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AUDITING	THE	CREATIVE	PROCESS
Darwin-Simulation	Centre	(Hospital	de	Sant Joan	de	Deu)
By	The	Wrecking Balls
Norberto	
Daza-Jaller
Colombia
MBA	
candidate	
2018
Martin	
Mariussen
Denmark
MBA	
candidate	
2018
Meredith	
Wade
USA
MBA	
candidate	
2018
Adrien		
Stern
Switzerland
MBA	
candidate	
2018
https://youtu.be/vdaoAsB2AIw
A	NEED	TO	UNDERSTAND	
INNOVATION	IN	THE	
CONTEXT	OF	THE	
ORGANIZATION
”Innovation	
comes before
the	customer”
INNOVATION
AT	THE	CORE	OF	VALUE	
CREATION
”Always
patient	first”
PATIENT	CARE
AT	THE	CORE	OF	VALUE	
CREATION
ALL	ORGANIZATIONS	HAVE	
TO	INNOVATE	AND	EXPLOIT	
INNOVATIONS	TO	KEEP	
COMPETITIVE,	BUT	
APPROACH	IT	DIFFERENTLY
THE	”EXPLOIT	– DISRUPT”	CONTINIUM
(Adapted	from	O’Reilly	&	Tushman	2011,	Organizational	Ambidextary)
GETTING	IT	
RIGHT			
EVERY	TIME	
DISRUPTEXPLOIT
MAKING	IT	
DIFFERENT	
EVERY	TIME
1212
1
1
FIND	NEW	
WAYS	TO	
CREATE	VALUE
2
2
EXPLOIT	
INNOVATIONS	TO	
DELIVER	VALUE
THE	CREATIVE	PROCESS	
AUDIT	HELPS	US	
UNDERSTAND	NOT	ONLY	
THE	INSTITUTIONS	
INNOVATION	LEVEL	BUT	
ALSO	ITS	INNOVATION	
EFFECTIVENESS
AVERAGE	SCORE	FROM	4	AREAS	OF	AUDITING
1-2 2-3 3-4 4-4.5 4.5-5
1
2
3
4
INNOVATIVE	STRENGTH	&	
EFFECTIVENESS
5
Occasionally
innovative
Incrementally
innovative
Disruptive
innovative
Radically
disruptive
Versioning	
organization
?
STRENGTH
EFFECTIVENESS
WE	ASSESS	THE	CURRENT	
PROFILE	OF	THE	DARWIN	
SIMULATION	CENTRE	(IN	ITS	
CONTEXT)	TO	BE	
”OCCASIONALLY	
INNOVATIVE”	–
A	FEW	ACTIONS	COULD	
MOVE	IT	TO	THE	NEXT	
LEVEL!
AVERAGE	SCORE	FROM	4	AREAS	OF	AUDITING
1-2 2-3 3-4 4-4.5 4.5-5
1
2.8
3
4
INNOVATIVE	STRENGTH	&	
EFFECTIVENESS
5
Occasionally
innovative
Incrementally
innovative
1.	PLAYERS	AND	
CONDITIONING	
FACTORS
2.	RESOURCES 3.	CREATIVE	
PERSONALITY
4.	STAGES	AND	
OUTCOME
2.9 2.3 3.2 2.6
5
1
How	can	the	Darwin-Simulation	Centre	
improve	efficiency	of	innovation
&
How	can	it	be	leveraged	to	help	the	
Hospital	achieve	its	winning	ambition
KEY	FINDINGS	FROM	
THE	AUDIT	
What	are	the	audit	
gaps	and	how	do	we	
propose	to	close	
them
1.	PLAYERS	AND	
CONDITIONING	
FACTORS
2.	RESOURCES 3.	CREATIVE	
PERSONALITY
4.	STAGES	AND	
OUTCOME
• Limited	freedom	
to	create
• No	clear	
objectives	are	
defined	
• focus	on	ensuring	
patient	care
• No	dedicated	space	
for	creating	&	
innovating
• Low	financial	
resources
• Creative	team	has	
little	time	for	
reflection	&	
creation
• Limited	time	spent	
on	innovating
• They	currently	have	
low	number	of	full	
time	employees
• Here,	innovation	is	
about	minimizing	
risks
• No	official	process	
for	feedback,	but	
they	do	seek	to	
improve	constantly
• But	no	selection	
process	for	idea	
generation
KEY	FINDINGSSELECTED	GAPS	TO	CLOSE 1
2
3
LACK	OF	FREEDOM	TO	INNOVATE	DUE	TO	BUSINESS	MODEL	CONSTRAINTS	
Need	to	find	new	revenue	streams	to	sustain	innovation	
LACK	OF	INNOVATION	MANAGEMENT	SYSTEM
Need	to	structure	the	process	around	the	innovation	pipeline	to	ensure	consistent	
innovation
LACK	OF	DATA	GENERATION	AND	DATA	MANAGEMENT	SYSTEM
Need	to	capture	additional	datapoints in	the	simulation	centre and	use	these	to	
improve	the	innovation	process	and	training	value	proposition
1 2
2
2 1
3
LACK	OF	FREEDOM	
TO	INNOVATE	DUE	
TO	BUSINESS	MODEL	
CONSTRAINTS	
Need	to	find	new	revenue	
streams	to	sustain	
innovation	
1
• Become	financially	sustainable
