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Innovation Research Report Worksheet (Assignment 4)
Instructions:
Choose one additional innovation that you researched, other than the Hackensack and Healthvana innovations, to analyze. The analysis report should include a description of the innovation, the type of innovation, an impact comparison, and a brief impact assessment.
1.
Describe the innovation
. Describe an innovation, the problem it is designed to solve, and the manner in which it will solve the problem.
A West Michigan based hospital group, Corewell Health (formally known as Spectrum Health) is using robots to perform minimally invasive cardiac care for patients, the procedure significantly decreases recovery time, and can take an operation that would usually require a couple days in the hospital, to an outpatient procedure. The innovation is
called “da Vinci Surgical Robot”, the innovation was first introduced by Dr. Edward Murphy
and Dr. Charles Willekes. (Elexicon, 2016) The innovation has recently been expanded to include uniarity and ENT procedures that require only one procedure. The innovation is designed to reduce hospital stays and provide more access to surgical procedures. (Finnigan, A, 2022)
2.
Determine the type of innovation
. Determine, with justification, whether the innovation is sustaining or disruptive.
The da Vinci Surgical Robot is both a disrupting innovation. The robot changes the landscape of what is required for many procedures. The robot also could cause staff layoff,
as there is not a need for long term stays. (In Defense of Routine Innovation, 2014)
3.
Existing solution(s). Identify at least one existing technology or current practice that is
used to address the identified problem. Include a description of its strengths and limitations in resolving the problem. Cite sources that support your evaluation. Existing Solution
(name, description, and the problem it addresses)
Strengths
(How well does it address the problem?)
Limitations
(What are its greatest
limitations in addressing the
problem?)
The CyberKnife- A device that uses radiation to treat cancer patients. This innovation was created to help treat the second most common cancer typer in the Us for males. (MediLexicon International, n.d.)
Provides Robotic Surgery to cancer patients. The CyberKnife can provide aggressive radiation to tumors with fairly accurate procession. The CyberKnife has primarily been used with
prostate cancer patients. (MediLexicon International, n.d.)
The CyberKnife does not remove the tumor, it provides radiation, which does not guarantee the tumor or cancer will go away. Not a lot of research has been made with cancer patients of anything other than prostate cancer. There are also several lists of side effects. (MediLexicon International, n.d.)
Innovation Research Report Worksheet (Assignment 4)
4.
Impact comparison. Compare the chosen innovation with the existing technology and at least one low-tech solution. Briefly describe the possible impacts of each solution on patient outcomes and cost savings.
Proposed Innovation
Existing Technology Low-Tech Alternative
Name of innovation
da Vinci Surgical Robot
The CyberKnife
Human Surgeon
Positive impacts on patient outcomes
Allows for surgery to be completed quicker
and has less recovery
time (NBCUniversal News Group, n.d.)
Is effective in aggressively treating prostate cancer. A human surgeon is the traditional way most people get surgery. A human surgeon would be able to anticipate things coming in the surgery and may see other problems that a
robot focused on one surgery may not catch. Negative impacts on patient outcomes
There is a risk for an injury or other complications with the surgery. This risk is less than 3% but could require additional surgery. (NBCUniversal News Group, n.d.)
The CyberKnife has been primarily used on adult patients. There are only 2 reported cases of minors being provided this treatment option. The
CyberKnife uses Stereotactic body radiation, which is the
same radiation used to treat lung cancer. There is a chance for several complications
including rib fractures. (Joseph et al., 2010)
Human Error is a big potential outcome with this surgery type. Errors are rare in surgery but they do
happen.
Innovation Research Report Worksheet (Assignment 4)
Positive impacts on cost savings
With this surgery you have the potential to save costs through the reduced recovery time at the hospital. (NBCUniversal News Group, n.d.)
With this surgery, you
usually spend less time having to go to radiation then if you went the traditional route. (Joseph et al., 2010)
With this type you save money by going the traditional route leading to less high cost technology. Insurance will usually cover necessary surgeries done by a provider. Negative impacts on cost savings
With this surgery you do have the potential of high cost for the actual surgery, with any technology the cost of the procedure will likely be elevated and will not always be
covered by insurance.
(NBCUniversal News Group, n.d.) With this procedure you do have the potential of high cost for the treatments. with any technology the cost of the procedure will likely be elevated and will not always be covered by insurance.
(Joseph et al., 2010)
With this type of surgery you will have a higher cost due to the extended hospital
stay. 5.
Assess the impact. Use the Impact Assessment Framework (IAF), described in the IAF guide, to complete a quick impact assessment of your chosen innovation. ●
First, complete the “scan” step of an impact assessment for the technology innovation (see the “Methodology for Applying the Impact Assessment Framework” section in the IAF guide). Scan all eight dimensions and use the table below to record your assessment. ●
Second, select two of the dimensions that you think are most impacted by the innovation. Evaluate and justify how these two dimensions are most impacted based on your analysis. Document your findings in the chart below.
