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Hospital Budget Systems Are Holding Back Innovation

Harvard Business Review

We have identified how hospitals’ budgeting systems have erected three distinct barriers to the adoption of technology. These barriers, however, can be overcome by changing how hospitals acquire new technology and by providing incentives to units to use digital innovations to provide more effective and efficient care.

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When It Pays to Think Like a Finance Manager

Harvard Business Review

Most finance managers in both large and small businesses encounter numerous proposals for capital investments and many of the people proposing these investments don’t have a clear picture of what the return will be. But finance people like me are skeptical even when the proposals do project a return. Here’s why.

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Shape Strategy With Simple Rules, Not Complex Frameworks

Harvard Business Review

Any proposal, the rules said, should: remove obstacles to growing revenues, minimize up-front expenditure, provide benefits immediately (rather than paying off in the long term), and. Once they understood the rules and their underlying rationale, ALL's employees generated a series of innovative proposals based on what they had to work with.

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How to Choose the Ideas Your Company Should Invest In

Harvard Business Review

My last post described how Innosight follows a three-stage process to evaluate investment proposals from outside entrepreneurs. Can we get to the market without any technological miracles? Note what isn't part of the decision: an idea's net present value or return on investment.

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An Unexpected Lesson from Mandela: Why Context Matters

Harvard Business Review

This would be a breakthrough communication technology, with the power of connecting an excluded and fragmented continent with itself, with the world, and to this newly emerging phenomenon — that none of us quite understood at the time — called the Internet. They agreed that the Mandela proposal was nonsense. I told them my story.