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Strategy
Health
2017
connecting
innovators
On innovation…
There is nothing more difficult to take in hand, more perilous to
conduct, or more uncertain in its success, than to take the lead in the
introduction of a new order of things. For the reformer has
enemies in all those who profit by the old order, and only lukewarm
defenders in all those who would profit by the new order, this lukewarmness arising partly
from fear of their adversaries … and partly from the incredulity of
mankind, who do not truly believe in anything new until
they have had actual experience of it.
2 Machiavelli, 1532, Il Principe
On innovation – the twitter version
3
Health is in transition
4
Lifestyle
diseases
eHealth &
connectivity
Spread
of
technology
Healthy
living
Health is in transition
5
Where Dutch healthcare is good – and too expensive…
0,0
20,0
40,0
60,0
80,0
100,0
19
93
19
95
19
97
19
99
20
01
20
03
20
05
20
07
20
09
20
11
20
13
20
13…
% public expenditure
Belgium
Germany
Netherlands
United Kingdom
United States
OECD AVERAGE-5,0
0,0
5,0
10,0
15,0
20,0
25,0
Growth in %/year
OECDAVERAGE
United States
United Kingdom
Netherlands
Germany
0,0
5,0
10,0
15,0
20,0
19
92
19
94
19
96
19
98
20
00
20
02
20
04
20
06
20
08
20
10
20
12
Expenditure in % GDP
Germany
Netherlands
United Kingdom
United States
Belgium
OECD AVERAGE
Sourc
es: E
HC
I &
OE
CD
6
…we differentiate by investing in prevention
7
Ad
apte
d f
orm
Jes
sica
Mei
jer
(Jan
sen
Pre
ven
tio
n C
ente
r)
15
25
35
45
55
65
75
85
95
1975 1980 1985 1990 1995 2000 2005 2010 2015 2020
ag
e Life Expectancy
Diagnosis chronic disease
Years with chronic illness
Intermezzo – Dutch Healthcare system & Innovation
8
Government
Patient / consumer
Care Provider Payer (3 different ones)
Innovator
Embedded in the Amsterdam Economic Board…
9
Digital
connectivity
Circular
economy
Health Mobility Talents of
the Future
Government
Business Knowledge
institutions
Regional
cooperation Challenges
10
…our assignment is a healthier life
Ambition
Inhabitants of the Amsterdam Metropolitan
Area will have gained two healthy life years
by 2025.
Focus
Staying healthy and prevention of diseases.
Mission
We are on a collective journey to shape the
healthiest region in the world and to help
eradicate the chronic disease burden.
We contribute to a healthier future where:
Each day brings us new knowledge and ideas on staying healthy
All health interventions are logged, analysable, and add to the body of knowledge that we have,
supporting our physicians
Each and every case of disease helps us understand the disease development better – and
brings us closer to preventing it
Good health and prevention of disease will be the norm
Democratisation of medical knowledge helps reduce health inequality
Health is truly personal
…and by building on the region’s strongholds in health and analytics…
12
Roland
Berger /
Johnson &
Johnson
research2guidance
Urban
Innovation
Network
& Elsevier
Netherlands
amongst first
choice countries
for market
readiness score
and developer
index
Prevention is
becoming the key
to the portfolios of
food and personal
care, medical
devices and
pharmaceutical
companies
11x Comparator
Cities: Amsterdam, Barcelona,
Berlin, Brussels,
Copenhagen, Dublin,
Hamburg, Madrid,
Manchester, Stockholm,
Vienna
- Some examples -
13
…and focussing on 4P Health initiatives.
Personal – tailored to the individual’s unique situation
and characteristics
Preventive – staying healthy and avoiding
deterioration of quality of life
Predictive – increasing amounts of data and better
analyses prospectively indicate effectiveness and
added value of interventions
Participative – health is personal – so the individual
should be at the center – and is experienced in a
living, working and social environment that influences
health. In addition, individual data added to the body of
knowledge will help understand disease.
personal preventive
participate predictive
We manage this from the Board…
Chairman
Boardmembers
Eberhard van der Laan Mayor of Amsterdam and chairman
Amsterdam Economic Board &
Amsterdam Network Council
Government
Jaap Bond Councillor Province Noord
Holland
John Nederstigt Councillor municipality
Haarlemmermeer
Kajsa Ollongren Councillor municipality
Amsterdam
Dennis Straat Councillor municipality
Zaanstad
Franc Weerwind Mayor municipality
Almere
Knowledge Institutions
Geert ten Dam Chair Board of Directors
University of Amsterdam
Jacqueline Cramer Director Utrecht Sustainability
Institute
Jaap Winter Chair Board of Directors VU
University Amsterdam
Companies
Harry van Dorenmalen Chairman IBM Europe
Hans Fischer Sitemanager & CTO Tata Steel
Europe
Hans Bakker Chair VNO-NCW Metropole
Amsterdam
Chris Heutink Board of Directors Randstad
Groep Nederland
Dick Kuiper CEO Koninklijke Verkade N.V.
