What attracts people to innovation?

September 2nd, 2011 by Doug Jeffs

The co-authors of Unleashing Innovation have years of academic and practical experience with organizational behavior, individual behavior and innovation in the workplace. Based on their long-term, applied experience in the workplace, they believe if we better understand what attracts people to innovation, we are better able to create an environment that makes innovation a valued part of our daily jobs.

If we implement an innovation framework well, we will appeal to the human side of innovation. After all, it’s people who innovate, not a framework. However, frameworks are important because they help align innovation learning, practices and value with the goals of the organization and the community we serve.

As with anything else in life, if we have good experiences participating in innovation, we will want to continue participating and contributing.

People have an inherent desire to learn, create and contribute. We all have this desire and we apply it in different ways. Regardless of how we apply it, there lays a common denominator represented by a set of drivers that attract us to innovation. These drivers are described below.

LEARN

People have a basic need to learn. There are six factors that drive people’s desire to learn:

1. Social relationships: To be in a network of acquaintances with a common goal

2. External expectations: To meet the increasing needs of the company or to work on meaningful initiatives

3. Personal advancement: Personal competitiveness or ambition

4. Escape or stimulation: To break the monotony or routine of daily life

5. Cognitive interest: To learn for the sake of learning and to satisfy an inquisitive mind

6. Social welfare: To develop skills to help others or to serve the community

Do you have permission, time and resources to learn about innovation and continually learn by applying innovative thinking and experimentation?

DREAM

Dreaming can also be called “visioning”. People have a desire to create and fulfill visions, seeing a future state or picture of a desired outcome. Many of us do this without realizing it. We apply visioning to simple things as well as complicated things. Many people do their best visioning while sleeping, day-dreaming, exercising, working in the yard, and so-on. When we dream, we are thinking. Hectic workdays leave us little time to think.

Dreams drive unorthodox thinking, focus and passion. Unleashing dreams at work requires giving people the freedom to challenge conventional wisdom and the status quo. There needs to be freedom to think, take risks, and try new things.

Do you have the freedom and support to share and apply your innovative dreams at work?

CREATE

All people have the desire to create. All people are creative. We all apply our creativity in different ways.

Most organizations have built-in structural mechanisms that block creativity. The goal is to allow people to create and translate that creativity into innovations that create value.

Organizational barriers to creativity:

Bureaucracy: It’s too hard to buck everyone’s opinion and experience; employees give up after trying a few times.

Process & Internal Focus: Process is good for repeatable events but it creates an orientation that is mechanical and internally focused, stifling creativity.

Risk Averseness: Limiting thinking and decision-making to safe conclusions greatly reduces creativity.

Lack of Incentive: When incentives don’t support creativity, employees don’t believe they are allowed or desired to be creative.

No Structure or Forum: Employees don’t know and/or trust who will engage their creative ideas and help nurture them.

Has your organization removed its cultural barriers stifling your creativity?

HEROES

People are inspired by heroes and, as a result, seek to participate and contribute.

Heroes are dedicated to a vision and beating the odds, standing up to the status quo and “the way we always have done it”. Heroes are resistance fighters. At their core are personal risk, humility, being a team player, being a driving force, and following their passion. They have interests other than moving smoothly up the corporate ladder. They do not fit in. They may be seen as disruptive, as loners, dreamers, even nuisances.

Does your organization tolerate and value the unorthodox nature of heroes?

SPIRIT

This is really called “the spirit of engagement”. When people are truly engaged in an activity, they feel more alive, more satisfied.

Workplace engagement is a powerful factor in catalyzing outside-the-box thinking. Engaged employees are more productive, absent less often, less likely to leave, and are more creative than employees who are not engaged.

Three factors promote engagement: 1) Great jobs; 2) great leaders; 3) an inclusive environment.

Does your organization allow you to create and contribute by learning and applying innovation as part of your daily job?

Does your organization’s leadership tolerate risk; help develop a culture that is forward looking and open to diverse thinking; foster an environment where new, creative ideas are welcome and valued?

Does your organization genuinely value and respect diversity of thought and ideas and foster participation?

If you answered “yes” to most of the questions in this blog post, please contact me!

