1. FG 2014 Academic vs Health System Driven Research:
Overcoming Dichotomy through an Integrated Public System?
2. FG 2014 We are talking about A.Evolution B.Discoveries
C.Innovation D.Sustainability
3. 5FG 2012 from evolution to sustainability
4. FG 2014 A.Evolution Survival of the fittest Herbert Spencer
(27 April 1820 8 December 1903) Principles of Biology (1864)
5. FG 2014 A.Evolution from Darwin better designed for an
immediate, local environment Carles Darwin (12 February 1809 19
April 1882) On the Origin of Species (edition 1869)
6. FG 2014 A.Evolution to Gould Our evolutionary colleagues
also failed to grasp the implication(s), primarily because they did
not think at geological scales Stephen Jay Gould (10 September,
1941 20 May 2002)
7. FG 2014 A.Evolution Punctuated Equilibrium
8. FG 2014 A.Evolution Evolution is inefficient
9. FG 2014 Cambrian sea
10. FG 2014 A.Evolution in culture Rosvall and Bergstrom (2010)
PLoS One 6:e18209
11. FG 2014 A.Evolution of culture is quite lamarckian 1. Use
and disuse Individuals lose characteristics they do not require and
develop characteristics that are useful 2. Inheritance of acquired
traits Individuals inherit the traits of their ancestors
Jean-Baptiste Lamarck (1 August 1744 18 December 1829)
12. FG 2014 B.Discoveries
13. FG 2014 B.Discoveries: Basic research needs
contamination
14. FG 2014 B.Discoveries we cant know the future in
advance
15. Principi Metodi Strumenti www.leanuk.org Conventional
Workshop Examples Through Time "...so many centuries after the
Creation it is unlikely that anyone could find hitherto unknown
lands of any value. Committee advising King Ferdinand and Queen
Isabella of Spain regarding a proposal by Christopher Columbus,
1486 "The view that the sun stands motionless at the center of the
universe is foolish, philosophically false, utterly heretical,
because contrary to Holy Scripture. The view that the earth is not
the center of the universe and even has a daily rotation is
philosophically false, and at least an erroneous belief." Holy
Office, Roman Catholic Church, ridiculing the scientific analysis
that the Earth orbited the Sun in edict; 1616 "Everything that can
be invented has been invented. Charles H. Duell, Commissioner, U.S.
Office of Patents, 1899. "Stocks have reached what looks like a
permanently high plateau. Irving Fisher, Professor of Economics,
Yale University, 1929. (two weeks later, the stock market crashed
and the Great Depression started) "We don't like their sound, and
guitar music is on the way out anyway. President of Decca Records,
rejecting The Beatles after an audition, 1962 Copyright Lean
Enterprise Academy 2009
16. Principi Metodi Strumenti www.leanuk.org Conventional
Workshop Examples: Aviation "Man will not fly for 50 years. Wilbur
Wright, American aviation pioneer, to brother Orville, after a
disappointing flying experiment, 1901 (their first successful
flight was in 1903) "Airplanes are interesting toys but of no
military value. Marechal Ferdinand Foch, Professor of Strategy,
Ecole Superieure de Guerre, 1904(?) "Flight by machines heavier
than air is unpractical and insignificant, if not utterly
impossible. Simon Newcomb, Canadian-born American astronomer, 1902
"If God had intended that man should fly, he would have given him
wings. Widely attributed to George W. Melville, chief engineer of
the U.S. Navy, 1900 "It is apparent to me that the possibilities of
the aeroplane, which two or three years ago were thought to hold
the solution to the [flying machine] problem, have been exhausted,
and that we must turn elsewhere. Thomas Edison, American inventor,
1895 "Heavier-than-air flying machines are impossible. Lord Kelvin,
British mathematician and physicist, president of the British Royal
Society, 1895 Copyright Lean Enterprise Academy 2009
17. Principi Metodi Strumenti www.leanuk.org Conventional
Workshop Examples: Computing " 640k ought to be enough for anybody.
Bill Gates, 1981 "There is no reason anyone would want a computer
in their home. Ken Olson, president, chairman and founder of
Digital Equipment Corp., 1977 "But what ... is it good for?
Engineer at the Advanced Computing Systems Division of IBM, 1968,
commenting on the microchip. "I think there is a world market for
maybe five computers. Thomas Watson, chairman of IBM, 1943
"Computers in the future may weigh no more than 1.5 tons. Popular
Mechanics, "predicting" the relentless march of technology, 1949
"The world potential market for copying machines is 5000 at most.
IBM , to the eventual founders of Xerox, saying the photocopier had
no market large enough to justify production, 1959Copyright Lean
Enterprise Academy 2009
18. Principi Metodi Strumenti www.leanuk.org Conventional
Workshop Examples: Telephone "It's a great invention but who would
want to use it anyway?" Rutherford B. Hayes, U.S. President, after
a demonstration of Alexander Bell's telephone, 1872 "The Americans
have need of the telephone, but we do not. We have plenty of
messenger boys. Sir William Preece, Chief Engineer, British Post
Office, 1878 Transmission of documents via telephone wires is
possible in principle, but the apparatus required is so expensive
that it will never become a practical proposition. Dennis Gabor,
British physicist and author of Inventing the Future, 1962 "A man
has been arrested in New York for attempting to extort funds from
ignorant and superstitious people by exhibiting a device which he
says will convey the human voice any distance over metallic wires
so that it will be heard by the listener at the other end. He calls
this instrument a telephone. Well-informed people know that it is
impossible to transmit the human voice over wires. News item in a
New York newspaper, 1868 "Well-informed people know it is
impossible to transmit the voice over wires and that were it
possible to do so, the thing would be of no practical value. Boston
Post, 1865 Copyright Lean Enterprise Academy 2009
19. FG 2014 Human Genome Sequencing
20. FG 2014 C.Innovation we cant know in advance which
discovery will lead to innovation
21. FG 2012 21 innovation novelty in action 12-12-12
22. 6FG 2012 Garjon et al. BMC Health Services Research
2012
23. FG 2014 C.Innovation are new drugs actually innovative?
me-too!?
24. FG 2014 C.Innovation
25. FG 2014 C.Innovation
26. FG 2014 C.Innovation
27. FG 2014 C.Innovation
28. FG 2014 C.Innovation Innovation is expensive
29. FG 2014 D.Sustainability Is innovation sustainable?
30. FG 2014 D.Sustainability closed systems that maintain
processes of productivit Melvin K. Hendrix, Sustainable Backyard
Polyculture: Designing for ecological resiliency. Smashwords
Edition, 2014
31. FG 2014 D.Sustainability
32. 23FG 2012
33. 24FG 2012
34. 25FG 2012
35. FG 2014 D.Sustainability Public value allows us to consider
the role of hospitals in meeting object Public value thus goes
beyond utilitarian objectives of outcomes and eff The diverse
public values wider, ethical objectives like equity, due proc
36. FG 2014 Sustainability is for the future Innovation is
expensive We cant know in advance which discovery will lead to
innovation Evolution is inefficient
37. FG 2014 but... evolution is ineludible, simply we need
it!