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?