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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
Sunday, June 3, 12
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…..
Sunday, June 3, 12
Greed is….
The Clinic of Innovation
Sunday, June 3, 12
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?
Sunday, June 3, 12
Very nice BUT
The Clinic of Innovation
Sunday, June 3, 12
• 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?
Sunday, June 3, 12
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.
Sunday, June 3, 12
The Clinic of Innovation
Sunday, June 3, 12
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
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
Sunday, June 3, 12
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
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….
Sunday, June 3, 12
• 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?
Sunday, June 3, 12
Repeat repeat repeat for 10 years
The Clinic of Innovation
Sunday, June 3, 12
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
Sunday, June 3, 12
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
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?
Sunday, June 3, 12
Example 1! ! inHouse
The Clinic of Innovation
I can beat these guys anytime -easy
Sunday, June 3, 12
OUS has 2200 physicians connected to the same Intranet
The Clinic of Innovation
Patient of the week
History:Labs:Radiology:
What is the diagnosis?
Sunday, June 3, 12
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
Sunday, June 3, 12
Empower patient – from commodity to customer!
The Clinic of Innovation
It is time for Dr. Bob to hand over the paper work
Sunday, June 3, 12
Do you remember…
The Clinic of Innovation
A bank used to be a building
Guess who’s happily doing thework now?
Sunday, June 3, 12
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
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
Sunday, June 3, 12
28
Utvikling og omstilling
Patient as co-workerGives you 10.9 million Google hits…..
Sunday, June 3, 12
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
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
Sunday, June 3, 12
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)
Sunday, June 3, 12
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
Sunday, June 3, 12
CONFIDENTIAL
3
Clinic of Innovation: 5 Key LessonsLesson # 2
• Make a commitment – people, structure, processes, and resources
Sunday, June 3, 12
CONFIDENTIAL
4
Clinic of Innovation: 5 Key LessonsLesson # 3
• Honor your commitments – engage with every single idea submitted with equal enthusiasm, attention, and sincerity
Sunday, June 3, 12
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
Sunday, June 3, 12
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
Sunday, June 3, 12
CONFIDENTIAL
7
In Summary: 5 Key Lessons
Sunday, June 3, 12
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?
Sunday, June 3, 12
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
Q. How many of your innovations come directly
from the patients themselves?
Sunday, June 3, 12
Q. How do you reward people for their contributions?
Sunday, June 3, 12
Q. Are there innovations that are cost-prohibitive to
implement? How do you determine which innovations
are feasible?
Sunday, June 3, 12
Thanks for watching!learn more about co-creation and innovation at
CoCreationForum.com
Sunday, June 3, 12