If you answered “no” to most of the questions, we have work to do. This is not unusual for just about every large organization on earth. Our challenge is to be unusual.


Doug Jeffs is a member of the HMSA Innovation Center. His passion and focus is to help build a sustainable health care system in Hawaii via community-wide collaboration and innovation. He has over twenty years of experience with the health care industry from his careers at IBM and HMSA.

Individual Engagement on Steroids

July 28th, 2011 by Doug Jeffs

In a previous blog post I mentioned there are many pieces to the puzzle of individual engagement within our health care system. This is one specific piece among many others. If you haven’t seen this fifteen minute PBS Frontline episode titled Doctor Hotspot, I highly recommend you watch it.

There are two basic segments of population within our health care system: 1) A healthy population; 2) an unhealthy population. Our challenge via individual engagement is to keep the former healthy for the long haul while improving the health of the latter to reduce health care utilization; thus, reduce the unsustainable cost of health care. The Doctor Hotspot story focuses on an intense engagement with specific individuals in the unhealthy segment.

This type of individual engagement is driven by health care providers actively engaging individuals who are the highest utilizers of their health care system and intensely working with those individuals to improve and maintain their health in a manner that turns the existing health care system on its head.

It’s innovative, effective individual engagement.

Per Dr. Jeffrey Brenner, the physician in the story:

Better care for people is disruptive change.

…about 1 percent of the patients are costing about 30 percent of the health care resources.

…we’ve seen some preliminary results of 40 to 50 percent reductions in visits and costs.

…we went back and asked each hospital for all their claims data for a full-year period…and began to find buildings in the city that were hot-spot buildings, where there were a lot of elderly and disabled people living in the building that were generating enormous amounts of costs, going to the emergency room and hospital over and over…

We thought we could change that by bringing care to them. We’ve lost the art of the home visit. There’s something very powerful about going into someone’s home, building a relationship, sitting down with them, getting to know them, getting to know their family members. And there’s something very empowering to patients when you come to them. It can be frightening to be in a doctor’s office, and it can be frightening to have a doctor in a white coat walk into the room. It can be alienating to patients. And it sends a really powerful message of how much you care about them when you come to their house. And you also realize the circumstances they’re living in.

As physicians and health care providers we often blame patients when they don’t follow our directions. The number of times I’ve had clinicians and nurses and doctors tell me, “Well, if the patient would just follow my directions, if they would just take the pill that I gave them, if they would just follow the diet I gave them, then they’d stop being sick; they’d stop coming back to the hospital” — and it’s not that simple.

American health care doesn’t do a good job taking care of sick people. The way we built our system is really a system that’s very hard to access. It works well for the average patient, but if [you] are blind, if you’re deaf, if you’re disabled, if you’re in a wheelchair, if you don’t speak the language, if you’re developmentally delayed, if you have a complex mix of illnesses with many providers involved, the whole system starts to break down. Patients often get overwhelmed. They are going from doctor to doctor, specialist to specialist. They’re getting conflicting recommendations. The doctors aren’t talking to one another, and they get confused, and they get overwhelmed. They get lots of medications added to their regimen.


Doug Jeffs is a member of the HMSA Innovation Center. His passion and focus is to help build a sustainable health care system in Hawaii via community-wide collaboration and innovation. He has over twenty years of experience with the health care industry from his careers at IBM and HMSA.

Individual Engagement in Health and Health Care

July 15th, 2011 by Doug Jeffs

I recently attended a discussion on individual engagement in health and health care. Why focus on individual engagement? To maintain good health and improve poor health. To reduce utilization of the health care system as a result of improved health. To transform our unsustainable (cost) health care system in Hawaii to an affordable, sustainable health care system. To improve quality of life, a valuable by-product.

What does individual engagement look like? How is it different from what we experience today? Each of us has answers to these questions based on our personal and professional experiences. These answers represent pieces of a more comprehensive puzzle. As we all put the pieces together, I believe we will find a variety of changes that have the potential to make a noticeable difference in our community’s effort to create a sustainable health care system in Hawaii.

Is the burden only on each of us as individuals? No. We as individuals share responsibility with the entire health care system and its barriers and challenges that must be addressed to further individual engagement and make a noticeable difference.

