Focus Group Questions on Open Source Failure of Health Innovation
June 24, 2009
As the moderator of the session on Open Source Failure of Health Innovation, I redrafted the meeting notes into the following questions.
- How can we make it possible for charities and foundations to report failure anonymously; particularly when failure results in future lack of funding?
- Can a model of “fail fast! Fail cheap! Learn for big success” be instituted in funding and healthcare agencies?
- Are there cultural differences between entrepreneurial spirit responsible for system differences between the US and the UK? Is there a particular aspect of the NHS that hinders/helps innovation?
- What can we learn from the DeDomble project where software for appendicitis diagnosis and treatment was more effective than humans yet still failed in adoption in the US? (I looked for a reference but was unable to find one) & Why is it that thirty years later from DeDomble’s lesson, it is nearly impossible to learn about his lessons learned in the design and implementation of an effective treatment option?
- What are the specific psychological components of knowledge transfer in the failure of health system and project innovation?
- What can we learn from the deployment of the Open Source model for knowledge transfer in the failure of health innovation?
- Are there system differences between the NHS (i.e. consumer-based models) vs. Venture Capitalist models in the implementation of health innovation?
- What role does intellectual property governance play in innovation uptake and success?
- What are the differences in health innovation uptake and buyout by managers vs. clinicians?
- Can we formulate incentives through governance when a project fails, or members of a team know project deployment will fail or are unable to act?
- How does market share and industry competition affect knowledge transfer in failure of health innovation?
- Are current collaborative practices fostering failure in health innovation?
- What are the differences between healthcare professionals and managers between risk and customer satisfaction from at the health system and new project implementation level?
- Where, how and why should we share failure in health innovation? & What sort of information quality standard should we strive for?
- What sort of clinical entrepreneurship is ideal in a system like the NHS?
- How can exit interviews be used for knowledge acquisition and transfer in creating an open source venue for failure of health innovation?
- How do patents and corresponding expiry dates affect perceptions towards success in health innovation?
- What role does the team room environment play in fostering health innovation? & How can we adapt a social system to innovation leaders like 3M and Google.
- How do we measure the difference between Hospital performance (i.e. monetarily) and hospital health (i.e. motivational leadership/ spirit de corps) as the driver of failure or success in innovation?
- How can we foster input from other team members when we large team meetings and consider them waste of time?
- Is there a best practice method to foster quick and dirty failure in health innovation? & Should funding models be changed accordingly?
- What sort of global and local guidelines should be established for sharing failure in health innovation?
- How do we deal with KT of failures in unethical research that was aimed at health innovation?
- What is innovation and how can we evaluate it on a framework with success
- Should a taxonomy of failure be developed? & How can it be used in knowledge transfer of health innovation?
- What is the role of sociocultural values on the failure of healthcare innovation and knowledge transfer within it?
Are there any more thoughts or themes that you would like to add?
Best,
Cisco
Cisco,
Excellent post. At the Innovation Cell we are very intrigued by the notion of failure (by the way, we don’t call it like that anymore as it is too intimidating to people). My thesis is trying to understand this concept in a constructive way. I’ll share the related chapter when completed. Meanwhile take a look at this recent essay by Steven Lewis entitled “Systems Designed to Fail, Fail” relevant to your post.
http://www.longwoods.com/product.php?productid=20813&page=1
Best.
Carlos
I agree with Carlos – great post and how can this be done constructively. There is a tremendous need for this in the mHealth (mobile phones for health) area as there are hundreds if not thousands of real world trials going on with mobiles, yet I am not sure failures will be reported.
Thank you Carlos and Aman for your comments.
Indeed there is a lot in the field of healthcare failure that must be learned. However, my question (perhaps, our question)is: what is the best strategy for knowledge translation in this domain?
Best,
Cisco