A solution set of care redesign for all sizes of health care organizations

In a January 2018 post in NEJM Catalyst by Onil Bhattacharyya, MD, PhD, David Blumenthal, MD, MPP & Eric C. Schneider, MD, MSc, authors note that innovating in clinical care redesign involves creating new products, services, or processes which is fraught with uncertainty.

The authors make the point that given the choice, most organizations are more comfortable with the predictability of quality improvement, labeling it innovation in some cases, but shunning the risk-taking that characterizes true innovation work. 

The article summarizes four organizational designs, skunkworks, ambidextrous, cross-functional, and functional, which map onto categories from the management literature on innovation.