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78 more than 40 active spin-off companies. Cleveland Clinic Innovations uses its proprietary INVENT commercialization process to evaluate inventions. One notable spinoff company born out of CCI is Explorys, a big data man- agement company that IBM acquired in 2015. Additionally, CCI operates two innovation centers focused on specific specialties: e Global Cardio- vascular Innovation Center and the National Center for Accelerated Inno- vation, both multiorganizational centers based in Ohio. Dartmouth-Hitchcock Center for Surgical Innovation (Lebanon, N.H.). Surgeons at Dartmouth-Hitchcock can take advantage of the hos- pital's Center for Surgical Innovation, which provides them with resources for translational research and support to develop "bench-to-bedside" in- vestigations to improve the safety and efficacy of surgery across all special- ties. e center contains two operating rooms and two procedure rooms where surgeons can improve technique and test new technologies. CSI is a collaborative initiative between the hospital, Dartmouth College's Geisel School of Medicine and ayer School of Engineering. El Camino Hospital's Fogarty Institute for Innovation (Mountain View, Calif.). omas Fogarty, MD, is widely known for inventing the embolectomy catheter, or balloon catheter, which was patented in 1969, but he also carried that same spirit of innovation to El Camino Hospital when he created the Fogarty Institute of Innovation in 2007. Alongside academic, clinical, corporate and government partners, FII serves as an incubator to help develop innovators' ideas and products. Since its in- ception, FII has worked with 20 companies, five of which have spun off. Florida Hospital Innovation Lab (Orlando). e Innovation Lab is located within the Florida Hospital Orlando and serves as a space for innovators to collaborate. Anyone from the hospital can bring a chal- lenge, idea or opportunity to FHIL to develop a project for improving care. Among e Innovation Lab's partners and clients are Johnson & Johnson, General Electric, the American Heart Association and the Uni- versity of Central Florida. FHIL has worked with more than 100 projects, 2,000 people and eight corporations. Froedtert & the Medical College of Wisconsin's Inception Health (Mil- waukee). Inception Health is the hub of Froedtert & the Medical College of Wisconsin's health networks' digital health services. e hub's focus ar- eas include improving care, improving the health of the community, rein- venting the consumer experience and reducing the cost of care by partner- ing within the health system and external partners to test and scale digital health solutions. Inception Health was formed in 2015. Hartford (Conn.) Hospital's Center for Education, Simulation and In- novation. What started as a medical simulation center in 1999 has trans- formed into the Center for Education, Simulation and Innovation. While the focus of the 20,000-square-foot training facility is largely medical train- ing, CESI also partners with corporations to support the research, develop- ment and design of new products to improve patient safety, outcomes and hospital operations. CESI has worked with numerous companies including Olympus, St. Jude Medical, Medtronic, Covidien and more. Henry Ford Health System's Innovation Institute (Detroit). Since 2012, the Henry Ford Innovation Institute has supported the Henry Ford com- munity's innovators by offering invention vetting, subject matter experts to assess market potential, prototype partners and facilities, and more. In 2014, the institute created a fellowship program, called the William Da- vidson Fellowship for Entrepreneurs in Digital Health, to develop leaders to address challenges in the healthcare landscape. Last year, Henry Ford Innovation Institute signed a license agreement with Medline Industries to manufacture, market and distribute one of its seminal inventions — the Model G patient gown, a patient gown redesigned for comfort. Hospital for Special Surgery's HSS Innovation Center (New York City). e HSS Innovation Center is comprised of a technology devel- opment office that has been around since 1979 to commercialize viable technologies and an accelerator to develop and pilot ideas. e center fo- cuses on innovations in both life sciences and care delivery. Some exam- ples of commercialization partners HSS Innovation Center has collabo- rated with include DJO Surgical, Novo Nordisk and Pfizer. Additionally, the center has an Innovation Fund, reserved to support projects led by HSS clinicians, scientists or employees. Intermountain Healthcare's Healthcare Transformation Lab (Murray, Utah). e Healthcare Transformation Lab opened 10 miles south of Salt Lake City in August 2013 with the goal of researching, developing and measuring ideas to optimize patient care. Intermountain physicians experienced this in a very hands-on way in June when they used tech- nology at the Healthcare Transformation Lab to create a 3-D model of a patient's kidney to figure out how to remove a complicated tumor. e lab's other projects include developing the patient room of the future, a hand-washing sensor to boost hand hygiene compliance and a life detec- tor that alerts caregivers to changes in patients' vital signs. Johns Hopkins Medicine's Sibley Innovation Hub (Washington, D.C.). e Innovation Hub at Sibley Memorial Hospital, part of Balti- more-based Johns Hopkins Medicine, seeks to envision what healthcare will look like in five years, and then make that a reality today. e hub's longest project is the Transition Projects, which wants to amend work- flows to replace the idea of a hospital "discharge" with a "transition," un- derscoring how support doesn't end once a patient leaves the hospital. In 2015, a team from Sibley Innovation Hub won second place in the Veterans Affairs Innovation Creation Makeathon Challenge to develop technologies to improve care for veterans with disabilities. Kaiser Permanente's Sidney R. Garfield Health Care Innovation Cen- ter (San Leandro, Calif.). Named aer Kaiser Permanente's founding physician, the Garfield Center opened in June 2006 and has served as grounds for developing ideas and testing innovations. Successful initia- tives coming from the Garfield Innovation Center include KP MedRite, a step-by-step workflow to avoid medication errors, and the Interactive Patient Care System, a screen-based hub in the patient's room enabling communication with the care team and access to online resources. e center is intended for use by Kaiser Permanente employees, though it does offer limited availability for external visitors. Massachusetts General Hospital's Stoeckle Center for Primary Care Innovation (Boston). e John D. Stoeckle Center for Primary Care Innovation was established in 2001 and named for Dr. Stoeckle, who spent 50 years as a primary care physician at Mass General. Focused on revitalizing and redesigning primary care delivery, the Stoeckle Center offers educational resources, conducts research projects and hosts inno- vation programs. One of the innovation programs is the Depression Pilot Project, which seeks to use an evidence-based model to facilitate better depression management through a multidisciplinary care team and a non-physician care manager role. Mayo Clinic Center for Innovation (Rochester, Minn.). Mayo Clinic Center for Innovation offers capabilities and services for designing re- search, seeking to transform healthcare delivery with a patient-centered focus. Projects coming out of the Center for Innovation include OB Nest, which offers remote prenatal care, and Re-Engineering Dialysis Project, which seeks to improve care delivery and outcomes for Mayo Clinic di- alysis patients. Each year the center hosts Transform, a two-day confer- ence convening healthcare providers, designers, entrepreneurs, policy experts, researchers, investors and more to inspire and create innovative change in the industry. MD Anderson Cancer Center's Strategic Industry Ventures (Houston). rough collaborations with faculty and working with the health system's Office of Technology Commercialization, MD Anderson's Strategic Indus- try Ventures seeks to bring new drugs, diagnostics, devices and information solutions to market to benefit cancer patients. e OTC also looks for viable