An Academic Medical Center-Based Incubator to Promote Clinical Innovation and Financial Value

Jt Comm J Qual Patient Saf. 2019 Apr;45(4):259-267. doi: 10.1016/j.jcjq.2018.12.004. Epub 2019 Jan 19.


Introduction: Within a health care landscape characterized by increasing financial pressures, fluctuating payment models, and an increasing prevalence of clinician burnout, structures to strategically support innovation are imperative to financial and clinical success.

Methods: We developed the Brigham Care Redesign Incubator and Startup Program (BCRISP), a flexible model to test, evaluate, and scale innovative care redesign proposals. We evaluated its impact via analysis of programmatic and financial data, as well as through exploration of individual project outcomes.

Results: In 5 years, BCRISP has evaluated 283 innovations, piloted 25 projects, and generated $1.8 million in total medical expense reduction and $7.1 million in increased net revenue for our institution. Initially, it was conceived as a mechanism to engage staff in population health initiatives. As shifts toward risk-based reimbursement have slowed, we have observed a similar transition among proposed and supported innovation in the program.

Conclusions: BCRISP enabled front-line clinical employees to design and pilot solutions to common and important clinical care problems, delivering financial return and improvements in care delivery. The underlying structure has been able to adapt to the changing political and economic climate, demonstrating a flexible and powerful approach to strategic investment that could be applied broadly by many health care provider organizations.

MeSH terms

  • Academic Medical Centers / economics*
  • Cost Savings / economics*
  • Critical Pathways / economics
  • Delivery of Health Care / economics*
  • Diffusion of Innovation*
  • Humans
  • Interdisciplinary Communication
  • Intersectoral Collaboration
  • Massachusetts
  • Pilot Projects
  • Population Health Management
  • Problem Solving
  • Quality Improvement / economics