How to Turn Old Ideas Into Creative Solutions to Modern Problems
Don’t reinvent the wheel — rediscover it.

It’s a cliché that the most innovative ideas come in a flash of inspiration: Archimedes in his bathtub, Newton and the apple.
But anyone whose job depends on coming up with new ideas knows that’s not entirely true, mostly because there’s no such thing as a totally novel or original idea. New ideas are often pieces of old ideas that have been adapted or combined in creative ways.

Stefanos Zenios | Nancy Rothstein
In his course Startup Garage, Stefanos Zenios teaches students how to develop companies that provide innovative solutions to everyday problems. Over his 13 years leading this popular class, he’d noticed that it was common for students to combine elements of existing ideas. But the process could be slow: Every problem led to new subproblems to be solved, and students had trouble looking for solutions beyond their own areas of interest or expertise.
“We didn’t have a structured way of telling them, ‘Take the elements, break them down into subelements, find solutions that could work for each of those subelements, and then combine them together,’” says Zenios, a professor of operations, information, and technology at Stanford GSB and the faculty director of the Center for Entrepreneurial Studies.
What if, Zenios wondered, there was an organized and reliable process that would increase the likelihood of landing on a viable idea?
About five years ago, Zenios met Ken Favaro, MBA ’83. Throughout his more than 30 years in management consulting, including senior leadership roles at Marakon Associates and Booz & Company, Favaro had been thinking about where ideas come from and had started to develop a system to create new solutions using creative combinations of past innovations.

Ken Favaro, MBA ’83 | Eugene Krasnaok
“To have great ideas, you need great precedents,” Favaro says. “To find great precedents, you need to ask the right questions. To ask the right questions, you need to know what needs to be solved. You need to articulate the problem and break it down into minimum essential parts.”
Favaro and Zenios began working to refine this initial idea into a specific innovation methodology. They called it precedents thinking. “You frame the problem first,” Zenios explains. “Then you search for precedents, then you consider creative combinations of precedents, and then you convert those precedents into an actionable solution. It’s a compelling approach. It’s an approach that is also consistent with how innovation happens.”
Zenios and Favaro elaborate on the promise of precedents thinking in a recent article in the Harvard Business Review. They open with a fascinating example of precedents thinking: More than a century ago, Henry Ford developed his revolutionary motor company by combining elements of the moving disassembly lines in Chicago slaughterhouses, Procter & Gamble’s staff profit-sharing plan, the Singer sewing machine company’s network of independent dealers, and quick-drying nitrocellulose black lacquer, otherwise known as “japanning.” “I invented nothing new,” Ford later said. “I simply assembled the discoveries of other men behind whom were centuries of work.”
Venture Time
How Irv Grousbeck helped launch the GSB’s entrepreneurship curriculum.
When H. Irving Grousbeck graduated from Harvard Business School in the early 1960s, it was known for churning out corporate managers. Grousbeck quickly realized he was an outlier: “I didn’t want to work for anybody.”
Grousbeck went on to co-found Continental Cablevision (later Media One), serving as its president until 1980. In 1985, he came to teach at Stanford GSB. When he arrived, he discovered an entrepreneurship curriculum with just two courses, one on strategy and another on small business management. He started out “way back in a dark office where no one saw me.”
But demand for his classes grew, both because of his reputation (he won the distinguished teaching award his second year at the school) and because of Silicon Valley’s gravitational pull. At the behest of Dean A. Michael Spence, Grousbeck and Professor Charles Holloway founded the Center for Entrepreneurial Studies in 1996. They attracted tenured faculty and practitioners to broaden the scope of coursework, research, and expertise available to students.
“Chuck [Holloway] and I were helping to develop entrepreneurship in Silicon Valley, after all, and that shouldn’t be too hard — a lot of the credit goes to the education environment,” Grousbeck told Stanford Business in 2019. “But the school has come to be known, in part, for its entrepreneurship curriculum, and we are proud of that.”

Elena Zhukova
Today, the GSB has more than 50 courses under the entrepreneurship umbrella. Grousbeck, who teaches Conversations in Management, says his educational mission remains unchanged: He wants students to understand what issues, risks, challenges, and opportunities a career in entrepreneurship entails and to question whether it’s right for them. “When I teach, I’m not trying to proselytize, to convince students to be entrepreneurs, or even make it easy for them,” he says. “I’m simply trying to demystify the option.” — Dylan Walsh
A $265 Billion Question
Favaro had used precedents thinking to solve business problems in the food, pharmaceutical, and entertainment industries. Zenios thought it could be applied to larger systemic problems in other sectors, such as his other main research interest, healthcare.

