1. “Our writing equipment
takes part in the forming
of our thoughts”
Friedrich Nietzsche
1844 - 1900

2. Innovatie in de zorg
Beleidsdag AMSTA
@martijnkriens

3. Partner Upstream
Martijn Kriens Director Health-Lab
Board member IIP-SaaS
Founder Medical Data Recorder

4. Technologie in de zorg

6. Health-Lab
• Platform on Care and ICT
– Care institutions, companies, Science and
Government
– Sharing information and setting priorities
• Living Lab locations
– Developement and test of user oriented solutions
– Fysical locations an real life
• Education
– Impact on curricula

8. Village

9. Religion

10. Community

13. Changes in my parents lifetime
• Families got dispersed

14. Changes in my fathers lifetime
• Families got dispersed

15. Changes in my fathers lifetime
• Families got dispersed
• Increase of wealth

16. Changes in my fathers lifetime
• Families got dispersed
• Increase of wealth
• Welfare state & pensions

17. Changes in my fathers lifetime
• Families got dispersed
• Increase of wealth
• Welfare state
• Anonymity in cities

18. Changes in my fathers lifetime
• Families got dispersed
• Increase of wealth
• Welfare state
• Anonymity in cities
• Loss of public live

19. AWBZ
• Great intentions
– Independent living, not dependent on charity
– Product of a social and civilized society…
• Side effects
– Dependancy on professionals, less personal
– Explosion of costs

20. Growth AWBZ

21. The (near) future
2025
- 40% more demand
- 20% less labor capacity
ice s
e serv
of car
Need
the
care
gap
Peop
le de
liver
ing c
are

22. Twice the workload in
2025

23. Van
de
eeuw
van
mijn
vader
naar
de
eeuw
van
mijn
zoon

24. Mixed realities
Physical and Digital

25. Digital
space

26. Digital
Pub

27. 900 million Digital Friends

28. Digital marketplace

29. Digital search

30. Digital hardware

32. Gebruik social media
social media
100
90
80
70
60
50
social media
40
30
20
10
0
20 - 34 jaar 35 - 49 jaar 50 - 64 jaar 65 jaar e.o.
Cijfers O&S Amsterdam, Februari 2012

33. Stijging internet thuis 2006-2010
30%
25%
20%
15%
Series1
10%
5%
0%
16-24 jaar 25-34 jaar 35-44 jaar 45-54 jaar 55-64 jaar 65 jaar en ouder

34. Uren Internet per dag
4
3.5
3
2.5
2
Series1
1.5
1
0.5
0
20 - 34 jaar 35 - 49 jaar 50 - 64 jaar 65 jaar e.o.

37. Neelie Kroes
ICT radically alters how people
inhabit the world, how they
interact, how they perceive
the world around them: indeed,
it is changing what it is to be a
human being in society.

38. Neelie Kroes
ICT radically alters how people
inhabit the world, how they
interact, how they perceive
the world around them: indeed,
it is changing what it is to be a
human being in society.
http://www.europa-nu.nl/id/viskg1vdzwxf/nieuws/toespraak_eurocommissaris_kroes_over?ctx=vig9egsodqzy

39. Sherry Turkle

40. Immersion?

41. Social?

42. Not just the
technology
People helping each other is scalable
- Customers
- Patients
- …

43. Direct
communication
from politician and
with politicians

46. The Paradigm Shift for LEGO
From To
100 LEGO designers ave. age 29 1,000,000 LEGO designers ave.age 9
300 new LEGO sets p.a. 3,000,000 new LEGO sets p.a.
Predefined, individual Self-selected, interactive and
LEGO (play) experiences social LEGO (play) experiences
Trying to understand Consumers KNOWING the consumer
Only product innovation Also PROCESS innovation
Product & SERVICE and
Product revenue streams EXPERIENCE revenue streams
Bron: Sophie Jenkins

47. The Paradigm Shift for LEGO
Past consumer experience:
LEGO defined Experience
Future consumer experience:
LEGO defined Consumer Experience
Bron: Sophie Jenkins

