Zorg Domotica Hugo Velthuijsen Lector New Business ICT

Zorg & Domotica Hugo Velthuijsen Lector New Business & ICT Een kwestie van marktfalen?

Aanleiding • Domotica Platform Nederland in 2009: “… belofte Domotica al 20 jaar niet ingelost … vooral pilots … te technisch … eilandjes … te duur …” • Maar, domotica cruciaal voor speerpunten Hanzehogeschool Groningen: energy transition en healthy ageing / healthy lifestyle • Ambitie: duurzame inzet van domotica tbv speerpunten in noordelijke regio • Vraag: kunnen de stakeholders in Noord Nederland elkaar versterken om te komen tot duurzaam succesvolle inzet van domotica in de Zorg? 29 -9 -2020 New Business & ICT 2

Korte inventarisatie Domotica projecten in Noord Nederland item zorginstellingen Naam zorginstelling NOVO Doelgroep Licht verstandelijk gehandicapten Gebruikers Orthopedagogen / begeleiders Scenarios – Dag/nacht ritme – Verwarming – Woon/werkverkeer Sensoren / actoren Bedsensor, temperatuur, verwarming, raam/deur contact, mobiel, speaker Architectuur Expert systeem Platform DAP / AVICS 29 -9 -2020 New Business & ICT 3

Agenda Inleiding + gesprek 29 -9 -2020 Derk Hugo Financiën Markt Mens & organisatie Techniek & innovatie New Business & ICT 4

Domotica = electronics in the home + = Domotica 29 -9 -2020 New Business & ICT 5

Relevance of Domotica for Hanze University Technology solutions for Energy Transition & Healthy Ageing • • • 29 -9 -2020 New Business & ICT Energy Transition and Healthy Ageing are the two focal points for applied research in the Groningen area RUG, UMCG, and Hanze University collaborate on these topics The Centre of Entrepreneurship addresses valorisation of research output 6

Project IM LVG Een voorbeeld Partners • Stichting NOVO • AVICS • Hanzehogeschool (penvoerder) Financiering • Budget € 250. 000 • 60% door Provincie Groningen ihkv IAG 2 programma • AVICS levert apparatuur en kennis • NOVO levert zorg deskundigheid • HG levert kennis & ervaring (lector, docenten) en onderzoekscapaciteit & handjes (studenten) 29 -9 -2020 Lectoraat New Business & ICT Looptijd • Augustus 2009 – Juli 2011 • Basissysteem ontwikkeld • Installatie, nul- en effectmetingen vanaf oktober 2010 Ambitie Middels een multidisciplinaire aanpak grip krijgen op al die randvoorwaarden die van belang zijn om te komen tot een duurzame innovatie in de Zorg

Doelgroep Licht verstandelijk gehandicapten v IQ ca 50 -85 v Behoefte aan rust, orde en regelmaat v Beperkt besef van tijd, tijdsduur, plaats, afstand, risico’s, goed/fout v Moeite met “oorzaak-gevolg”. “alsdan”, in actie komen, plannen, dingen afmaken v Huidige ondersteuning via menselijke interventies: observeren, signaleren en interveniëren v Begeleiding voornamelijk reactief Innovatie: Zoveel mogelijk observeren, signaleren en interveniëren overnemen door (technische) hulpmiddelen (arbeidsmarkt & kosten Doelstellingen v Bevorderen van de zelfredzaamheid van cliënten (“kwaliteit van leven”) v Begeleiding van reactief naar proactief v Begeleiding van operationeel naar tactisch v Verlaging van het aantal incidenten en escalaties

Techniek Hosted Domotica Server Ambulante Team Alarm Server Woon Rapportage Expert Systeem Werk LVG’er Zorgverlener Script Editor Database

Gebruikers v Gebruikers zijn: ■ Orthopedagogen: gebruiken het systeem voor ontwikkelen effectieve interventies ■ Begeleiders: gebruiken het systeem om een deel van hun taken naar te delegeren v Interactieve, exploratieve en iteratieve ontwikkel-methodiek om gebruikersacceptatie te realiseren v Intellectueel eigendom is gezamenlijk ontwikkelde kennis over effectieve interventies: co-creatie v Systeem kan ingezet worden voor andere zorginstellingen, ander type cliënten, andere scenario’s Juridisch/ethische aspecten cliënten v Systeem betekent inbreuk op de privacy v Is dat erg? v Belang cliënt: ■ Recht op privacy, maar ook ■ Recht op goede zorg v Belang zorgaanbieder: goede, betaalbare zorg v Maatregelen: ■ Duidelijke afspraken met cliënten ■ Zorgvuldig informatiemanagement: onderzoek en operatie ■ Uit-knop v Aansprakelijkheid v Medisch Ethische Toetsings Commissie

