Chris Trimble: The NHS innovation challenge

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Chris Trimble: The NHS innovation challenge

The NHS

Innovation Challenge

Chris Trimble

Adjunct Professor

Tuck School of Business at Dartmouth

The Dartmouth Center for Health Care Delivery Science

© 2012: Chris Trimble


Agenda

Ideas

Execution

An NHS Example

© 2012 Chris Trimble 2


© 2012 Chris Trimble 3


Ultrasound: Needs in China

A 50% solution at a 5% price.

Portability

Ease of use

© 2012 Chris Trimble 4


© 2012 Chris Trimble 5


© 2012 Chris Trimble 6


Reverse Innovation

Any innovation that is

adopted first

in the developing world.

© 2012 Chris Trimble 7


© 2012 Chris Trimble 8


© 2012 Chris Trimble 9


© 2012 Chris Trimble

The Future is

Far From Home


Agenda

Ideas

Execution

An NHS Example

© 2012 Chris Trimble 11


© 2012 Chris Trimble 12


© 2012 Chris Trimble 13


© 2012 Chris Trimble


When Does Innovation Happen?

100%

90%

Fraction of Time

80%

70%

60%

50%

40%

30%

Ongoing Operations

20%

10%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

People

© 2012 Chris Trimble 15


Squeezing Innovation into Slack Time

100%

Innovation

90%

Fraction of Time

80%

70%

60%

50%

40%

30%

Ongoing Operations

20%

10%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

People

© 2012 Chris Trimble 16


Alternative: A Dedicated Team

100%

90%

Fraction of Time

80%

70%

60%

50%

40%

30%

Ongoing Operations

Innovation

20%

10%

0%

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

People

© 2012 Chris Trimble 17


You don’t get

breakthrough innovation

without

breakthrough

organizational design

© 2012 Chris Trimble


© 2012 Chris Trimble


You can only practice

breakthrough

organizational design

in

Dedicated Teams.

© 2012 Chris Trimble


The Dedicated Team

Is Not the Whole Story

Shared

Staff

PARTNER-

SHIP

Dedicated

Team

© 2012 Chris Trimble 21


Agenda

Ideas

Execution

An NHS Example

© 2012 Chris Trimble 22


Preference Diagnosis

An assessment of the treatment

option a patient would choose if that

patient were a fully informed and

confident medical decision maker.

© 2012 Chris Trimble 23


How to Build an Innovation Team

Shared

Staff

PARTNER-

SHIP

Dedicated

Team

© 2012 Chris Trimble 24


The NHS

Innovation Challenge

Chris Trimble

Adjunct Professor

Tuck School of Business at Dartmouth

The Dartmouth Center for Health Care Delivery Science

© 2012: Chris Trimble

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