In the HMSA Innovation Center, we believe the more time people have to focus on creative thinking, strategic thinking, and transformational thinking, the more likely we (you, me, everyone) are to discover valuable solutions to our individual and community cost, quality and access challenges in health and health care. As I type this blog post, the HMSA Innovation Center is incorporating “individual engagement in health and health care” into our thinking.

  • Creative Thinking: Focusing on the real problem and generating creative ideas
  • Strategic Thinking: Filtering ideas based on value to the community we serve
  • Transformational Thinking: Putting valuable ideas into action

In conclusion, I am sharing part of a recent blog post from the Wall Street Journal by author Don Tapsoctt, who co-wrote Wikinomics. One piece of many to a large puzzle. Each of us, everyone, has pieces of the puzzle. What’s your piece?

Despite the advancements of modern medicine, healthcare’s business model has remained unchanged for centuries.

It assumes that, medically speaking, physicians are smart and patients aren’t.

Doctors wait for sick people to come to them and tell their patients what to do, one-on-one, face-to-face. Patients play little or no role in deciding their own treatments plans. As one physician put it to me: “Today’s healthcare institutions are like the old media: centralized, one way, immutable and controlled by the people who created and delivered it. Patients are passive recipients.”

The entire industry needs to reinvent itself and recast the doctor-patient relationship.

Patients should use the Internet to become informed. Every citizen, including newborns, would have a personal health page. Think of it as a patient’s personal window into his or her own health and the basis for participation in a broader health social network.

Adults would own and control their own data, but healthcare professionals (and perhaps family members) could access it as required with appropriate levels of privacy and security.

Much like Facebook, a patient could create a community or join medical “causes”. And just like the App store, low-cost or free applications could help individuals measure their own health, do pre-diagnosis of a sick child or test for possible drug interactions.

In this new industry model, patients become more like partners. This goes beyond the current catchphrase of “patient centric” healthcare. The patient co-creates healthcare and wellness, producing an outcome that is a more evidence-based and cost-effective, i.e., safer, better and cheaper.


Doug Jeffs is a member of the HMSA Innovation Center. His passion and focus is to help build a sustainable health care system in Hawaii via community-wide collaboration and innovation. He has over twenty years of experience with the health care industry from his careers at IBM and HMSA.

Innovation is about…

June 30th, 2011 by Doug Jeffs

What is innovation about? Everyone has a perspective on innovation and all of them are legitimate since innovation is a bit of a gray area. Our perspectives form over time, the long term. In my case, recent history impacted my perspective quite a bit as a result of learning more about innovation in general, how it is applied in different industries, and what it means for an organization like HMSA.

Our innovation challenge is to enable all employees to learn about, participate in, and contribute to innovation. Are we there yet? Heck no. Are we working in it? Yep. Will it work? Maybe. At a minimum, we will learn as we sincerely try and we will adjust along the way.

What are some of things we need to focus on to meet this challenge? One way to simply answer this question is to describe what we think innovation is about. As I share my simplified perspective below, I do realize that, to many readers, this list could be shorter…and…it could be longer, but this is what I distilled it to at this point in time.

Innovation is about: 

  • Deeply thinking
  • Time to think and experiment
  • Space to think and experiment
  • Self-directed participation
  • Diverse perspectives
  • Less bureaucracy
  • Less administration
  • Less process control
  • An organization that listens and responds to you
  • Limited funding early
  • Experimenting early
  • Evaluating early
  • Failing early
  • Risk and failure tolerance
  • Strategic value to HMSA
  • Value to the community we serve

 As an example, when I state, “Less process control,” does that mean across the board? No, process control has its place and benefit. What I am referring to is less process control during innovation activities, which could be from the onset of a problem to be solved all the way through scale-up and launch.

What’s your perspective? I’d definitely like to know. The more diverse perspectives, the better.


Doug Jeffs is a member of the HMSA Innovation Center. His passion and focus is to help build a sustainable health care system in Hawaii via community-wide collaboration and innovation. He has over twenty years of experience with the health care industry from his careers at IBM and HMSA.

Culture – Developing the Innovation Experience

April 14th, 2011 by Doug Jeffs

Ah, yes, “innovation culture” is another topic that is widely discussed in innovation blogs, articles and seminars. There is no shortage of opinions. I don‘t mind the buzz around this topic since organizational culture has a significant impact on our ability to effectively infuse innovation. It’s up to us to absorb opinions and facts about organizational culture then form our own opinion and approach. 

