This document discusses frugal innovation. It summarizes research on two communities of innovators and entrepreneurs - a global social business incubator and a design program for extreme affordability. The research included analyzing business plans, conducting interviews, and observing a social entrepreneurship bootcamp. Frugal innovation is defined from different perspectives and as having the goals of affordability, adaptability, accessibility, and doing more with less. Examples are given of frugal surgical innovations in India that dramatically reduce healthcare costs. The document then discusses introducing a frugal surgical drill innovation into the UK healthcare system, estimating it could save 85-94% of costs compared to existing solutions.
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Frugal Innovation: New Models of Innovation and Theoretical Development -- Dr Yasser Bhatti
1. Frugal Innovation
New Models of Innovation and
Theoretical Development
YABhatti@frugal-innovation.com
29 June 2018
6. Study of two communities of
innovators and entrepreneurs.
1. Global Social Business Incubator
(Santa Clara)
2. Design for Extreme Affordability
(Stanford)
163 business plan document
summaries,
81 interviews with
entrepreneurs, investors, and
academics, and
2 months of observations at an
annual intensive social
entrepreneurship and
innovation boot-camp.
http://www.cambridge.org/97811071
88976
8. User-Driven
Frugal
innovation for
individuals is
user driven to
generate
solutions to
local or
personal
needs
otherwise not
met.
For personal
needs and no
aspiration to
profit or scale.
Efficiency-Driven
Frugal innovation
for firms is
efficiency driven
to achieve cost
leadership as a
competitive
advantage.
For profitability
and scale.
Social-Driven
Frugal innovation
for communities
and hybrid firms is
social driven to
solve problems
and create value
for society.
For social
improvement with
aspiration to
scale.
Challenge-Driven
Frugal innovation
for individuals and
networked
organizations is
challenge and
prize driven
innovation to
radically improve
price-
performance
points of existing
solutions for
consumers.
For inclusive
reach.
Perspectives on Frugal Innovation
9. Definitions of Frugal Innovation
based on varying perspectives
Institutional perspective: Frugal innovation is viewed as
a purposeful systematic change on how development
can be best achieved within specific social contexts. This
contributes to it developing as a new field (field
formation).
Process-related perspective: Frugal innovation is
viewed as a set of tasks or actions to redesign products
and services and reconfigure value chains to improve
efficiency and create value for inclusive markets.
Functional perspective: Frugal innovation focuses on
how the outcomes are used and for what purpose. For
instance it may mean to satisfy unmet needs (user
driven), become more efficient (efficiency driven), solve
social problems (social driven), or solve wicked
problems for underserved markets (challenge driven).
Operational perspective: Frugal innovation
involves means and ends to do more with
less for many.
Conceptual
definition
Theoretical
definition
Operational
definitions
9
10. Frugal
Innovation
process entails
means and
ends to
do more
with less
for many
Affordability
Adaptability
Accessibility
Reduced resources, price
As good or better performance
Widely accessible, scalable,
meets needs of unserved
Bhatti and Ventresca 2013; Bhatti et al 2018
11. C o s t
P
e
r
f
o
r
m
a
n
c
e
Cheap
Frugal Standard
Bhatti 息 2011
11
Frugal is not cheap
Suboptimal
Good
Enough
High
Performance
14. Figure 4.3d: Overlay of two figures in support of the
finding that frugal innovation is not cheap
Cheap
Frugal Standard
15. Performance
Time
Addresses lack of
access to healthcare
with a lower cost
business model
Disruptive innovation in less developed countries
Barlow, J. 息 2018
15
Disruptive
Standard
16. C o s t
P
e
r
f
o
r
m
a
n
c
e
Cheap
Frugal Standard
Bhatti 息 2018
16
Disruptive and Frugal
Suboptimal
Good
Enough
High
Performance
Disruptive
17. Performance
Time
Addresses lack of
access to healthcare
with a lower cost
business model
Disruptive innovation in less developed countries
Barlow, J. 息 2018
17
Technology
centric view
23. Procedures per
year
Cost of similar
procedure in the US
Aravind
Eye Care
240,000 50x
Narayana
Health
7,500 30x
The Innovation Sandbox, Prahalad 2006
Famous Frugal Innovations both Surgical
26. 26
Surgical and Household Drill
Bosch Drill:
Same speed
Same torque
Lightweight
Bosch Batteries:
Longer lasting charge
Longer life
Very low cost
https://youtu.be/YbWD6u5O45g
28. Musculoskeletal disorder is a leading clinical & economic
burden for UK
2.16 million bed days, 7.5% of all hospital admissions.1
3rd largest area of NHS spending at 贈4.7 billion in 2013/14.2
The surgical drill and saw is essential to orthopedic
surgery
A single surgical drill can cost as much as 贈23,0003
1. NHS Digital, Hospital Episode Statistics 2014/15.
2. NHS England 2013/14 CCG programme budgeting benchmarking tool online at https://www. england.nhs.uk/resources/resourcesforccgs/prog
budgeting/
3. Prime M, et al. BMJ Innov 2018;4:103110.
UK Context
29. Affordability
Incumbent Innovation
At the national level, if the NHS
were to replace all incumbent drills
with similar offerings this could cost
贈115 million.
(approximately 5000 at estimated cost
of 贈23K per drill)
However, if all of NHS
providers were to move to the
Arbutus Drill Cover System it
could cost as little as 贈7.5 m.
(estimated cost per drill 贈1500)
At the hospital level, the total cost
to equip and maintain surgical drill
equipment for two theatres over 5
years would be 贈324 500.
(11 drills at 贈23K per drill with annual
battery replacement for years 25)
While Arbutus Drill Cover
System would be 贈47 993.
(2 drills+2 saws; 22 initial linens;
14 p.a. replacement linens and 4
replacement batteries per drill for
years 25).
94%
saving
85%
saving
30. Insanity is doing the
same thing over and over
again and expecting
different results.
Albert Einstein
31. Make time
and space
for learning
and adopting
new ways of
working from
unconventional
sources
#2: Learning objectives:
Summarise emerging trends in healthcare innovation, open and frugal innovations
Discuss what are frugal innovations in healthcare
Question whether frugal and reverse innovations have a level playing field
#8: From the above perspectives we see that the common features of frugal innovation are serving underserved consumers who face market (market cant reach or make it affordable enough) or technology failure (technology is not designed for those users). So the definitions that stem from this are: i) Overcoming market or technology failures to create inclusive markets. ii) Frugal innovation provides solutions (products, services, distribution, business models) for underserved consumers who face market or technology failure.
#14: Lecture: Meratul Uroos Episode 8: Show clip on expensive shaadi cards as bad example of high cost => high performance
#15: Lecture: Meratul Uroos Episode 8: Show clip on expensive shaadi cards as bad example of high cost => high performance
#19: Find out how to defend Institutional and Business innovation overlap!
Innovation under three or any two of the three constraints is Frugal innovation
Any two of three sandbox constraints foster frugal innovation
#23: Key takeaways from the five cases:
When we talk about frugality, it comes back to large capital expenditures and people. Changing the setting of care and the providers are the key drivers of frugal innovation.
Facilitation of communication and integration across the system (between payers, providers, patients, families, etc) was found to be a critical component of all the models.
Empowerment of patients, consumers, and their families to move toward health seeking behavior and change the way they interact with the system of care was also a common element.
#33: Curators need to: 1) develop standards for innovation presentation
2) agree standards for innovation quality assurance
3) present evidence of innovation adoption within other contexts.
We believe a metric combining these three dimensions should be created to help indicate and highlight the best solutions.