After practicing heart surgery for more than 15 years hand by hand with digital innovation mainly AI solutions. I have developed new perspective / approach for heart surgery leadership and management. This approach  “predictable innovation” this helps to overcome the difficulties of change management, quick adaptation to technology and stay focused on the results. Mastering this This approach needs a mixture of intrapreneurial leadership qualities, customising the entrepreneurial hype and methods to fit in complex institutional environment, create a culture with a tendency for organic improvement and development, systematic approach for change, pragmatic problem solving, interactive planning, mentoring and continues feedback.