Scaling Innovation in Academic Medical Centers
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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
- 1. Scaling Innovation in Academic Medical Centers Maulik D. Majmudar, MD Healthcare Transformation Lab Massachusetts General Hospital Partners Healthcare @mdmajmudar
- 2. Chronic Disease Burden Adults Deaths 70% 50%
- 7. EPISODIC REACTIONARY PROVIDER CENTRIC HIGH VOLUME NON-TRANSPARENT INACCESSIBLE Medical Practice TODAY FUTURE
- 8. EPISODIC REACTIONARY PROVIDER CENTRIC HIGH VOLUME NON-TRANSPARENT INACCESSIBLE Medical Practice TODAY FUTURE
- 9. CONTINUOUS PROACTIVE PATIENT CENTRIC HIGH VALUE TRANSPARENT ACCESSIBLE EPISODIC REACTIONARY PROVIDER CENTRIC HIGH VOLUME NON-TRANSPARENT INACCESSIBLE Medical Practice TODAY FUTURE
- 10. CONTINUOUS PROACTIVE PATIENT CENTRIC HIGH VALUE TRANSPARENT ACCESSIBLE EPISODIC REACTIONARY PROVIDER CENTRIC HIGH VOLUME NON-TRANSPARENT INACCESSIBLE Medical Practice TODAY FUTURE 1. Affordable Care Act 2. Technological advances 3. Consumer demand
- 11. How do we get there?
- 13. Innovation is everywhere… So why aren’t we seeing rapid transformation of healthcare delivery in academic medical centers?
- 14. Implementation Barriers Low engagement Innovating in silos Competing priorities Misaligned incentives Fear of failure
- 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
- 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