Prof. dr. Jan A.M. Kremer, gynecologistRadboud University Nijmegen

Supporting health by technologyEnschede, 28-05-09

Why isn’t eHealth successful yet?

After lunch poll

“EHealth isn’t successful yet”

agree

disagree

Where am I working?

• Radboud University Centre for Reproductive Medicine (IVF centre)

• MijnZorgNet Service organization that facilitates integrated networks

How did I get involved in eHealth?

POLICY ORGANIZATION PEOPLE

TECHNIQUE Goals Tasks Expertness

More attention patients needs

Shorterlines

More social skills

POLITICS Influence Decisions Autonomy

Better tuning

More clearness

Empowerment patient

CULTURE Climate Collaboration Attitude

Safer atmosphere

Better collaboration

More compassion

From paradigm shift to a dream

Patients (and not doctors) are the prima donnas of healthcare

Digital IVF clinic

• Personal information personal health record

• General informationMultimedia education

• Communicationp2p, p2d (chat & forum)

Successful example of eHealth?

• Trouble-free online since 2003• Very enthusiastic patients • More trust, less complaints• Prizes, media attention• PhD thesis (Wouter Tuil)

Wouter Tuil

Unsuccessful example of eHealth?

• No evidence of effectiveness• No upgrades or new versions• Slow adoption by other fields• Doctors are still skeptical• No viable business model

Wouter Tuil

• No evidence of effectiveness• No upgrades or new versions• Slow adoption by other fields• Doctors are still skeptical• No viable business model

Disruptive innovations (1)

• Healthcare is not complex, we have made it complex.

• Sustaining innovations make good things better

• Disruptive innovations make things simpler and more affordable

• Transformation of complicated products into low cost & accessible products is not unique for healthcare

• Disruptive innovations are rarely initiated by leading organizations

• Disruptive innovations are not kind for current organizations, but are good for mankind.

Disruptive innovations (2)

Three elements of disruptive innovation

Regulations and standards

that facilitate change

2. Low-cost innovative

business models

3. Economically

coherent value network

1. Sophisticated technology

that simplifies

1. Technological innovations

2. Business model innovations

3. Value network innovations

Three kinds of business models

1. Solution shops

2. Value-adding process businesses

3. Facilitated networks

Current business models are not viable models

How can we make eHealth to a widespread success?

• Dare too dream!

• Listen to our patients!

• Innovate our business models!