
Source: mobihealthnews

7. Trend 2
Towards the Patients (and Tech)!
Source: mobihealthnews

8. Trend 3
Towards Providers (and Payors)!
Sources: trialsitenews, navify

9. What we need to get right 1
Customer centricity and Personal Data
Sources: nature, fastcompany

10. What we need to get right 2
Banking on Health!
Sources: nature, goinvo

11. What we need to get right 3
Data Governance
Source: nesta

12. It is hard!
Source: brandinginasia

13. ©
Why is it so hard?
Healthcare issues are wicked!
Wicked Problems are best addressed through a
collaborative approach
Collaboration is relevant when
• Problems have many
stakeholders amongst whom
power is dispersed
• Part of the solution involves
sustained behavioural
change by many
stakeholders
• There is a win-win view of
problem- solving
Key challenges are
• Increased transaction costs
• Skills of collaboration are in
limited supply
• Collaboration can end poorly
(and harden positions)
Key advantages are
• Higher stakeholder
commitment
• More comprehensive and
effective solutions
• Fewer resources having to
be used by any one
stakeholder.
Sources: MIT, enablingchange

14. ©
Why is it so hard?
Culture is the hardest to achieve
Source: McKinsey

15. ©
Why is it so hard?
It is still (very) comfortable
Source: leanstartupconf

16. Getting out of the building
Innovation labs, Hackatons, Accelerators, Incubators

17. Getting out of the building
In a structured way!
Innovation
Training
Design Sprint
Internal
Accelerator
Community
of practice
Center of
Excellence
Internal
Incubator
Innovation
Lab
Innovation
Transforma
tion
Co-creation
session
External
Hackathon
External
Accelerator
Co-
experimenta
tion
Co-
Development
External
Incubator
Venture FundPartnership
External FocusInternal Focus
Low Investment
High Investment
Source: adapted from boardofinnovation

18. DayOne
Building a Healthcare Innovation ecosystem

19. Ecosystems!
Source: McKinsey

20. Contact:
frank.kumli@baselarea.swiss
www.dayone.swiss

21. References
https://www.mckinsey.com/business-functions/strategy-and-corporate-finance/our-insights/the-strategy-and-corporate-finance-blog/if-youre-not-building-an-ecosystem-chances-are-your-
competitors-are
http://www.icosystem.com/simplifying-the-complexity-of-healthcare/
https://www.iqvia.com/institute/reports/the-global-use-of-medicine-in-2019-and-outlook-to-2023
https://www.edelman.com/sites/g/files/aatuss191/files/2018-10/Edelman_Trust_Barometer_Healthcare_brochure_2018.pdf
https://www.baselaunch.ch/wp-content/uploads/2019/02/KPMG-r-and-d-2030-reinvent-innovation.pdf
https://medium.com/@brand_minds/why-did-kodak-fail-and-what-can-you-learn-from-its-failure-70b92793493c
https://assets.ey.com/content/dam/ey-sites/ey-com/en_gl/topics/digital/ey-when-the-human-body-is-the-biggest-data-platform-who-will-capture-value.pdf
https://www.mobihealthnews.com/content/pear-therapeutics-novartis-announce-commercial-launch-reset
https://www.mobihealthnews.com/content/apple-jj-partner-multi-year-study-apple-watchs-health-features
https://www.trialsitenews.com/pharmawatch-pfizer-ochsner-team-up-for-digital-clinical-trial-innovation
https://navify.eu
https://www.nature.com/articles/s41746-019-0084-2/
https://www.fastcompany.com/90310803/here-are-the-data-brokers-quietly-buying-and-selling-your-personal-information
https://www.nature.com/articles/s41587-019-0069-3
https://www.goinvo.com/vision/health-visualizations
https://www.nesta.org.uk/blog/new-ecosystem-trust/
https://brandinginasia.com/95-of-digital-transformation-projects-will-fail/
http://web.mit.edu/jrankin/www/engin_as_lib_art/Design_thinking.pdf
http://www.enablingchange.com.au/wickedproblems.pdf
https://www.mckinsey.com/industries/pharmaceuticals-and-medical-products/our-insights/barriers-to-digital-at-scale-shifting-the-focus-from-tech-to-culture
https://www.slideshare.net/LeanStartupConf/ten-ways-to-get-out-of-the-building
https://www.novartis.com/our-science/novartis-biome
https://media.bayer.com/baynews/baynews.nsf/id/Bayer-is-taking-collaboration-with-health-care-start-ups-to-the-next-level
https://leoinnovationlab.com
https://www.s-ge.com/en/article/news/20174-roche-kaiseraugst
https://innovationcenter.merckgroup.com/get-involved/hackathon/
https://www.sandoz.com/making-access-happen/sandoz-hack-healthcare-access-challenge
https://www.msdinnovationfactory.com
https://www.boardofinnovation.com/tools/innovation-matrix/