This document discusses the need for scaling innovation in academic medical centers to address issues like rising healthcare costs and poor quality. It outlines how medical practice needs to transition from being episodic and provider-centric to continuous and patient-centric. Barriers to innovation include low engagement, competing priorities, and misaligned incentives. The author advocates establishing a dedicated innovation team, aligning incentives, and promoting collaboration both within and outside the organization. Examples provided include an innovation contest, co-development programs, new care models using technology, and various digital health tools. Key requirements for scaling innovation are said to be collaboration, aligned incentives, risk tolerance, a long-term vision, and clear value propositions.
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Scaling Innovation in Academic Medical Centers Through Collaboration
1. Scaling Innovation in Academic Medical Centers
Maulik D. Majmudar, MD
Healthcare Transformation Lab
Massachusetts General Hospital
Partners Healthcare
@mdmajmudar
15. ๏ Product
๏ Evidence base for safety and effectiveness
๏ Clinical workflow integration at scale
๏ Program
๏ Programmatic bandwidth for pilots (competing priorities)
๏ Clinical bandwidth for pilots
๏ Price
๏ Overall budget (operating and capital expenses)
๏ ROI (clear value proposition)
Barriers to Scaling Innovation
16. CONSUMER versus PATIENT
ADAPTED FROM KRISHNA YESHWANT; HXREFACTORED 2015
Medical complexity
Socialcomplexity
CHRONIC DISEASE
PATIENTS
CONSUMERS OF
DIGITAL HEALTH
SOLUTIONS
17.
18. To improve the experience and value of
healthcare through collaborative innovation
Mission
20. An open innovation contest that taps into the collective
knowledge, experience, and creativity of our staff to
transform healthcare
Ether Dome Challenge
235
submissions
> 50
innovators
>200 crowd
voters
6 grants
awarded
21. Feedback from the Frontline
Enables bottoms-up
innovation
Systemizes frontline
ideas generation
Promotes a sense of
community
Creates a sense of
ownership/
engagement
Facilitates
organizational
exchange of ideas
Spreads innovative
thinking
22. Promoting Collaboration
Co.Create
๏ A co-development program between MGH, MIT, and MassChallenge
๏ Unprecedented access to MGH clinicians and staff
๏ Rich mentorship ecosystem
๏ Pilot funding for teams
23. ๏ Engage with front line providers to understand their pain points
๏ Engage with executive leadership to identify strategic priorities
๏ Examples of key priorities:
๏ Improving access to care
๏ Reducing hospital readmissions
๏ Improving patient experience
๏ Reducing administrative burden for providers
Aligning Incentives
24. Risk Averse to Risk Tolerant
Healthcare
Transformation
Lab
Heart Center
MGH/PO
Leadership
Partners Healthcare
Dedicated Innovation Team
25. ๏ First step towards transforming outpatient specialty care through
technology
๏ Experimenting with different business and care models
Example 1
TeleHeart
26. ๏ A new care model that leverages technology to enable frequent
asynchronous ‘micro-visits’ and remote monitoring
Example 2
Digital Health Practice
27. ๏ Cloud-based image sharing
๏ Wayfinding software application
๏ Secure text messaging
๏ Referral management and patient-provider matching
Other Examples
28. Key Requirements for Scaling Innovation
Collaboration
Alignment of
Incentives
Risk Tolerance Long-term vision
Clear Value
Proposition
29. Maulik D. Majmudar, MD
Associate Director, Healthcare Transformation Lab
Cardiologist, Massachusetts General Hospital
Email: mmajmudar@partners.org
Twitter: @mdmajmudar
30. Most of us understand innovation is important.
It’s the only insurance against irrelevance.
- Gary Hamel
I have not failed. I’ve just found 10,000 ways that don’t work.
- Thomas Edison