Learn how to Create an Innovation Clinic

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Learn How to Create an Innovation Clinic

with Gaurav Bhalla & Dr. Andreas Moan

a roundtable discussion hosted by

CoCreationForum.com

Sunday, June 3, 12

see the video atwww.youtube.com/watch?v=DUHPIyFLM8M

Oslo University Hospital

Clinic of Innovation

Sunday, June 3, 12

The Clinic of InnovationAndreas Moan MD PhD Director of Development

Oslo University Hospital

Sunday, June 3, 12

Welcome to our part of the world!

The Clinic of Innovation

5 million people each putting 100 000 USD inthe bank – so far

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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

The birth of the Clinic of Innovation 2007

The Clinic of Innovation

Hospital Research Counsil:

This is what the innovation supportsystems can do for you…..

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Greed is….

The Clinic of Innovation

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Hmmmm

The Clinic of Innovation

• 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?

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Very nice BUT

The Clinic of Innovation

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• FIRST: get your vocabulary right

• In a hospital everybody knows what happens in an out-patient ward….

The Clinic of Innovation

How do you find, create or foster a culture that stimulates innovation?

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The Clinic of Innovation

INVESTIGATIONDIAGNOSIS

TREATMENTFOLLOW-UP

THE CLINIC OF INNOVATION treats ideas, not patients. We investigate, diagnose, treat andfollow up on the idea so that it can berealized.

We happily accept ideas fromeveryone: employees, patients, relativesand external cooperation partners – andthere will be no need for referral.

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The Clinic of Innovation

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How do you find, create or foster a culture that stimulates innovation?

• FIRST: get your vocabulary right

• SECOND: Overcome shyness :

The Clinic of Innovation

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Go for the least innovative of the innovations

The Clinic of Innovation

Gastric surgeon going off duty has two hoursto see acutely sick patients instead ofadmitting them to the hospital during the night

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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

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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:All nursing homes in Oslo coveredHmmmmmmm….

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• FIRST: get your vocabulary right

• SECOND: Overcome shyness

• THIRD: get management support

The Clinic of Innovation

Nobody will be against innovation

Put your money where yourmouth is

How do you find, create or foster a culture that stimulates innovation?

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Repeat repeat repeat for 10 years

The Clinic of Innovation

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Category NAdmin/procedures 8

diagnostics 11

Research tools 2

unspecified 31

ICT 13

Interior (environment) 3

Connecting systems 12

drugs 2

Patient logistics 12

Patient routines/procedures 10

equipment 37

Total 146

Portfolio of ideas 15 mnd of portal use:

146 new ideas – 78 are active.

external: 16employee: 68from research: 24from patients: 2

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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

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Where do we go from here?

The Clinic of Innovation

Sunday, June 3, 12

We are heading your way

The Clinic of Innovation

Networks and co-creation ischanging the world

What better area than health?

Public health?

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Example 1! ! inHouse

The Clinic of Innovation

I can beat these guys anytime -easy

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OUS has 2200 physicians connected to the same Intranet

The Clinic of Innovation

Patient of the week

History:Labs:Radiology:

What is the diagnosis?

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Example 2 To create change you have to disruptHow do you convince public health that the time for change is here?

The Clinic of Innovation

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Empower patient – from commodity to customer!

The Clinic of Innovation

It is time for Dr. Bob to hand over the paper work

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Do you remember…

The Clinic of Innovation

A bank used to be a building

Guess who’s happily doing thework now?

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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

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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…….

The Clinic of Innovation

I don’t trust me or my doctorenoughto be happy about mymedical journal looking like this

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28

Utvikling og omstilling

Patient as co-workerGives you 10.9 million Google hits…..

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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

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The Clinic of Innovation

The Clinic of INNOVATION

Where Ideas are Born, Nurtured and Grown

www.idepoliklinikken.no

The Clinic aims to foster innovationby soliciting ideas from health care professionals,

research companies, and others outside of the health care industry

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The Clinic of Innovation

Sunday, June 3, 12

CONFIDENTIALLearn How to Create

an Innovation ClinicA Virtual Roundtable with Gaurav Bhalla &

The Oslo University Hospital, Clinic of Innovation

Friday June 1, 2012 11:00 AM to 1:00 PM (EST)

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CONFIDENTIAL

2

Clinic of Innovation: 5 Key LessonsLesson # 1

• Employees are assets – if you want to launch effective co-creation programs, don’t take off without your employees

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CONFIDENTIAL

3

Clinic of Innovation: 5 Key LessonsLesson # 2

• Make a commitment – people, structure, processes, and resources

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CONFIDENTIAL

4

Clinic of Innovation: 5 Key LessonsLesson # 3

• Honor your commitments – engage with every single idea submitted with equal enthusiasm, attention, and sincerity

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CONFIDENTIAL

5

Clinic of Innovation: 5 Key LessonsLesson # 4

• Invest Continuously - starting a COI is the easy part (sorry, relatively easier); keeping it humming, and scaling operations is infinitely more difficult

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CONFIDENTIAL

6

Clinic of Innovation: 5 Key LessonsLesson # 5

• Focus on both outcomes and inputs - celebrating successes is important; this is not a strong suit of the Norwegians, but they are learning fast; as the old saying goes – nothing succeeds like success

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CONFIDENTIAL

7

In Summary: 5 Key Lessons

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CONFIDENTIAL

7

In Summary: 5 Key Lessons

Employees are assets

1Make a commitment

2Honor your commitments

3

Investments don’t end with starting a COI 4

Focus on outcomes and inputs

5Sunday, June 3, 12

Q. How do you differentiate between crowdsourcing and

co-creation?

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Q. What do you consider the scope of the hospital’s

innovation? Do the custodians and janitors

innovate new trash cans?

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Q. How many of your innovations come directly

from the patients themselves?

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Q. How do you reward people for their contributions?

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Q. Are there innovations that are cost-prohibitive to

implement? How do you determine which innovations

are feasible?

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Thanks for watching!learn more about co-creation and innovation at

CoCreationForum.com

Sunday, June 3, 12