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Innovation center will teach employees to be more creative, differentiate facility. Other companies are more than willing to meet and share their experiences. Innovation seems to be a red-hot topic in every industry except health care.
Never a fad, but always in or out of fashion, innovation gets rediscovered as a growth enabler every half dozen years. Too often, though, grand declarations about innovation are followed by mediocre execution that produces anemic results, and innovation groups are quietly disbanded in cost-cutting drives. Each managerial generation embarks on the same enthusiastic quest for the next new thing. And each generation faces the same vexing challenges- most of which stem from the tensions between protecting existing revenue streams critical to current success and supporting new concepts that may be crucial to future success. In this article, Harvard Business School professor Rosabeth Moss Kanter reflects on the four major waves of innovation enthusiasm she's observed over the past 25 years. She describes the classic mistakes companies make in innovation strategy, process, structure, and skills assessment, illustrating her points with a plethora of real-world examples--including AT&T Worldnet, Timberland, and Ocean Spray. A typical strategic blunder is when managers set their hurdles too high or limit the scope of their innovation efforts. Quaker Oats, for instance, was so busy in the 1990s making minor tweaks to its product formulas that it missed larger opportunities in distribution. A common process mistake is when managers strangle innovation efforts with the same rigid planning, budgeting, and reviewing approaches they use in their existing businesses--thereby discouraging people from adapting as circumstances warrant. Companies must be careful how they structure fledgling entities alongside existing ones, Kanter says, to avoid a clash of cultures and agendas--which Arrow Electronics experienced in its attempts to create an online venture. Finally, companies commonly undervalue and underinvest in the human side of innovation--for instance, promoting individuals out of innovation teams long before their efforts can pay off. Kanter offers practical advice for avoiding these traps.
This is the first in a series of three articles developed to assist the CNS in planning, producing, and presenting a clinical poster. Choosing an idea that is likely to be accepted by reviewers and then planning and writing the abstract are described in this article. Practical instructions, specific to the clinical rather than the research poster, are given along with illustrative examples. A sample of reviewer evaluation criteria is given to help the nurse recognize a standard for excellence in innovative poster presentations and to provide reviewers with an objective evaluation tool.
The Global Nursing Exchange is a welcoming, unstructured environment that connects colleagues in deeper ways. Nurses from a variety of environments dialogue about what could be and how to create it. Discussions are affirming, confirming, and challenging, creating personal and professional growth and innovation.
Social, medical, and technological innovations are discussed, first with reference to historical examples and then with modern studies. I show the need for evaluating both the innovations themselves and the research processes leading to them. I suggest some kinds of research that need to be carried out if we are to continue to have a vigorous program of scientific and technological innovation. Finally, I explain the new initiative by the AAAS in science and engineering education.
OBJECTIVES: To explore how the adoption of medical innovations challenges tax-financed health systems, drawing from the case of sirolimus eluting stents, a promising and costly innovation for percutaneous coronary interventions. METHODS: The coverage decisions for the new stents adopted in Emilia-Romagna, an Italian region, are described. The innovation was adopted through a process combining the development of clinical guidelines targeting their use to selected clinical indications, negotiation with the manufacturer for reducing price, and the organization of a registry for monitoring its patterns of utilization and assessing its effectiveness. RESULTS: Overall, 17% of the 6276 patients included in the registry over a 12-month period had the new stent. Wide differences between published trials on sirolimus eluting stents and actual clinical practice emerged. The new stents were frequently (23%) used in combination with traditional bare metal stents, and for indications (acute myocardial infarction and multivessel coronary disease) never included in clinical experiments (25% and 8% of the cases, respectively). Patients' outcomes were also different, the overall rate of major adverse cardiac events being relatively higher (12%) than that shown in clinical trials. CONCLUSIONS: The actions undertaken for the new stents allowed a timely, and at the same time targeted and monitored, adoption of the innovation. This experience highlights how policy decisions related to new medical products could benefit from the availability of clinical databases providing key information on how innovations are actually used and on their impact on clinical practice.
