Innovating in health delivery: The Penn medicine innovation tournament
Innovating in health delivery: The Penn medicine innovation tournament
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DOI：
10.1016/j.hjdsi.2013.05.003
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发表时间：
2013-06-01
影响因子：
2.5
通讯作者：
Volpp, Kevin G.
中科院分区：
文献类型：
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作者：
Terwiesch, Christian;Mehta, Shivan J.;Volpp, Kevin G.
背景：创新锦标赛可以通过将问题解决转向最终用户来推动参与和价值创造。在医疗保健领域，一线工作人员对患者的体验和服务流程有着最深入的了解，鼓励他们创造和开发新的方法对于改善医疗服务至关重要。问题：在许多医疗保健组织中，高级管理人员和临床医生保留着对创新的控制权。一线工作人员需要参与创新过程。目标：Penn Medicine发起了一项全系统的创新锦标赛，旨在改善患者体验。我们设定了一个量化目标，即收到500个想法，并让至少1000名员工参加比赛。第二个目标是让护理过程中的各个群体（医生、护士、文职人员、运输人员）参与进来。在第一阶段，鼓励员工提交想法。由专家小组和众包根据其改善患者体验的潜力和在6个月内实施的能力对提交内容进行评判。在第二阶段，最好的200个想法是在一系列的5个研讨会和10个入围者被选中。在第三阶段，10个最好的想法被提交给大约200名感兴趣的员工和15名管理人员组成的评审团，并由他们进行评判。结果：共有1739个创意提交，超过5000名员工参加了创新大赛。患者便利/设施（21%）是提交的最高类别，其他受欢迎的领域包括技术优化（11%），UPHS内的导航协助（10%），以及改善以患者/家庭为中心的护理（9%）和护理提供模式/过渡（9%）。实施了获奖和提交想法的组合。启示：“创新锦标赛可以成功地吸引很大一部分员工。创新锦标赛代表了一种“自下而上”的医疗创新方法，也是一种使创新从管理者和高管的控制中民主化的方法。“需要进一步的研究来测试、评估和改进创新锦标赛。(C)2013 Elsevier Inc. All rights reserved.
Background: Innovation tournaments can drive engagement and value generation by shifting problem-solving towards the end user. In health care, where the frontline workers have the most intimate understanding of patients' experience and the delivery process, encouraging them to generate and develop new approaches is critical to improving health care delivery.Problem: In many health care organizations, senior managers and clinicians retain control of innovation. Frontline workers need to be engaged in the innovation process. Goals: Penn Medicine launched a system-wide innovation tournament with the goal of improving the patient experience. We set a quantitative goal of receiving 500 ideas and getting at least 1000 employees to participate in the tournament. A secondary goal was to involve various groups of the care process (doctors, nurses, clerical staff, transporters).Strategy: The tournament was broken up into three phases. During Phase 1, employees were encouraged to submit ideas. Submissions were judged by an expert panel and crowd sourcing based on their potential to improve patient experience and ability to be implemented within 6 months. During Phase 2, the best 200 ideas were pitched during a series of 5 workshops and ten finalists were selected. During Phase 3, the best 10 ideas were presented to and judged by an audience of about 200 interested employees and a judging panel of 15 administrators. Two winners were selected.Results: A total of 1739 ideas were submitted and over 5000 employees participated in the innovation tournament. Patient convenience/amenities (21%) was the top category of submission, with other popular areas including technology optimization (11%), assistance with navigation within UPHS (10%), and improving patient/family centered care (9%) and care delivery models/transitions (9%). A combination of winning and submitted ideas were implemented. Implications: "Innovation tournaments can successfully engage a large portion of the employee population. "Innovation tournaments represent a "bottom-up" approach to health care innovation and a method by which innovation can be democratized from the control of administrators and executives. "Further research is needed to test, evaluate and improve innovation tournaments. (C) 2013 Elsevier Inc. All rights reserved.