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Competing within Ecosystems:
sustaining ways of creating indirect value

              Philip Boxer BSc MBA PhD

                   An invited talk given at
             The School of Systems & Enterprises
               Stevens Institute of Technology
                     December 5th 2012
Background Experience:
                                        focusing on indirect value
                          Project          Direct         Multi-sided          Indirect              Potential
                                         Customers         platform           Customers            Indirect Value
                                                                                               40% saving on operational
                        MoD surface          MoD             C4ISTAR            Mission
                                                                                                costs, 15% from reduced
                         capability       acquisition        platform         Commanders                variation
Quantifying
Indirect                  Swiss e-          Federal       Search engine      Respondents to      80% saving, 50% from
                        Government        Chancellery       platform            citizens           reduced variation
Value
                        Uninhabited         Royal              UAS              Mission          40% saving, 30% from
                       Aerial Systems      Artillery         platform         Commanders           reduced variation

                        BT customer         Area             Customer            Phone        70% of errors from failures to
                          service        management      services platform        user               align properly

Identifying          Network Enabled         MoD           Collaborative        Mission        Unable to assess impact of
                        Capability        acquisition           SoS           Commanders       mission thread variability
Risks
                                                                                                 Architecture restricting
                           AWACS            NATO         Mission systems        Mission
                                                                                               adaptation to new types of
                          capability      acquisition      of systems         commanders                 mission
                          Wildland          Federal       Collaboration            Fire       Needed focus on variation in
                            Fire           Agencies         support             fighters        forms of collaboration
Mitigating                              Supercomputing       Research          Research       Needed focus on variation in
                           XSEDE
Risks                                       centers            SoS           collaborations     forms of collaboration

                            NHS           Healthcare     Clinician support                    Managing treatment through-
                                                                                Patients
                          Orthotics         Trusts            platform                        life means $1 now = $4 saved

Copyright © Philip Boxer 2012                                                                             December 5th 2012
                                                                                                                          2
Outline

•     Introduction                                                           This metaphor provides a
                                                                              way of understanding the
                                                                              nature of the ‘disconnect’
•     A closer look at the problem                                          between individual behaviors
                                                                             and organized complexity
•     The quantum metaphor
•     Modeling risk and indirect value
•     Implications


                                Boxer, P.J. (2012) Evaluating platform architectures within ecosystems:
                                              modeling the relation to indirect value within ecosystems.
                                                                     Lambert, ISBN: 978-3-659-25536-6


Copyright © Philip Boxer 2012                                                                              December 5th 2012
                                                                                                                           3
Why this interest           I am going to use
                                healthcare as my
    Why it matters              running example
    Major challenges
    Main themes


    INTRODUCTION


Copyright © Philip Boxer 2012                       December 5th 2012
                                                                    4
Why this interest?
     What kind of organizational challenge is presented by the tempo at which a
            clinic’s patients expect care pathways particular to their condition?




Copyright © Philip Boxer 2012                                          December 5th 2012
                                                                                       5
Why does it matter?
•     Competitive organizations must achieve new levels of value for
                                                                                               Patients always want
      their customers continuously if they are to survive in the long run.                            ‘more’.
        – As this pursuit of value moves them further and further away from
          products towards services,                                                           Their conditions are
                • value becomes increasingly specific to the customer’s context-of-use, and    increasingly chronic
                                                                                                  and difficult to
                  dependent on the organization’s capacity to learn from those contexts.            diagnose.
        – The complexity involved in delivering this value must to some extent
          be organized,                                                                           Their treatment
                                                                                               demands increasingly
                • not just emergent from amongst the interactions within an ecosystem of      complex collaborations
                  multiple organizations and stakeholders.                                      between specialists.
        – Organizing this complexity presents unprecedented challenges to the
          forms of conversation demanded between the actors within these
          ecosystems,                                                                          Managing outcomes
                                                                                               challenges existing
                • not only in defining relevant relationships between socio-technical         ways of organizing care
                  systems and their environments, but also in defining the supporting               pathways
                  system-of-system architectures


Copyright © Philip Boxer 2012                                                                  December 5th 2012
                                                                                                               6
Major challenges
• Comparing Healthcare with Manufacturing suppliers*
        – ‘the expectations of customers’. The unknowable aspects of customers’ needs in                                        ‘Value Deficit’
          healthcare emerge as new forms of demand at a much faster tempo.                                                     drives demand.


        – ‘their knowledge of the (near-term) future’. The closer to the patient’s condition,
          the more unpredictable the demand.
        – ‘the variability in their work processes’. Variability is driven by the need to align
          processes to patients’ particular conditions.
        – ‘the traceability between performance and the result for the customer’.                                                Run-time
          The effects of a particular treatment on patient outcome depends on the context.                                     generation of
        – ‘duration of production process’. The availability of treatments has to be timely.                                   outcomes and
                                                                                                                                design-time
        – ‘the ability to buffer the production process against variability in levels of                                       diagnosis are
          demand’. Treatment protocols have to be applied on a just-in-time basis.                                              ‘entangled’
        – ‘the costs of production’. The complexity of the alignment process is itself a major
          driver of outcome costs.
        – ‘the connection between cost of production and revenue from the customer’.
          There is no direct link between patient outcome and cost recovery.

