The slides that Goran Henriks presented in his keynote address at the Jonkoping Microsystem Festival 26th February 2020

2. We are here at the microsystem festival but
some people had to stay home
• https://gisanddata.maps.arcgis.com/apps/opsdashboard/index.html
#/bda7594740fd40299423467b48e9ecf6
• https://storymaps.arcgis.com/stories/4fdc0d03d3a34aa485de1fb0d2
650ee0

3. Qulturum makes a difference – Chairman of Health
and Care in the region, Rachel De Basson
• “…she says that Qulturum is unique in the
country, from where many of the regions
improvement efforts with health and care
are developed. Qulturum follows the
national and international development
and transform that to our systems
intelligence. New knowledge are spread
and scaled up in the regions processes
with support of the employees at
Qulturum”.

4. Stop Phubbing - No Co me passion it
• Phubbing is a term to
describe the habit of
snubbing someone in
favour of a mobile
phone
• https://www.youtube.co
m/watch?v=objanxLjgnA

5. Or is it tomorrow’s Co-me passion IT?
• Phubbing is a term to
describe the habit of
finding resources for
Compassion

6. Thinkers 50
“Seeks out and blends new ideas on change with a deep understanding of implementing change in complex
systems”.
“An exceptional courage and fighting spirit”
Helen Bevan
NHS, UK
Marjorie Godfrey
Dartmouth Institute, USA
Speaker of the year

7. Best team ever”A roster never seen”

8. • Over the past 10 years, more and more evidence is
gathering how the ability to create value-creating
relationships in service enables better outcomes in
complex situations.
• We increasingly understand the importance of
individualisation and person-designed situations.
• Organisations that develop social networks with their
partners and surrounding context seem to feel much
better
.
A soil for the compassionate

9. A lot of things have happened since last year:
2020-02-26

10. • Residents’ trust in the health and care services
• Access to healthcare you need
• Access by telephone in primary care
• 4th lowest cost/inhabitant (25 571, average nearly 50 000)
• Overbedded and care on other units
• Medical assessment within three days
• Investigations and treatments started within 30 days in child
psychiatry
• Proportion of elderly (over 75) patients introduced to
physical activity
• Proportion of elderly (over 75) using antipsychotic drugs
51 indicators – Region Jönköping at the top (2nd)
• Västerviks sjukhus
• Värnamo sjukhus
• Hallands sjukhus Varberg
• Länssjukhuset Ryhov
• Gällivare sjukhus
• Höglandssjukhuset Eksjö
• Hallands sjukhus Halmstad
• Danderyds sjukhus
• Gävle sjukhus
• Blekingesjukhuset Karlskrona
• Södersjukhuset
• Hudiksvalls sjukhus
Best” hospitals 2019

11. This has been the best year ever;
for humanity overall, life just keeps getting better, The New York Times, Nicholas
Kristof
Improve the possibility for resilience

12. Agneta
Best to become better, work
smarter and to find better answers
If you want to go fast, go alone, if
you want to go far, go together
African proverb
I always lived to seize the moment
and to squeeze every drop of
expectation out of myself for whatever
that moment gives you
Greg Norman

13. Ref:
Sandro Boticceli
The House of CoMePassionIT

14. A global learning place
2020-02-26
(ange enhet via Infoga sidfot)
• Everybody can be
their best self
• A place that
strengthens the
capacity of resilience
• We support how to
learn to learn and
learn to relearn
Earth Fire Water

15. 20th year of Co Me Passion and ImprovemenT
2020-02-26 (ange enhet via Infoga sidfot)
https://pictorgallery.blog/2018/07/25/hip-
hip-hurra-for-danmarks-alla-konstmuseer/
Erik Bröndum
Michael Ancher
Anna Ancher

16. Premier speaker– Professor in rehabilitation engineering
Ten thoughts about time
We learn as we live
Every day counts
As the horizon moves
With time on your side

17. Friendship
Love Collaboration
ArtRelationship Partnership

18. Kindness is doing small acts for others
without expecting anything in return.

19. Anders och Sofia

20. Maureen Bisognano’s three key points for building a culture
of ”What matters to you?’’
2020-02-26 (ange enhet via Infoga sidfot)
I am treated with respect and dignity by everyone I encounter,
every day.
I am given the tools and knowledge to do my work so that it adds
meaning to my life.
Someone notices.
“
“
“

21. Compassion
When we have peoples
life in focus and work
with humanity in our
services

22. From providing care–
to supporting people to
take care of themselves
based on each person’s
abilities

23. Compassion can help us to build trust if we:
• Recreate the health that is lost based on the design of care
• Support motivation, promote patient self-efficacy and make
chronic diseasses a manageable experience for each
individual patient
• Shorten the time from worry about illness to improved
quality of life
• Make it possible to improve the inclusion of patients in
healthcare
• Get different actors to work together in the care processes
https://patientmakt.wordpress.com/category/filosofi/
Inspired by Ulrika Sandén

24. Trust is
• similar to how design thinking can reshape the conditions for
improved quality of care
• about leaving the fragmented New Public Management behind in
favor of New Public Governance
• about an innovative public ethos, humanistic leadership, new forms
of service logic where public services are collaborated with users.
https://patientmakt.w
ordpress.com/categor
y/filosofi/
Ulrika Sandén