What is organizational culture? To begin answering this question, let’s address what it is not. Organizational culture is not what is printed on corporate flyers and spoken by leaders. It’s not the poster on the wall that states what our values and principles are. Rather, organizational culture is defined by the prevalent behavior and actions we practice within our organization. Organizational culture is influenced by underlying assumptions – traditional, automatic rules we follow based on what we understand to be acceptable and unacceptable. 

How does organizational culture impact infusing innovation throughout an organization? The more risk averse, process oriented and bureaucratic an organization is, the more time it will take to effectively infuse innovation. In extreme cases, innovation will never be effectively implemented. 

Whirlpool’s organizational culture in 1999 is similar to HMSA’s today. I am referencing Whirlpool since they are a good case study we can relate with…and since they successfully infused innovation throughout their organization. What are HMSA’s similarities? We are predominantly risk averse, process oriented and bureaucratic. This is common among large organizations. HMSA is by no means alone. 

As I have stated in earlier blogs, and as other consultants and authors have stated, production operations are the heartbeat of a successful business. There is an absolute need and value associated with excellent risk management, process management, and quality management. The problem is when these management systems do not incorporate and balance innovation – the implementation of valuable, strategic creativity. 

Doing an excellent job of what we do today is good but without infusing the level of innovation we desire, we risk our future. We risk the future of the community we serve. We risk fulfilling our mission of providing access to quality care at a reasonable cost. We risk achieving our vision to build a sustainable health care system in Hawaii. 

We all recognize the need for innovation. We all desire it. What prevents us from actually doing it to the level we desire and need? Organizational culture is a significant part of the cause. 

There are a variety of cultural barriers to innovation. Here are barriers Whirlpool identified over a 3-year period of surveying their workforce via multiple methods. Regardless of the method, the answers remained the same. 

  • Almost anyone above or beside an employee will say no to an idea. It is too hard to buck everyone’s opinions and experience, and many employees give up after trying a few times.
  • The company is overly process oriented and internally focused.
  • The company is risk averse.
  • There is a lack of incentive to be innovative. Goal-setting, performance management, and compensation systems do not support, recognize or reward innovation.
  • There is no structure or forum for innovation. People with an innovative idea don’t know who to take it to or what to do with it.

Here are a couple common descriptions of the environment that came through the surveys: “Lots of creative people and ideas but an environment that does not nurture this” and “Ready, aim, aim, aim, aim.” 

Whirlpool’s conclusion: As an organization, they do not support innovation. They favor analysis over action. People feel frozen. They have no follow through when people present innovative ideas. 

Can you relate to these barriers? The main difference among most large organizations is the degree to which these barriers exist. 

Within our organization the current, popular barrier is “How can we find time to innovate when our plate of work is already overflowing?” At the management level in Whirlpool, this too was a popular barrier. Here’s an introductory discussion by Whirlpool about how they approached this barrier. Be assured, there is much more to addressing this barrier than mentioned below. 

Leaders have ongoing accountability to run the business. We realized, however, that if we did not make long-term innovation as much of a priority as short-term results, we would find ourselves in a never-ending catch-22. The revolving dilemma of innovation embedment is that leaders must protect innovation from the day-to-day, month-to-month, and quarter-to-quarter business. 

We did not have a hard-and-fast formula for our leaders to follow. But we asked them to take stock during their review of daily, weekly and monthly activities, and in our longer-term work planning sessions, of two important questions: 

  1. Am I doing enough to balance the short-term and mid-term with the long-term?
  2. Are we using the pressures of the present as an excuse not to do the hard work of innovation embedment?

This represents only the beginning of Whirlpool’s approach. There will be more discussion in future blog posts about leadership development and accountability needed to overcome this and other barriers. 

I am concluding this blog post by leaving you with two organizational culture self-assessment tools via Strategic Innovation and Unleashing Innovation. Try ‘em out. A hūi ho!

    

   

Related posts:


Doug Jeffs is a member of the HMSA Innovation Center. His passion and focus is to help build a sustainable health care system in Hawaii via community-wide collaboration and innovation. He has over twenty years of experience with the health care industry from his careers at IBM and HMSA.

