INNOVATING INTO THE FUTURE IN HEALTHCARE

1. www.wecreateworldwide.com @nickjankel Astellas, Feb 2015 People-Powered Breakthroughs for a Brilliant World Think Different About the Future

2. A bit about WECREATE Worldwide • Breakthrough innovation: Process, service, product, experience, brand etc • Breakthrough leadership development, coaching, team building etc. • Breakthrough Innovation through Breakthrough Leadership ! Established in 2005 to support organisations and leaders to have & sustain people-powered breakthroughs for a brilliant world

3. Selected case studies ! Leadership & team development for doctors, nurses & management of a hospital group Innovation, inﬂuence & leadership training ! Telehealth Innovation & Service Design Healthcare system innovation ! Leadership development training

4. “My prototype was big as a toaster, but the technical people loved it. But it was ﬁlmless photography, so management’s reaction was, ‘that’s cute — but don’t tell anyone about it.” Steven Sasson

5. 6 INSTAGRAM: INNOVATED ITS WAY TO 14 MILLION ACCOUNTS & A BILLION DOLLARS IN 1 YEAR KODAK INVENTED THE DIGITAL CAMERA BUT COULDN’T UNDERSTAND WHERE VALUE LIES FOR THE DIGITAL CONSUMER

6. wecreateworldwide.combreakthrough for a brilliant world© 2005-2015 WECREATE WORLDWIDE LTD SPENT by kodak, blackberry, tandy etc. to stay at the top… MBAs, consultants, processes etc Why do great organisations fail to embrace the future? why do so many more under-perform as the world changes? how do resource-poor entrepreneurs make resource-rich orgs redundant? $$$

7. wecreateworldwide.combreakthrough for a brilliant world© 2005-2015 WECREATE WORLDWIDE LTD THE CHALLENGE: how do we create & sustain breakthroughs - as organisations & leaders - that bring about a more brilliant world? BREAKTHROUGH BIODYNAMICS™

8. wecreateworldwide.combreakthrough for a brilliant world© 2005-2015 WECREATE WORLDWIDE LTD A Deﬁnition of Breakthrough: ! the leverage of ideas to create impact in the future that could not have been predicted by the past !

13. wecreateworldwide.combreakthrough for a brilliant world© 2005-2015 WECREATE WORLDWIDE LTD POCKETSof future in the present ‘weak signals’ to be discerned, harvested, sense-made & amplified strategically & systematically

14. wecreateworldwide.combreakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Breakthrough Breakthrough process Inspire: Stories, engagement, experiences that compel people to change and act Interplay: Collaboration, participation, crowds for better, faster, cheaper breakthrough Insight: Deep intelligence  into systems, users, precedents that open up possibilities Breakthrough: Leveraging insights, switching assumptions and exploding myths to create transformative ideas Imagine: Vision, concepts, propositions which tap into deep, systemic insight and move the world forward towards brilliance Invent: Ecosystems, prototypes, blueprints, models that maximize positive impacts across profit, people, planet and purpose Implement: Strategy, performance, culture that overcome resistance and deliver brilliantly Ignite: Passion, purpose, intentions that align the team around a problem to breakthrough break  through Order Chaos

