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HPI4002: Innovation and Quality Management of Health Services - summary

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Summary of the cases (all learning goals) and lectures of the HPI4002 module.

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  • October 26, 2021
  • 93
  • 2020/2021
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HPI4002: Innovation and Quality Management of
Health Services

Summary of the module




Faculty of Health, Medicine and Life Sciences (FHML)
MSc Healthcare Policy, Innovation and Management

,Table of Contents
1. Innovations................................................................................................................................................ 3
1.1 Schumpeterian trilogy....................................................................................................................................4
1.2 Technologies and innovation..........................................................................................................................5
1.3 Types of innovation.........................................................................................................................................8
1.4 Challenges of innovations.............................................................................................................................16
1.5 Challenges in healthcare..............................................................................................................................17
1.6 Challenges of innovation in healthcare........................................................................................................18
1.7 Differences between innovations in healthcare and innovations in other sectors.......................................23

2. Managing innovations in healthcare......................................................................................................... 26
2.1 Phases of innovation.....................................................................................................................................26
2.2 Functions involved in the innovation process...............................................................................................27
2.3 Role of the manager in innovation management........................................................................................28
2.4 Theories and approaches in innovation management.................................................................................29
2.5 Management on the development of new drugs, medical devices and services.........................................34

3. Quality management in healthcare........................................................................................................... 40
3.1 Defining quality of care................................................................................................................................40
3.2 Different levels of quality of care..................................................................................................................44
3.3 Quality management....................................................................................................................................46
3.4 Different approaches to quality management.............................................................................................47
3.5 Assessing and monitoring quality of care.....................................................................................................50

4. Patient safety........................................................................................................................................... 54
4.1 Strategies to improve patient safety............................................................................................................55
4.2 Assessing incidents and safety in healthcare...............................................................................................57
4.3 Adverse events and medical errors...............................................................................................................61
4.4 Approaches and theories underlying patient safety.....................................................................................63

5. The patient as a partner........................................................................................................................... 67
5.1 Patient involvement in quality improvement...............................................................................................67
5.2 Shared Decision Making...............................................................................................................................69
5.3 Personalized healthcare...............................................................................................................................71
5.4 Patient satisfaction.......................................................................................................................................75

6. Chronic care management........................................................................................................................ 79
6.1 Chronic conditions........................................................................................................................................79
6.2 Challenges in chronic care............................................................................................................................81
6.3 Impact of chronic disease to patients and the healthcare system...............................................................82


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, 6.4 Models to meet needs of chronically ill patients..........................................................................................84
6.4.1 Chronic Care Model (CCM)...................................................................................................................85
6.4.2 Disease management...........................................................................................................................87
6.4.3 Integrated care.....................................................................................................................................87
6.4.4 Triple aim..............................................................................................................................................88
6.4.5 Population health management...........................................................................................................90
6.4.6 Ten building blocks...............................................................................................................................91




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, 1. Innovations
What is an innovation?
Many different definitions of innovation exist. Key points in these definitions are:
- New ideas
A new (or improved) product, process or service, or a whole new business or business model.
- Exploitation
The idea must be implementable and potentially value generating.
- Successful
The innovation is adopted by the target audience.
- New
This is a relative term; it can mean “new to the world”, “new to the market”, or “new to the
organisation”.


Definition of an innovation according to Barlow (2017):
- Innovation can refer to an outcome and it can refer to the process by which these outcomes
are developed.
- Healthcare innovation is about how you create, implement, embed and sustain innovations
in healthcare systems.


Innovation as a double edged sword
- On the one hand, innovations improve health performances and quality of care;
- On the other hand, innovations tend to increase healthcare costs.


Innovations have two dimensions
- A creative dimension
Often described as “the invention”
- A commercial or practical dimension
Involves the exploitation of the invention
 Only when both these dimension are effectively managed does one have an innovation.
 Often, many ideas fail to make it beyond the invention stage; the pathways to adoption can be
long and hard.




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