The document calls for a "reboot" of healthcare through disruptive innovation that focuses on the true needs of patients rather than sustaining the current system. It argues for solutions that engage patients directly and utilize technology to solve healthcare problems, not just digitize current processes. The focus should be on understanding the "job to be done" from the patient's perspective and competing at the individual patient or condition level through solutions that are easier and cheaper than the status quo.

1. Disruption: A Reboot of Healthcare! David Westfall Healthcare Innovation Tweet: @david_westfall david@westfalls.net

2. Current State of Affairs We spend more than anyone, yet get barely adequate results.

3. Forces of Change There is a confluence of forces combining to drive fundamental changes in healthcare

4. Missing the target Technology does not solve a problem in isolation Fundamental misunderstanding of the challenge, job to be done, or need. Incremental or “copying” a previous technology Market Forces not working Competition is considered a zero sum game Patient / Disease level vs. Hospital (Michael Porter, et al.) Building $B solutions? (Christensen, et al.) Data Overload More does not mean better! Primary customer – a person!

5. Healthcare is prime for Disruption Disruptive Innovation: Does not look to sustain current trajectory Often is initially inferior to current solutions Targets under or non consumers Targets the “job to be done” not the current solution!

6. Examples of Disruption Get from one spot to another Calculations Copy a form???

7. A Refocusing is Required! True Disruption Focus on the job to get done, not the current complaint Solutions focused on the Patient What is best for the recipient of the services A Patient is a real person Engage them in the way people communicate

8. Focus the Solution “Designing and Leading a Business”* Combining Design thinking, Diverse Skill Set Teams, and Business Acumen to Drive real advances! Primary focus is understanding the true job to be done! Christensen, Porter, Goetz Source: Arthur A. Boni, Laurie R. Weingart, Shelley Evenson 2009. Innovation in an Academic Setting: Designing and Leading a Business Through Market-Focused, Interdisciplinary Teams. Academy of Management Learning & Education, 2009, Vol. 8, No. 3, 407-417

9. Focus on the Patient! Compete at the patient / condition level Engage the patient with the right information, at the right time, at the right location Utilize technology that solves the problem Forget how it has “always been done”

10. Reboot! Instead of building the past, focus on the future Instead of zero sum solutions, truly compete Instead of digitizing current “stuff”, make it easier and cheaper to do what is already trying to be done

11. Reboot!! Instead of general hospitals, understand the different business models of solution vs. value add Instead of mountains of data, create systems of knowledge  Innovate while keeping the job to be done in mind!

12. Provide What Is Needed Healthcare should: Project clinical knowledge to anyone, to any anywhere, at any time, in an engaging and meaningful way Engage a person! And technology should follow the need

13. Summary Provide a new solution, not just a digital copy of what has already been done Engage the person as a person