A healthy future demands an ecosystem view of value and design
1 Comment January 01, 2018
Today’s complex health and care systems are buckling under the pressures of chronic problems and ever-tightening resources. Whilst there is always optimism that some new technologies will come to the rescue, many are not adopted, do not scale and fail to realise their ambitions. They do not create enough of the right value to make a big enough difference. To me, it seems that many of our best efforts merely just slice, dice and recombine underperforming parts of the clinical failure-repair and recovery health system. They are designed within a narrow frame of logic, understanding and action … and value. I say this need not be the case. I believe it is time to think differently, more widely and even more radically in order to discover and realise more valid possibilities for improving, transforming and redesigning value in health and care systems.
Health ecosystem innovation: Context is king
1 Comment November 24, 2017
When innovating in health ecosystems, context is king. Failing to understand context and the dynamic interplay and nuances at play within health ecosystems amongst multiple actors can lead to innovation failure.
Transforming health and care ecosystems: A model of value evolution
1 Comment November 13, 2017
How can we evolve value and transform a health ecosystem? What are the different classes of value and value propositions that can be made? How can they be combined to accelerate efforts to improve outcomes? What does it mean to think in terms of ecosystem value? In this article, we explore these questions by summarising our unique model of value and its evolution in health and care ecosystems.
Addressing the value-based reimbursement challenge in medtech
1 Comment November 10, 2017
To have a better chance of securing reimbursement for a novel medtech device, we argue that innovators must refocus and recalibrate their innovation approach or process along seven critical tasks or dimensions.
How we frame a health ecosystem to design value-based health system strategy and propositions
1 Comment June 30, 2017
Often, we get asked how we define a health ecosystem to frame problem enquiry, capture opportunities and inform value-based health design, innovation and strategy. In this blog, we provide a summary of the key principles we use together with a few examples.
The flow and foundations of discovering and designing value-based interventions in health ecosystems
1 Comment April 28, 2017
Today, organisations require advanced capabilities for understanding complex systems problems, finding improvement or transformational opportunities, developing ecosystem strategy, designing compelling value propositions, and executing valued interventions. In this post, we summarise some key principles and provide a design process model.
Design thinking fails to address complex system problems: What can it do better?
1 Comment February 24, 2017
Design thinkers face particular challenges when seeking to intervene to improve value and outcomes in complex adaptive ecosystems such as cities, health and social care, education, energy, food production and distribution, the built and natural environment and development. In such systems, the root causes of problems and the origins of poor outcomes are often hard to identify and difficult to address due to their nested, interconnected and dynamic nature, as well as the fact that they consist of a diversity of humans, technologies and resources whose actions and effects are not wholly predictable.
Why is it becoming harder to address complex health problems?
1 Comment October 19, 2016
Complex health problems persist because we are using problem-solving approaches that are increasingly ineffective to address them. The logic, assumptions and innovation practices in popular use today are incapable of making a significant difference.
From Chief Executive to Chief Ecosystem Officer: The new leaders of innovation
1 Comment September 04, 2016
An ecosystem perspective means that organisations that conceive, design, deliver and intervene with novel health technologies and services must consider themselves to be organisms too. And their leaders must become a new kind of CEO - the Chief Ecosystem Officer. They must adapt and shape their innovation and strategy capabilities and processes as well as organisational structure to align with an ecosystem view of their purpose, function and value; they must open out and engage with other ecosystem actors particularly patients; they must adopt more collaborative and advanced problem-learning capabilities with them and they must assess and plan for the wider effects of their value-propositions beyond immediate users or customers. Their organisations must be more adaptive and designed for ongoing evolution.
Making Design Thinking Work in Complex Ecosystems
1 Comment June 23, 2016
Whilst the practice of “build-test-fail-learn-iterate” can lead to elegant innovation and superior user experiences in relatively simple, linear 1:1 company-customer markets such as consumer goods or tech, in markets characterised by many stakeholders with often competing interests, design thinking is less effective.
The pitfalls of solution-bias in health innovation
1 Comment May 20, 2016
Health innovators need to choose the right units of analysis to guide the innovation task. Thinking about solutions or committing to one too soon, before gathering full evidence of health system priorities, unmet multi-stakeholder needs and unrealised outcomes introduces unnecessary risk, iteration, delay and cost. Worst of all, it can lead to failure.
Health capability and capability gaps
1 Comment February 11, 2016
At UMIO, we state that the purpose of health innovation is to improve priority outcomes for an important health goal by resolving health system and capability gaps. In this blog, we explore what we mean by health capability gaps and how they can be deployed as an effective unit of analysis to guide the innovation effort.
Big Data will not drive innovation
1 Comment October 01, 2014
It's that time of year when online commentators offer their insights on what we can expect to be big in healthcare during the coming twelve months. Even a casual glance at the latest entries informs us that Big Data is something that health and medical device and technology companies should ignore at their peril.