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Summary BMZ2026: Implementing Innovations in Healthcare
BMZ2026 - Summary per case - 4 out of 6 lectures
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Voorbeeld 4 van de 63 pagina's
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Voorbeeld van de inhoud
Summary BMZ2026Implementing Innovations in Healthcare
2019/2020
Two-bin system..................................................................................................................1
Cases................................................................................................................................ 1
Case 1: Introducing something new..............................................................................1
Case 2: What the … are you talking about?................................................................10
Case 3: How innovative are you: Take it or leave it?...................................................16
Case 4: Implementation process of a care innovation.................................................24
Case 5: Choosing strategies for change......................................................................39
Case 6: Process evaluation.........................................................................................46
Lectures........................................................................................................................... 53
Lecture 01: Innovation in Healthcare...........................................................................53
Lecture 02: What are innovations and when are they successful?..............................55
Lecture 03: Transfer of knowledge and/or innovations: which concepts can be
distinguished?............................................................................................................. 57
Lecture 04: Factors affecting the dissemination, adopting, implementation &
sustainability of innovations.........................................................................................59
, Two-bin system
→ There are two bins that are stocked with the supplies you need. You only make use of the first bin until it’s
empty. If it’s empty, there will be a signal that the first bin will have to be restocked or replaced. Then you
make use of the second bin, that’s supposed to have enough items to last unit the order for the first bin
arrives.
→ In short, the first bin has a minimum of working stock and the second bin keeps reserve stock or remaining
material.
→ The goal of any 2 bin system is to have enough inventory to continuously produce outputs without having
too much surplus inventory.
→Advantages:
- Until new materials arrive, the team relies on the second bin for materials. This allows making sure
that the production is never idle.
- Optimized inventory volumes and reduced waste, leading to the reduction in total costs, reduced
waiting time and minimized lead times.
- Efficiënt → you always have a buffer
- Minimate the risk of shortages
→ Disadvantages:
- Before implementing any sort of inventory management system, it’s important to understand the
specific needs and considerations affecting your supply chain. Many factors, such as fluctuating
demand, lot quantities, minimum orders and other variables can all impact the exact order
requirements to keep your Kanban system running smoothly.
Cases
Case 1: Introducing something new
Problem statement: What is an innovation? What is the definition?
Learning goals:
1. What is innovation?
2. What are the characteristics of a succesvol intervention?
a. Explain the framework
3. What type of interventions do exist?
4. How can innovations be implemented?
5. What are facilitators and barriers for implementation?
6. What is important for choosing a innovations in the hospital setting?
Innovation Grol, R., Wensing, M., Eccles, M., & Davis, D. (2013)
Innovation = a new procedure or technique, a guideline, a care protocol or a ‘’best practice’’
Rogers (2003)
Innovation = an idea, practice, or object that is perceived as new by an individual or other unit of
adoption. It matters little, so far as human behavior is concerned, whether or not an idea is
objectively new as measured by the lapse of time since its first use or discovery
- Newness in an innovation need not just involve new knowledge.
- The "newness" aspect of an innovation may be expressed in terms of
knowledge, persuasion, or a decision to adopt.
- It should not be assumed that the diffusion and adoption of all innovations are
necessarily desirable.
- This definition is useful for individual behaviour, but less useful organisational level
(when the same clinical guideline might be classified as an organisational innovation on
a ward or in a GP surgery).
- Organisational innovation precipitates some kind of planned change in the structures
and systems in the organisation.
- Taking into account all the different types Greenhalgh (2005) formulated a new
definition:
1
, Greenhalgh (Organizational innovation) (2005)
Innovation = the implementation of an internally generated or a borrowed idea – whether
pertaining to a product, device, system, process, policy, program or service – that was new to
the organization at the time of adoption. Innovation is a practice, distinguished from invention
by its readiness for mass consumption and from other practices by its novelty
- Health care innovation = a medical technology, structure, administrative system, or
service that is relatively new to the overall industry and newly adopted by hospitals in a
particular market area.
