1. Innovation in health-care?- somereflectionsoninnovation, technology and modernization Paul Chaffey, Abelia

2. From Statfjord to Snøhvit Statfjord: Three large offshore platforms with 620 people Has produced oil and gas for more than 1000 bill. kroner Word technology leaders in the 1970s Snøhvit: First major field with no insallation on the surface Remote controlled from onshore 140 km away Word technology leaders in the 2000s

4. Whatabouthealthcare? Politics Laws Management and strategy Money to invest in technology Interactionbetweenmanydifferentorganisations and levelsofgovernment Strong unions and professions New valuechains and workprocesses

5. A flatter - and a lot more competitive world 09.11.89: The fall of the Berlin wall: Towards one global economy 09.08.95: Netscape goes public and the network economy is born Work flow software, SOA, web-services, business on demand Y2K and the dot.com collapse has driven offshoring to India 11.12.01: Kina joins the WTO – and becomes the global manufacturing plant Wall-Mart, Ikea, Dell and UPS change the rules in their businesses 19.08.04: Google – a billion searches a day Wireless, mobilityog convergence between it, telecom and media

6. Norwegian workforce 2025: Huge growth in healthcare and care for the elderly Strong growth in knowledge based services Reduction in manufacturing industries and land based food production High and stable demand in retail, central and local government, , construction, education, transportation, tourism and entertainment Currency earners in specialized capital intensive niches: offshore oil, maritime services, seafood and telecom

7. 25% of work time is spent looking for: Patient case sheets Beds Medical equipment Nurses Doctors Patients

8. Office of the auditor general- status after 10 years of it-strategy 42 % of case summaries and 8 % of referrals are sent electronically Very little electronic interaction between hospitals and local goverment 20% of physicians offices use PKI 21 % of doctors certificates (to NAV) are sent electronically

9. Not primarrily a question of more money

10. Many types ofinnovation…

11. Opportunities for innovation Sensor technology Authentication and safety Self service solutions Logistics E-trainingand simulation Social media

12. Transistor radio – er det bra nok da?

14. Smarteruseofmoney and human capitalthroughinnovation? Is thereroom for real dirsuptionof business models in healthcare?

15. Portable utrasound

16. Computer aidedtraining

17. Social media for theprofessionals

18. …and for thepatients You see, we believe sharing your healthcare experiences and outcomes is good. Why? Because when patients share real-world data, collaboration on a global scale becomes possible. New treatments become possible. Most importantly, change becomes possible. At PatientsLikeMe, we are passionate about bringing people together for a greater purpose: speeding up the pace of research and fixing a broken healthcare system.

19. Openinnovation