Kevin Schulman | Nancy Rothstein
With his GSB colleague Kevin Schulman, who is also a professor at Stanford School of Medicine, Zenios assembled a research team of six students from the GSB and the medical school to use precedents thinking to find a solution to streamline the cluttered and overly complicated U.S. healthcare system. They would be advised by a steering committee of industry experts. Their target was administrative waste — the combination of bureaucracy, inefficiency, and unnecessary complexity that eats up more than $265 billion annually.
“The administrative cost issue is, to my mind, the one we should tackle,” Schulman says. “The process is broken and the transaction process is broken. So we can’t really make major changes in this issue if we keep the same underlying business process.”
Many pieces of the nearly $5 trillion healthcare system, he explains, are still using analog systems from decades ago, superficially updated to keep operating in the digital era. There’s no standardization or transparency, but there is plenty of duplication and redundancy. The complexity is mind-boggling: Across the entire industry, there are 318,000 different plans, 599,000 codes for products or services, and 57 billion negotiated prices.
Schulman believes this is a good moment to propose changes to the system: The nascent AI revolution has inspired more business leaders to be open to new technologies and ways of thinking. And Americans are increasingly fed up with the cost and quality of the current system, as tragically illustrated by the assassination of the CEO of UnitedHealthcare last December.
The research team was led by Brooke Istvan, MBA ’24, who had previously worked in the healthcare industry as a consultant, and included her classmates Bryan Kozin and Walt Winslow, both MBA ’24. They began with a series of workshops led by Zenios, Favaro, and Schulman to understand the precedents-thinking process and distill the problem into a single statement: “How to create the standardization and infrastructure that’s needed to reduce administrative waste in healthcare.” They broke the problem into two separate elements, or deconstructions, focused on reducing the variety and complexity of contracts that lead to administrative burden and creating a payment infrastructure to support “an efficient healthcare transaction ecosystem.”
Then the students began searching for every possible precedent that might solve both the problem and its two deconstructions. They brainstormed. They interviewed members of the steering committee and other industry experts. They fed the problem statements into ChatGPT until the program’s responses stopped making sense. The precedents could come from any industry, not just healthcare, and from the public or private sector. Each, however, had to be relevant to at least one problem deconstruction and more detailed than a common best practice, and there had to be evidence of its success beyond dumb luck.

When the research team finished after four months of work, they had compiled 82 precedents, ranging from the creation of the ATM and the 1040 tax form to ticketing at Disney World and the banking clearinghouses of 18th-century London. The team evaluated each based on its impact, feasibility, capacity to build trust, and applicability to the problem statement. Using sticky notes and a whiteboard, they plotted the precedents on a matrix where they could see overarching themes and identify those with the most potential. After separating the precedents into three categories — centralization, digitalization, and standardization — the team chose 26 for more detailed research.
Something Borrowed
In its search for existing innovations that might be repurposed to reduce wasteful healthcare spending, Stefanos Zenios’ research team identified 82 promising precedents from multiple industries and decades. Here are a few that rose to the top:
Innovations that could be adapted to develop standardized digital healthcare contracts
- Home loans: In the early 1970s, the government-backed agencies Fannie Mae and Freddie Mac created standardized forms and modular mortgage products.
- Standard-setting organizations: Competing firms participate in SSOs to adopt common technical standards that ensure compatibility and interoperability among their products.
Innovations that could be adapted to establish a digital payment platform for the healthcare industry
- Stripe: The fintech company’s digital payment processing system is easily integrated into websites and apps.
- Society for Worldwide Interbank Financial Telecommunication: In 1973, 239 private financial institutions set up SWIFT, a centralized communication system that enabled digital money transfers.
- Federal Aviation Administration: Created in 1958, the FAA consolidated fragmented aviation regulators and provided a comprehensive, standardized approach to overseeing air safety.
“The way we looked at the precedents was not necessarily just ‘what happened?’ but more ‘how did it happen?’” Istvan says. “All of the precedents were either an innovation or a very specific change. We tried to figure out what were the environmental conditions that led to this change or innovation and how the companies actually went about making the change. That was pretty exciting for us because I remember being a little skeptical of the innovation process.”
Changing the Conversation
One of the greatest challenges, Istvan says, was avoiding the trap of delegating the entire task to AI. The other was believing that it would be possible for all the U.S. healthcare companies and agencies to work together without a clear financial incentive. Yet in the course of their research, the team found examples of competitors coming together to solve a common problem. Knowing there were precedents for solving seemingly intractable problems gave Istvan and the other student researchers hope and more confidence in their work.
In the end, the researchers took pieces from several precedents and assembled them into two potential solutions. The first was modularized machine-readable contracts, similar to the mortgage contracts developed by Fannie Mae and Freddie Mac in the early 1970s, with standardized structures and terms that can be customized to apply to different situations. The other was the construction of a uniform digital transaction program inspired by the SWIFT banking cooperative, the secure messaging system that initiates international financial transfers.
In a recent article in the journal Health Management, Policy & Innovation, the team described its proposals and how precedents thinking had led to them. The researchers also have summarized ideas for implementing their proposed solutions in an article in the Journal of the American Medical Association, noting that waste in the healthcare system would be an ideal target for the Trump administration’s push to deregulate and cut spending.
Now the plans have to get into the hands of people who can actually implement them; Schulman has already arranged meetings with policymakers and industry leaders. He thinks that they will listen, in part because the plans were deliberately designed to contain elements of solutions that have worked in the past. “If we say, ‘Here’s my idea that we brainstormed with an incredibly talented bunch of people,’ they may or may not take interest in it,” he says. “But when we say, ‘Here’s how these markets have done it, here’s why these structures are in place,’ it really changes the conversation. That’s the power of the precedent model.”

