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The achievement of innovation performance by means of open innovation (OI) is not automatic and intellectual capital (IC) can play a pivotal role. In 2020, COVID-19 challenged the sanitary systems and required to rapidly introduce innovative health technologies. By unleashing multitudes of brains, OI may help. However, the pandemic introduced social distancing that acted to the detriment of firms’ IC, which should guarantee OI successfulness. This tension pushed us to investigate how OI affects IC to provide effective and timely innovative solutions during crises. We studied a company that rapidly modified its telemedicine product to provide a Local Health District (LHD) with an effective solution for monitoring COVID-19 patients. By distinguishing between OI developed prior to ( ex-ante ) and post ( ex-post ) the COVID-19 outbreak, we show that  ex-post  OI can build on IC strengthened by  ex-ante  OI and hence allow higher performance needed to combat the pandemic.

Open innovation and intellectual capital during emergency: evidence from a case study in telemedicine