15. wecreateworldwide.combreakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD wecreateworldwide.combreakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD wecreateworldwide.combreakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD wecreateworldwide.com Project Date breakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Breakthrough brand strategy brand strategy Breakthrough POSITIONING & USP culture & values educational philosophy & memes conferences / events consulting programmes MEMBERSHIP PUBLICATIONS PLATFORM? Brand vision & Narrative Breakthrough wecreateworldwide.combreakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Innovation problem definition Problem title what is the problem Why does it matter who is affected? strategic drivers source of problem Provide a short, accurate and memorable title (you may find it easier to do this last) analogous industries Horizon In human terms, explain the problem, need, lack or issue, as clearly and concisely as possible. Try “This group of people (will) want / can’t / need... but...” or “How to....” Why is the problem is worth solving? What is the size and scope of it? List geographies, sectors, roles affected within industry / org List organizations, user groups / types, customers, consumers affected externally List any relevant sustainability or business goals it relates to What trends, conditions or assumptions is this problem driven by? Where else have similar problems been faced? How have they had breakthroughs? SIGNALS How will we know this problem is growing in importance? 1. short 2. medium 3. long WHY NOT SOLvED YET Why has the industry not solved this problem yet? ResearcH What do we need to know more about? WHY Why is it becoming a problem? wecreateworldwide.combreakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Breakthrough networked innovation INNOVATION EMERGES FROM A HEALTHY NETWORK OF HUMAN BEINGS WHO DISCUSS IT, CREATE SPACE FOR IT, CONNECT ON IT, CULTIVATE IT, ITERATE IT, EXPRESS IT ! PHASE TRANSITIONS NOT STAGE GATES NP New Products F Franchise N Novartis If you feel supports / nurtures / incentivises Neutral If you feel blocked, discouraged or stifled Influencer Leadership Star: Character Traits COLLABORATIVE Inclusive, diplomatic & co-operative; seek win wins RESPONSIVE Respond approriately and generously to others; reciprocate freely and return favours TRUSTWORTHY Dependable, consistent; honour relationships and agreements KNOWLEDGEABLE Reasoned, articulate & considered; actively seek new knowledge CURIOUS Open to new things; seek learning and learn quickly POSSIBILITY-ORIENTED Always seek out greatest opportunities; grounded optimism about new ideas INTENTIONAL Results-oriented, persistent, directional; take initiative CONFIDENT Believe in yourself & your value; can stand alone when neccessary COACHABLE Welcome advice & feedback for growth and mastery RESILIENT Can bounce back with determination in changing environments; EMPATHIC Intuitive and compassionate; sympathetic to the experiences of others AUTHENTIC Aligned with purpose, values & principles Basic Advanced Excellent NP F N EVALUATE THE ORGANISATIONEVALUATE YOURSELF Evaluate yourself or your colleague with a score between 1-10 where 1 is basic proficiency and 10 is world-class excellence RESILIENT EM PA THIC AUTHENTIC COLLABORATIVE RESPO N SIVE TRUSTYWORTHY COACHABLE CO N FIDENT INTENTIONAL INNOVATION CURI O US KNOWLEDGEABLE ORIENTED © WECREATE WORLDWIDE LTD wecreateworldwide.com Project Date breakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Breakthrough Breakthrough innovation roadmap breakthrough insights VISION INCREASING VALUE / IMPACT YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 breakthrough capabilities and culture VISION breakthrough propositions VISION breakthrough technologies and resources VISION Breakthrough some of our tools for breakthrough Inspire Interplay Insight Breakthrough Imagine Invent Implement Ignite break  through wecreateworldwide.com Project Date breakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Breakthrough EASY Implementation Breakthrough / Impact HARD LOW HIGH Breakthrough Prioritization Matrix IMPLEMENTATION BREAKTHROUGH wecreateworldwide.com Project Date breakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Breakthrough Breakthrough innovation ROADMAP Breakthrough insights / needs Breakthrough propositions Breakthrough elements Breakthrough technologies & capabilities TIME PURPOSE What is your/org purpose? Why do you exist? VISION What is the collective vision of the combined impact? VALUE wecreateworldwide.com Project Date breakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Breakthrough The storytelling engine What is the problem or need? How many people have it? What are the most shocking facts and figures? Can you tell us about one person who is suffering? How does that feel to you? Why might others resonate with this? Why should we listen to you? Why are you involved? How does it impact you? What are your intentions around it? What is at stake for you? What are your past successes that relate to this issue? What is the headline keeping us listening? What has already been thought of that has failed? What already exists but is not available, usable or enjoyable enough for a mass solution? Where have all your ‘competitors’ got to? What models of change have been applied (and where have they gone wrong)? What are the underlying assumptions that originate the problem? What are the things everyone thinks that are actually the root drivers of the problem? What are the key reason’s that other people’s models do not work? What part of the current story is no longer working? STAGE FOCUS KEY QUESTIONS THE STORY 1. connection 2. Context 3. Conventions THE PROBLEM, THE NEED OR DESIRE AND WHY IT IS IMPORTANT IN HUMAN TERMS FOR YOU, THE ORG & SOCIETY WHY CURRENT OR PREVIOUS SOLUTIONS HAVE FAILED TO SOLVE THE PROBLEM THE ASSUMPTIONS, BELIEFS AND MYTHS THAT PERPETUATE THE PROBLEM What do you want from the listener? What is the call to action? What is your ask? Do you have an invite for them? What would you like them to provide for you exactly? What are you going to do with it? 8. Call to Action THE INSIGHTS, CREATIVE LEAPS & BREAKTHROUGH THINKING OF THE TEAM How does it, or could it, have an impact? What analogies or parallels can you draw on to demonstrate it? How will you measure this impact? What new behaviors and patterns do you hope to create? How does this bring about the preferred state of the system in your vision? What other impacts do you expect? What is the size of pie and the slice of pie? How can you bring it to life in words or images? What do you want from the listener? What is the call to action? 7. Concrete Impact THE DESIRED STATE ALONG WITH QUADRUPLE BOTTOM- LINE IMPACT MEASURES INCLUDING NEW BEHAVIOURS CREATED What is the purpose of the project or enterprise? Who is the team that has conviction to execute this purpose? What is the preferred state of the system / market according to your vision? What are you resolved to do as specific brand and growth strategies to get there? 6. Conviction THE PURPOSE, VISION & STRATEGY FOR EXECUTION What is the essence of your idea or project (or the question you want to investigate / answer)? What, for who, when, where? How is it designed to work for real-people? How will they use it? How can it be sustainable? Scaleable? What is a prototype and MVP for the concept? Longer term, what is the roadmap for seizing the opportunity? How can you offer people more membership, mastery or meaning? 5. Concept THE SOLUTION DESIGN, BUSINESS & DELIVERY MODELS & ROAD MAP How do you see things differently? What is your insight into human nature or the world that opens up a new possibility? What is your epiphany? 