Capability to Transform Care Delivery

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1 National Healthcare Innovation Summit June 10, 2013 Building a Design Driven Innovation Capability to Transform Care Delivery Barbara Spurrier, MHA Director, Center for Innovation 2011 MFMER

2 Our Primary Value The needs of the patient come first Our Mission To inspire hope and contribute to health and well-being by providing the best care to every patient through integrated clinical practice, education and research Our Vision Mayo Clinic will provide an unparalleled experience as the most trusted partner for health care 2011 MFMER

3 Value Statements These values, which guide Mayo Clinic s mission to this day, are an expression of the vision and intent of our founders, the original Mayo physicians and the Sisters of Saint Francis Respect Teamwork Compassion Integrity Healing Excellence Innovation Innovation Stewardship 2011 MFMER

4 little evidence of innovation in health care most of the positive changes over the last decade have been the result of tweaking aged and overtaxed models and introducing incremental process improvements. When compared to other industry sectors health care has fallen way behind in its ability to innovate. VHA Innovation Study, MFMER

5 Global CEO Study (IBM 2010) Organizations and leaders need to: Reinvent customer relationships; make customer intimacy their #1 priority Embody creative leadership Embrace innovation Incremental changes are no longer sufficient in a world that is operating in fundamentally different ways.

6 Mission CENTER FOR INNOVATION Transforming the delivery and experience of health and health care 2010 MFMER 2011 MFMER

7 Definition of Innovation Center for Innovation 2011 MFMER

8 The problems that exist in the world today cannot be solved by the same level of thinking that created them. Albert Einstein 2011 MFMER

9 Project Managers Innovators Computer Programmers Anthropologists Thinking Scientists Differently Nurses Analysts Attorneys Volunteers innovation requires Bioethicists Administrators Administrative Assistants & Coordinators focus and a lot of Physicians disciplines. Steve Jobs Marketers Designers Engineers

10 2011 MFMER

11 The mission of design thinking is to translate observations into insights and insights into services and products that will improve lives. design thinking is humancentered innovation Tim Brown, Change by Design 2011 MFMER

12 Design is a funny word. Some people think design means how it looks. But it s really how it works. Steve Jobs

13 Innovation that works is a disciplined process. The real frontier is to not think of it as just a creative exercise, but to think about it as being disciplined in using the right methods. Larry Keeley CEO, Doblin Innovation simply isn t as unpredictable as many people think. There isn t a cookbook yet, but we re getting there. Clayton Christensen 2011 MFMER

14 CFI Methodology We innovate by using design thinking, deep collaboration and rapid experimentation to cocreate the unparalleled health care experience. Scanning and Framing Researching and Experimenting Synthesizing Prototyping Implementing 2011 MFMER

15 All life is an experiment. The more experiments you make the better. Ralph Waldo Emerson 2011 MFMER

with some great invention. It s not an individual.it s multidisciplinary.

16 The nature of innovation the inherent definition of innovation has changed It s no longer individuals toiling in a laboratory, coming up with some great invention. It s not an individual.it s multidisciplinary. It s global. It s collaborative. Sam Palmisano, former CEO, IBM 2011 MFMER

17 D O B L I N Incubators Government Payers Providers Health Systems Communities Academia Industry -Retail -Pharma -Technology -Food -Energy 2011 MFMER

Eureka: A web based tool to engage employees in idea generation around specific challenges.

18 Innovation Accelerator CFI Innovation Toolkit: On line case studies, tools and resources. Innovation Catalyst Certification: Immersive, hands on experience to learn and apply innovation and design thinking. Eureka: A web based tool to engage employees in idea generation around specific challenges. CoDE Innovation Awards: Seed funding for great ideas to grow. Thinking Differently: The CFI Series of Unexpected Conversations: Renowned speakers from various fields to learn new perspectives about innovation. Transform: 3 day symposium focused on transforming health and healthcare delivery.

19 What is Our Philosophy? THINK BIG Start small Move Fast Center for Innovation 2011 MFMER

10 types of innovation 1. Business model how the enterprise makes money 2. Networking formed alliances with manufacturing and supply chain partners 5.

20 10 types of innovation 1. Business model how the enterprise makes money 2. Networking formed alliances with manufacturing and supply chain partners 5. Product performance transformed product design for kitchen tools 6. Product system extended system that surrounds an offering 7. Service how you service your customers Finance Process. Offering Delivery Business model Networking Enabling process Core process Product performance Product system Service Channel Brand Customer experience 3. Enabling process assembled capabilities 4. Core process proprietary processes that add value 8. Channel develop a deep understanding of your customers 9. Brand how you express your offering s benefit to customers 10. Customer experience how people relate to their experiences 2011 MFMER

21 Business Models & Innovation Find ways to create better experiences for customers. The experiences should result in enduring relationships between your customers and your organization. Ultimately, customers are the only relevant judges of your business model MFMER

22 CENTER FOR INNOVATION MAY Transforming the Experience and Delivery of Health and Health Care Always Be There For Me affordable, convenient & simple PLATFORMS Heath and Wellbeing ecare Mayo Practice STUDENT WELLBEING OBNEST HOSPITAL PROGRAMS THRIVING IN PLACE DIABETES OUTPATIENT (Mars) SURVIVORSHIP COMMUNITY HEALTH CORES COMMUNICATIONS & KNOWLEDGE MANAGEMENT INNOVATION ACCELERATOR Toolkit, Innovation Catalyst, Eureka, CoDE, Transform, Speakers Series LABS NEW VENTURE / BUSINESS DEVELOPMENT TECHNOLOGY

23 HOME/COMMUNITY-BASED CFI PLATFORMS 100% Shift Left Quality of life Health & Wellbeing ecare Higher quality of life Lower cost FACILITY-BASED Mayo Practice 0% $1 $10 $100 $1,000 $10,000 Cost of care per day 23

