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Innovations in Home care: How to learn from mistakes   Fall of the dinosaurs and rise of the mavericks: an analysis by business model logic.   Steven de Waal en Peter van Felius EHMA Annual Conference, 24-26 June 2009
Historical sketch: Mergers and Managerial Centralization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Our history in this field ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Policy Context: Two steering models in care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Actual strategic overview (2008/2009) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Our Research Questions ,[object Object],[object Object],[object Object],[object Object]
The 2 models of the 1991-study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Possible reasons for the lack of diversity in these mergers ,[object Object],[object Object],[object Object],[object Object],[object Object]
Why did the Dinosaurs wither and (some) die? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fall of the Dinosaurs (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Root cause analysis: a cross sectoral viewpoint  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Business model logic: where public value arises ,[object Object],[object Object],[object Object],[object Object],[object Object]
Rise of the mavericks:  Building Blocks of Buurtzorg homecare NEED INDICATION INFORMAL CLIENT NETWORK FORMAL CARE NETWORK CARE (PV/VP/ HV/OB) ADAPTIVE HELP DE- CARING Ms. Jansen Mr. De Vries CONTINUOUS PROCESS :   INTERACTIVE <> RECOMBINE  <> ITERATION  <>  TAILOR MADE ,[object Object],[object Object],[object Object],[object Object]
Business model of Buurtzorg:  Better and cheaper care, optimal public value VALUE PROPOSITION COST STRUCTURE CUSTOMER RELATIONSHIP TARGET CUSTOMER DISTRIBUTION CHANNEL VALUE CONFIGURATION CORE CAPABILITIES PARTNER NETWORK REVENUE STREAMS ,[object Object],[object Object],[object Object],[object Object],Optimal parnering with primary care, general practitioners and health insurers. Back to neighbourhoods and informal networks. Using ICT and 24h telephone service. selfsteering teams of nurses. Optimal backoffice ICT solutions to minimize bureaucacy. Adaptive and ‘presencing’ help, respecting the lifestyle, lifecourse and context of the client.  Only 8% overhead by using a network approach and modern techniques. Higher productivity, shorter througput-time making it more profitable.  Homecare customers,  need  based indication-proces, not care based. Higher qualified nurses with problemsolving skills. INFRASTRUCTURE CUSTOMER OFFER FINANCE
Conclusions for innovation in health care On a management level: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions for innovation in health care On a national level: ,[object Object],[object Object],[object Object],[object Object]
About The Public SPACE Foundation The  Public SPACE Foundation is the international knowledge and learning centre for  S trategies for  P ublic  A nd  C ivil  E ntrepreneurs. As an independent, nonpartisan ThinkTank we focus on complex and strategic interactions between government, civil organizations and industry for public purposes. On a non-profit base we develop and provide realistic, tailored innovative strategic solutions to all sectors contributing to the public domain. The results of our work are communicated to public and private decision-makers and to the general public by books, articles, debates, lectures and an interactive website. Public SPACE was founded in 2000 by Steven de Waal and has, in its short existence, built a reputation in developing and communicating leading edge strategies for and between established organizations for public purposes. Our Mission Our mission is to research and design innovative and sustainable strategies for the production of public services and collective goods. We want to contribute to  ’Winning strategies for the common good ’ characterized by an open non-ideological inquiry, an active international outlook for best practices and an interdisciplinary approach. The ThinkTank Our ThinkTank consists of prominent executives, academics, opinion leaders and decision makers operating in strategic frontiers of public/private corporations. They have backgrounds in all domains of public interest and in a broad range of organizations.

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Innovations in Home care: Rise of the mavericks and lessons from organizational failures

  • 1. Innovations in Home care: How to learn from mistakes Fall of the dinosaurs and rise of the mavericks: an analysis by business model logic. Steven de Waal en Peter van Felius EHMA Annual Conference, 24-26 June 2009
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  • 17. About The Public SPACE Foundation The Public SPACE Foundation is the international knowledge and learning centre for S trategies for P ublic A nd C ivil E ntrepreneurs. As an independent, nonpartisan ThinkTank we focus on complex and strategic interactions between government, civil organizations and industry for public purposes. On a non-profit base we develop and provide realistic, tailored innovative strategic solutions to all sectors contributing to the public domain. The results of our work are communicated to public and private decision-makers and to the general public by books, articles, debates, lectures and an interactive website. Public SPACE was founded in 2000 by Steven de Waal and has, in its short existence, built a reputation in developing and communicating leading edge strategies for and between established organizations for public purposes. Our Mission Our mission is to research and design innovative and sustainable strategies for the production of public services and collective goods. We want to contribute to ’Winning strategies for the common good ’ characterized by an open non-ideological inquiry, an active international outlook for best practices and an interdisciplinary approach. The ThinkTank Our ThinkTank consists of prominent executives, academics, opinion leaders and decision makers operating in strategic frontiers of public/private corporations. They have backgrounds in all domains of public interest and in a broad range of organizations.

Editor's Notes

  1. Op slide 2 staan notities over hoe je deze template kunt toepassen op bestaande presentaties. De input area van de beam kan zodanig aangepast worden dat het aansluit bij de inhoud van de presentatie. De input area is een AutoShape met een picture fill. Om dit aan te passen, dien je de afbeelding die je wilt gebruiken (bij voorkeur .jpg of .png formaat) opgeslagen te hebben op een plek waar je toegang tot hebt. De ratio dient wel 1:1 te blijven om te verzekeren dat het niet zal vervormen, Toegestane afbeeldingen om in te voegen in de input area van de beam zijn de 3 goedgekeurde figuren (strepen), en zwart-wit foto’s of illustraties die de richtlijnen gevolgd hebben zoals op de Branding Zone vermeld staan. Gekleurde afbeeldingen mogen hier nooit ingevoegd worden. De End slide is een duplicaat van de Master slide. Als je een figuur op de Titel slide hebt gebruikt, dien je datzelfde figuur te gebruiken voor de End slide. Als je een plaatje op de Titel slide hebt gebruikt, dien je datzelfde plaatje of een gelijkend plaatje te gebruiken voor de End slide. Het invoegen in de input area van de beam, doe je als volgt: Klik op View vanuit het menu en selecteer Master &gt;Slide Master Klik met je rechtermuis op de input area en selecteer Format AutoShape Vanuit het Fill gedeelte, in de Color and Lines tab, klik op het drop-down pijltje naast Color en klik op Fill Effects Vanuit de Picture tab, klik op Select Picture . Navigeer naar de folder waar jouw plaatje is opgeslagen. Selecteer het bestand, klik op Insert en zet een vinkje bij Lock picture aspect ratio . Klik op OK . Klik op de button Preview om te zien hoe het eruit zal komen te zien. Als je tevreden bent, klik je op OK om verder te gaan. Zo niet, herhaal dan bovenstaande stappen totdat je wel tevreden bent. Om de Master View te verlaten, klik je in het menu op View &gt; Normal . De aanpassing zal nu te zien zijn in de input area van de beam op de Titel slide.
  2. Pagina 25 januari 2011