                                * Rouse, W. B., L. F. McGinnis, et al. (2009). Models of Complex Enterprise Networks.
Copyright © Philip Boxer 2012   Second International Symposium on Engineering Systems, MIT Cambridge, Massachusetts.    December 5th 2012
                                                                                                                                        7
Main themes…
• What approach to creating value does this imply?
                                                                  Managing the through-life cost of the
        – An approach that creates indirect value driven by the   patient’s condition to the patient as
          individual customer’s value deficit.                     well as to the insurance company.



• What forms of collaboration does this demand
  between the actors within these ecosystems?
        – Collaboration within an approach to governance that     Governance aimed at scaling learning
                                                                  about alignment of care pathways as
          assumes run-time and design-time conversations are         much as at scaling efficiencies.
          necessarily entangled.


• How is the resultant complexity to be supported?
                                                                      System-of-systems platforms
        – System-of-system platforms agile enough to support a         supporting multiple forms of
          variety of multi-sided demands.                           alignment by those collaborating




Copyright © Philip Boxer 2012                                                    December 5th 2012
                                                                                                 8
Multi-sided Demand
    Indirect Value
    Managing Multi-sidedness


    A CLOSER LOOK AT THE PROBLEM


Copyright © Philip Boxer 2012   December 5th 2012
                                                9
Multi-sided Demand:
                                counting the value of indirect customers
•     Multi-sided demand supported by a platform is demand for
      which:
                                                                                            direct provision of treatment of a
       – There is direct value in the platform’s direct ‘one-sided’                                 patient’s condition
         relationship with a participant                                                     the patient-in-their-life needing
       – The customer of a collaboration between ecosystem participants                          a collaboration between
                                                                                              specialists responding to their
         is an indirect customer                                                                         condition
       – With multi-sided demand, there is indirect value in the ‘multi-                       the way a hospital provides
         sided’ relationships the platform supports between collaborating                        support to collaboration
         ecosystem participants                                                                   between its clinicians

                                                 2                       4
                                                                                 Indirect value of a ‘multi-
    Ecosystem                                1                                   sided’ relationship
    participants                                                     …       n
                                                            3
                                                                                 Direct value of a
Evans, D. S., Hagiu, A., & Schmalensee, R.                                       ‘one-sided’
(2006). Invisible Engines: How Software                                          relationship
Platforms Drive Innovation and Transform
Industries. Cambridge: MIT.                          Platform Supplier
Copyright © Philip Boxer 2012                                                                         December 5th 2012
                                                                                                                     10
Indirect Value:
                        the value is in supporting the collaborations
                                 Orthotics Clinics           e-Government                  UAS                    iPhone

  Supplier                        Orthotics supplier          IT Department               Thales                   Apple


  Platform                          Orthotics clinic         Research engine               UAS                 iPhone+Cloud

                                 Clinicians, Orthotics        Departmental &              Royal            Service Providers, App
  Direct Customers                                             Agency users              Artillery             developers etc
                                  Manufacturers etc

                                                                                     Between Force
  Collaboration                  Between clinicians’       Between Departments                               Between users and
                                                                                      Elements and
  supported by Platform           episodes of care         and external Agencies                                 their apps
                                                                                    Mission Command

                                                                                                               The phone user
  Indirect Customer              The patient managing        The citizen with a         Interdicting
                                                                                                              arranging to meet
  Situation                     their diabetic condition         question             fleeting targets
                                                                                                                 a blind date

                                Costs to the patient and     Costs to the citizen Costs of aligning more   Costs to the user of
  Indirect Value to be
                                 insurer of failing to       and Government of    expensive capabilities having to use less direct
  captured                      manage their condition     responding mistakenly     by other means       methods of organizing

  Demand tempo for the
                                   Month-by-month             Week-by-week             Hour-by-hour          Minute-by-minute
  Supplier
Copyright © Philip Boxer 2012                                                                                   December 5th 2012
                                                                                                                               11
Managing Multi-sidedness
• Capturing indirect value at demand tempo
        – The supplier has to consider their relationship to indirect     The clinic has to understand
                                                                              the variety of clinical
          forms of demand, and the organizational processes by              collaborations needed in
          which their own products and services can be aligned with       responding to the variety of
          those of others to support multi-sided demands.                 conditions they are meeting



• Defining the economics at the level of the ecosystem
                                                                          It becomes critical to analyze
        – The value lies in reducing the costs that fall ultimately on   the cost to the patient of their
          the indirect customer of aligning suppliers’ products and         condition over its life, and
                                                                               what are its drivers
          services to multi-sided demands.

