ABSTRACT

Introduction ..................................................................................................... 48 Call to Action ................................................................................................... 48 Brief History of Lean Management in Health Care .....................................49 A3 inking: A Scientic Approach to Process Innovation .......................51 Lean Principles: Transformative Beliefs for Innovation ..............................52 “Two Responsibilities” .....................................................................................53 Applying the Innovation Approach .............................................................. 54 ree Phases of the Innovation Delivery Model ......................................... 56

Phase I: Research ........................................................................................ 56 Phase 2: Exploration ....................................................................................57 Phase 3: Execution ...................................................................................... 60

Four Levels of Innovation ...............................................................................61 Application of a New Technology .............................................................61 Design of a New Service Line ....................................................................61 Design of a New Care Model .....................................................................62 Design of a New Business Model...............................................................62

Typical Failure Modes of Innovation in Health Care ..................................62 Health-Care Innovation Case Studies........................................................... 64