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2 nd CEE e-Health Academy (CEEeHA) Innovation as prerequisite for eHealth Miroslav Mađarić, PhD University Hospital Center Zagreb CEEeHA Budapest, 26-28.10.2012.

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Presentation on theme: "2 nd CEE e-Health Academy (CEEeHA) Innovation as prerequisite for eHealth Miroslav Mađarić, PhD University Hospital Center Zagreb CEEeHA Budapest, 26-28.10.2012."— Presentation transcript:

1 2 nd CEE e-Health Academy (CEEeHA) Innovation as prerequisite for eHealth Miroslav Mađarić, PhD University Hospital Center Zagreb CEEeHA Budapest, /18 Mađarić: Innovation as prerequisite for eHealth

2 Contents: Definitions, barriers and myths in innovation innovation has to be accepted for eHealth implementation innovation has to be accepted for eHealth implementation eHealth is bringing innovation in health services eHealth is bringing innovation in health services Specific aspects of innovation in health care and eHealth Specific aspects of innovation in health care and eHealth Stories about innovation specifics in (e)Health: Canaries in the SW mine: TQM of medical SW by FDA Canaries in the SW mine: TQM of medical SW by FDA From weakness to opportunity: Cladribine vs. post-it From weakness to opportunity: Cladribine vs. post-it SRM: Cleveland Clinic Innovation Center SRM: Cleveland Clinic Innovation Center eHealth innovative advances in in Croatia eHealth innovative advances in in CroatiaConclusion CEEeHA Budapest, /18 Mađarić: Innovation as prerequisite for eHealth

3 Innovation definitions Definitions quiz (= how “hermetic”?): 1.Good, new idea 2.New process 3.Novelty that brings sustainable advantage 4.Invention or patent 5.Deliverable of R&D department 6.Completely opposite to imitation 7.Better product CEEeHA Budapest, /18 Mađarić: Innovation as prerequisite for eHealth

4 Quick audience survey Raise the hand if you are coming from: 1.private sector: eHealth industry –Do you have managed innovation process? 2.public sector: healthcare provider –Do you have managed innovation process? Result reflects the myths of innovation: –Asia  USA  W. Europe  CEE –Private business  Public sector  health sector. CEEeHA Budapest, /18 Mađarić: Innovation as prerequisite for eHealth

5 12 myths about innovation 1. Invention = innovation, and imitation ≠ innovation 2. Only major innovations are profitable (discoveries, patents) 3. Innovation is the matter of managers, experts and R&D 4. Innovation relates only to new products and technologies 5. Innovation is chaos (= lack of standards, best practice, plan) 6. Innovation is matter of private, not public sector 7. All innovations are positive! Weakness can’t be innovation? 8. Every innovation strives for major changes and expenditures 9. “We will not go Chapter 11 without innovation!” 10. Innovation management was made up by consultancy firms 11. Innovation management is bureaucracy 12. Expertise is most important for innovation, not the “climate”. CEEeHA Budapest, /18 Mađarić: Innovation as prerequisite for eHealth

6 Innovation and (e)Health Innovation in public sector: Innovation in public sector: Away from the myth that it is only for business organisations! Away from the myth that it is only for business organisations! Healthcare: Healthcare: immanently conservative mindset and structure immanently conservative mindset and structure eHealth: eHealth: major innovation area in healthcare (+ drugs, devices) major innovation area in healthcare (+ drugs, devices) Barriers for eHealth as innovation: Barriers for eHealth as innovation: “We are good enough also w/o computers!” “We are good enough also w/o computers!” “IT experts don’t understand medicine!” “IT experts don’t understand medicine!” “We should heal patients and not deal with computers!” “We should heal patients and not deal with computers!” “Innovation = experiment (on patient?)” “Innovation = experiment (on patient?)” CEEeHA Budapest, /18 Mađarić: Innovation as prerequisite for eHealth

7 Last myth depicted in cartoon! CEEeHA Budapest, /18 Mađarić: Innovation as prerequisite for eHealth

8 Controversy and prerequisite: Controversy of eHealth as an innovation in healthcare: innovation has to be accepted for eHealth implementation innovation has to be accepted for eHealth implementation eHealth is bringing innovation in health services ;-) eHealth is bringing innovation in health services ;-) Relation of innovation and eHealth: Readiness for eHealth implementation = readiness for innovation! Readiness for eHealth implementation = readiness for innovation! Recall following myths: Recall following myths: nr. 6&9: “Hospitals are partially on the market, w/o innovation they lag behind!” nr. 6&9: “Hospitals are partially on the market, w/o innovation they lag behind!” nr. 12: “Promote innovation climate in your institution!” (“good guys”) nr. 12: “Promote innovation climate in your institution!” (“good guys”) nr. 10: “Is innovation management needed?” YES! nr. 10: “Is innovation management needed?” YES! CEEeHA Budapest, /18 Mađarić: Innovation as prerequisite for eHealth

