Insight to Innovation: Doctors Should be Designing Healthcare, Not Just Delivering It Angela Fusaro,...

Insight to Innovation: Insight to Innovation: Doctors Should be Doctors Should be

Designing Healthcare, Not Designing Healthcare, Not Just Delivering ItJust Delivering It

Angela Fusaro, MDAngela Fusaro, MD

EMORY UNIVERSITY SCHOOL OF MEDICINE

DEPARTMENT OF EMERGENCY MEDICINE

GoalsGoals

What is Healthcare Innovation?What is Healthcare Innovation? Why is it important that MDs participate?Why is it important that MDs participate? Why do Emergency Medicine MDs excel Why do Emergency Medicine MDs excel

as innovators? as innovators? What barriers exist?What barriers exist? How do we to get involved?How do we to get involved?

What is innovation?

Healthcare InnovationHealthcare Innovation

New match between a solution and a New match between a solution and a needneed

A clear, deep and unbiasedunderstanding

of the healthcare need is the

critical starting point.

The technology needs to follow The technology needs to follow

the problem, not the other way the problem, not the other way around.around.

Emergency Medicine Emergency Medicine Physicians are Perfect in this Physicians are Perfect in this

Role Role Process favors imperfect Process favors imperfect

information over extensive data information over extensive data collectioncollection

Balance between efficiency and Balance between efficiency and accuracy accuracy

Observational studiesObservational studies Low resource environmentLow resource environment

Healthcare professionals Healthcare professionals have been trained to try to have been trained to try to

eliminate variability in eliminate variability in processesprocesses

Some Universities Exploit Their Some Universities Exploit Their Intellectual Property More Than Intellectual Property More Than

OthersOthers

GeographyGeography Industry-funded researchIndustry-funded research Policies with greater incentivesPolicies with greater incentives

Traditional academic culture, Traditional academic culture, centered on publications and centered on publications and recognition from peers, has recognition from peers, has

not changed.not changed.

Exceptional Ideas Are RareExceptional Ideas Are Rare

Increase:Increase:

Quality, Variability or QuantityQuality, Variability or Quantity

Protect Time To

Brainstorm

Explore Ideas InGroups

Reward Smart Failure

Generating InnovationGenerating Innovation Alternative approaches to existing Alternative approaches to existing

solutionssolutions Follow a passionFollow a passion Annoyance-driven innovationAnnoyance-driven innovation De-commoditize a commodityDe-commoditize a commodity Trend-driven innovationTrend-driven innovation

SolutionsSolutions

Idea Challenge of the Month Idea Challenge of the Month Hack-a-thonHack-a-thon Partner with a BME programPartner with a BME program Fellowship and Certification Fellowship and Certification

ProgramsPrograms Medical School ElectivesMedical School Electives

““You never know when that small You never know when that small idea is going to take wings and idea is going to take wings and literally change the course of literally change the course of

history.” history.”

ReferencesReferences

Gerngross, Tillman. Gerngross, Tillman. It’s the Problem, Stupid! It’s the Problem, Stupid! Building Business. Nature Biotechnology. Advanced Online Building Business. Nature Biotechnology. Advanced Online Publication. 2013Publication. 2013

John Dodge, “Will Boering’s 787 Dreamline Improve the Flying Experience?” Design News Vol 62 Issue 8 June 4, John Dodge, “Will Boering’s 787 Dreamline Improve the Flying Experience?” Design News Vol 62 Issue 8 June 4, 2007, 112007, 11

Terwiesch, C., Ulrich, K., Innovation Tournaments: Creating, Selecting and Developing Exceptional Opportunities. Terwiesch, C., Ulrich, K., Innovation Tournaments: Creating, Selecting and Developing Exceptional Opportunities. 2008 2008

Gregorio, D.; Shane, S.; Smith, R. Why do some universities generate more start-ups than others? Research Policy Gregorio, D.; Shane, S.; Smith, R. Why do some universities generate more start-ups than others? Research Policy 32 (2003) 209–22732 (2003) 209–227

EdwardsM., Murray, F., Yu, R., Gold in the ivory tower: equity rewards of outlicensing. Nature Biotechnology. EdwardsM., Murray, F., Yu, R., Gold in the ivory tower: equity rewards of outlicensing. Nature Biotechnology. Volume 24 No 5 May 2006Volume 24 No 5 May 2006

Jason N. Itri,J., Ballard, D., Kantartzis, S., Sullivan, J., Weisman, J., Durand, D., Ali, S., Kansagra, A., Jason N. Itri,J., Ballard, D., Kantartzis, S., Sullivan, J., Weisman, J., Durand, D., Ali, S., Kansagra, A., Entrepreneurship in the Academic Radiology Environment. Academic Radiology, Vol 22. No 1. Jan 2015Entrepreneurship in the Academic Radiology Environment. Academic Radiology, Vol 22. No 1. Jan 2015

Langar, R., A Personal Account of Translating Discoveries in an Academic Lab. Nature Biotechnology, Vol 31 No 6 Langar, R., A Personal Account of Translating Discoveries in an Academic Lab. Nature Biotechnology, Vol 31 No 6 June 2013June 2013

Sanberga, P, Gharibc, M, Harkerd, P, Kalere,E, Marchasef, R, Sandsg, T, Arshadih, N, Sarkara, S. Changing the Sanberga, P, Gharibc, M, Harkerd, P, Kalere,E, Marchasef, R, Sandsg, T, Arshadih, N, Sarkara, S. Changing the Academic Culture: Valuing Patents and Commercialization Toward Tenure and Career Advancement. Academic Culture: Valuing Patents and Commercialization Toward Tenure and Career Advancement. www.pnas.org/cgi/doi/10.1073/pnas.1404094111 Edited by David A. Weitz, Harvard University, Cambridge, Edited by David A. Weitz, Harvard University, Cambridge, MA, and approved March 27, 2014 (received for review March 3, 2014)MA, and approved March 27, 2014 (received for review March 3, 2014)

Yazdi, Y, Acharya, S. A New Model for Graduate Education and Innovation in Medical Technology. Annals of Yazdi, Y, Acharya, S. A New Model for Graduate Education and Innovation in Medical Technology. Annals of Biomedical Engineering, Vol. 41, No. 9, September 2013 ( 2013) pp. 1822–1833Biomedical Engineering, Vol. 41, No. 9, September 2013 ( 2013) pp. 1822–1833

http://www.nfmri.org.au/research-and-innovation/