coproducing with disrupve paent : ongoing revoluon in ...€¦ · means of an open non-ideological...
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CentreonStrategiesforPublicandCivilEntrepreneurs
www.publicspace.nl
@stevendewaalDr.StevenP.MdeWaal
Coproducingwithdisrup0vepa0ent:Ongoingrevolu0oninhealthcare
IndustryforumHealthcare,Stockholm
October4th2017
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Our Mission Contribute to ’Winning strategies for the common good’ by means of an open non-ideological inquiry, an active international outlook for best practices and an interdisciplinary approach. The main mission is promoting active citizenship and social entrepreneurship in public services. Contribute
The ThinkTank Our ThinkTank has evolved into a Think Network. This 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.
ThePublicSPACEFounda0on,foundedin2004,(www.publicspace.nl/English)
Main messages and archive of publications on our website
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Outline
1. Commonknowledge:Disrup0onasastrategicphenomenoninmarkets2. Lackofstrategicthinkinginpoli0csandpublicservices:TheDisrup0ve
Ci0zen3. Thepowerandtoolsofthedisrup0vepa0ent4. Revolu0onsinhealthcareprovisionandorganiza0on
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Commonknowledge:Disrup0onasa
strategicphenomenoninmarkets
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Mostimportantissueinstrategy:Disrup0on
• MostrecentdefiniLon:Riseofnewandunexpectedcompe0tors,fromoutsidecurrentmarket,innova0veinandthroughtheirdirectaccesstoandexchangewithcustomers
• CommonConclusionunLlrecent:CEO’sseeitlast• DirectExchangeandRealTimeInforma0on&Communica0oniskey• EconomyandCompeLLondominatedanddictatedbyPlaTorms• Compe00onbetweenPlaTormsison:
sympathy,belonging,community-feeling,hands-onservice,feelingofbeing‘incharge’andeasytoolsforself-steering
• Themarketnowteachesitscustomersthesevalues
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Whatcustomersnowlearnandlearntoexpect• DirectrealLmeexchangeofprivateassets(AirBnB,Uber)• Directexchangeofpictures,movies,prices,references,reputaLons
(Booking.com)assupportinpersonalchoiceanddecisionmaking• ReputaLonoffirmsandownershipofassetsnoadvantagein
exchangeplaTorm• Relyonandtrustpeerreviews• Newnameofthegame:ownershipofpersonaldata
Increasedself-managementandpower:InformaLon,knowledge,friends,alliesandcolleaguesavailableandrealLmeatyourfingerLp(Feelingof)directobserva0on,directinforma0on,directchoice
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PlaTormeconomyhasalreadywon:
Also Theme Issue of Harvard Business Review, April 2016
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S0llincreasing(May2017)
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Notjustmarkets:Rise
ofthedisrup0veci0zen
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TheDisrup0veCi0zenIt’snotjusttechnology(‘stupid’),it’spower-andinforma0ontoolsandimpactonmentality!a. Shi]inrealpower
IncumbentpoliLciansseeitlast,poliLcalstart-upsalreadywinb. Shi]inmentality
Incumbentpublicservicesseeitlast,ciLzencooperaLvesbecauseofnewtechnologywinsome
PublicServicesaredelayingimpactbyusingprotec0onofstate,lawsandlobbies.Notsustainable:- Tradi0onalpoli0cshaslostrealpowerandwilllearnquickly;nore-elec0on
withoutlisteningtothenewpublicpower- Customersofthispublicserviceandcandemandchange- Publicdebateandreputa0oninthehandsofdirectchannels
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Myintroduc0oninDutchFinancialTimes,August2015
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Disrup0onofDemocracy• Indirectdemocracyisoutdated:tooslow,toomuchpolicy,notpersonal
enough.Urgentneedformoredirectdemocracy• Closed-doorpowergamesneedtorethink0mingandrhetoricsinpublic
debateanddirectchannels• Personality(Biography,Emo0ons,Style)anditsConsistencywiththe
messageofpoli0ciansiscrucial(ethosandpathos)*,becauseofmediaatyourfingerLp,directobservaLonbyciLzens,
• MuchlessimportantareclassicalcriteriawithinprofessionalcommunityofpoliLcians:experLse,network,negoLaLonskills,reasonablea\tude(HillaryClintonwasbe]erinallofthem!)
* BacktoAristoteles:Threerhetoricalelements:Ethos(VisibleandconsistentconnecLonbetweenspeaker,subjectandmessage),Pathos(AppealonPublic)andLogos(RaLonalArgumentaLon)
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Proofofnewmediaarena:Newdirectchannel
VictoryTrump:Step1: FamousonTVandsocialmediaStep2: NewspapershadtofollowStep3: Republicanpartyhadtofollow
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S0llstrongerexample:VictoryMacron:Step1:Ini0ateanewparty,5monthsbeforeelec0onStep2:Bigelectoralvictorywithnewlistofpoli0cians,avoiding
professionalpoli0cians
Economist, September 30th
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Thepowerandtoolsofthedisrup0vepa0ent&mainimpacton
healthcareorganiza0on
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MainimpactofDisrup0vePa0entonHealthcare
A.Newpower:1. Independentinforma0ongathering(knowledgeaboutdiseaseand
treatments,personaldata&medicalfiles)2. Choicebetweenprovidersandevenindividualprofessionalsbasedon
peerreviews3. Self-diagnosis&SharedDecisionmaking&IndividualCo-producing
B.Newmentality:4. Self-Monitoring&Personalmanagementofchainorganiza0on(from
hometohospitalandvv.)5. Collec0vePa0entandFamilyOrganizing&Pressureforco-produc0on
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Newprocessingandaccesstofiles:
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TheriseofAIasawaytoaccessoverloadinmedicaldata:
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Directaccesspa0entdata,beforethedoctor:
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Self-monitoringleadstominimumofambulantcareandmaximumathomedigitaliza0on:
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Evenpa0entbodiesbecomemachinepark:
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Ortheirhomes:
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Itmeansenormouslogis0calcentrestomanageandplanthetotalchain:
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Inlovewiththenewdoctor?