9 Innovation stories about innovation specific in (e)Health: CEEeHA Budapest, “Canaries in the SW mine”: TQM of clinical SW by FDA: “Canaries in the SW mine”: TQM of clinical SW by FDA: Clinical SW = Medical Device (Croatia: #RIS!?) Clinical SW = Medical Device (Croatia: #RIS!?) TQM loop: malfunctioning  FDA TQM loop: malfunctioning  FDA FDA  Certified SW manufacturer FDA  Certified SW manufacturer No usual lousy excuses (“Works as designed!”) No usual lousy excuses (“Works as designed!”)  quick and strong feedback loop!  quick and strong feedback loop! From weakness to opportunity: From weakness to opportunity: post-it vs. Cladribine post-it vs. Cladribine SRM: Cleveland Clinic Innovation Center  SRM: Cleveland Clinic Innovation Center  KBC Zagreb: collecting useful ideas  KBC Zagreb: collecting useful ideas  9/18 Mađarić: Innovation as prerequisite for eHealth

10 Cleveland Clinic Innovation Center (CCI) CEEeHA Budapest, corporate venturing corporate venturing breakthroughs of Clinic employee into: breakthroughs of Clinic employee into: patient-benefiting medical products, patient-benefiting medical products, creates new business opportunities creates new business opportunities unique capabilities to the commercial market, and unique capabilities to the commercial market, and economic growth in Northeast Ohio economic growth in Northeast Ohio CCI creates: a unique entrepreneurial environment a unique entrepreneurial environment invention fostering where everyone can participate: invention fostering where everyone can participate: physicians, physicians, nurses, nurses, researchers, researchers, administrators - not just a few select individuals! administrators - not just a few select individuals! 35 Cleveland Clinic spin-offs in the last decade 35 Cleveland Clinic spin-offs in the last decade have received equity investment - more than $500 million to date! have received equity investment - more than $500 million to date! 10/18 Mađarić: Innovation as prerequisite for eHealth

11 Cleveland Clinic Innovation Center CEEeHA Budapest, /18 Mađarić: Innovation as prerequisite for eHealth

12 Proposals for innovative cost cutting: CEEeHA Budapest, /18 Mađarić: Innovation as prerequisite for eHealth

13 eHealth innovative advances in Croatia: CEEeHA Budapest, e-prescriptions e-prescriptions e-medications (NIKI) e-medications (NIKI) e-guidelines  e-guidelines  e-booking/e-referrals  e-booking/e-referrals  e-Waiting-list  e-Waiting-list  13/18 Mađarić: Innovation as prerequisite for eHealth

14 Clinical guidelines CEEeHA Budapest, NGC: guidelines edited: National societies mentioned:  “British”: 356  Germany: 92  Hungary: 17  Croatia: 5 14/18 Mađarić: Innovation as prerequisite for eHealth

15 e-Waiting list in Croatia CEEeHA Budapest, e-Waiting_list: National level National level Information and contact for GPs and patients Information and contact for GPs and patients Pilot with 210 procedures Pilot with 210 procedures 60 hospitals until Dec hospitals until Dec e-Booking: one month phased delay for every county one month phased delay for every county full implementation full implementation 15/18 Mađarić: Innovation as prerequisite for eHealth

16 Conclusions: CEEeHA Budapest, eHealth success is closely tied to innovation (management)! eHealth success is closely tied to innovation (management)! Immitate successful innovators! Immitate successful innovators! Establish innovation management: Establish innovation management: within organizations and within organizations and at national level at national level Accept and process useful ideas from every source Accept and process useful ideas from every source Foster positive innovation climate: Foster positive innovation climate: “Innovators are good guys!” “Innovators are good guys!” 16/18 Mađarić: Innovation as prerequisite for eHealth

17 Innovation on every corner: CEEeHA Budapest, “I like to hear: ‘It had to be done’ instead: ‘This was not my job’”. 17/18 Mađarić: Innovation as prerequisite for eHealth

18 Tnx for your attention! Questions? (also welcome on CEEeHA Budapest, /18 Mađarić: Innovation as prerequisite for eHealth


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