The hospital can try to improve its utilization of its operating suites. Prior to Christmas Dr. Hochberg prescribed a cocktail of chemotherapy drugs plus Rituxan, a targeted antibody from Genentech. The tumor in my abdomen was the size of a ball this big [mimes a football]. He had a dramatic response. It creates scar tissue that tacks it to the back of the eye. I got a bunch of ibuprofen. It exposed the many ways health care was broken and recommended numerous ways it can be systematized and disrupted the same way mainframes gave way to PCs and now iPhones. He works hard, but he's not a stressed-out guy. model." "Now I can see your dad again," she told me. In „The Innovator’s Solution“ beschreiben Clayton M. Christensen und Michael E. Raynor, wie Unternehmen disruptive Innovationen erfolgreich selbst entwickeln und vermarkten können. I fell asleep and the meetings on Sunday were comparable to the ones on Saturday. My parents in fact have not made big changes. But the chances that one person would have all three is uncommon. Matthew I put it together into a biography. What drives prices down is disruptive innovation. And as soon as it was gone the flow returned. But for the first time in my life, with all my problems, I focused more and more on me--and it was depressing, literally. He was familiar with my dad's research. Specialty clinics will arise to implant devices more cheaply. She says, "The most disappointing part of my job is people who return to the ER again and again and you tell them what to do and they don't do it." We would play catch in the daylight. I grabbed my briefcase because I need to have something to do when I'm waiting. Everything was blurry. A former basketball star (he stood 6-foot-8) as well as an affable academic, he focused as much on a life well lived as he did on his management theories. He would play basketball Saturday mornings at church. That's why 85% of hospital costs are overhead. Better and simpler diagnostics, like a home-pregnancy test, would allow patients to better care for themselves. As we did the study we realized that every time you double the number of pathways you raise overhead by 30%. What is tough for him is that his insights into the health care system and what needs to be done are truly breakthroughs--and they really work. I think God wanted the members of the church to have a great experience, and he took care of me, too. The kind of targeted therapies now used in cancer treatment, such as the drug Christensen received, will be applied more widely. I got assigned to go to Montreal. All three of his problems [heart attack, cancer, stroke] were on the severe side, needing the big hospital with the big tools. It's not public versus private. The business models of health are frozen in the hospital and the doctor's office. In God's interaction with Adam he didn't in any way promise that it was going to be easy. In the Mormon Church we believe we can be married for all eternity, not till death do you part. It hit me in 1982 when I was a White House Fellow in Washington. I'm an optimistic person. The problem from the patient's point of view is that we don't know what we don't know and therefore we don't ask what otherwise we would want to ask. The stroke managed to avoid the part of his brain that controlled his motor skills and analytical abilities. Matthew But if you look at how they spend any given week, they spend 90 hours at work. The doctor came in to debrief us. He created us. Type I diabetes is a risk factor for heart attack and stroke. His book The Innovator's Prescription (2009) was co-written with two doctors, the late Jerome Grossman, who ran Tufts Medical Center for 16 years, and Jason Hwang, a former student of Christensen's. At about 3 o'clock in the morning I just had a horrible pain in my chest. FORBES Ultimately they do the sample, and then the result gets printed out on a sheet of paper. Clayton Ann We started to drive and she said, "What are we going to the hospital for?" It was about the size of a jewelry box. So now he has to get implants in all four quadrants of his mouth. “But as I’ve confronted this disease, it’s been interesting to see how unimportant that impact is on me now. Dr. Jason Hwang (coauthor of the Innovator's Prescription) Learn More > World's Top Management Thinker. The right one question is "Should we be integrated (like Kaiser Permanente or Finland), or should we be modular (like Partners in Boston and the Canadian and German systems)?" Nitin Nohria, the dean of the Harvard Business School, said in a statement that the cause was complications of leukemia. Clayton The Harvard Business School professor's 1997 book, The Innovator's Dilemma, introduced in elegant terms the notion of "disruptive innovation," which explains how cheaper, simpler or unexpected products and services can bring down big companies like U.S. Steel, Xerox and Digital Equipment. Dr. Ephraim Hochberg (clayton's lymphoma specialist) I thought about it. It looked like a slower-growing variety, which would be less responsive to chemotherapy and more likely to be terminal. As a complete, independent event, when I showed up at Mass General and they were doing a workup, I just made this observation. Sustaining innovations [those that add to or improve a product already in existence as opposed to truly disruptive ones] drive inflation up at 6% to 10% a year. Maybe we ought to adopt their model. There are several systems we could adopt that would be better, but there isn't a road map to get there. Christensen predicts a rise in self-diagnosis and self-care, as tools that used to be stuck in the hospital reach patients and their families. Opinions expressed by Forbes Contributors are their own. They're too big to go through these little pinholes in the retina [and cause another detachment]. What else is there for him to do? I believe that God is our father. We said, "Clayton, tell us exactly what happened." I don't want to leave my kids and Christine just yet." Intuitive medicine is the realm of highly trained specialists handling difficult diagnoses and treatment. They went in and removed the clot and reinforced the area with a stent. We knew enough at that point to be relieved. He'd have contests with my oldest daughter, Madeleine [6 years old]. He is Kim B. Clark Professor of Business Administration at the Harvard Business School. Then treatment can be routinized and moved off-site. I remember pushing him in a wheelchair, putting his briefcase in his lap. We were sleeping in the extra room in their basement. She was upset. Grant Will he be okay or not?" Right there is the Mass Eye & Ear infirmary. They all had shaved their heads to show solidarity and took a picture. And the Europeans and the Australians are saying, "You know, this isn't working very well, maybe we ought to adopt the U.S. I went to talk to the warden Sir Edgar Williams and after two minutes he said, "We'll send you home. A clot had come from somewhere and completely blocked the left anterior artery, which is the major source of blood for the pumping muscles of the heart. Clayton I was with my dad for the last two months before he died. I went and raked up the leaves. The stake president in Montreal was a physician. Midsentence he couldn't talk. Matthew When my dad was at the Boston Consulting Group, he would go in superearly and come home early. FORBES Within about 30 minutes of when the heart attack occurred we were there. He was very kind. 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