48. InnoCentive

57. Age Rooms Hotels Countries
Couchsurfing 8 1.200.000 237
Intercontinental 60 645.000 4400 100
Accor 43 500.000 4100 90
Hilton 90 3400 79
Marriott 50 3000 67
Source: Robin Chase

62. Urban Photo collective

64. Digital shared space

68. Buurtzorg en ICT

70. Broadcast

71. Community

72. Many2Many

73. (1 − z3 / 6) / (z − z2 / 2)2 + c

74. Hidden Themes
• (Unlimited) Scalability/Adaptability
• (Ubiquitous) Communication
• (Seamless) Cooperation
• (Realtime) Anytime, Anywhere
• (Maximum) Transparency
(1 − z3 / 6) / (z − z2 / 2)2 + c

75. From
Institution centric
To
People centric

76. 76

77. We choose to go to the moon. We choose to
go to the moon in this decade and do the
other things, not because they are easy, but
because they are hard, because that goal
will serve to organize and measure
the best of our energies and skills,
because that challenge is one that we are
willing to accept, one we are unwilling to
postpone, and one which we intend to win,
and the others, too.
http://er.jsc.nasa.gov/seh/ricetalk.htm

78. We choose to go to the moon. We choose to
go to the moon in this decade and do the
other things, not because they are easy, but
because they are hard, because that goal
will serve to organize and measure
the best of our energies and skills,
because that challenge is one that we are
willing to accept, one we are unwilling to
postpone, and one which we intend to win,
and the others, too.
http://er.jsc.nasa.gov/seh/ricetalk.htm

79. 79

80. Zorg en ICT 80

81. 2025
2020
2015
2013
Organisatie
Regelgeving
Technologie
Onderwijs

82. Doelstelling
In 2025 is
iedere Amsterdammer
in staat om zelf de regie te
voeren zijn of haar zorg

83. Gevolgen
• Diensten in plaats van Stenen
• Professioneel en Informeel
• Lokaal in plaats van Centraal
• (Sociale) technologie

84. Nieuwe diensten
• Overvloedige capaciteit delen
– BuzzCar, Couchsurfing
• Transparantie door peer review
– Marktplaats, Amazon, eBay
• Gebruikers grootschalig laten meedenken
– InnoCentive, Lego, Quirky
• Communities mee laten sturen
– PatientsLikeMe, MijnZorgNet
• …

86. Perpectieven AMSTA
• Uitgaande van de aanwezigheid van Amsta in Amsterdam,
richten we ons op het verbreden van het aanbod in de
volgende buurten:
• - Gaasperplas /Nellesteinbuurt
• - Watergraafsmeer/ Jeruzalem
• - Plantage buurt/ Oostelijke Eilanden/Czaar Peterbuurt
• - Centrum/ Nieuwmarktbuurt
• - De Pijp
• - Vondelparkbuurt
• - Oud-West /Fred. Hendrikbuurt
• - Geuzenveld
• - Slotervaart /Hemsterhuisbuurt
• - Osdorp /Wildemanbuurt

87. Nieuwe diensten AMSTA
• Bedenk een aantal nieuwe diensten
– Gericht op de wijk
– Eigen regie
– Schaarste arbeid
• 1 idee per blaadje
• Mag best wild zijn

89. Vragen?
martijn@upstream.nl, @martijnkriens

90. Centralised Distributed De-Centralised
Rand

91. From Pyramids to Pancakes

92. “If the Pyramid era was about
accountability, management, planning and
controlling, then the Pancake is about
responsibility, questioning, learning and
creating.”
Josephine Green
Senior Director Trends and Strategy at Philips
Design

93. Robert
Coase
The Nature of the Firm (1937)

94. Transaction cost & Firm size
Breakup in logical and more
consistent units

95. Models for
cooperation
Theatre production model
Common interest model

96. Blackboard organisation
Data

97. New organisation models
Markets
aanbod vraag