Keynote speech at AHSN Northeast and Cumbria, Northern Innovation Showcase and Networking Event 2017: Adoption and Spread of Innovation Thursday 12th October 2017, Queens Hotel, City Square, Leeds, LS1 1PJ

1. Diffusion and adoption of innovation:
International perspectives on theory
and practice
12 Oct 2017
Yasser.Bhatti@imperial.ac.uk

3. Dr Greg Parston
Dr Matthew Harris
Dr Yasser Bhatti
Dr Matthew Prime
Jacqueline del Castillo
Nikitha Reddy
Hamdi Issa
Matthew Quinn
Kavian Kulasabanathan
Ibtehal Attaelmanan
Seema Yalamanchali

4. NEED IDEATIO
N
KNOWLE
DGE
PERSU
ASION
ADAPTI
ON
ADOPTI
ON
SCALIN
G
EVALUA
TION
Investigatin
g what
constitutes
a reverse
innovation
and
developing
a typology.
Investigatin
g, to what
extent
reverse
innovation
as a
construct
challenges
current
institutions
and
narratives.
Investigating whether
cognitive biases and
prejudices exist against
research or innovations
from low income countries.
Evaluating International
health partnerships, and
volunteers knowledge of
innovation in partnership
countries and its translation
in the UK.
WISH showcase – an
annual competition
which captures and
features underexposed
healthcare innovations
from around the world to
global experts.
Evaluating
the spread
and
diffusion of
reverse
innovation
by
analysing
the Center
for Health
Market
Innovation
s
database.
GDHI Phase
1 -
Investigated
the enablers
and frontline
behaviours
necessary for
successful
diffusion of
healthcare
innovations
through in-
depth
interviews
with
healthcare
experts and
a large scale
survey of
HCPs and
IPs.
GDHI Phase 2 -
Investigated eight
successful examples of
rapid
innovation diffusion around
the world to better
understand the facilitators
and enablers of healthcare
innovations.
GDHI Phase 3 –
Investigating curator
organisations and how
relevant the innovations
found are to peoples needs.
Exploring how grassroots
innovation, as a source of
frugal innovation, can be
directed at prevention and
wellness-oriented
outcomes.
The
developme
nt and
diffusion of
surgical
frugal
Innovation
s –
Lessons
for the
NHS
Impact of
research
source on
evidence
interpretatio
n – an
individual,
randomised
, controlled,
blinded trial
CWF:
Translating
Frugal
Innovation
s to the US
By
Identifying
and
evaluating
frugal and
reverse
innovations
in
healthcare
Social
movements
in
healthcare
and the
NHS
Co-design
and Open
innovation
for end of
life care

5. Big questions
• Sources (who, where)
– Who innovates?
– Where to find it?
• Process (how)
– How does it happen and diffuse?
• Outcomes (what).
– What does it do?
5

7. GDHI 2015
Innovation
Phase 1
Create a climate
for change
Phase 2
Engage and enable
organisations to
implement change
Phase 3
Embed and sustain
the change
Transformation
Specific agent
for change
ICT
incentives
and Rewards
Specific
funding for
diffusion
Vision
strategy and
leadership
Transparency
of research
and data
Communication
channels
Standards
and
Protocols
Time and
space for
learning
Identify
champions
Delayering
Improving
the next
journey
Adapt to
local context
Engaging
patients and
the public
Address
concerns of
professionals
EnablersFrontlinebehaviours
Accelerating the journey: building organisational capacity for change

8. 8
2013 & 2015 GDHI findings about frontline
Making time
and space
for learning
and adopting
new ways of
working
Engaging the
public to
create social
demand for
innovation

9. Adopting new ways in innovation
• Open Innovation
• Grassroots Innovation
• Reverse Innovation
9

10. Closedinnovation
Openinnovation

11. From Closed to Open innovation
Closedinnovation
Openinnovation

12. T
o
p
D
o
w
n
B
o
t
t
o
m
U
p

13. T
o
p
D
o
w
n
B
o
t
t
o
m
U
p

14. Bhatti © 2014
14
Flow of innovation
Reverse flow of innovation

15. Bhatti © 2014
15
Flow of innovation
Reverse flow of innovation

16. $10K vs $1000
https://www.youtube.com/watch?v=yB47wx-b6sY

17. A: Typical Direction for innovation diffusion
B: Reverse / Frugal Innovation diffusion?
Reverse diffusion
Rogers Diffusion of Innovation Curve

18. Where do people look?

19. 1350 FHWs in 6 countries

20. 100 Health Leaders

21. 21
Literature
FHW &
Leaders
Top-down
hierarchical sourcing
Low – High
income
country
sourcing
High – Low
income
country
sourcing
Internal
sourcing
Bottom-up
hierarchical sourcing
External
sourcing
Reverse
innovation
Grassroots
innovation
Open
innovation

22. Open innovation
FHWs most often
source ideas close to
home from colleagues
and patients .

23. Own clinical specialty
dominates as a source of
innovation.
FHWs are influenced too by
disciplines outside their own
sphere.

24. Although own
organization remains
the main source, a
high proportion of
FHWs are sourcing
ideas from practice
outside their own
organization.

25. Grassroots
FHWs see themselves
mostly responsible

26. Reverse
Very little reverse innovation
appears to be taking place. Only
10 percent of FHWs report that
they source ideas from practice in
other countries.

28. “Insanity is doing the
same thing over and over
again and expecting
different results.”
Albert Einstein

29. Make time
and space
for learning
and adopting
new ways of
working

30. Thank you