Multidisciplinariteit Toegepaste disciplines v v v v ICT Sensor technologie Human technology Gezondheidsstudies Rechten Financieel-economisch management Marketing & Communicatie International Business

Domotica does not fulfill its promise After 20 year of projects and pilots market reach is limited Explanations for lack of success: • Too much technology driven • Not sustainable after pilot phase • Too much “island thinking” • Not user friendly enough • Not extensible enough • Too expensive Source: Statements by Domotica Plaform Nederland 29 -9 -2020 New Business & ICT 12

Different sectors are convergeing in the home… … but they are not CONVERGEING! Audio Video Gaming • Health care • Communication Security Energy & Sustainability • • Comfort Lighting Different players in different sectors see the home as their future market of growth Some of these players are world players (Sony, Philips, Microsoft, Google, etc. ) Most larger players aim for dominant market shares (of their perceived market) Few players aim at transsectoral innovation It is better to have a reasonable market share in a very large market than market dominance in a very small market! 29 -9 -2020 New Business & ICT 13

Scenarios in the home Advancement of domotica in the home as a sequence of life time decisions • • • People will make stand alone decisions on buying domoticastyle products and services at different times Each decision stands at its own at that time, but is influenced by the installed base At different times, people may have different decision criteria (cost, quality, reliability, ease of use, comfort) and fall within different market segments Each time one solution competes with numerous other solutions Low incremental costs as well as ease of use will usually be deciding factors if a new product is bought and which new product is bought Example of a family lifecycle • Triple play (phone, TV, Internet) • Babyfoon • Energy conservation • Audio & video to multiple rooms • Gaming • Security system • Upgraded energy conservation system • Remote health care • Home assistance The Domotica market is a composite of different markets 29 -9 -2020 New Business & ICT 14

rg TV various na na Camera/ TV display PC TV Thermostaat PC PC TV hub PS 2 PCon. TV modem HR-e ketel Smart meter Box Infrastructuur Wi. FI PLC Wi. Fi GPRS ? Cat 5 Gateway RG RG RG GPRS netwerk ? RG 29 -9 -2020 New Business & ICT c. na Ko application specific equipment Et ala Zo Po Go og le Ox xio t Es se n PC on company So ny TV we op rm Af ete sta r “Island thinking”: vertical integration nd Sector specific solutions 15

• No overhead for potential • Higher overall costs due to future additions; lower oneduplication of a single Vertical off costsintegration function by different • Advantageous Optimized design for single solutions for one-offs; disadvantageous for multiple solutions application • Potential design drawbacks for additional solutions 29 -9 -2020 New Business & ICT 16

Need for generic solutions Horizontal integration application specific equipment display other PC TV hub Infrastructuur Gateway 29 -9 -2020 New Business & ICT Generic contolling device Generic infrastructure Generic gateway 17

Vacuum in development Gap between macro-economcs and technology Macro-economic developments Laws and regulations Stimulation packages New PMC’s with sustainable business models (technological) innovations & standardisation e. g. , ICT Innovation Platform Domotica & Smart Living (IIP-DSL) 29 -9 -2020 New Business & ICT 18

Business model consequences Cost comparisons • Typically, closed, dedicated solutions are cheaper and therefore more attractive to potential buyers • Generic infrastructures have low perceived consumer added value • Different possible solutions: – Someone with deep pockets (the government? ) invests in a common infrastructure (without applications; thus no real business case) – Someone develops an open platform and application(s) with sufficiently high volume and economies of scale to create a ‘de facto’ standard (like the Iphone example), – Someone develops a truely incremental model – Others? 29 -9 -2020 New Business & ICT 19

Open innovation model Example Apple Iphone • Iphone is a great product with good basic applications • An open applications programming interface (API) for adding numerous other applications • 1 distribution platform • > 70, 000 applications, developed by ‘everybody’ • Caveat: there is always more creativity outside the company than inside! Can this model work for Domotica? 29 -9 -2020 New Business & ICT 20

Workable business models What has worked so far? • Pilots – New Domotica applications built as pilot / proof of concept – One-off investments are part of development costs (i. e. negligable) – Usually no attention for sustainable business case • Property development – Domotica applications and infrastructure as part of the development of a new building or area – Investment as part of the property investment (i. e. negligable) – In the Netherlands, the number of newly built houses is approx only 1% of all existing households • Top-down enforcement – Domotica applications made obligatory – Bypass “normal” market dynamics – Available as option to e. g. totalitarian governments, health insurance, etc. • Others? 29 -9 -2020 New Business & ICT 21

Mogelijkheden voor samenwerking • • • Delen van ervaringen Uitwisselen scenario’s Uitwisselen sensoren / actoren Investeren in standaard open platformen Investeren in standaard architectuur 29 -9 -2020 New Business & ICT 22