• Developing the platform architecture capable of
  capturing indirect value                                               The agility of the platform is
        – The architecture has to be ‘agile’ in the sense that it can    defined by the variety of care
          support a sufficient variety of forms of multi-sided demand.   pathways that it can support




Copyright © Philip Boxer 2012                                                      December 5th 2012
                                                                                                  12
Each collaboration defines a Quantum State
    ‘Classical’ versus ‘Quantum State’ Organization
    Platforms supporting multi-sidedness


    THE QUANTUM METAPHOR


Copyright © Philip Boxer 2012                         December 5th 2012
                                                                     13
The Quantum Metaphor:
                         each collaboration defines a quantum state

• It is the actors participating in a particular collaboration who will define
  the way they want their collaboration to be supported by the platform.
• The form of the collaboration will be determined by the conversations
  through which the actors understand the multi-sided demand.
• The actors in a collaboration can be spread across multiple organizations
  within an ecosystem.                                  The clinic has to be able to manage many
                                                                                                   different things at the same time

                                                                                                                       Simultaneous
                                        A Collaboration between Actors
                                                                                                                       care pathways

                                                 Supporting Platform                                Support


                                                                                                                  Superposition of
                                                                                                                  Quantum States

                                Source: Fig 2-1 on the Management Challenge: Systems Engineering
                                Guide for Systems of Systems, OSD, Version 1.0 August 2008.
Copyright © Philip Boxer 2012                                                                                            December 5th 2012
                                                                                                                                        14
‘Classical’ organization:
design-time conversations separated from run-time conversations

                                                                                                    ‘We treat necrosis’

                                                         Markets                                               Hierarchical
                                                                                                               Governance


                                                                                                                  Opportunity to
                                   Planned                                 Establishing a one-
                                                                                                                  capture value
                                  behaviors                                sided relationship
                                 (constrained by                               to Demand
                                  architecture)                               (the value defined
                                                                                   a priori)




                Operations                                                                         Management
                                                   Accountability
                                                    Hierarchies
                                                   (defining quality
                                                      attributes)




                                                            Run-time   Design-time


Copyright © Philip Boxer 2012                                                                                     December 5th 2012
                                                                                                                                 15
‘Quantum State’ organization:
design-time conversations entangled with run-time conversations
                                                       Each collaboration has to be
                                                          able to collapse out a                                        ‘We enable our patients to
                                                         different Quantum State                                          manage their diabetes’
       It is all going on
        at run-time for                                    Demand-in-its-context                         Simultaneous
         each demand                                      (describes the variety of indirect             care pathways
                                                                      demands)



                                                                                                Cohesion of the
                                     Modularity of
                                                                                               response to multi-
                                                                                                                                  Support
                                      behaviors
                                     (constrained by                                             sided Demands
                                        technical                                              (the experience of the
                                      architecture)                                               value provided)




              Operations                                                                                            Management
            (the multi-sidedness                               Accountability                                          (organizes the
           which the supporting                                 Hierarchies                                        alignment processes)
          platforms are capable of                             (defining quality
            supporting at a given                                 attributes)
                  tempo)




Copyright © Philip Boxer 2012                                                                                                         December 5th 2012
                                                                                                                                                     16
Platforms supporting multi-sidedness:
              the platform has to be able to support superposition


                                                                                         Simultaneous
                                                                                         care pathways
                                                  Demand-in-its-
                                                     context


                                                                                Cohesion of the                   Support
                                Modularity of
                                                                               response to multi-
                                 behaviors      functional      value
                                                coupling        propositions     sided Demands




                                                       accountability
              Operations                                                                         Management
                                                      Accountability
                                                       Hierarchies

               The platform has to                                               ‘Our clinic has to support our
                                                                                   clinicians learning about
            support the superposition
                                                                                   effective care pathways’
            of these Quantum States


Copyright © Philip Boxer 2012                                                                                     December 5th 2012
                                                                                                                                 17
Triple Articulation
    Conceptual Modeling
    Structure Analysis and Monte Carlo simulation


    MODELING RISK AND INDIRECT
    VALUE
Copyright © Philip Boxer 2012                       December 5th 2012
                                                                   18
Triple Articulation:
                                     the articulation of constraints

What are the available treatments                                                                      What variety of care pathways can
  and how do they interact?
                                                       How can pathways be aligned                     be aligned to patients’ conditions?
   Constraints on                                        to the contexts-of-use?
                                                                                                                 Demand-side
functional granularity                                                                                           Constraints on
     & coupling                     Functional                                                Paths generating
                                                                                                                   cohesion
                                 Coupling paths                                               value propositions

                                                                 aligned
                                                                behaviors