25. To be CoMe Passionate to be compassionate and how
can the digitalisation(IT) beCoMe an opportunity?

26. We are in a battle of future mindset
– to be relevant!
2020-02-26 (ange enhet via Infoga sidfot)
Only dead fish swim
with the stream
Why certain
experiences have
extraordinary impact
Erik Johansson: The
reality I am
portraying exists but
on a different scale

27. New world - third revolution
2020-02-26 (ange enhet via Infoga sidfot)
• Where the delivery of service happens
• Aging and the increasing burden of chronic
disease
• Rapid expansion of technology
• Research output at unprecedented levels and
speed
• Increasing patient expectations for engagement
• Challenges to dramatically improve safety and
flow
• Designing a learning system to decrease variation

28. Axial shift in health and care
Transforming our actions to magnify societal impact
weme
eGo
eCo
Curative
Preventive
Health
Acknowledgement: Otto Scharmer
Non-infectious diseases
Social innovations

29. We will get better results by optimising
three things at the same time:
Connecting through networksGreat care processes without
variation
Interprofessional
collaboration and
interdependency

30. ”The fear is that people still do not
know what is going on!” …Greta in Madrid
2020-02-26 Barn- och ungdomsmedicinska kliniken
A person or leader who finds gaps and
reminds us of gaps changes the game

31. The United Nations
decided from April
2019 to test to turn
all maps upside
down to
compensate the
discrimination…….
https://online.seterra.com/sv/p/fn-
vander-kartan

32. Non-contagious
disease
• Patterns
• Processes
• Functions
• Systems
• Structures
• Regulations
• Laws
• Values
• Understanding
of the world
• Cancer
• Cardiovascular
• Mental illness
• Dementia
• Diabetes
• Obesity
• Excluded
• Inactivity
• Sedentary
• Loneliness
• Stress
• Smoking
• Alcohol
• Emissions
• Challenge
• Welfare
Consumption of
health
interventions
• Security
• Safety
• Unemployment
• Affiliation
• Knowledge
• Understanding
• Fossil fuels
• Economic
• Convenience
• Education
• Food
• Industry
Focus on
wholeness:
health and care
• Self responsibility
What level
should we
intervene
at?

33. Genomics, Psychographics, Big Data, and Algorithmocracy
Inspiration
Zayna Khayat
Health innovator
Saint Elisabeth Health Care
Canada
We need to create a different future:
but how do we get there?

34. Shifting our mindset from technical to social
innovation
• We cannot start the innovation process by designing a solution
• If we start from a place of compassion, we can increase inclusion
and well-being in health and education and other welfare –related
areas
• If we bring in solutions too early, we will lose people:
• They cannot relate to the concept, the journey and to each other
• Other people’s contexts, other people’s solutions
• The “IKEA effect”: people own what they help to create
Ref: Social innovation - nya lösningar för inkludering, Malin
Lindberg, Luleå University of Technology

35. People own
what they
help to create

36. Qulturum builds on its history of social
innovation
Taste of water
When every breath is life
then life becomes long.
Faith and hope is crucial
http://runningahospital.blogspot.co
m/2011/08/self-dialysis-in-
sweden.html
Esther family and
relatives - a world
movement!
https://nhshorizons.passle.net/post/102f6ki/learnin
g-from-the-jonkoping-health-system-in-sweden
The self-dialysis unit

37. The tradition of social innovation continues
180906
The Health
Cafe

38. Social innovation requires partnership
http://www.mynewsdesk.c
om/se/siq/images/miden-
melle-hannah-multi4-
1875832
The Center for Coproduction : To
conduct research, education,
innovation and utilization of
knowledge in partnerships and
networks with together with the
stakeholders of Jönköping
Academy
https://center.hj.se/jonkoping-
academy/en.html

39. A person or leader who finds gaps and
reminds us of gaps changes the game

40. Bladder cancer: social innovation and compassion

41. A person or leader who finds gaps and reminds
us of gaps changes the game

42. The greatest
social innovation
challenge:
moving our focus
UPSTREAM

43. What is moving upstream?
Moving upstream means looking systematically beyond specific
episodes of ill health, thinking about health and its root causes, as well
as actions that might productively address such causes, much earlier in
the process of service to the people. It is about refocussing on
prevention and creating the conditions that make it easier for people to
build agency in their lives and for their health.

44. Using technical innovation, rather than social
innovation, we have started this process

45. 1. Spread and scale up other people’s ideas and innovations
2. Combine disciplined improvement science and pragmatic
improvement practice within the same improvement journey
3. Utilise complexity principles when we are changing complex
systems
4. Underpin all our innovation and improvement work with an
appreciation of social and behavioural methods for change
BMJ 2019;365:l2068 doi: 10.1136/bmj.l2068 (Published 10 May 2019),
Trisha Greenhalgh professor, Chrysanthi Papoutsi postdoctoral researcher
Four things we must be able to do as improvers

46. Patrik Blomqvist,
Maria Johansson,
Marcus Lidin,
Qulturum
The four principles in action: Esther SimLab

47. • Talk with us - we are in the same
situation
• Share your ideas
• Be a coach or become a coach
To be compassionate
Never be alone
Support with reflections and question
around your disease
Reference:kerstin.ramfelt@rjl.se
The four principles in action:
Young Pioneers
Young Pioneers
are phubbing!

48. We are phubbing at the
Microsystem festival!
2020-02-26
Festival Pioneers acts into COMEPASSIONIT!

49. Social innovation has no boundaries
• Avslutande film