Infusion – Developing the Innovation Experience

April 12th, 2011 by Doug Jeffs

In a previous blog post titled Developing the HMSA Innovation Experience, I mentioned we are immersing ourselves in two core books while surrounding them with other sources that add value along the way. One of the other sources is the book Unleashing Innovation – How Whirlpool Transformed an Industry.

The authors of Unleashing Innovation describe their view of infusing innovation throughout their organization. We’re interested. Here’s some of what they have to say:

What makes Whirlpool unique is that it has chosen a path that shuns the popular notion that innovation can come only from the geniuses at the top. Whirlpool “innovated innovation” by putting systems and processes in place that enable every person at every level, including entry-level professionals, clerks, secretaries and hourly employees, to innovate.

We realize that the relevant questions are How did you change a ninety-plus year-old culture? How many incremental and game-changing innovations have come out of the approach? And perhaps most important: How have you made your innovation sustainable?

Whereas other companies approach innovation by trying to foster more creativity, generate ideas or screen ideas as though these were specific techniques, at Whirlpool we sought to infuse innovation into the very fabric of the organization. Innovation is not “added on” at Whirlpool, but embedded. Embedded innovation is the approach that Whirlpool pioneered to create innovation as a core competency. What makes embedded innovation unique is that it builds a capability that is sustainable beyond any one person, team or leader.

Innovations can be incremental or breakthrough, but it is the ongoing ability to innovate and create value that distinguishes embedded innovation from other approaches. Embedding innovation in processes and procedures – creating the innovation machine – is only half the battle. Innovation is truly embedded only when it lives in the hearts and minds of people.

To understand how innovation works, you need to look at the structures and processes, and at what really makes innovation come to life in the people who actually do the innovating. You must look at the rational processes and procedures of innovation, but also uncover the deeper, less quantifiable emotional drivers that unleash the spirit of innovation in people.

The rational drivers include a business framework (resources, processes, systems, incentives, and more) that makes embedded innovation sustainable and often requires reengineering of legacy management systems.

The emotional drivers, in contrast, are not created by a company, but are resident in each of us as latent human factors that attract us to create and innovate. Management’s task is to ensure that these emotional drivers are unleashed rather than thwarted.

Although many other approaches to innovation use some of the rational drivers, it is the combination of the system of rational drivers and the emotional drivers that makes innovation “from everyone and everywhere” an exciting reality at Whirlpool.

So, how do we do this? Hang on. It’s all part of the journey.

Related posts:

Developing the HMSA Innovation Experience

Define Innovation

Vision


Doug Jeffs is a member of the HMSA Innovation Center. His passion and focus is to help build a sustainable health care system in Hawaii via community-wide collaboration and innovation. He has over twenty years of experience with the health care industry from his careers at IBM and HMSA.

Vision – Developing the Innovation Experience

April 7th, 2011 by Doug Jeffs

As the authors of Strategic Innovation state, “We found that the keystone to innovation embedment was, without doubt, a clear vision and set of goals.” They continue to discuss the importance of having an enterprise vision and an innovation vision aligned with one another. Subsequent innovation goals, measures and strategies can then be developed under the guidance of these visions.

To create our draft innovation vision, we considered: a) HMSA’s enterprise vision; b) many discussions we’ve had about what we are trying to achieve via innovation; c) other innovation visions from organizations anywhere on the globe; d) if available, reasons why these organizations worded their visions the way they did.

HMSA’s draft innovation vision is:

Innovation by everyone today for a sustainable tomorrow

Why did we select this for our first draft?

It aligns with our enterprise vision to help build a sustainable health care system in Hawaii.

It aligns with our draft innovation principles we adopted from Strategic Innovation. These principles represent current values, beliefs and focus in-line with our innovation journey:

  • Innovation must be possible from anyone
  • Innovation must permeate to the fabric of our culture and business
  • Innovation must be sustainable

It is succinct, simple to remember and provides high-level direction and guidance for details to follow, such as goals, measures, strategies and so-on. It represents the beginning of a necessary, new experience. I believe it will be a positive experience. Onward!

