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Building Out Your Innovative Ideas

at Work

Saurabha Bhatnagar, MD

Associate Director – Physical Medicine & Rehab. Residency;

Harvard Medical SchoolMassachusetts General Hospital

Spaulding Rehabilitation Hospital

@ S B h a t n a g a r M DCredit: @SBhatnagarMD

DisclosuresNone

Employment projections for healthcare occupations, net and percent change inemployment, 2014–2024 (projected)Bubble size represents 2014 employment level

−30%

−20%

−10%

0%

10%

20%

30%

40%

50%

Occupational therapy assistants

Physical therapist assistantsHome health aides

Nursing assistants

Registered nurses

Physicians and surgeons

Medical transcriptionists

Respiratory therapy technicians

0 100,000 200,000 300,000 400,000

Hover over bubble to view data.Source: U.S. Bureau of Labor Statistics.

Netchangeinemployment

Percentchangeinemployment

A Look at Healthcare Spending, Employment, Pay, benefits, and Pr... https://www.bls.gov/spotlight/2016/a-look-at-healthcare-spending...

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Credit: US Bureau of Labor and Statistics, 2016 Spotlight

Intrapreneurs

Focus on the problem

Tap into creativity

Navigate innovation and hype cycles

Understand trends

Leverage the scale of the organizationCredit: Minority Nurse (Springer Publication)

Data: US Bureau of Labor and Stat., 2014

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Innovation Adoption Curve

Credit: Diffusion of Innovations (Everett Rogers, 1962)

Crossing the Chasm (Geoffrey Moore, 1991)

Time

Ado

ptio

n

Early Adopters

Any early adopters in healthcare?Or is innovation more complex?

NetworkConnections with others to create value

ProcessSignature or superior methods for doing your work

Product SystemComplementary products and services

ChannelHow your offerings are delivered to customers and users

CustomerEngagementDistinctive interactions you foster

Profit ModelThe way in which you make money

StructureAlignment of your talentand assets

Product PerformanceDistinguishing features and functionality

ServiceSupport and enhancements that surround your offerings

BrandRepresentation of your offeringsand business

What can you innovate?

2018 : Trends in Healthcare Innovation

Patient generated data

On-demand healthcare

Data analytics services

Capturing innovation

Human Centered Design / Co-design

Trend 1: Patient generated data

•Sensory data + wearable’s•Smart (e.g. bluetooth)

–diabetes monitoring… -pil lboxes…–asthma inhalers… -sleep aids (CPAP)…

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Or is innovation more complex?

NetworkConnections with others to create value

ProcessSignature or superior methods for doing your work

Product SystemComplementary products and services

ChannelHow your offerings are delivered to customers and users

CustomerEngagementDistinctive interactions you foster

Profit ModelThe way in which you make money

StructureAlignment of your talentand assets

Product PerformanceDistinguishing features and functionality

ServiceSupport and enhancements that surround your offerings

BrandRepresentation of your offeringsand business

Trend 1: Patient Generated Data

Trend 2: On-demand healthcareAlternate care delivery models: + reduce brick and mortar investment + reduce overall cost + convenient for patients

Telemedicine (+virtual consults)

Home care and Rx delivery(concierge care with lower entry price point)

Credit: https://mhealthintelligence.com/news/kaiser-ceo-telehealth-outpaced-in-person-visits-last-year

October 2016

Source: PillPack

Trend 3: Data Analytics Services•Can big data be integrated into direct clinical care?•Population health: control costs as healthcare costs are increasing

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Credit: IBM Big Data & Analytics Hub

Trend 4: Capturing innovation

Trend 5: Human Centered Design & Co-Design with patients

=People Process

Human Centered Design

=method of design principles

focused around people

Good design is… à solving a needà invisibleà personal

High value to patients

Low value to patients

Feasible to implement

Challenging to implement

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Ethnographic Research

Credit: Apple iOS 10

HCD + Co-Design +kids + parents + CT Experience = ?

At New York-Presbyterian Morgan Stanley Children’s Hospital

Credit: http://www.nydailynews.com/new-york/pirate-themed-ct-scanner-helps-new-york-city-kids-find-calm-waters-tests-article-1.1435876

Understand patient perspective

Credit: http://www.nydailynews.com/new-york/pirate-themed-ct-scanner-helps-new-york-city-kids-find-calm-waters-tests-article-1.1435876

Preparation for Co-Design SessionWhat will the focus be on? (department, specialty, clinic, group of patients, etc.)

What is the strategy for goals of the session and who will lead the session?

What stage is the project at and who is the best to participate at this stage?

Is the environment comfortable and a safe space for patients and staff?

Who will the results of the session go to? Who are the stakeholders?

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Or is innovation more complex?

NetworkConnections with others to create value

ProcessSignature or superior methods for doing your work

Product SystemComplementary products and services

ChannelHow your offerings are delivered to customers and users

CustomerEngagementDistinctive interactions you foster

Profit ModelThe way in which you make money

StructureAlignment of your talentand assets

Product PerformanceDistinguishing features and functionality

ServiceSupport and enhancements that surround your offerings

BrandRepresentation of your offeringsand business

Trend 5: HCD & Co-Design

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QUESTIONS?

Saurabha Bhatnagar, MD

@ S B h a t n a g a r M D

Intrapreneurship:Building Out Your Innovative Ideas at Work

Interesting Reads (Design + Innovation + Entrepreneurship)

(in no particular order)• The Design of Everyday Things by Don Norman

• Change by Design by Tim Brown

• The Field Guide to Human Centered Design by IDEO

• Ten types of Innovation by Larry Keeley

• Business Model Generation by Alex Osterwalder

• The Lean Startup by Eric Ries@SBhatnagarMD