KINT: From local breakthroughs in knowledge to integration in medical practice
The KINT project aims to contribute to the implementation of the Tavi project at Oslo University Hospital. TAVI is the abbreviation for "Transcatheter Aortic Valve Implantation" which is a new minimal invasive treatment for severe heart disease.
The project will take place at the Intervention Center at Oslo University Hospital. The Intervention Center is a cross-disciplinary R & D department that was established in 1996.
About the project
TAVI is a new procedure developed to treat patients who would have a high risk under standard cardiac surgery. Patients with severe aortic stenosis often have frequent hospital visits and life expectancy in line with patients having aggressive cancer. An aging population with extensive co-morbidities have further reinforced the need to develop less invasive methods of treatments. 30% of patients over 75 years with this diagnosis has previously not been offered surgical treatment, while the TAVI procedure can be appropriate for also these high-risk candidates.
A large range of technologies and digital information sources that must be interconnected in order to succeed with the TAVI project. TAVI utilizes image-guided surgery in a 'hybrid' operating room with different imaging equipment, surgical instrumentation, various sensors and so forth. The procedure must be carried out by a highly cross-disciplinary team, and must be converted to a standard, open surgical procedure if any complications should arise.
This kind of complex and novel procedures implies significant changes in organizational practices. While there are multiple reasons to introduce such advanced approaches, the adoption and spread of the new procedures has not been easy. The integration of different technologies, the different professional knowledge practices, and different interests within and beyond the organization pose challenges. For instance, cardiac surgery has traditionally been performed by surgoens, while image-guided interventions have been performed by radiologists and/or cardiologists. When new technologies challenge these borders, "turf battles" may emerge, where each group claims ownership to the patients and the methods. The adoption and utilization of novel breakthroughs thus may suffer. This is the major problem to be studied in this project.
The main objective of KINT is to support the implementation of TAVI, but also other new minimally-invasive procedures developed at the Intervention Center, in order that they to a greater extent may be translated into use elsewhere.
To achieve the primary goal, the project has the following objectives:
1. To contribute to innovation process of the TAVI project at the Intervention Centre.
2. To contribute to our understanding of how TAVI has been developed and translated to other departments and hospitals.
3. Focus on transferring lessons learned from the TAVI project to other ICT-driven innovation processes (and vice versa) at the Intervention Center and Oslo University Hospital.
4. Develop basic knowledge about innovation indicators and provide input to policy debate on innovation in the public sector.
The KINT project is a collaboration between the Intervention Centre at Oslo University Hospital (project leader Prof. Eric Fosse), the Department of Informatics, University of Oslo and the Institute of Innovation and Economic Organization at BI Norwegian Business School.
The project employs a practice-based approach and examines how innovations are socially, culturally and historically situated. We will study the interplay between new technology and the actors' practices. The studies will thus involve intensive field work, and mainly utilize qualitative research methods, with interviews, observations and document analysis as core appraches.
In particular, we are interested in the link (or missing link) between the new technology and the existing practice. We want to examine whether (and how) innovation represents deviations from established work routines and organizational structures that reflects disciplinary boundaries and power structures. Large-scale, interconnected ICT networks that integrate multiple information sources, and extend beyond the local frames (implying standardization) have considerable impact on the space for innovation. The same goes for the existing administrative, legal and financial mechanisms of regulation, which are not necessarily well adapted to novel practices.
International partners in KINT:
- IKON research centre at Warwick Business School, University of Warwick. (http://www2.warwick.ac.uk/fac/soc/wbs/research/ikon/).
- Leading Health Care. An academic think tank with headquarter at the Stockholm School of Economics which conducts research projects and seminars related to the challenges and solutions for the health sector. Managing Director Hans Winberg also serves on the board of Karolinska University Hospital. (http://www.leadinghealthcare.se/). We have also established a long-term collaboration with Professor Claes-Fredrik Helgesson (LHC / Linköping University) and LHC.
- Lancaster University Management School, Professor Luis Araujo who study innovation and learning in industrial networks (http://www.lums.lancs.ac.uk/profiles/luis-araujo/).
- Haas Business School at UC Berkeley. Thomas Hoholm is a Fulbright scholar at UC Berkeley 2011-2012, and Bjørn Erik Mørk is a Fulbright scholar who will be at UC Berkeley from August 2012.
- Youngjin Yoo at Temple College, Philadelphia / Viktoria Institute and Professor Ola Henfridsson at the Viktoria Institute. Both are leading researchers in digital innovation and information technology (http://www.youngjinyoo.com/). Henfridsson is currently one of the senior editors of the prestigious MIS Quarterly.
The KINT project is funded by the VERDIKT programme in the Norwegian Research Council.