• Cultivating Health Care Innovation: Beyond the Disruption Paradigm

     Christian Rose, MD, Rana Kabeer, MD, MPH, Gabrielle Bunney, MD, MBA, MS, and Carl Preiksaitis, MD, MEd 

    Abstract

    Health care innovation stands at a crossroads between disruptive transformation and systematic improvement. While venture capital and technology companies advocate for disruption, evidence suggests that sustainable health care innovation requires a more nuanced approach. The authors identify three recurring patterns in failed disruption attempts: oversimplification of clinical decision-making, fragmentation of care delivery processes, and underestimation of health care�s physical and human requirements. In response, the authors propose a cultivation framework that emphasizes systematic innovation while preserving and enhancing existing clinical expertise. Drawing parallels with agriculture�s evolution from industrial disruption to sustainable practices, they demonstrate how health care can move beyond the disruption paradigm toward more effective models of innovation. This framework provides health care leaders with practical strategies for fostering transformation while maintaining the essential complexity that underpins patient safety and care quality. Through analysis of successful innovation initiatives at leading health care institutions, the authors show how cultivation approaches can drive meaningful change more effectively than disruptive attempts to institute change.