CentreonStrategiesforPublicandCivilEntrepreneurs

www.publicspace.nl

@stevendewaalDr.StevenP.MdeWaal

Coproducingwithdisrup0vepa0ent:Ongoingrevolu0oninhealthcare

IndustryforumHealthcare,Stockholm

October4th2017

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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?