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Your Hospital Says No to Innovation: Here's How to Change That
1Loyola University Medical Center, Maywood, Illinois.
The Journal of Bone and Joint Surgery. American Volume
|December 10, 2025
Summary
Hospital technology approval hinders surgical innovation adoption. This article proposes using Economic Value to the Customer (EVC) principles to overcome flawed economic models and achieve value-centric approval for new medical technologies.
Area of Science:
- Health economics
- Medical innovation adoption
- Healthcare management
Background:
- Hospital technology approval is a significant hurdle for adopting new surgical innovations.
- Current economic models often reject innovations based on incumbent pricing and OR time savings, neglecting true value creation.
Purpose of the Study:
- To provide a strategic framework for securing hospital approval for new technologies.
- To apply Economic Value to the Customer (EVC) principles to address managerial agency problems in technology evaluation.
Main Methods:
- Implementing Economic Value to the Customer (EVC) principles.
- Developing strategies to address managerial agency problems.
- Shifting technology evaluation from cost-focus to value-centricity.
Main Results:
- A framework to overcome barriers in hospital technology approval.
- Transformation of technology evaluation from cost-focused rejection to value-centric approval.
- Facilitation of market penetration for innovative vendors and access for surgeons and patients.
Conclusions:
- Adopting EVC principles can revolutionize hospital technology approval processes.
- This approach ensures that genuine value creation, not just cost, drives decisions.
- Benefits include improved patient care, enhanced surgical practice, and successful market entry for innovations.
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