Dimension
Outcomes
Outcomes Impacted by Innovation
A. Individual
A1. Experience of health
A2. Health across settings
A3. Privacy
A4. Empowerment
A5. Behavior
The innovation has a potential to impact the individual dimension by providing the patient with new ways to get healthcare, it allows the individuals to go to their local clinic where they are most comfortable, and gets the person back to their everyday life quicker. (Miller, C. n.d.)
B. Health Services
B1. Patient safety and quality of care
B2. Advancing the standard of care
B3. Care efficiency
B4. Provider experience of care
The innovation has the potential
to impact the health services dimension by providing cutting edge procedures, by improving
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Innovation Research Report Worksheet (Assignment 4)
B5. Health services model
how medical professionals approach cases presented to them. (Miller, C. n.d.) C. Community
C1. Access to health services
C2. Public health
C3. Population health management
C4. Community engagement
This innovation has the potential
to impact the community by providing more access to health services. This innovation keeps hospital stay costs low, making the procedure more affordable. D. Operations
D1. Capacity and utilization
D2. Facilities and fixed assets
D3. Logistics and supply chain
D4. Productivity and optimization
The innovation has the potential
to impact the operations dimension by allowing more beds to be open in the hospital, allowing more optimization for the hospitals to prioritize critical
patients. (Miller, C. n.d.)
E. Organization and Workforce
E1. Leadership and culture
E2. Organizational structure
E3. Personnel
E4. Human resources
E5. Performance
The innovation has the potential
to impact the organization and workforce dimension by requiring less medical personnel
for surgical procedures, the innovation could also cause performance issues as it could allow a surgeon or other medical personnel to forget a procedure or rely too heavily on the robot. (Miller, C. n.d.)
F. Strategy and Finance
F1. Revenue
F2. Operating costs
F3. Investment and debt
F4. Financial performance
F5. Business strategy
F6. Innovation strategy
The innovation has the potential
to impact the strategy and finance dimension by bringing in
more surgical revenue, more people would likely get a surgery if it meant less time recovering. The operation cost may also be lowered as you would have less people staying long term in the hospitals meaning less food and other resource consumption. There would likely be a large cost upfront, but the potential to make the money back is there. (Miller, C. n.d.)
G. Risk Management
G1. Clinical
G2. Regulatory
G3. Financial
The innovation has the potential
to impact the risk management dimension. With any new
Innovation Research Report Worksheet (Assignment 4)
G4. Operational
G5. Ethical
innovation or strategy there will always be risk. In this case, the sponsoring hospital will need to make sure the innovation is following all regulatory/compliance checks. Hospitals and Surgeons will also need to be upfront with patients
on the risks of the surgery. (Miller, C. n.d.)
H. Information Management
H1. Information
H2. Systems
The innovation has the potential
to impact the information management dimension by requiring more systems in the operating room. The information
of a patient would also need to be fully known before going into
surgery to predict possible complications. (Miller, C. n.d.)
References:
Elexicon. (2016, June 9). Robotic surgery expands to cardiac care at spectrum health.
Spectrum Health Newsroom. https://newsroom.spectrumhealth.org/robotic-surgery-
expands-to-cardiac-care-at-spectrum-health/ Finnigan, A. (2022, May 19). Spectrum Health First in West Michigan to debut New Single Port Da Vinci Robot Technology. Spectrum Health Newsroom. https://newsroom.spectrumhealth.org/spectrum-health-first-in-west-michigan-to-
debut-new-single-port-da-vinci-robot-technology/ Heart valve repair or replacement surgery: Spectrum Health. Corewell Health. (n.d.). https://www.spectrumhealth.org/services/heart-lung-and-vascular-care/heart-and-
lung-surgery/heart-valve-repair-or-replacement-surgery#:~:text=The%20Intuitive
%20DaVinci%20Xi%20robot,its%20kind%20in%20West%20Michigan. Joseph, B., Supe, S. S., & Ramachandra, A. (2010, July 6). Cyberknife: A double edged
sword?. Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3863292/ Kent, C. (2023, March 16). Robotic Surgery: A race to the top. Medical Device Network. https://www.medicaldevice-network.com/features/da-vinci-surgical-robot-
competitors/ MediLexicon International. (n.d.). What is CyberKnife and how can it help with prostate cancer?. Medical News Today. https://www.medicalnewstoday.com/articles/cyberknife-for-prostate-cancer
Innovation Research Report Worksheet (Assignment 4)
Miller, C. (n.d.) Impact assessment framework. Master of Healthcare Administration Program. Western Governors University, 1—33.
NBCUniversal News Group. (n.d.). The Da Vinci Robot: A surgical breakthrough - with risks for patients. NBCNews.com. https://www.nbcnews.com/health/health-news/da-
vinci-surgical-robot-medical-breakthrough-risks-patients-n949341
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