                     How do these supply-side
                                                                                          What will the
                    constraints over-determine
                                                                                          cohesion costs* be?
                                    behaviors?
                                                           Hierarchical paths of
                                                              accountability
                                                                                                    * Cohesion cost =
                                                           Constraints on                           costs of use of particular components +
                                                                                                    costs of alignment to situation.
                                                           non-functional
                                                           characteristics
                                                 Who is accountable for cost/quality trade-
 Copyright © Philip Boxer 2012                          offs and securing funding?                                      December 5th 2012
                                                                                                                                       19
Conceptual Modeling:
            modeling the relationships between three types of model
Physical structure & behavior                          Synchronization across
                                                                                          The processes by which                The Organization of
                                                       Accountability Hierarchies
                                                                                            clinicians keep care                Demand
       Dynamic configuration                                        Socio-technical
       of physical structure
                                                                                             pathways aligned
                                                                    Synchronization
                                                                                                                                        Problem
                                                                                                                                        Domain
        Physical           The way                                  Digital Synchronization/ Data Fusion
        Structure
                         treatments                                                                                                     Demand
        Physical        are executed                                                                                                    Situation
                                             Functional                                                    Paths generating
        Event             for and by
                                          Coupling paths                                                   value propositions           Customer
                           the clinic                                                                                                   Situation
        Physical
        Process                                                        aligned
                                                                                                                                        Demand
        Outcome from complex               The socio-                 behaviours                                                        Driver
        chains of events                    technical                                      The organizations
                                            systems                                       and processes doing
System structure & behavior                generating                                                                               The value
                                                                                              the aligning
        Dynamic configuration                  the                                                                                   implicit in
        of system structure                constituent                                                                                indirect
                                                                  Hierarchical paths of
        System                            products and                                                                              customers’
        structure                                                    accountability
                                            services                                                                                 demands
                                                              Accountability Hierarchy
        Digital Trace
                            The way
                                                                    Unit of                                                     The different kinds of
                         information                                Accountability         The institutional
         Digital                                                                                                                circumstance in which
         Process         is organized                                                    context in which the                   patients present with
                         for the clinic                                                     clinic operates                         their conditions

   Copyright © Philip Boxer 2012                                                                                                December 5th 2012
                                                                                                                                               20
Eliciting relational knowledge:
              these models emerge from actors within the ecosystem
                                                                  AWACS




It is a process that
        carefully
   re-constructs a
    picture of the
     ‘elephant’ by
    combining the
    different blind
   persons’ partial
     experiences




    Copyright © Philip Boxer 2012                              December 5th 2012
                                                                              21
Structure Analysis:
    identifying structural gaps creating risks to dynamic alignment
Ecosystem alignment to                       Distinguishing the                                   Defining alignment
   Indirect Demands                        different kinds of path                              processes across strata
                                           Functional                 Value
                                           Coupling             Propositions




                                                        Accountability
                                                         Hierarchies


        Analysis of Modularity within strata
                                                                         Identifying Structural Gaps
                                                                          within the different strata
                                                                                                                      AWACS

                                                                                                                   Mitigation
                                                                                                                   Strategies




                 Source: Anderson, Boxer & Browsword (2006) An Examination of a Structural Modeling Risk Probe Technique,
                 Special Report, Software Engineering Institute, Carnegie Mellon University, CMU/SEI-2006-SR-017.

Copyright © Philip Boxer 2012                                                                                         December 5th 2012
                                                                                                                                     22
Monte Carlo Simulation:
           The impact of variation in Indirect Demand on Cohesion Costs
           Ecosystem alignment to                                                       Defining alignment                                                                                                   Costing Cohesion of Value
              Indirect Demands                                                        processes across strata                                                                                                      Propositions




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Monte Carlo Simulation of impact of Variations in                                     Real Option Valuation of impact of                                                                                                                                                                                                                                                         UAS
   Indirect Demand on cohesion cost range                                             investment on cohesion cost range
                                       Large Scale
                                                                                           0.45
                                                                                                                                                                                                                                                                                                                    Increased
                          Scenario 1   Small Scale enduring
                                                              Medium Scale enduring
                                                                                            0.4


                                                                                           0.35
                                                                                                                                                                                                                                                                                                                    Agility
Defence Expenditure

                       Alternative
                                          Scenario 2          Small Scale enduring          0.3


                                                                                           0.25
                                                                                                                                                                                                                                                                                                                    =
                                                              Small Scale one-off
                                                              Medium Scale enduring
                                                                                            0.2


                                                                                           0.15
                                                                                                                                                                                                                                                                                                                    Reduced
                                         Scenario 3           Small Scale limited           0.1


                                                                                           0.05
                                                                                                                                                                                                                                                                                                                    Cohesion
                                                              Small Scale one-off
                                                                                             0
                                                                                                                                                                                                                                                                                                                    Costs
                                                                                                              0

                                                                                                                     5

                                                                                                                            0

                                                                                                                                    5

                                                                                                                                           0

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                                                                                                                                                                5

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                                                                                                                                                                                          97

                                                                                                                                                                                         10

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                                                                                                                                                                                         14
                                                                                                                                Scaled Cost1          Scaled Cost2          Scaled Difference




                      Boxer, P.J. (2009) What Price Agility? Managing Through-Life Purchaser-Provider Relationships on the Basis of the Ability to Price Agility,
                      Special Report, Software Engineering Institute, Carnegie Mellon University, CMU/SEI-2009-SR-031.