24 The aim of medicine is to prevent disease and prolong life; the ideal of medicine is to eliminate the need for a physician. Dr. William W. Mayo 24

Mars Project Reducing outpatient practice costs by 30% while improving the patient experience and maintaining

25 Mayo Practice Projects Chemotherapy Redesign Project Understanding the voice of the cancer patient to design a state of the art chemotherapy facility. Mars Project Reducing outpatient practice costs by 30% while improving the patient experience and maintaining / enhancing quality. Project RED Designing and implementing an accountable care system to manage care for end-stage renal disease patients. Center for Innovation 2011 MFMER

ecare Projects Apps that Connect - Asthma

26 ecare Projects Apps that Connect - Asthma Empowering adolescents to manage their diabetes via a smart phone. evisits Connecting physician and care team directly to patients in their home. Traumatic Brain Injury Rehabilitation Providing remote brain injury therapy. Center for Innovation 2011 MFMER

Community Health Projects Family Dinner Project Collaborating with

see a patient where they are and feel most comfortable.

27 Community Health Projects Family Dinner Project Collaborating with another non-profit to teach families how to start and maintain regular family dinners. Exam Room In A Backpack Equipping a physician with everything needed to see a patient where they are and feel most comfortable. Optimized Care Team Working in a community site to co-create a high value, convenient and efficient care team model. Center for Innovation 2011 MFMER

Health and Wellbeing Healthy Aging and Independent Living (HAIL) Project To develop insights, products and services to allow seniors to maintain health and independence.

28 Health and Wellbeing Healthy Aging and Independent Living (HAIL) Project To develop insights, products and services to allow seniors to maintain health and independence Mayo Foundation for Medical Education and Research. All rights reserved. This slide constitutes Mayo Clinic confidential information and may not be copied or distributed without permission from Mayo Clinic.

Medical Education and Research. All rights reserved.

29 HAIL People Scientists Geriatricians Design researchers Information technologists Coordinators Business development strategists Engineers 2010 Mayo Foundation for Medical Education and Research. All rights reserved. This slide constitutes Mayo Clinic confidential information and may not be copied or distributed without permission from Mayo Clinic.

30 HAIL Focus Areas Insights and Opportunity Areas The Living Environment Explore technology for aging environments Identify services that improve daily life and incorporate into daily norms Transitions Develop assessment tools to determine who is at risk Create new services that respond to multiple transitions Caregiver Support & Education Incorporate observation and learning-by-doing Investigate caregiver support around patients with common conditions

HAIL Experiment Collaborhythm Wireless monitor connects to a tablet that tracks medication adherence and provides visualization of how taking (or not taking)

31 HAIL Experiment Collaborhythm Wireless monitor connects to a tablet that tracks medication adherence and provides visualization of how taking (or not taking) medications effects the body. A health coach monitors patient s hypertension management & provides feedback, insight and encouragement MFMER

The HAIL Consortium Engaging with Corporate Partners A collaborative model, bringing together like-minded organizations Access to the CFI s multidisciplinary team & methodology Access to physicians &

32 The HAIL Consortium Engaging with Corporate Partners A collaborative model, bringing together like-minded organizations Access to the CFI s multidisciplinary team & methodology Access to physicians & scientists who are world renowned experts in aging Participate in prototyping, experiments and pilots Insights gained from research, testing, and experimentation shared with consortium members 2011 MFMER

Eureka Idea Management: A web based tool to engage employees in idea generation around specific challenges.

33 Innovation Accelerator A suite of tools offered by the CFI designed for all Mayo Clinic employees. CFI Innovation Toolkit: A collection of case studies, tools and resources as well as an engagement component to connect with the CFI to address specific challenges. Eureka Idea Management: A web based tool to engage employees in idea generation around specific challenges. CoDE Innovation Awards: Created to encourage collaboration and connect great ideas with the resources and tools they need to grow. Thinking Differently: The CFI Series of Unexpected Conversations: Participate or watch archived videos of renowned speakers from various fields to learn new perspectives about innovation. Transform: 3 day symposium focused on transforming health and healthcare delivery. Forums for networking, opportunities for collaboration, workshop experiences and main stage presentations.

34 MFMER

35 Lessons Learned Learning about Innovation 1 Build a Discipline of Innovation 2 Recruit a Diverse Team 3 Embrace Design Thinking, Creativity and Experimentation 4 Co-Create with your Customers and Stakeholders 5 Organize around Big Idea Platforms 6 Collaborate inside and outside 2011 MFMER

than typical executives They work to change the status quo They display courage and regularly

36 The Innovator s DNA December 2009 Our ability to think creatively comes one-third from genetics; two-thirds through learning Innovators question, observe, experiment and network more than typical executives They work to change the status quo They display courage and regularly take risks to make that change happen Harvard Business Review Center for Innovation 2011 MFMER

37 It is not the strongest of the species that survive, nor the most intelligent, but the ones most responsive to change. Charles Darwin CP

38 Extra Slides 2011 MFMER

39 FORECASTING RESEARCH: TREND CARDS 200 trends identified 2012 MFMER 2011 MFMER

40 FORECASTING RESEARCH: TREND CARDS Orthodoxy challenged: Care, support, and information can only come from health care institutions and physicians Social networking site Members share conditions and treatments over time Data collected can be powerful in the future 2012 MFMER 2011 MFMER

41 DEFINING THE PATIENT The health continuum 2011 MFMER

Security and Risk Assessment in GDPR: from policy to implementation

Global Data Privacy Security and Risk Assessment in GDPR: from policy to implementation Enisa Workshop Roma - February 8, 2018 Nicola Orlandi Head of Data Privacy Pharma Nicola Orlandi Nicola Orlandi is