This document summarizes a roundtable discussion hosted by CoCreationForum.com on creating an innovation clinic with Gaurav Bhalla and Dr. Andreas Moan of Oslo University Hospital's Clinic of Innovation. The Clinic of Innovation treats ideas rather than patients, investigating, diagnosing, and following up on ideas to help realize them. It accepts ideas from employees, patients, relatives and partners. Key lessons from the Clinic of Innovation include ensuring employee buy-in, making a commitment to resources and processes, honoring all submitted ideas, investing continuously, and focusing on both innovation outcomes and inputs.

1. Learn How to Create
an Innovation Clinic
with Gaurav Bhalla & Dr. Andreas Moan
a roundtable discussion hosted by
CoCreationForum.com
Sunday, June 3, 12

2. Oslo University Hospital
Clinic of Innovation
see the video at
www.youtube.com/watch?v=DUHPIyFLM8M
Sunday, June 3, 12

3. The Clinic of Innovation
Andreas Moan MD PhD Director of Development
Oslo University Hospital
Sunday, June 3, 12

4. Welcome to our part of the world!
5 million people each putting 100 000 USD in
the bank – so far
The Clinic of Innovation
Sunday, June 3, 12

5. Oslo University Hospital
• 25 000 people with a pay check in 2011
• Treat 3300 patients every day
• Spend one million dollar each day on health
care
• Publish 4 scientific papers each day
• In 2006: one hundred million dollar on
research yielding less than one innovation
(start-up or patent) each year
The Clinic of Innovation
Sunday, June 3, 12

6. The birth of the Clinic of Innovation 2007
Hospital Research Counsil:
This is what the innovation support
systems can do for you…..
The Clinic of Innovation
Sunday, June 3, 12

7. Greed is….
The Clinic of Innovation
Sunday, June 3, 12

8. Hmmmm
• Not a tradition for turning science into useful products or
services…
• What happens if someone has a real good idea about changing the
way we deliver our services?
The Clinic of Innovation
Sunday, June 3, 12

9. Very nice BUT
The Clinic of Innovation
Sunday, June 3, 12

10. How do you find, create or foster a culture
that stimulates innovation?
• FIRST: get your vocabulary right
• In a hospital everybody knows what happens in an out-patient
ward….
The Clinic of Innovation
Sunday, June 3, 12

11. THE CLINIC OF
INVESTIGATION INNOVATION
treats ideas, not patients.
DIAGNOSIS We investigate, diagnose, treat and
follow up on the idea so that it can be
TREATMENT realized.
We happily accept ideas from
FOLLOW-UP everyone: employees, patients, relatives
and external cooperation partners – and
there will be no need for referral.
The Clinic of Innovation
Sunday, June 3, 12

12. The Clinic of Innovation
Sunday, June 3, 12

13. How do you find, create or foster a culture
that stimulates innovation?
• FIRST: get your vocabulary right
• SECOND: Overcome shyness :
The Clinic of Innovation
Sunday, June 3, 12

14. Go for the least innovative of the innovations
Gastric surgeon going off duty has two hours
to see acutely sick patients instead of
admitting them to the hospital during the night
The Clinic of Innovation
Sunday, June 3, 12

15. Picture the chain of events if your mother
hurt her hip in the nursing home
Idea from a radiography assistant who saw the pain but not the gain
Sunday, June 3, 12

16. 2002 We are getting too many patients from
nursing home
WHY
• For terminal pain relief
• Because the need an IV
WHY ARE THEY COMING HERE
• The nurses working at the nursing home lack
training, experience and self confidence to
handle it
2003 PILOT
• One nurse from the ER on call (literally) –
going out from the hospital to help
2004 TRAINING SESSIONS in the nursing homes
2006 to eternity:
Hmmmmmmm…. All nursing homes in Oslo covered
Sunday, June 3, 12

17. How do you find, create or foster a culture
that stimulates innovation?
• FIRST: get your vocabulary right
• SECOND: Overcome shyness
• THIRD: get management support
Nobody will be against innovation
Put your money where your
mouth is
The Clinic of Innovation
Sunday, June 3, 12

18. Repeat repeat repeat for 10 years
The Clinic of Innovation
Sunday, June 3, 12

19. Portfolio of ideas 15 mnd of portal use:
146 new ideas – 78 are active.
external: 16 Category N
employee: 68 Admin/procedures 8
diagnostics 11
from research: 24 Research tools 2
from patients: 2 unspecified 31
ICT 13
Interior (environment) 3
Connecting systems 12
drugs 2
Patient logistics 12
Patient routines/procedures 10
equipment 37
Total 146
Sunday, June 3, 12

20. Co-creation spreads like an infectious disease
• Starting with an Idea
• Establishing the Clinic of Innovation Aug 15, 2007
– Aug 18: homepage at Harvard hospital
• EU funding 2008
• Established in Denmark and Sweden 2008
• Norway:
– one other hospital opened their COI
– (at least) two in the process
• Working with NHS
• Working with our first US customers
Sunday, June 3, 12