     Copyright © Philip Boxer 2012                                                                                                                                                                                                                                                                                                     December 5th 2012
                                                                                                                                                                                                                                                                                                                                                      23
Managing entangled conversations
    Supporting superposition


    IMPLICATIONS


Copyright © Philip Boxer 2012          December 5th 2012
                                                      24
Implications:
                                doing more with the same resources
•     Responding to multi-sided demands at demand tempo means
      dynamically aligning many value propositions to many different
      local environments. This means
        – Managing entangled conversations
                •    Dynamic alignment entangles design-time and run-time conversations,
                     changing the supplier’s unit of analysis from one-sided markets to the       The Quantum Metaphor
                     multi-sided contexts with which the supplier is interacting.                  helps us to understand
                •    There has to be conversation with each local environment through which         the challenge these
                     local coherence can align pathways.                                          environments present to
                •    Each conversation must collapse out a singular local pathway that need not          Leadership
                     be correlated with pathways demanded in other local environments.

        – Supporting superposition
                                                                                                    Shifting the focus to
                •    Platforms have to be engineered that are agile enough to support dynamic
                     alignment to the variety of local environments encountered.                  managing cohesion cost
                •    This variety of simultaneous pathways supported at demand tempo are a          across the variety of
                     superposed set of states.                                                    indirect demands led to
                •    Engineering such platforms involves identifying risks to agility and           30-50% reductions in
                     quantifying the value of increases in agility.                                    operating costs




Copyright © Philip Boxer 2012                                                                          December 5th 2012
                                                                                                                      25
Contact details:
                                     Philip J. Boxer BSc MBA PhD
                                           +1 908 458 6588
                                        Philip.Boxer@brl.com
                                http://www.linkedin.com/in/philboxer




                                THANK YOU


Copyright © Philip Boxer 2012                                          December 5th 2012
                                                                                      26

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Competing within ecosystems: Sustaining Ways of Creating Indirect Value