4. Consciousness Shift WHAT YOU WANT THEM TO DO wecreateworldwide.com Project Date breakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Breakthrough The impact canvas partners & collaborators infrastructure value proposition channels & touchpoints users & customers footprint cost structure revenue streams impact culture & values assumptions & risks scale strategy brand strategy What is the problem or need? How many people have it? What are the most shocking facts and figures? Can you tell us about one person who is suffering? How does that feel to you? Why might others resonate with this? Why should we listen to you? Why are you involved? How does it impact you? What are your intentions around it? What is at stake for you? What are your past successes that relate to this issue? What is the headline keeping us listening? What is the problem or need? How many people have it? What are the most shocking facts and figures? Can you tell us about one person who is suffering? How does that feel to you? Why might others resonate with this? Why should we listen to you? Why are you involved? How does it impact you? What are your intentions around it? What is at stake for you? What are your past successes that relate to this issue? What is the headline keeping us listening? What is the problem or need? How many people have it? What are the most shocking facts and figures? Can you tell us about one person who is suffering? How does that feel to you? Why might others resonate with this? Why should we listen to you? Why are you involved? How does it impact you? What are your intentions around it? What is at stake for you? What are your past successes that relate to this issue? What is the headline keeping us listening? What is the problem or need? How many people have it? What are the most shocking facts and figures? Can you tell us about one person who is suffering? How does that feel to you? Why might others resonate with this? Why should we listen to you? Why are you involved? How does it impact you? What are your intentions around it? What is at stake for you? What are your past successes that relate to this issue? What is the headline keeping us listening? What is the problem or need? How many people have it? What are the most shocking facts and figures? Can you tell us about one person who is suffering? How does that feel to you? What is the problem or need? How many people have it? What are the most shocking facts and figures? Can you tell us about one person who is suffering? How does that feel to you? What is the problem or need? How many people have it? What are the most shocking facts and figures? What is the problem or need? How many people have it? What are the most shocking facts and figures? Can you tell us about one person who is suffering? How does that feel to you? What is the problem or need? How many people have it? What are the most shocking facts and figures? Can you tell us about one person who is suffering? How does that feel to you? What is the problem or need? How many people have it? What are the most shocking facts and figures? Can you tell us about one person who is suffering? How does that feel to you? What is the problem or need? How many people have it? What are the most shocking facts and figures? Can you tell us about one person who is suffering? How does that feel to you? What is the problem or need? How many people have it? What are the most shocking facts and figures? Can you tell us about one person who is suffering? How does that feel to you? What is the problem or need? How many people have it? What are the most shocking facts and figures? Can you tell us about one person who is suffering? How does that feel to you? What is the problem or need? How many people have it? What are the most shocking facts and figures? purpose Breakthrough wecreateworldwide.combreakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD wecreateworldwide.combreakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD wecreateworldwide.com Project Date breakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Breakthrough stakeholder EMPATHY MAP footprint impact brand strategy PAIN GAIN Breakthrough STAKEHOLDER FEEL Think Say & DO SEE & HEAR Breakthrough What friends & influencers saying & doing? Boss & colleagues saying & doing? What market offers? What environment looks like? Anxieties & worries Inspirations & aspirations What touches her? Scares her? Beliefs & assumptions Attitudes & mindsets Actions Appearances Statements What are her biggest fears & frustrations? What obstacles stand between her and what she wants or needs to achieve? Which risks might she fear taking? What are her aspirations & visions? What does she want or need to achieve? What strategies might she take? wecreateworldwide.combreakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD wecreateworldwide.com Project Date breakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD wecreateworldwide.combreakthrough for a brilliant world© 2014 WECREATE WORLDWIDE LTD ECIS COMPETITOR MAP CIS: Setting the standards for international education CREATIVITY GLOBAL & NETWORKED CREDIBILITY REGIONAL / SPECIFIC Breakthrough IBO: Quality education for a better world PTC: Quality training institutes for international educators NAIS: Participate Learn Analyze AAIE: Advancement of international education COBIS: Serving British international schools of global quality. CASIE: Professional development from a global viewpoint EARCOS wecreateworldwide.combreakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD wecreateworldwide.com Project Date breakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Breakthrough (Target user) wants / needs .Unlike (conventional competition) who offer (conventional proposition) because they think (conventional assumptions) , we have realised that (breakthrough insight) . So we have created (project name) which delivers (breakthrough proposition) . Uniquely it offers (breakthrough elements) and therefore will (breakthrough vision). © 2007-2012 wecreate worldwide ltd. breakthrough concept wecreateworldwide.combreakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD the three horizons 1. Improvements 3. Game-changers TIME 2. Revisions   Enhancements Innovation We need to change this now What are we waiting for? Let’s try something! It would be brilliant if we worked out how to… Pockets of future in presnt Pockets of future in presnt wecreateworldwide.com Project Date breakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Breakthrough SERVICE BLUEPRINT People Stages > Steps > Information Physical content Questions / barriers Touchpoints User Scenarios > Who are the different patient types and what is there journey through the service? www.wecreateworldwide.com Google A Bvs Pharmacy THE BREAKTHROUGH CONCEPT & VISION 1 2 3 4 5 6 break through Project Date wecreateworldwide.combreakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Breakthrough Use the space to write your answers 1. problem What is the problem, in human terms? 2. Proposition What is the current proposition that results in this problem? 3. Assumptions What do we have to believe to generate and validate this proposition? 4. Breakthrough Insight What is a more insightful, future-positive belief? 5. Breakthrough proposition What is a more insightful, future-positive belief? 6. Breakthrough vision What vision do you have of the impact of this proposition? THE BREAKTHROUGH ENGINE PURPOSE What is your/org purpose? Why do you exist? Storytelling, brand narratives & engagement Service, ecosystem & business model design Innovation strategy Breakthrough Insight tools: Systems, scenarios, open innovation, empathy etc. Problem diagnostics; collaboration IQ; open innovation