21. Where do we go from here?
The Clinic of Innovation
Sunday, June 3, 12

22. We are heading your way
Networks and co-creation is
changing the world
What better area than health?
Public health?
The Clinic of Innovation
Sunday, June 3, 12

23. Example 1! ! inHouse
I can beat these guys anytime -easy
The Clinic of Innovation
Sunday, June 3, 12

24. OUS has 2200 physicians connected to the
same Intranet
Patient of the week
History:
Labs:
Radiology:
What is the diagnosis?
The Clinic of Innovation
Sunday, June 3, 12

25. Example 2 To create change you have to
disrupt
How do you convince public health that the
time for change is here?
The Clinic of Innovation
Sunday, June 3, 12

26. Empower patient – from commodity to
customer!
It is time for Dr. Bob to hand over the paper work
The Clinic of Innovation
Sunday, June 3, 12

27. Do you remember…
A bank used to be a building
Guess who’s happily doing the
work now?
The Clinic of Innovation
Sunday, June 3, 12

28. What happens if we let the patient in
• Meaning
– Access to read her medical journal
– Access to add comments to his journal
QUALITY SKYROCKETS OVER NIGHT
The Clinic of Innovation
Sunday, June 3, 12

29. And why should not the patient do some part
of the work?
• A doctor may be a specialist in medicine
• Every patient is a specialist in her/himself
– 250 signs: the effect of your treatment was…….
I don’t trust me or my doctor
enough
to be happy about my
medical journal looking like this
The Clinic of Innovation
Sunday, June 3, 12

30. 28
Patient as co-worker
Gives you 10.9 million
Google hits…..
Utvikling og omstilling
Sunday, June 3, 12

31. Clinic of Innovation 2.0
• Hoisting the pirate flag
• Using everything we learned about communication, networks,
storytelling – and everything we can learn about co-creation and
social networks –
• TO LET THE PATIENT IN
The Clinic of Innovation
Sunday, June 3, 12

32. The Clinic of
INNOVATION
Where Ideas are Born, Nurtured and Grown
The Clinic aims to foster innovation
by soliciting ideas from health care professionals,
research companies, and others outside
of the health care industry
www.idepoliklinikken.no
The Clinic of Innovation
Sunday, June 3, 12

33. The Clinic of Innovation
Sunday, June 3, 12

34. L
IA
Learn How to Create
T
N
an InnovationEClinic
F ID A Virtual Roundtable with Gaurav Bhalla &
N
The Oslo University Hospital, Clinic of Innovation
O
Friday June 1, 2012
C
11:00 AM to 1:00 PM (EST)
Sunday, June 3, 12

35. Clinic of Innovation: 5 Key Lessons
Lesson # 1
Ltake off
IA
• Employees are assets – if you want to launch
without your employees
N T
effective co-creation programs, don’t
E
F ID
N
O
C 2
Sunday, June 3, 12

36. Clinic of Innovation: 5 Key Lessons
Lesson # 2
L
IA
• Make a commitment – people, structure,
processes, and resources
NT
E
F ID
N
O
C 3
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37. Clinic of Innovation: 5 Key Lessons
Lesson # 3
every single idea submitted withA
• Honor your commitments – engage with L
T I equal
N
enthusiasm, attention, and sincerity
E
F ID
N
O
C 4
Sunday, June 3, 12

38. Clinic of Innovation: 5 Key Lessons
Lesson # 4
L it
IAinfinitely
• Invest Continuously - starting a COI is the
N T
easy part (sorry, relatively easier); keeping
humming, and scaling operations is
more difficult
E
F ID
N
O
C 5
Sunday, June 3, 12

39. Clinic of Innovation: 5 Key Lessons
Lesson # 5
L is not
IA they are
• Focus on both outcomes and inputs -
N T
celebrating successes is important; this
a strong suit of the Norwegians, but
E
learning fast; as the old saying goes – nothing
succeeds like success
F ID
N
O
C 6
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40. In Summary: 5 Key Lessons
L
TIA
E N
FID
N
O
C 7
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41. In Summary: 5 Key Lessons
L
Honor your
1 IA 3
commitments
Employees 2 NT
are assets Make a
E Focus on outcomes
ID and inputs
commitment
F
Investments N
O4
don’t end with
5
C
starting a COI
7
Sunday, June 3, 12

42. Q. How do you differentiate
between crowdsourcing and
co-creation?
Sunday, June 3, 12

43. Q. What do you consider the
scope of the hospital’s
innovation? Do the
custodians and janitors
innovate new trash cans?
Sunday, June 3, 12

44. Q. How many of your
innovations come directly
from the patients
themselves?
Sunday, June 3, 12

45. Q. How do you reward
people for their
contributions?
Sunday, June 3, 12

46. Q. Are there innovations that
are cost-prohibitive to
implement? How do you
determine which innovations
are feasible?
Sunday, June 3, 12

47. Thanks for watching!
learn more about co-creation and innovation at
CoCreationForum.com
Sunday, June 3, 12