  • 1. Competing within Ecosystems: sustaining ways of creating indirect value Philip Boxer BSc MBA PhD An invited talk given at The School of Systems & Enterprises Stevens Institute of Technology December 5th 2012
  • 2. Background Experience: focusing on indirect value Project Direct Multi-sided Indirect Potential Customers platform Customers Indirect Value 40% saving on operational MoD surface MoD C4ISTAR Mission costs, 15% from reduced capability acquisition platform Commanders variation Quantifying Indirect Swiss e- Federal Search engine Respondents to 80% saving, 50% from Government Chancellery platform citizens reduced variation Value Uninhabited Royal UAS Mission 40% saving, 30% from Aerial Systems Artillery platform Commanders reduced variation BT customer Area Customer Phone 70% of errors from failures to service management services platform user align properly Identifying Network Enabled MoD Collaborative Mission Unable to assess impact of Capability acquisition SoS Commanders mission thread variability Risks Architecture restricting AWACS NATO Mission systems Mission adaptation to new types of capability acquisition of systems commanders mission Wildland Federal Collaboration Fire Needed focus on variation in Fire Agencies support fighters forms of collaboration Mitigating Supercomputing Research Research Needed focus on variation in XSEDE Risks centers SoS collaborations forms of collaboration NHS Healthcare Clinician support Managing treatment through- Patients Orthotics Trusts platform life means $1 now = $4 saved Copyright © Philip Boxer 2012 December 5th 2012 2
  • 3. Outline • Introduction This metaphor provides a way of understanding the nature of the ‘disconnect’ • A closer look at the problem between individual behaviors and organized complexity • The quantum metaphor • Modeling risk and indirect value • Implications Boxer, P.J. (2012) Evaluating platform architectures within ecosystems: modeling the relation to indirect value within ecosystems. Lambert, ISBN: 978-3-659-25536-6 Copyright © Philip Boxer 2012 December 5th 2012 3
  • 4. Why this interest I am going to use healthcare as my Why it matters running example Major challenges Main themes INTRODUCTION Copyright © Philip Boxer 2012 December 5th 2012 4
  • 5. Why this interest? What kind of organizational challenge is presented by the tempo at which a clinic’s patients expect care pathways particular to their condition? Copyright © Philip Boxer 2012 December 5th 2012 5
  • 6. Why does it matter? • Competitive organizations must achieve new levels of value for Patients always want their customers continuously if they are to survive in the long run. ‘more’. – As this pursuit of value moves them further and further away from products towards services, Their conditions are • value becomes increasingly specific to the customer’s context-of-use, and increasingly chronic and difficult to dependent on the organization’s capacity to learn from those contexts. diagnose. – The complexity involved in delivering this value must to some extent be organized, Their treatment demands increasingly • not just emergent from amongst the interactions within an ecosystem of complex collaborations multiple organizations and stakeholders. between specialists. – Organizing this complexity presents unprecedented challenges to the forms of conversation demanded between the actors within these ecosystems, Managing outcomes challenges existing • not only in defining relevant relationships between socio-technical ways of organizing care systems and their environments, but also in defining the supporting pathways system-of-system architectures Copyright © Philip Boxer 2012 December 5th 2012 6
  • 7. Major challenges • Comparing Healthcare with Manufacturing suppliers* – ‘the expectations of customers’. The unknowable aspects of customers’ needs in ‘Value Deficit’ healthcare emerge as new forms of demand at a much faster tempo. drives demand. – ‘their knowledge of the (near-term) future’. The closer to the patient’s condition, the more unpredictable the demand. – ‘the variability in their work processes’. Variability is driven by the need to align processes to patients’ particular conditions. – ‘the traceability between performance and the result for the customer’. Run-time The effects of a particular treatment on patient outcome depends on the context. generation of – ‘duration of production process’. The availability of treatments has to be timely. outcomes and design-time – ‘the ability to buffer the production process against variability in levels of diagnosis are demand’. Treatment protocols have to be applied on a just-in-time basis. ‘entangled’ – ‘the costs of production’. The complexity of the alignment process is itself a major driver of outcome costs. – ‘the connection between cost of production and revenue from the customer’. There is no direct link between patient outcome and cost recovery. * Rouse, W. B., L. F. McGinnis, et al. (2009). Models of Complex Enterprise Networks. Copyright © Philip Boxer 2012 Second International Symposium on Engineering Systems, MIT Cambridge, Massachusetts. December 5th 2012 7
  • 8. Main themes… • What approach to creating value does this imply? Managing the through-life cost of the – An approach that creates indirect value driven by the patient’s condition to the patient as individual customer’s value deficit. well as to the insurance company. • What forms of collaboration does this demand between the actors within these ecosystems? – Collaboration within an approach to governance that Governance aimed at scaling learning about alignment of care pathways as assumes run-time and design-time conversations are much as at scaling efficiencies. necessarily entangled. • How is the resultant complexity to be supported? System-of-systems platforms – System-of-system platforms agile enough to support a supporting multiple forms of variety of multi-sided demands. alignment by those collaborating Copyright © Philip Boxer 2012 December 5th 2012 8
  • 9. Multi-sided Demand Indirect Value Managing Multi-sidedness A CLOSER LOOK AT THE PROBLEM Copyright © Philip Boxer 2012 December 5th 2012 9
