Accelerating change: Fostering innovation in healthcare delivery at academic medical centers.

Academic medical centers (AMCs) have the potential to be leaders in the era of healthcare delivery reform, but most have yet to display a commitment to delivery innovation on par with their commitment to basic research. Several institutional factors impede delivery innovation including the paucity of adequate training in design and implementation of new delivery models and the lack of established pathways for academic career advancement outside of research. This paper proposes two initiatives to jumpstart disruptive innovation at AMCs: an institutional "innovation incubator" program and a clinician-innovator career track coupled with innovation training programs.

[1]  B. Zuckerman,et al.  Health services innovation: the time is now. , 2013, JAMA.

[2]  Peter Schulte,et al.  The entrepreneurial university: a strategy for institutional development , 2004 .

[3]  Newton M. Campos The Lean Startup: How today's entrepreneurs use continuous innovation to create radically successful businesses , 2014 .

[4]  A. Fendrick,et al.  Global Budgets and Technology-Intensive Medical Services. , 2013, Healthcare.

[5]  Eric Ries The lean startup : how today's entrepreneurs use continuous innovation to create radically successful businesses , 2011 .

[6]  Maximiliaan Schillebeeckx,et al.  The missing piece to changing the university culture , 2013, Nature Biotechnology.

[7]  D. Berwick,et al.  The triple aim: care, health, and cost. , 2008, Health affairs.

[8]  D. Ackerly,et al.  Perspective: A Framework for Career Paths in Health Systems Improvement , 2013, Academic medicine : journal of the Association of American Medical Colleges.

[9]  G. J. Langley,et al.  The improvement guide : a practical approach to enhancing organizational performance , 1996 .

[10]  Mehmet Toner,et al.  Invention, innovation, entrepreneurship in academic medical centers. , 2008, Surgery.

[11]  Ash Maurya,et al.  Running Lean - Iterate from Plan A to a Plan That Works, 2nd Edition , 2012, The Lean Series.

[12]  Yulei He,et al.  Health care spending and quality in year 1 of the alternative quality contract. , 2011, The New England journal of medicine.

[13]  Ayfer Ali,et al.  The Major Role of Clinicians in the Discovery of Off‐Label Drug Therapies , 2006, Pharmacotherapy.