Page 245 - The Design Thinking Playbook
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What does the business ecosystem map of Marc and his   Marc and his team live by the principle that when you are fast and innovative, you will win in this game.
        start-up team look like?                        When designing the business ecosystem, Marc always has his eyes on the big picture. He wants to design
                                                        a system that makes it possible to establish the cycle of identification, treatment, service accounting, ver-
        Marc and his team are facing an ecosystem design challenge for their   ification of services, medication, and reimbursement that delivers advantages to all actors and especially
        digital business model in the health record environment, which they   the patients in the system.
        plan to realize based on a blockchain technology.
        Marc has come up with a number of basic principles to shape   What are the needs of the users/patients?
        his ideas for a business ecosystem. For one, he is convinced that
        blockchain as a technology will break through existing boundaries   Through observation and research, Marc and his team have found out a great deal about the health care
        and industry-specific rules; secondly, he believes the dynamics in the   system and the needs of patients. The team works with customer experience chains (see figure “Current
        industries will increase. Long-established industry giants in many   patient journey”), which help to explain the interactions, needs, and disruptions in the system. Linda was
        segments will topple. This means there are market opportunities for a   able to contribute quite a bit of important information from the point of view of an expert because she
        greenfield approach on all continents as long as a country possesses   knows the day-to-day hospital operation so well. Moreover, initiatives such as Google’s Deep Mind have
        the necessary ICT infrastructure.               shown that such systems have potential. From this, Marc inferred the core value proposition, the basis for
                                                        the further design of the ecosystem.



                                                    Current patient journey




                          1)              2)               3)              4)              5)              6)
                     The patient does not   The patient selects   The doctor diagnoses a   The treating physician   The patient continues   The patient begins the
                      feel well. He does   a doctor. The doctor   disease and suggests   creates the service ac-  his own online   treatment. The success
                      online research.  explores the medical   a treatment or sends   counting and sends the   research, gets informa-  of the treatment is
                                     history of the patient   the patient to the next   invoice to the patient   tion in forums, talks to   tracked through regular
                                     and creates a “health   doctor (back to 2)  or the health insurer  friends. Then he makes   visits to the doctor.
                                         record.”                                      the decision for or   Mobile devices, apps,
                                                                                       against treatment.  wearables, or more
                                                                                                     examinations and tests
                                                                                                      support the process.

                      Internet forums  Electronic patient   Public health data   Data of the service   Patients,  Central ecology
                       Social media   record and medical   Lab results   accounting     communities       thinking
                       Research data     record        Genome data                      Social media
                                                                                        Research data


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