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Extended talk about disruption in healthcare in general and the role played by technology (mainly 'omics') in this disruption. It is expected that this disruption will result in better care, better processes and better productivity in the already overwhelmed health systems. Precision medicine and personalised medicine are also enablers for the organisational changes towards solution shops or Added Value Processes cliniques. This work is based on Clayton Christensen's 'The Innovator's Prescription'.
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Disrupting HealthcareUPC 04/12/2013
Vicent Ribas
The tragedy
What is the purpose of the Health System?
Keep us healthy and ‘fix us’ when we break down…
But what is the work-to-be-done (C. Christensen) in: Hospitals Primary care Management of chronic patients?
The tragedy II
Business model: Profit Formula: assets and fixed
costs structure, margins and ‘stickyness’.
Processes: ways to work together to address recurrent tasks.
Value proposition: product or service that enables our ‘customers’ do more effectively, conveniently and affordably.
Resources: people, technology, products, equipment, …
Adapted from the Innovator’s Prescription
The tragedy III
Too many business models live under the same roof! Ambulatory surgery Transplant units ICUs Pediatrics Ob-Gyn Oftalmology…
The tragedy IV
We urgently need to do – and I mean actually do – something radical to avert global catastrophe. But I don’t think we will.
I think we’re fucked
Ten Billion, Stephen Emmott
Disruption
Maybe, and I say maybe, we’re not so fucked.
Disruption
What is disruption? An innovation that makes things
simpler and more affordable. When functionality becomes a
comodity, convenience rules!
Disruption in technology
Gene list enrichment for IL-7 in Sepsis:Gene Expression OmnibusEnrichr
Disruption in technology
Etofenamate and protoveratrine are respectively an anti-hypertensive and anti-inflammatory. These are very much related to the inflammatory role played by IL-7 and its subsequent effects in Blood Pressure like in the most advanced stages of sepsis.
Disruption in technology
And now the graphical model for IL-7 in sepsis
http://www.maayanlab.net/X2K/http://www.yworks.com/en/products_yed_download.html
Disruption in technology
Other disruptions: Medical imaging Ubiquitous connectivity
Disruption in business models
Technology is an enabler for personalised and precision medicine
But there are other ‘going ons’: Solution shops VAP clinics Networks (professionals and chronic
patients).
Disruption in business models
ALL of them need INTEGRATION between processes, systems and people.
Virtuous Circle
Disruption in business models
What is your value proposition? What is your profit formula? What are your regulatory constraints?
Disrupting Healthcare
THANK YOU!!!
