Klaas Wijbrans

The quadruple aim in healthcare – impact on architecture and architecting


Populations are aging, chronic conditions are rising and treatment possibilities are expanding and often costly. As a result, healthcare spend is rising, taking bigger chunks of the national income (nearing 20% GDP in the US). Hence there is a lot of pressure to reduce cost and increase value. In the healthcare industry, the quadruple aim (improved outcomes, better patient and staff experience at lower costs) is recognized as the framework to reason about outcomes, value and much-needed improvements to keep the healthcare manageable. This requires a digital transformation of healthcare.

Philips is at the forefront of this digital transformation. Value moves from individual products to the integration of products into solutions providing better outcomes. For example, the move from our interventional x-ray system to our fully integrated cath lab. This requires much more harmonization than needed in traditional products.

Architects play a key role in this harmonization. As products evolve to solutions and ecosystems with integrated workflows combining knowledge from many sources with AI, the architects need to evolve to solution and ecosystem thinking with them. This talk describes how Philips evolved architecture and architecting and how we help our architects evolve through processes, governance, knowledge management and a comprehensive training curriculum.

Klaas is a fellow architect in the Chief Architect Office driving the Philips HealthSuite Reference Architecture and the Philips Architecture Community lead, a worldwide community of over 600 architects. Before, he was involved extensively in the definition of architecture processes & training and system architect supporting a wide range of application domains such as elderly care, regional anesthesia, patient monitoring, customer service, clinical imaging and wireless communication.

He has an MSc in Electrical Engineering and a PhD from the University of Twente. Long and successful track record in complex systems and products: traffic control systems, storm surge barrier control system, telecommunications equipment and medical systems. Key expertise in system engineering and system architecting, connectivity, software and cloud architecture. Main interest in architecting capabilities supporting the translation of strategic business objectives to product and platform architecture and how to embed these in an organization.