• Allow	“freedom	to	create”
• Grow	awareness	
• Develop	International	brand
• Better	align	DSC	with	innovation	
dept.	&	hospital	strategy
• Grow	revenue	stream
KEY	BENEFITS	FOR	SIMULATION	CENTRE KEY	BENEFITS	FOR	HOSPITAL
Darwin	Simulation	Center’s	Business	Model	(Osterwalder &	Pigneur 2008,	Business	Model	Canvas)
VALUE	
PROPOSITION
• Training
• Improve	
Procedures
• Build	
relationships	
between	users	
and	hospital
CUSTOMER	
RELATIONSHIPS
• Managing	
relationships
• “Darwinists”
CHANNELS
• Online	Portal
• VC	relationship
CUSTOMER	
SEGMENTS
• Internal	
medical	
practices
• Visiting	
practitioners
• Students
• Businesses	in	
Medicine
• Other	Hospitals
KEY	PARTNERS
• Network	of	
Hospitals
• Research	
Institutions
• Hospital	
Department
KEY	ACTIVITIES
• Develop	
training/sims
• Innovation	
pipeline
KEY	RESOURCES
• HR/	Trainers
• Classrooms
• Simulation	
Room
COST	STRUCTURES
• Courses
• HR
• Consulting
• Maintenance/others
REVENUE	STRUCTURE
• Courses	– External	
• Grants	– Public	funds
• Revenue	from	VC’s	–
pre-investment	tests
1
1
2
2
X
LACK	OF	INNOVATION	
MANAGEMENT	
SYSTEM
Need	to	structure	the	
process	around	the	
innovation	pipeline	to	
ensure	consistent	
innovation)
2
• Improve	efficiency	of	innovation	
process
• Ensure	better	allocation	of	resources
• Better	KPIs	to	track	&	promote	
success	of	DSC
• Improve	ROI	of	DSC
KEY	BENEFITS	FOR	SIMULATION	CENTRE KEY	BENEFITS	FOR	HOSPITAL
No	Pipeline	for	
managing	innovation
1
No	defined	objectives	
for	innovation
2
No	allocated	space	&	
time	for	idea	
generation
3
Issues	detected	through	the	audit
Create	Idea	Analysis	
Chart
1
Innovation	pipeline	&	
management	process
2
Hire	intern	to	
organize	and	bring	
order
3
Solutions	to	implement
3
LACK	OF	DATA	
GENERATION	AND	
DATA	MANAGEMENT	
SYSTEM
Need	to	capture	additional	
datapoints in	the	
simulation	centre and	use	
these	to	improve	the	
innovation	process	and	
training	value	proposition
• Stronger	Simulation	Centre	value	
proposition	to	attract	users
• Stronger	foundation	for	discovering	
new	paths	for	innovation
• Next	level	”2.0	training”	to	
differentiate	the	hospital
KEY	BENEFITS	FOR	SIMULATION	CENTRE KEY	BENEFITS	FOR	HOSPITAL
DIGITIZE	
SIMULATION	
DATA
STORE	
DATA
PROCESS	
DATA
MANAGE	
DATA	FOR	
DECISION	
MAKING
1
2
3
4
1
2
3
4
Digitize	simulation	room	datapoints such	as	
participant	body	temperature,	stress	level,	noise	in	
room	etc.	for	more	in	depth	understanding
Ensure	data	is	organized	and	stored	safely	for	
further	analysis	(e.g.	Amazon	or	internal	data	
storage	platform)
Use	data	processing	tools	such	as	R-Studio	(and	
MBA	students	J)	to	process	and	visualize	data	
Give	participants	full	understanding	of	how	they	
react	to	their	environment	and	find	discover	new	
paths	for	innovation
TO	CONCLUDE…
ABC
123
A CONGRATULATIONS	ON	BEING	A	VERY	
INNOVATIVE	FOCUSED	AND	CAPABLE	HOSPITAL!
B WE	ASSESS	YOU	PROFILE	TO	BE	HIGH	
“OCCASIONALLY	INNOVATE”	=	2.8	
C A	FEW	STEPS	TO	TAKE	YOU	TO	THE	NEXT	LEVEL	
OF	INNOVATION	EFFICIENCY	AND	EFFECTIVENSS
1 ENSURE	INNOVATIVE	FREEDOM	WITH	CHANGES	TO	IMPROVE	
SUSTAINABILITY	OF	THE	BUSINESS	MODEL
2 ENSURE	EFFICIENT	IDEA	GENERATION	AND	INNOVATION	
MANAGEMENT	TO	ACHIEVE	DESIRED	INNOVATION	RESULTS
3 BRING	SIMULATION	AND	TRAINING	TO	THE	NEXT	LEVEL	WITH	
DATA	GENERATION	AND	MANAGEMENT

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