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Health & Medical


Ideas from abroad



How David Strand drives innovation at The Cleveland Clinic from other cultures

By Kristy J. O’Hara


Smart Business Akron/Canton | September 2008

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In the past year, David Strand has added quite a few stamps to his passport, making visits to India, China and different places in the Middle East, just to name a few. But it’s not simply travel for travel’s sake. His trips are part of his job.

As chief emerging businesses officer and chief operating officer for The Cleveland Clinic, he recognizes that innovation is part of his job, and to fuel that, CEO Toby Cosgrove insists that executives and physicians go on an innovation trip each year.

“There are only a couple of rules,” Strand says. “One is that you go someplace different, and second that you learn something new, and third, try to figure out a way to apply it to what we do. That’s it.”

In Dubai, Strand has learned that people in the Middle East have a better understanding of the role that physical environment plays in healing and have done of a much better job of creating better physical environments for hospitals. In India, he’s learned the importance that spirituality plays in treating medical conditions and healing.

“We have to address other things that matter most to the patient that may have nothing to do with the physical manifestation of the disease — their emotional needs, spiritual needs, needs their family may have in helping that person heal,” he says.

These trips are twofold in benefits. Not only do the hospital executives and doctors gain new insights and ideas to apply in their roles, but it demonstrates to the organization that management isn’t just talking it up.

“When an organization sees that the leadership really endorses that time and commitment and is willing to spend the dollars on it, then you begin to create a culture of innovation,” Strand says.

Another part of creating a culture of innovation is making sure you bring people into the organization that embrace innovation.

“There are people who like to operate and like the status quo, and there are people that are actually incredibly curious all the time and like to think of ways to do things better and like to explore new opportunities or new possibilities,” Strand says. “When you find those people, you bring them in.”

One of the keys to learning whether someone is innovative or not is to look at how they live their life. Do they have a desire for continuous learning and do their work experiences demonstrate an intellectual curiosity?

“Those are the things that you look for as opposed to titles or positions,” Strand says.

When you have people who are naturally curious to find better ways to do things, you can’t stifle their creative spirit.

“Make sure that people have the freedom, the time and some dollars to actually innovate, and that they aren’t so locked down in their budgets and in their time commitments that they can’t have dollars and time to explore,” he says.

Lastly, you have to go out and actually listen to people in order to find new ideas.

“A lot of innovation is happening every day, and leaders don’t know it because they don’t listen,” Strand says.

For example, if he wants to change patient care, the best people to talk to are his nurses and the patients.

“If you open your eyes and ears and are willing to listen to your employees, there’s an incredible wealth of knowledge that’s resonant there for how to make things better and how to find new solutions,” he says. “It’s amazing how executives don’t listen to customers or employees on a regular basis.”

By encouraging your employees to look for inspiration elsewhere and by talking to people in and close to your organization, you start to rely on others to create innovation in your business.

“Innovation can’t just happen out of the head of the CEO,” Strand says. “It has to be something that is happening at all levels of the organization, so finding ways to encourage innovation is a big part of making sure a business is constantly innovating. If you centralize it or try to consolidate it up into the top of the organization and they’re the ‘keepers of innovation,’ it never happens. It has to be distributed throughout the organization. There has to be a sense that everybody plays a role in innovation in the business.”

HOW TO REACH: The Cleveland Clinic, (800) 223-2273 or www.clevelandclinic.org

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