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'.

1. Disrupting Healthcare
UPC 04/12/2013
Vicent Ribas

2. 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?


3. 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

4. The tragedy III

Too many business models live under
the same roof!
Ambulatory surgery
 Transplant units
 ICUs
 Pediatrics
 Ob-Gyn
 Oftalmology…


5. 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

6. Disruption
Maybe, and I say maybe, we’re not
so fucked.

7. Disruption

What is disruption?
An innovation that makes things simpler
and more affordable.
 When functionality becomes a comodity,
convenience rules!


8. Disruption in technology
Disease Gene Analysis
http://www.omim.org

9. Disruption in technology
Gene list enrichment for IL-7 in Sepsis:
Gene Expression Omnibus
Enrichr

10. Disruption in technology
Etofenamate and protoveratrine are respectively an antihypertensive 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.

11. 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

12. Disruption in technology

Other disruptions:
Medical imaging
 Ubiquitous connectivity


13. 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).


14. Disruption in business
models


ALL of them need INTEGRATION between
processes, systems and people.
Virtuous Circle

15. Disruption in business
models



What is your value proposition?
What is your profit formula?
What are your regulatory constraints?

16. Disrupting Healthcare