Page 110 - Grow from Within Mastering Corporate Entrepreneurship and Innovation
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Emerging Models of Corporate Entrepreneurship           97


              surgery for hip replacements. He presented the idea and
              explored it informally with Zimmer manager Kevin Gregg.
              While the product implications and business model for this
              approach were unclear, Mears received R&D funding to con-
              tinue his exploratory work.  By 2001, the procedure was ready
              for clinical trials. Mears and Gregg got the go-ahead to proceed
              from top management (including CEO Ray Elliott) and, more
              important, the go-ahead to develop the business approach to
              leverage this emerging new capability. Somehow, the improve-
              ment in surgical procedure—if significant—had to be turned
              into a competitive advantage for Zimmer.
                 The clinical trials revealed that the minimally invasive pro-
              cedure could greatly improve patient outcomes, but there were
              many subtleties. To persuade surgeons to learn the procedure
              and begin to apply it preferentially—and therefore drive sales
              of implants and surgical tools—Zimmer conceived an innova-
              tive training program in order to accelerate learning. Surgeons
              who participated in training were required to share patient
              demographics, operative details, and complications for each of
              the first 10 procedures they performed after training, enabling
              new students to learn from their predecessors. In order to make
              the improvements in surgical performance ongoing, Zimmer
              established the Zimmer Institute in March 2003. The Zimmer
              Institute not only incorporated substantive training in mini-
              mally invasive procedures but, according to a 2005 Zimmer
              press release, also incorporated innovations in the training
              process itself, such as interactive online learning and virtual
              reality, as well as new educational techniques to address dif-
              ferent learning styles and preferences. By 2006, more than 6000
              surgeons had been trained there in a dozen different types of
              minimally invasive surgical procedures.
                 Not only has the Zimmer Institute developed a large coterie
              of surgeons who are trained in and comfortable with using
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