Culture of Innovation Framework April2004

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    The Culture of Innovation

    Framework

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    The challenge is to bring the full potentialbenefit of effective health care to allthis

    challenge demands a readiness to think in

    radically new ways about how to deliverhealth care services

    Institute of Medicine, USA

    Crossing the Quality Chasm

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    Central truths of innovation every system is perfectly designed to get the

    results that it gets

    if we want different performance, we must

    change the system

    to change the system, we must think in

    fundamentally different ways

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    What are the key dimensions you

    need for a culture of innovation?

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    Dimensions of innovation culture

    risk taking

    resources

    widely shared information

    specific targets

    tools and techniques rewards systems

    team environment

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    Uses of the framework to assess current environment

    plan actions to increase likelihood of

    innovation

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    Tool:Spider Chart

    Teams

    Rewards

    ToolsTargets

    Information

    Resources

    Risk

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    Spider Chart Scale

    -5 = we have outstanding negative skills, systems or

    recent experiences on this dimension; hampering

    innovation

    0 = our skills, systems and experiences on this

    dimension have no real impact; neither hamper

    nor support innovation

    +5 = we have outstanding positive skills, systems, andexperiences on this dimension; supporting

    innovation

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    Tool:Spider Chart

    Assessment of current culture for innovation

    -5

    0

    +5 Risk

    Resources

    Information

    TargetsTools

    Rewards

    Relationships

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    Representative of

    positive scores

    Factors that lead

    to a high rating on

    this dimension

    Representative of

    negative scores

    Factors that detract

    from this dimension

    Dimension of innovation culture

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    Senior Leadership Team

    provide public and private

    emotional support,

    encouragement and

    reward for individuals and

    teams that want to try out

    new ideas. Organisation

    actively seeks learningform others.

    Formal leaders and

    opinion leaders fear

    failure. There is no

    support or

    encouragement.

    Assessment of risk is

    inaccurate. They fear

    the worst and that is

    the end of the idea.

    Risk taking

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    Protected time,

    authority or autonomy

    to act, information and

    money is available forindividuals and teams

    who wish to innovate.

    There is active

    encouragement forcreative thinking.

    Funding is available for

    unusual opportunities,

    secondements etc.

    All resources are

    tied up in delivering

    services in the way

    we always have.Innovation is not a

    priority and

    resources not

    allocated for it. Staffare actively

    discouraged from

    thinking differently.

    Resources for innovation

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    Information is gathered from

    a wide range of sources and is

    freely available or quickly

    sent out to staff. Information

    is circulated for comments orproposals or to to stimulate

    debate. Staff encouraged to

    make partnerships outside of

    health. Lots if displays that

    are exciting and wellmaintained.

    Information is given on a

    need to know basisdetermined by leaders.

    Format may be difficultto understand and not

    useful. Papers are

    summarised with keyrecommendations but

    decisions have been

    made before staff seethem.

    Widely shared knowledge

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    Leaders make clear that

    innovation is considered

    highly desirable and there

    are clear links withoperational and strategic

    plans. Creative ideas are

    actively sought , they are

    the only way that someof the targets will be met.

    Targets are set and

    focussed without any

    encouragement for

    new thinking. Plansstipulate how targets

    must be met. Only

    numbers are

    important. Hit the

    target, miss the

    point.

    Specific targets

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    The organisation

    supports a conscious

    and deliberate

    process for innovation. Alot of investment in

    building capability. Staff

    are supported in

    choosing tools &techniques but are able

    to make own selection.

    The organisation has no

    awareness of tools &

    techniques to supportcreative thinking.

    There is no method or

    approach for

    innovation. Creative

    ideas are discouraged

    in favor of status quo.

    Tools and techniques

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    Teams & individuals arerewarded fully for theirefforts with things that are

    important to them. eg:Protected time, help fromother areas, greaterinfluence, recognition. Lotsof team reward good

    process for celebrationeven if ideas notsuccessful.

    Teams and individuals

    who want to improve

    something are

    isolated. Discouraged

    from trying new

    approaches.

    Mechanisms in placeto reinforce status

    quo. No thanks or

    reward.

    Reward systems

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    High level of honesty, respect

    and open communication.

    Many highly motivated teams

    with a good mix of skills andstyles. Teams supported with

    ongoing team development.

    Good networks of intrinsically

    motivated people working

    together for a common aim

    The organisation

    does not promote

    team-based working and

    does not support the

    development of networks.

    People feel controlled. No

    Developmental leadership

    style. High level of

    distrust, lack of respect

    and honesty.

    Relationships

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    Testing Think of your own organisation and work

    through the seven dimensions.

    Create your own spiders web score sheet

    Ten Minutes

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    Sharing

    Get up, take your spiderweb move around

    the room and find someone who has a high

    score for a dimension that you have a low

    score for.

    Find out more about why they have a high

    score take their name, organisationand e mail so that you can find out more if

    needed.