- Service innovations = innovations that incorporate changes in the technology, design, or
delivery of a particular service or bundle of services
- An innovation in health service delivery and organisation is a set of behaviours, routines
and ways of working, along with any associated administrative technologies and
systems, which are:
1. Perceived as new by a proportion of key stakeholders.
2. Linked to the provision or support of health care.
3. Discontinuous with previous practice.
4. Directed at improving health outcomes, administrative efficiency, cost-effectiveness, or
user experience.
5. Implemented by means of planned and coordinated action by individuals, teams or
organisations.
- Such innovations may / may not be associated with a new health technology.
- This a rationalist view of innovation.
- Innovation is an event rather than a process.
- The assimilation of innovations will be trough planned and transformative
rather than continuous and emergent change.
Diffusion Rogers E (2003) Diffusion = the process by which an innovation is communicated through certain channels over
time among the members of a social system.
- It is a special type of communication, in that the messages are concerned with new
ideas.
Communication = a process in which participants create and share information with one
another in order to reach a mutual understanding.
Uncertainty = the degree to which a number of alternatives are perceived with respect to the
occurrence of an event and the relative probability of these alternatives.
- Information is a difference in matter-energy that affects uncertainty in a situation
where a choice exists among a set of alternatives.
Diffusion is a kind of social change, defined as the process by which alteration occurs in the
structure and function of a social system.
Technological innovations A technology is a design for instrumental action that reduces the uncertainty in the cause-effect
relationships involved in achieving a desired outcome.
- Hardware aspect → consisting of the tool that embodies the technology as material or
physical objects.
- Software aspect → consisting of the information base for the tool.
- Computer hardware or computer software.
Technological innovation creates one kind of uncertainty in the minds of potential adopters
(about its expected consequences), as well as representing an opportunity for reduced
uncertainty in another sense (that of the information base of the technology).
1. Software information, which is embodied in a technology and serves to reduce
uncertainty about the cause-effect relationships involved in achieving a desired
outcome.
2. Innovation-evaluation information, which is the reduction in uncertainty about
2
, an innovation's expected consequences.
4 characteristics of an 1. Innovation represents newness
innovation (Osbourne) 2. It is not the same thing as invention (the latter is concerned with the discovery of new
ideas or approaches whereas innovation is concerned with their application)
3. It is both a process and an outcome (innovation)
- It is more than just an idea (invention is just an idea)
- It is strong linked to you just adopt an innovation)
- The users need to adopt this innovation
- The innovation can focus on the process → creating new logistics to
look at a process
4. It involves discontinuous change
- Innovation: concerned with mostly the application
- Invention: concerned with the discovery of new ideas or approaches whereas
innovation is concerned with their application
Disruptive innovation Helps to create a new market and value network and eventually disrupts an existing market.
Sustaining innovation Does not create new markets of value networks but rather only evolves existing ones with better
values
Different types of Grol, R., Wensing, M., Eccles, M., & Davis, D. (2013)
innovations in the Innovations:
healthcare setting - Systematic reviews
- Evidence based guidelines
- Care protocols: A protocol is a management recommendation based on a programmed
description of the policy . It contains guidelines and innovations
- Integrated care pathways
- Disease management systems
- Best practices
- Prevention programs
- Quality of care methods
Different types of patiënt care improvements require different change proposals
- Innovations in clinical decision making require clear evidence presented as summaries
of the scientific literature or evidence-based guidelines.
- Multidisciplinary routines require care protocols or disease management programs.
- Increasing the efficiencies of care may need business redesign models or best practices
Thoma-Lürken T, Bleijlevens MH, Lexis MA, et al. (2015)
4 main types of innovations:
- Product innovation:
- A product innovation is the “introduction of a good or service that is new or
significantly improved with respect to its characteristics or intended uses. This
includes significant improvements in technical specifications, components and
material, incorporated software, user friendliness, or other functional
characteristics.”
- Organizational innovations:
- An organizational innovation is the “implementation of a new organizational
method in firm’s business practices, workplace organization or external
relations.”
- Process innovation:
- A process innovation is the “implementation of a new or significantly
improved production or delivery method. This includes significant changes in
techniques, equipment and/or software.”
- Other innovations:
3
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