Why is home care excluded from the Canada Health Act? In the 1960s, the Hall Commission suggested that home care be covered through medicare. History decided otherwise--only "medically" necessary care was insured. Today, home-care services are provided in conjunction with episodes of hospital care, or are delivered to frail individuals as part of their social and healthcare needs. However, healthcare can no longer be defined simply as a state of absence of disease. Health also includes individuals' physical and mental functional abilities. Coverage for health services should include those services aimed at preserving and maintaining functional abilities. Moreover, access to home care is inequitable in Canada. Financing mechanisms should improve integration of care, not increase barriers between medical, hospital and social care. As home-care services are provided to persons with different needs, financing and organizational mechanisms have to guarantee that resources are distributed most effectively to meet these needs. Finally, home-care delivery should adapt to local, regional and provincial realities. There is no such thing as "one" Canadian home-care model. Already, a number of experiments with home care are being implemented in Canada. It is in the search for innovative service delivery modalities that Canadians will best be served.
Recently there has been an increasing focus on the role of health innovation as a strategic policy instrument of sustainable economic development. The public nature of our system provides Canada with a unique platform to leverage our investments in health discovery and innovation, while also ensuring that Canadian ideas generate added economic value at home.
Concerns about preserving quality care and services for managed care members continues to grow with the ongoing development of information technologies. In this article, Mitchell Curtis highlights some of the latest innovations that can improve healthcare access and services for everyone.
Problems related to innovations in the health care system and the susceptibility of medico-prophylactic institutions to advanced methodologies are discussed. Analysis of questionnaires has revealed the absence of a well-organized work for the introduction of innovations in the medical collectives, and a low interest in their introduction and exploration on the part of physicians and their authorities. The innovative activity is high enough in regional health units, but in those dealing with mass-scale medical care, rural in particular, introduction of new methodologies is much slower. At the same time, collectives of medical workers show their potential readiness to accept and explore the new advanced methodologies, which has not been realized due to the poor economic basis, low organizational level, and deficient resources. Ways to improve the process of introduction of innovative methodologies into clinical practice are offered for discussion.
Health care systems are undergoing dramatic and rapid change. Innovations occurring within these systems have an impact on all facets of a system's performance and reshape its services as well as provider and patient roles. In this era of innovation, an essential survival skill for advanced practice nurses is an ability to use a macrosystem perspective to effectively strategize for role development and provision of services within practice settings experiencing rapid innovation. The Health Care System Innovation Model described in this article provides a framework for such a macrosystem perspective.
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Teachers often develop unique methods to help students learn, but these techniques may be lost when they retire from the profession. In the 15 years that they have conducted the Effective Teaching Workshop: Improving Your Skills, the authors of this paper have observed presentations of many innovative teaching methods. The article describes five methods recently presented at the annual workshop: the use of a flipchart with slides; the use of Polarmotion overhead transparencies; an asthma simulation; a breast-mass simulation; and teamwork and game-playing. The authors present these techniques in the hope of reaching a broader audience, and to stimulate other teachers to submit descriptions of innovative teaching methods for possible publication in the Ideas for Medical Education column.
The history of total hip replacement in the U.S. demonstrates that health care providers can reduce costs while improving quality. Nationwide, the cost of total hip replacements has declined dramatically while quality has improved. This article describes 14 clinical and management innovations ranging from patient education to competitive bidding.
This paper puts health questions within the context of national development and industrial policy. It follows the idea of structuralist, Marxist and Schumpeterian approaches, in which industry and innovations form determining factors for the dynamism in capitalist economies and relative positions within the world economy. All countries that have developed and started to compete under better conditions with advanced countries have had an association between strong industry and an endogenous knowledge, learning and innovation base. However, in the field of health, this vision presents problems because business interests move according to the economic logic of profit rather than to meet health needs. The notion of the health-industrial complex is an attempt to provide a theoretical reference that enables linkage between two distinct types of logic: health and economic development. This study has sought to show, on the basis of foreign trade data, how disregard for the logic of health policy development has led to a situation of economic vulnerability in this sector, which may limit the objectives of universality, equality and comprehensiveness. Within this context, a cognitive and political break with these antagonistic visions that put health needs on one side and industrial needs on the other is proposed. A country that aims to reach a condition of development and independence requires strong innovative industries and an inclusive and universal health system, at the same time.
The role of nursing is studied, as it is related to constant innovation and improvement of teaching quality, social requirements and new professional roles. As an alternative, the contribution given by the teaching model is considered. Such model offers educational bases on leisure activities about adequate learning environments, user population requirements and the actual educational system. Favourable results of the proposed innovation will need continuous evaluation shared by the faculty as a means to guarantee the consolidation of this exchange program.