Marcel van Loo Regional Managing Partner
Financial Services for EMEIA at EY
Henk Markerink CEO Amsterdam ArenA
Jos Nijhuis President-directeur Schiphol
Group
Yuri Sebregts EVP Innovation and R&D, and
CTO, Shell
Lucas Vos CEO FloraHolland
Team Health
Harry van
Dorenmalen
Challenge Lead
Arnoud Verhoeff Ellen Maat Jeroen Maas
Contact person Sietse Dugour
Board organisation Strategy | Business Connectors | Communication
… in collaboration with the strong health ecosystem.
Sounding Board
of >40 experts
Tier 2 Tier 4
Team Health
Tier 1
Jeroen Maas
Contact person
Arnoud Verhoeff
Sietse Dugour
Harry van
Dorenmalen
Challenge Lead
Ellen Maat
Amsterdam Health
Community
Tier 3
Existing collaborations
Our approach is straight-forward…
connect grow identify Insight to Opinion to Ambition to
(inter) national
networks
hubs
> 300 org’s
AMA
strategy
Scale
replicate
impact
Infra Select &
Develop
initiatieven
19
partners
210
investeringen
€ 8 miljoen
verkennen/onderzoeken
initiëren
aanjagen mobiliseren
platform geven
uitvoeren
0
12
ontwikkel start uitvoering gerealiseerd
fase
rol board
… and delivers results.
Example result on a European level…
19
“Being a reference site means that
regional alliances – that encompass
government authorities, industry and
start-ups, research organisations and
civil society – are recognised for
demonstrating excellence in the
implementation and scaling up of the
most innovative products and
services designed to meet the needs
of their ageing populations.”
…on the national level…
… and on the regional level.
Prosthesis with
feedback Personalised
Medicine
Decision support
System & improved
diagnosis
ACTA
Dental
Simulator
Prevention insured
Virtual
hospital
Health Tech
Park
Quadruple Helix
research for health
NeuroTech-NL
We add value throughout our approach…
• We know the ecosystem and its value
• We define a regional strategy for infra, data & trust development
• We have a vast network within the AMA
• We connect the AMA to national and international networks
• We select quality and showcase it
• We bind innovators through the platform Amsterdam Health, meet-ups
and discussions
• We provide a podium for selected innovators
• We have expertise on building public-private-academic coalitions
• We are an independent intermediary that stimulates collaboration
among and between between public and private partners
• We inspire
• We push for system changes
Insight to
identify
Opinion to
connect
Ambition to
grow
> 300
org’s (inter)
National
networks AMA
strategy
Select &
Develop
Scale
Replicate
Impact
Infra
… and 2017 will bring us further
Q1 - 2017 Q2 2017 Q4 2017
Succesful eHealth mission to
Bayern
Dialogue organised between
municipality & medical insurers
Healthcare Innovation Award
Zorg2025 convention (twice)
VBHC day + future plan
Planning Iconic project
Paitient data day (GGD)
• Involving broader community
through events and roundtables
• H2020 sounding board
Zorg2025 convention
eMerce eHealth
2 extra European consortia formed
Zorg2025 convention
Overview AHA in the AMA
H2020 sounding board Topsector connected
H2020 sounding board
Academic hospital’s research
centers collaboration on business
devt
Mental Care ‘Holland Lab’
Q3 2017
Topsector connected
H2020 sounding board
Academic hospital’s research
centers collaboration on business
devt
What we think is needed to accelerate innovation:
Focus on the customer/patient journey to improve health
Trusted governance structures for an individual’s data to speed up
knowledge creation
A health system built on value-based care instead of fee for service
A core infrastructure that connects health devices and enables health
data managemen
Blockchain as a governance mechanism to unlock the personal data
revolution
Artificial Intelligence as a tool to allow for multi-modal modelling, and
speed up and improve diagnosis
The courage to adapt to new ways of working in interdisciplinary
teams, with the individual at the heart of the proces.
Strategic Criteria
Short term
and long
term viability
Scalable
Drive to build
the challenge
Health
International
ambition
Innovative
Some lessons learned
• It takes people – sometimes very specific individuals
• Go where the energy is
• As Johan Cruijff said: “every disadvantage has its advantage” – and vice versa
• The public, private and academic worlds have different currencies
• Machiavelli was, and is, right
26
Jeroen Maas
+31 6 44 33 07 35
j.maas@amecboard.com
www.amsterdameconomicboard.com
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