16. wecreateworldwide.combreakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD the three horizons TIME Innovation 1. Improvements We need to change this now! 2. Revisions /  Enhancements What are we waiting for? Let’s give it a go! 3. Game-changers How can we change the rules forever? Pockets of future in present Pockets of future in present

17. wecreateworldwide.combreakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Breakthrough weak signals in wellness NIKE+ MEMBERSHIP INCREASES SALES IN RUNNING DIVISION BY C. 30% TO $2.8 BILLION BETWEEN 2011-2012 ple s CONSUMER VALUE FUNCTIONAL The Nike+ range gives users feedback on their performance. EMOTIONAL Capturing and feeding back user data taps into the desire for self-improvement.

18. wecreateworldwide.combreakthrough for a brilliant world© 2005-2015 WECREATE WORLDWIDE LTD WEAK SIGNALShow to make sense of them? ‘insights’ into real people and how they might live people at the edges of mainstream today

19. wecreateworldwide.com Project Date breakthrough for a brilliant world© 2013 WECREATE WORLDWIDE LTD Breakthrough © 2007-2012 wecreate worldwide ltd. the breakthrough value pyramid INSIGHT KNOWLEDGE DATA IDEA PROPOSITION STORY Increasing Value PROBLEM Reality observed to understand problem Information interpreted within context of problem Data selected because of what it might reveal about problem Insight ﬂexed creatively to solve problem (and reinterpret problem) Business proposition developed to exploit problem with solution Concept pitched to engage stakeholders in problem and its visionary solution

20. wecreateworldwide.combreakthrough for a brilliant world© 2005-2014 WECREATE WORLDWIDE LTD emerge over time when we engage fully with a problem using innovative research techniques INSIGHTS from unknowns unknowns not knowns mother of all breakthroughs

21. wecreateworldwide.combreakthrough for a brilliant world© 2005-2015 WECREATE WORLDWIDE LTD ASSUMPTIONS mother of all mistakes source of all business models, brand & leadership failures future is rarely what we assume! !

