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capacity, workforce models, even reimbursement. Innovation stops being ornamental and starts being operational.” The DNA of transformation For Annemiek van Rheenen, technology is only half the story. Her focus is what she calls the DNA of transformation: the culture, trust, and behaviour that determine whether innovation truly takes root. “Transformation only happens when people can see themselves in it,” she says. “We design journeys, train professionals, and build a language that turns data into meaning. Every dashboard, every pathway, is designed to support a human moment.” Van Rheenen’s discipline is adoption by design: embedding innovation not as a product but as a shared culture. “You can’t copy transformation; you cultivate it. That’s why we work with narrative, lived experience, and co-design. Culture isn’t a by- product; it’s the mechanism.” Her rule of thumb is disarmingly simple: we go as fast as the slowest human can follow. From access to equity Across the North Sea, Ross O’Brien nods. A British mental- health-tech strategist and former NHS Innovation Director, he has spent two decades designing AI-supported “front doors” and data-driven care across the IAPT programme. “What’s happening in the Netherlands is extraordinary,” he says. “You’re watching a country connect decades of fragmented innovation into a coherent, value-
and outcomes across all levels of care. “Healthcare collects data everywhere, but rarely connects it. The Grid makes that connection possible — allowing clinicians to see what works, policymakers to invest in what matters, and citizens to understand their own progress.” Bosgoed calls it infrastructure with empathy — the invisible fabric tying together three interdependent pillars: Grid as the digital backbone, Care as an innovative treatment programme, and Studio as the innovation lab where new interventions, AI tools, and training programmes are continuously developed and shared — funded by the savings and sustainable health gains generated through system interventions that resolve bottlenecks in the Dutch mental health system. The framework of impact At the centre sits a simple but rigorous compass, the Framework of Impact: Quality Outcomes that are meaningful to people and professionals alike; safety, effectiveness, and joy at work. Efficiency Time, talent, and data flowing without friction; duplication and delay designed out. Sustainable health gains Benefits that last — clinically, socially and economically — with a clear return on public investment. “Define value this way,” says Bosgoed, “and you can engineer backward from impact to architecture: data standards, referral logic, stepped-care
talk a lot about fixing the system,” Wiepkema notes, “but the real challenge is completing it and building the missing links between access, care, and outcomes.” At some point, the founders realized it was time not to reinvent the wheel, but to bring the human, clinical, digital and policy energies together in one Framework of Impact. “Once you agree on shared, lived outcomes,” she says, “you can reverse-engineer the whole system — its infrastructure, roles, data, and daily practice — toward those goals. That’s how transformation becomes intentional rather than accidental.” Reconnecting the puzzle Erik Bosgoed knows what it means to connect thousands of moving parts into one intelligent whole. As founder of BuyBay, he designed the business rules and logistics behind a circular retail infrastructure in which millions of returned products efficiently found a second life. Earlier, at Groupon, he developed a consignment model that created a new revenue stream inside an existing organisation, an approach that later underpinned BuyBay’s creation. “In retail, we turned fragmented streams into circular value — every unsold item finding its right place again,” he says. “In mental health, we’re doing the same: reconnecting the puzzle pieces of a system that has everything, but not yet the structure to fit it all together.” “Every transformation needs a backbone,” he adds. That backbone is the MindPowrr Grid: an intelligent infrastructure that connects access, triage, treatment,
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