  • 10. Multi-sided Demand: counting the value of indirect customers • Multi-sided demand supported by a platform is demand for which: direct provision of treatment of a – There is direct value in the platform’s direct ‘one-sided’ patient’s condition relationship with a participant the patient-in-their-life needing – The customer of a collaboration between ecosystem participants a collaboration between specialists responding to their is an indirect customer condition – With multi-sided demand, there is indirect value in the ‘multi- the way a hospital provides sided’ relationships the platform supports between collaborating support to collaboration ecosystem participants between its clinicians 2 4 Indirect value of a ‘multi- Ecosystem 1 sided’ relationship participants … n 3 Direct value of a Evans, D. S., Hagiu, A., & Schmalensee, R. ‘one-sided’ (2006). Invisible Engines: How Software relationship Platforms Drive Innovation and Transform Industries. Cambridge: MIT. Platform Supplier Copyright © Philip Boxer 2012 December 5th 2012 10
  • 11. Indirect Value: the value is in supporting the collaborations Orthotics Clinics e-Government UAS iPhone Supplier Orthotics supplier IT Department Thales Apple Platform Orthotics clinic Research engine UAS iPhone+Cloud Clinicians, Orthotics Departmental & Royal Service Providers, App Direct Customers Agency users Artillery developers etc Manufacturers etc Between Force Collaboration Between clinicians’ Between Departments Between users and Elements and supported by Platform episodes of care and external Agencies their apps Mission Command The phone user Indirect Customer The patient managing The citizen with a Interdicting arranging to meet Situation their diabetic condition question fleeting targets a blind date Costs to the patient and Costs to the citizen Costs of aligning more Costs to the user of Indirect Value to be insurer of failing to and Government of expensive capabilities having to use less direct captured manage their condition responding mistakenly by other means methods of organizing Demand tempo for the Month-by-month Week-by-week Hour-by-hour Minute-by-minute Supplier Copyright © Philip Boxer 2012 December 5th 2012 11
  • 12. Managing Multi-sidedness • Capturing indirect value at demand tempo – The supplier has to consider their relationship to indirect The clinic has to understand the variety of clinical forms of demand, and the organizational processes by collaborations needed in which their own products and services can be aligned with responding to the variety of those of others to support multi-sided demands. conditions they are meeting • Defining the economics at the level of the ecosystem It becomes critical to analyze – The value lies in reducing the costs that fall ultimately on the cost to the patient of their the indirect customer of aligning suppliers’ products and condition over its life, and what are its drivers services to multi-sided demands. • Developing the platform architecture capable of capturing indirect value The agility of the platform is – The architecture has to be ‘agile’ in the sense that it can defined by the variety of care support a sufficient variety of forms of multi-sided demand. pathways that it can support Copyright © Philip Boxer 2012 December 5th 2012 12
  • 13. Each collaboration defines a Quantum State ‘Classical’ versus ‘Quantum State’ Organization Platforms supporting multi-sidedness THE QUANTUM METAPHOR Copyright © Philip Boxer 2012 December 5th 2012 13
  • 14. The Quantum Metaphor: each collaboration defines a quantum state • It is the actors participating in a particular collaboration who will define the way they want their collaboration to be supported by the platform. • The form of the collaboration will be determined by the conversations through which the actors understand the multi-sided demand. • The actors in a collaboration can be spread across multiple organizations within an ecosystem. The clinic has to be able to manage many different things at the same time Simultaneous A Collaboration between Actors care pathways Supporting Platform Support Superposition of Quantum States Source: Fig 2-1 on the Management Challenge: Systems Engineering Guide for Systems of Systems, OSD, Version 1.0 August 2008. Copyright © Philip Boxer 2012 December 5th 2012 14
  • 15. ‘Classical’ organization: design-time conversations separated from run-time conversations ‘We treat necrosis’ Markets Hierarchical Governance Opportunity to Planned Establishing a one- capture value behaviors sided relationship (constrained by to Demand architecture) (the value defined a priori) Operations Management Accountability Hierarchies (defining quality attributes) Run-time Design-time Copyright © Philip Boxer 2012 December 5th 2012 15
  • 16. ‘Quantum State’ organization: design-time conversations entangled with run-time conversations Each collaboration has to be able to collapse out a ‘We enable our patients to different Quantum State manage their diabetes’ It is all going on at run-time for Demand-in-its-context Simultaneous each demand (describes the variety of indirect care pathways demands) Cohesion of the Modularity of response to multi- Support behaviors (constrained by sided Demands technical (the experience of the architecture) value provided) Operations Management (the multi-sidedness Accountability (organizes the which the supporting Hierarchies alignment processes) platforms are capable of (defining quality supporting at a given attributes) tempo) Copyright © Philip Boxer 2012 December 5th 2012 16
  • 17. Platforms supporting multi-sidedness: the platform has to be able to support superposition Simultaneous care pathways Demand-in-its- context Cohesion of the Support Modularity of response to multi- behaviors functional value coupling propositions sided Demands accountability Operations Management Accountability Hierarchies The platform has to ‘Our clinic has to support our clinicians learning about support the superposition effective care pathways’ of these Quantum States Copyright © Philip Boxer 2012 December 5th 2012 17
  • 18. Triple Articulation Conceptual Modeling Structure Analysis and Monte Carlo simulation MODELING RISK AND INDIRECT VALUE Copyright © Philip Boxer 2012 December 5th 2012 18
  • 19. Triple Articulation: the articulation of constraints What are the available treatments What variety of care pathways can and how do they interact? How can pathways be aligned be aligned to patients’ conditions? Constraints on to the contexts-of-use? Demand-side functional granularity Constraints on & coupling Functional Paths generating cohesion Coupling paths value propositions aligned behaviors How do these supply-side What will the constraints over-determine cohesion costs* be? behaviors? Hierarchical paths of accountability * Cohesion cost = Constraints on costs of use of particular components + costs of alignment to situation. non-functional characteristics Who is accountable for cost/quality trade- Copyright © Philip Boxer 2012 offs and securing funding? December 5th 2012 19