22. Sydney Finkelstein, Why Smart Executives Fail “Failures [are] caused by…: ﬂawed executive mindsets that throw off a company’s perception of reality; delusional attitudes that keep this inaccurate reality in place;”

24. “People must go to the Dr. to receive a diagnosis.” “Pharma companies create substances that treat illnesses.” “Pharma research studies are how doctors choose treatments.” “Given new services, people can be empowered to deal with many issues themselves.” “Given big data services, patients, together with professionals, could choose their own treatment pathways.” “Given an expanded purpose & new services, pharma companies can keep people well.”

29. Bmusic

30. Cubism

31. wecreateworldwide.combreakthrough for a brilliant world© 2005-2014 WECREATE WORLDWIDE LTD people do not change ways of being / beliefs / behaviours easily! ! ! we are fundamentally illogical ! ! ! ! emotions & reason intertwined ! ! !

32. “Emotions are mechanisms that set the brains highest goals... ! they probably evolved because they were hard to fake.” Steven Pinker

33. ! wired for survival over risk emotion-fuelled rationalised by assumptions confirmation bias ! HABITS Sources: Antonio D’Amasio, Baba Shiv, Andrew Newberg, Jonathan Haidt

35. Vegetable Peel Soup Recipe Ingredients: ! 1. 1/2 cup carrot Peels 2. 1/2 cup cucumber peels 3. 1/2 cup ridged gourd peels 4. 1/4 cup potato peels 5. 1 tsp corn ﬂour 6. Pinch of sugar 7. Salt to taste 8. Pepper powder as per taste 9. Water as per requirement Source: http://www.boldsky.com/cookery/soups-snacks-drinks/vegetarian-soup/vegetable-peel-soup-recipe-250211- aid0111.html

36. we TEND TOWARDS CONFORMITY & AGREEMENT culture becomes right & righteous orgs wired for efficiency not innovation GROUP THINK Source: Harvard Business Review; Intro to Social Psychology

37. “19 future Nobel Laureates encountered resistance [from the] scientiﬁc community; ! 24 future Nobel Laureates encountered resistance [from] journal editors to manuscripts that dealt with discoveries that later would earn them the Nobel Prize.” ! ! ! ! Scientometrics, Nov 2009, Volume 81”

38. facts & rational argument can actually reinforce old beliefs “BACKFIRE” EFFECT ... to minimize cognitive dissonance Source: U of Michigan

39. STUDY EXTREMES TO DISCOVER EVERYDAY TRUTHS

40. non-linear grapple with uncertain future ambiguous not fully controllable engage with real emotional human beings (providers & users) BREAKTHROUGH

41. in our DNA Concepts / language emotion-fuelled promethean spirit ! CREATIVE Source: U of Illinois; Scientiﬁc American 10 tools to 1010 in 5000 years

43. wecreateworldwide.combreakthrough for a brilliant world© 2005-2015 WECREATE WORLDWIDE LTD “FAILURE”inevitable with all newness successfully working out how not to do something fail fast, once, smartly

45. wecreateworldwide.combreakthrough for a brilliant world© 2005-2015 WECREATE WORLDWIDE LTD INTUITION looking for pockets of future everywhere unafraid to share, discuss, debate and action them innovation

46. REJECTIONhurts in the same place we feel physical pain Sources: Science 2003; Journal of Experimental Psychology 2013

47. “To do disruptive innovation, you have to be willing to be misunderstood for a very long time.” Jeff Bezos, Amazon “Timing, perseverance, and ten years of trying will eventually make you look like an overnight success.” ” Biz Stone, Twitter

48. FIT OR FAIL CHANGE IS RELENTLESS

49. Charles Darwin “In the long history of humankind (and animal kind, too) those who learned to collaborate and improvise [innovate] most effectively have prevailed.”

50. OUT NOW Unleash Your Creativity & Thrive With The New Science & Spirit Of Breakthrough

51. Get The Little Book of Breakthrough ! IT’S FREE! www.wecreateworldwide.com Sign Up for Inspiring Wisdom Each Week www.www.ripeandready.com

52. Question us. Challenge us. Have breakthroughs with us. You never change things by ﬁghting the existing reality. To change something, build a new model that makes the existing model obsolete.’ ! R. Buckminster Fuller nick@wecreateworldwide.com nick@ripeandready.com

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