All Hands on Deck. Transforming the Health System Requires Innovation, Through Individual- and Diffusion Efforts; Comment on “Employee-Driven Innovation in Health Organizations: Insights From a Scoping Review”

Document Type : Commentary

Author

1 Health Technology and Services Research, University of Twente, Enschede, The Netherlands

2 Psycho Oncology and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands

Abstract

Employee Driven Innovation (EDI) is essential in transforming hospitals and other providers, but the challenge is also to have impact on health systems as a whole. Usually a mix from top down measures and bottom up initiatives leads to an innovative culture. An important aspect is the innate difference between types of providers related to initiating, facilitating and rewarding innovation. Second the rewarding system within organisations but also in science and scientific journals. Especially nursing and other non-medical professions can be emancipated in this regard. Further there is a growing interdependence with digitalisation in all its forms and awareness of the related team effort is needed to actually realise innovative projects within a standing organisation. Lastly change the paradigm related to the spread of innovations from “not invented here” to “proudly copied from”, create trust and organize collaboration between providers and spend sufficient attention to credible evidence on the effectiveness.

Keywords


  1. Cadeddu SBM, Dare LO, Denis JL. Employee-driven innovation in health organizations: insights from a scoping review. Int J Health Policy Manag. 2023;12:6734. doi:34172/ijhpm.2023.6734
  2. Greenhalgh T, Glenn R, Bate P, et al. Diffusion of Innovations in Health Service Organisations. Oxford: Blackwell Publishing; 2005.
  3. Greenhalgh T, Wherton J, Papoutsi C, et al. Beyond adoption: a new framework for theorizing and evaluating nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability of health and care technologies. J Med Internet Res. 2017;19(11):e367. doi:2196/jmir.8775
  4. Rogers EM. Diffusion of Innovations. New York: Free Press; 1995.
  5. Clark TR. Don’t Let Hierarchy Stifle Innovation. 2022. https://hbr.org/2022/08/dont-let-hierarchy-stifle-innovation.
  6. mProve website. https://www.mprove.nu/.
  7. HIMSS website. https://www.himss.org/resources-all.
  8. Kooij L, van Harten WH. Strengthening the evidence base for mHealth in clinical practice: Conducting research with standalone or interoperable systems - a viewpoint. Digit Health. 2023;9:20552076231216551. doi:1177/20552076231216551
  9. van Lent WA, Goedbloed N, van Harten WH. Improving the efficiency of a chemotherapy day unit: applying a business approach to oncology. Eur J Cancer. 2009;45(5):800-806. doi:1016/j.ejca.2008.11.016
  10. Koning NJ, Lokin JLC, Roovers L, et al. Introduction of a post-anaesthesia care unit in a teaching hospital is associated with a reduced length of hospital stay in noncardiac surgery: a single-centre interrupted time series analysis. J Clin Med. 2024;13(2):534. doi:3390/jcm13020534
  11. Wind A, Gonçalves FR, Marosi E, et al. Benchmarking cancer centers: from care pathways to integrated practice units. J Natl Compr Canc Netw. 2018;16(9):1075-1083. doi:6004/jnccn.2018.7035
  12. Kooij L, Vos PJ, Dijkstra A, Roovers EA, van Harten WH. Video consultation as an adequate alternative to face-to-face consultation in continuous positive airway pressure use for newly diagnosed patients with obstructive sleep apnea: randomized controlled trial. JMIR Form Res. 2021;5(5):e20779. doi:2196/20779
  13. Kooij L, Vos PJE, Dijkstra A, van Harten WH. Effectiveness of a mobile health and self-management app for high-risk patients with chronic obstructive pulmonary disease in daily clinical practice: mixed methods evaluation study. JMIR Mhealth Uhealth. 2021;9(2):e21977. doi:2196/21977
  14. New England Journal Catalyst website. https://catalyst.nejm.org/.
  15. van Harten WH, Casparie TF, Fisscher OA. Methodological considerations on the assessment of the implementation of quality management systems. Health Policy. 2000;54(3):187-200. doi:1016/s0168-8510(00)00110-x
  16. de Vries EN, Prins HA, Crolla RM, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med. 2010;363(20):1928-1937. doi:1056/NEJMsa0911535