  • 20. Conceptual Modeling: modeling the relationships between three types of model Physical structure & behavior Synchronization across The processes by which The Organization of Accountability Hierarchies clinicians keep care Demand Dynamic configuration Socio-technical of physical structure pathways aligned Synchronization Problem Domain Physical The way Digital Synchronization/ Data Fusion Structure treatments Demand Physical are executed Situation Functional Paths generating Event for and by Coupling paths value propositions Customer the clinic Situation Physical Process aligned Demand Outcome from complex The socio- behaviours Driver chains of events technical The organizations systems and processes doing System structure & behavior generating The value the aligning Dynamic configuration the implicit in of system structure constituent indirect Hierarchical paths of System products and customers’ structure accountability services demands Accountability Hierarchy Digital Trace The way Unit of The different kinds of information Accountability The institutional Digital circumstance in which Process is organized context in which the patients present with for the clinic clinic operates their conditions Copyright © Philip Boxer 2012 December 5th 2012 20
  • 21. Eliciting relational knowledge: these models emerge from actors within the ecosystem AWACS It is a process that carefully re-constructs a picture of the ‘elephant’ by combining the different blind persons’ partial experiences Copyright © Philip Boxer 2012 December 5th 2012 21
  • 22. Structure Analysis: identifying structural gaps creating risks to dynamic alignment Ecosystem alignment to Distinguishing the Defining alignment Indirect Demands different kinds of path processes across strata Functional Value Coupling Propositions Accountability Hierarchies Analysis of Modularity within strata Identifying Structural Gaps within the different strata AWACS Mitigation Strategies Source: Anderson, Boxer & Browsword (2006) An Examination of a Structural Modeling Risk Probe Technique, Special Report, Software Engineering Institute, Carnegie Mellon University, CMU/SEI-2006-SR-017. Copyright © Philip Boxer 2012 December 5th 2012 22
  • 23. Monte Carlo Simulation: The impact of variation in Indirect Demand on Cohesion Costs Ecosystem alignment to Defining alignment Costing Cohesion of Value Indirect Demands processes across strata Propositions traceventindividual_in_afghan-pakistan_border c_sitnindividual_in_afghan-pakistan_border unitorderborder_reaper_strike_cell traceventborder_male_on_station channelborder_reaper_strike_cell traceventborder_hale_on_station unitorderborder_caoc_atc_sync traceventborder_male_outputs traceventborder_sf_on_station unitorderafghan_border_strike traceventborder_male_strike unitorderborder_male_bm unitorderborder_hale_bm channelborder_male_bm channelborder_hale_bm unitorderborder_isr_cell traceventafghan_report unitorderborder_sf_cell channelborder_isr_cell channelborder_sf_cell 5-6col1 x 5 orchnafghan_border_strike 1 1 1 1 1 1 1 1 1 1 1 outcomeborder_hale_on_station 1 1 1 1 1 1 outcomeborder_male_on_station 1 1 1 1 1 1 outcomeborder_male_strike 1 1 1 1 1 1 outcomeborder_sf_on_station 1 1 1 1 khowborder_sf 1 1 1 1 1 1 khowborder_male_strike 1 1 1 1 1 1 1 khowborder_hale_global_hawk 1 1 1 designborder_hale_global_hawk 1 1 designborder_male_operator 1 1 1 1 1 1 1 capyborder_hale_global_hawk 1 1 capyborder_male_reaper 1 1 1 1 1 capyborder_sf 1 1 1 1 1 systemborder_hale_global_hawk 1 1 systemborder_male_reaper 1 1 1 1 1 1 systemborder_sf 1 1 processborder_hale_global_hawk 1 1 processborder_male_reaper 1 1 1 1 1 processborder_sf 1 1 1 1 1 dprocessborder_hale_global_hawk 1 dprocessborder_male_reaper 1 1 1 1 Monte Carlo Simulation of impact of Variations in Real Option Valuation of impact of UAS Indirect Demand on cohesion cost range investment on cohesion cost range Large Scale 0.45 Increased Scenario 1 Small Scale enduring Medium Scale enduring 0.4 0.35 Agility Defence Expenditure Alternative Scenario 2 Small Scale enduring 0.3 0.25 = Small Scale one-off Medium Scale enduring 0.2 0.15 Reduced Scenario 3 Small Scale limited 0.1 0.05 Cohesion Small Scale one-off 0 Costs 0 5 0 5 0 5 0 5 0 5 0 5 50 25 00 75 50 25 0 75 15 22 30 37 45 52 60 67 75 82 90 97 10 11 12 12 13 14 Scaled Cost1 Scaled Cost2 Scaled Difference Boxer, P.J. (2009) What Price Agility? Managing Through-Life Purchaser-Provider Relationships on the Basis of the Ability to Price Agility, Special Report, Software Engineering Institute, Carnegie Mellon University, CMU/SEI-2009-SR-031. Copyright © Philip Boxer 2012 December 5th 2012 23
  • 24. Managing entangled conversations Supporting superposition IMPLICATIONS Copyright © Philip Boxer 2012 December 5th 2012 24
  • 25. Implications: doing more with the same resources • Responding to multi-sided demands at demand tempo means dynamically aligning many value propositions to many different local environments. This means – Managing entangled conversations • Dynamic alignment entangles design-time and run-time conversations, changing the supplier’s unit of analysis from one-sided markets to the The Quantum Metaphor multi-sided contexts with which the supplier is interacting. helps us to understand • There has to be conversation with each local environment through which the challenge these local coherence can align pathways. environments present to • Each conversation must collapse out a singular local pathway that need not Leadership be correlated with pathways demanded in other local environments. – Supporting superposition Shifting the focus to • Platforms have to be engineered that are agile enough to support dynamic alignment to the variety of local environments encountered. managing cohesion cost • This variety of simultaneous pathways supported at demand tempo are a across the variety of superposed set of states. indirect demands led to • Engineering such platforms involves identifying risks to agility and 30-50% reductions in quantifying the value of increases in agility. operating costs Copyright © Philip Boxer 2012 December 5th 2012 25
  • 26. Contact details: Philip J. Boxer BSc MBA PhD +1 908 458 6588 Philip.Boxer@brl.com http://www.linkedin.com/in/philboxer THANK YOU Copyright © Philip Boxer 2012 December 5th 2012 26