The challenge most healthcare systems face today ranges between the duality of Innovation and Organizational Efficiency. Those two dimensions of survival are sometimes difficult to comprehend in a dynamic socio-technical space; and hence are sometimes misinterpreted as mere opposite in the way we operate healthcare. In this piece, I try to explain from my observations and using a well-known theory of Exploitation and Exploration to shed the light on a simple yet powerful idea that innovation and efficiency are equally important.