Already, there’s been interest. “I was recently talking to a healthcare executive who first learned about this project from Kevin, and he was telling me that the underlying proposal that we have sounds very compelling,” Zenios says. It helps that precedents thinking is based on the notion of using ideas that have worked before. “That’s really important in healthcare.”
The Imitation Game
Getting beyond the “Uber of ____” cliché to make corporate analogies that unlock strategic insights.
A few years ago Glenn Carroll and Jesper Sørensen put their ideas about applying logic to business problems in a book, Making Great Strategy: Arguing for Organizational Advantage. But after it was published, they realized they’d left out an important tool for guiding corporate strategy: analogy. They’ve rectified this in a new paper in Strategy Science in which they offer a step-by-step procedure for building and testing analogies between companies.
Carroll and Sørensen, professors of organizational behavior at Stanford GSB, say analogy is one of the more accessible logical tools. “It’s a very common way in which people argue,” Sørensen says. “It very quickly gives people a way of structuring their thinking about otherwise vague ideas.”
Analogies, Carroll says, are more intuitive than other forms of logical reasoning. That may be why they often appear in popular discourse, particularly in descriptions of movies (Carroll mentions a hypothetical “When Harry Met Sally meets The Terminator”) and wars (any long, expensive quagmire will invariably be compared to Vietnam). And they’ve become an easy way to describe new apps or services — to say a startup is “like the Uber of ____” has become a Silicon Valley cliché.
To draw a useful analogy, Sørensen and Carroll suggest starting with the endpoint or solution you wish to reach. Then you should find another company — the target — that has reached a similar conclusion. For example, the founders of the job review site Glassdoor pitched their startup by comparing it to the popular travel website Tripadvisor: Both used ratings and user comments to offer otherwise hard-to-find information about personal experiences. Glassdoor was similar to Tripadvisor, the logic went, therefore it would be similarly successful.
Of course, such similarities may prove skin deep. An analogy, Sørensen says, “can also be dangerous. You can get seduced by the analogy, and what you tend to lose sight of is the way in which the analogy might not work.” To avoid that mistake, Carroll says you should take a closer look at the target company’s business model and identify the elements, or premises, it has in common with your company. The next step is comparing each premise. This is where promising analogies sometimes die.
Sørensen recalls working through this exercise with a group of Australian executives. The analogy under discussion was that Rover.com was the “Uber of dog-walking.” As the group delved into the comparison, they realized it didn’t quite hold. The Australians, who had never heard of Rover, assumed it offered dog-walking on demand much as Uber offered rides on demand. But this was not the case: The similarity between the two companies was that both provided jobs for gig workers. Rover customers still had to schedule their dog walks in advance.
There are two types of comparisons: horizontal and vertical. Horizontal comparisons are about the features of a business, as in the Rover-Uber analogy. Vertical comparisons are about the logic of a business decision. Sometimes they can be more valuable to an analogy.

Glenn Carroll | Nancy Rothstein
Sørensen recalls a former MBA student who became an executive for a large rideshare company. The company wanted to provide rides to wheelchair users but couldn’t figure out why, in most cities, a single company tended to dominate this market. The alum found the answer by drawing an apparently unlikely analogy to the Mexican cement company CEMEX.
He saw that providing accessible transport and making cement depend on large initial investments in specialized equipment, and there are limits on the scope of both businesses. It’s expensive to move cement, so a company can only operate within a certain area; likewise, a wheelchair-accessible van can only transport a certain number of passengers. “A fixed-cost investment like that creates really strong pressure so that only one player can survive in this market,” Sørensen explains. “So whoever gets there first and makes all those big investments will then be the only one who can survive.”

Jesper B. Sørensen | Nancy Rothstein
The appeal of these types of comparisons, Sørensen adds, is that they give you a chance to look at something that already works. He suggests making analogy strategy a group exercise where everyone is encouraged to come up with their own analogy for their business and then compare the results.
“It’s one technique you could use,” he says, “for understanding your current business, but also for thinking about new opportunities. When you do it in groups, you start to see how everyone thinks about the business differently.”

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