Related posts:

Developing the HMSA Innovation Experience

Define Innovation


Doug Jeffs is a member of the HMSA Innovation Center. His passion and focus is to help build a sustainable health care system in Hawaii via community-wide collaboration and innovation. He has over twenty years of experience with the health care industry from his careers at IBM and HMSA.

Define Innovation – Developing the Innovation Experience

April 1st, 2011 by Doug Jeffs

Continuing from my previous blog post about developing the HMSA innovation experience, one of the first areas of common ground among authors and various discussions is defining what innovation means to our organization. Elaine Dundon, author of Seeds of Innovation, kicks it off this way: 

Unfortunately, the concept of innovation has been so widely used and misused that many people are now confused as to what it really is. 

A good starting point is to develop a common understanding and definition of what the term innovation means to you and the members of your team and organization. Take time to discuss and agree upon your own definition. 

Innovation is much more than finding and connecting creative ideas. It is about strategy and action – bringing value to the organization through the implementation of creative and strategic ideas. 

A simple, common definition of innovation based on four key components is: 

Innovation is the profitable implementation of strategic creativity 

This goes beyond simply referring to the act of creativity or the identification of new ideas. 

The definition above is based on applied research, interviews with executives and managers, as well as practical experience working with many international companies and other organizations. 

Contrary to popular belief, HMSA does not wish to make a profit…or a loss. Rather, we forecast the pricing of our products to break-even while maintaining a reserve fund to cover unexpected losses and pay for medical expenses of patients in our health plans when these losses occur. So, Elaine’s use of the word “profit” in her definition of innovation needs to be modified to better represent our intentions with innovation. To twist this up a bit from an innovation perspective, should we limit innovation to a non-profit model? The simple answer is no. There might be compelling reasons to establish self-sustaining, for-profit, new businesses that bring significant value to our community. That being said, here’s our draft tagline definition of innovation for HMSA: 

Innovation is the implementation of valuable, strategic creativity 

Creativity: The discovery of a new idea. 

Strategy: Determining whether it is a useful idea; determining how the idea helps achieve our strategies and mission. 

Implementation: Putting a new and useful idea into action. 

Value: Maximizing added value from the implementation of a new and useful idea.

It is important to have a single-phrase, easy-to-remember, meaningful tagline definition of innovation that represents our intentions. There’s a ton of detailed discussion about innovation behind the tagline. But first we need to establish a high-level, simple definition that guides us as we continue down this path. 


Doug Jeffs is a member of the HMSA Innovation Center. His passion and focus is to help build a sustainable health care system in Hawaii via community-wide collaboration and innovation. He has over twenty years of experience with the health care industry from his careers at IBM and HMSA.

Developing the HMSA Innovation Experience

March 31st, 2011 by Doug Jeffs

This is also known as “Developing Innovation Culture and Value”. Not because “innovation” is the latest abused buzzword in businesses and governments everywhere today. Rather, because we firmly believe innovation is absolutely necessary to fulfill our mission of providing access to quality care at a reasonable cost. Our mission is more challenged today than ever before; hence, our need for an aggressive campaign of sustained innovation throughout HMSA, involving everyone, every day. Exciting times are ahead. Much easier said than done.

Yes, it sounds like a utopian, far-fetched goal to have everyone innovating every day but it’s a goal that sets the bar high to gain as much traction as we can possibly achieve.

How will we shift from a culture with pockets of innovation to a culture with innovation as an essential ingredient of everyone’s daily behaviors and actions? As I write this blog post, the HMSA Innovation Center is drafting an approach to seed the conversation. No doubt, what we draft will change as we engage others in this conversation. Every project we’ve embarked on started with a seed-concept that matured and morphed by the time it was ready for implementation. This challenge is no different.

Where are we with this effort? We are at the very beginning but we aren’t starting cold. Fortunately many folks in HMSA have been deeply involved with innovation in past and recent history. And they have been surrounded by people outside HMSA who have been influential from an innovation perspective.

Over the years we have absorbed a variety of innovation tips, techniques, models and perspectives via books, social media, conversations and more. As a result, we are currently immersing ourselves in two core books while surrounding them with other sources that add value along the way. If your goal is to embed innovation throughout your organization, I recommend reading and applying these two books to start the learning and seed-concept process:

The Seeds of Innovation by Elaine Dundon

Strategic Innovation – Embedding Innovation as a Core Competency in Your Organization by Nancy Snyder and Deborah Duarte

There is common ground among innovation authors and consultants as it relates to organization-wide, culture-based innovation. I’ll be blogging more frequently to share this common ground, what we are learning, and what we are drafting.

A hūi ho!


Doug Jeffs is a member of the HMSA Innovation Center. His passion and focus is to help build a sustainable health care system in Hawaii via community-wide collaboration and innovation. He has over twenty years of experience with the health care industry from his careers at IBM and HMSA.

The Time to Innovate is Now

March 28th, 2011 by Doug Jeffs

Laura Landro wrote a very brief article from the March 28 Wall Street Journal titled The Time to Innovate is Now. It touches on several key points about innovation as it relates to health care. Here’s how the article sets the tone:

Finding innovative ways to deliver health care has never been more important than it is today.

With the passage of sweeping health-care legislation last year, 32 million more people are expected to flood into a health-care system already strained by rising costs and a short supply of physicians, nurses and other clinicians.

At the same time, reining in health-care costs is crucial if the government is going to deal with a long-term budget deficit that is spiraling out of control.

How will an increasing number of people get quality care at a cost that the nation can afford? The answer isn’t hard to figure out. It’s innovation.

Easier said than done, of course. Unlike many other industries, health care has remained highly fragmented, with a hierarchical culture resistant to change, and a payment system that rewards providers for quantity rather than quality of care. It has been slow to adopt technologies like electronic medical records that have the potential to make care more efficient and safer for patients. Even when new practices have been shown to improve care and reduce error, hospitals and doctors have been slow to adopt them.

The government is determined to be part of that solution. The new health-care law also created a Center for Medicare and Medicaid Innovation charged with identifying, testing and spreading new ways of delivering and paying for care. In introducing the new innovation center, Donald Berwick, head of the Center for Medicare and Medicaid Services, promised that it will work with caregivers, insurers, and employers to replicate successful innovations in communities across the country.

But, he warned, “none of this will be easy. Government cannot and should not do this alone.”

In fact, as you’ll see in this report, government is far from doing this alone. You’ll read of doctors, hospitals, insurers, researchers and cities that are all experimenting with novel methods to improve the quality, safety and effectiveness of care at a reasonable cost. Some are pioneering new delivery systems that encourage providers to coordinate patient care, rather than work at cross-purposes with little communication. Others are rigorously testing safety practices to determine how teams of caregivers can reduce adverse events and errors. Still others are mining medical records to identify patients who aren’t taking their medications or might benefit from enrollment in a clinical trial.

And then there are all those attempts to give consumers the resources they need to stay healthier in the first place. That can mean things as simple as building more sidewalks and bike paths, or getting schools to bring back exercise at recess. Sometimes innovation means getting back to the basics.

There are items in the article we in Hawaii are familiar with and focusing on, such as fragmentation, a payment system that rewards providers for quantity rather than quality of care, effective use of electronic medical records, coordinated patient care, and mining data to help patients improve their health and quality of life. All with a goal of reining in unaffordable health-care costs.

This article recognizes that no one organization can achieve health care sustainability alone. It’s a global, national and community endeavor. Without a collaborative approach, Hawaii and the U.S. health care system will surely head down a path of reducing health care benefits and shifting more cost to consumers/patients; thus, worsen health care unafforadability. When the author writes about “giving consumers the resources they need to stay healthier in the first place,” think about the bigger picture of health care sustainability and what it takes to head in the right direction. Everyone has an important role to play to improve the health of any community. Schools, media, restaurants, families, doctors, consumers/patients, health plans, government, and on and on. There are many social, environmental and economic elements that come into play…that need to work together to improve the health of our community; thus, attack the high cost of health care while improving quality of life. And, yes, “Sometimes innovation means getting back to the basics.” The basics represents our daily culture. How does it look today? How could it look better?


Doug Jeffs is a member of the HMSA Innovation Center. His passion and focus is to help build a sustainable health care system in Hawaii via community-wide collaboration and innovation. He has over twenty years of experience with the health care industry from his careers at IBM and HMSA.