opportunities for building innovation capacity in ontario dr. anne snowdon chair
TRANSCRIPT
Opportunities for Building
Innovation Capacity in
Ontario
Dr. Anne Snowdon
Chair
│WHY IS INNOVATION NEEDED?
• Canada’s health systems are consuming 50% of tax revenues, costs outpacing GDP
• Health system costs/capita are among highest OECD countries
• Access (Wait times and ALC rate) remains a challenge, Chronic illness rates increasing
• Innovation adoption record 13/17, globally
Note: * Estimate. Expenditures shown in $US PPP (purchasing power parity).Source: Calculated by The Commonwealth Fund based on 2007 International Health Policy Survey; 2008 International Health Policy Survey of Sicker Adults; 2009 International Health Policy Survey of Primary Care Physicians; Commonwealth Fund Commission on a High Performance Health System National Scorecard; and Organization for Economic Cooperation and Development, OECD Health Data, 2009 (Paris: OECD, Nov. 2009).
AUS CAN GER NETH NZ UK US
OVERALL RANKING (2010) 3 6 4 1 5 2 7
Quality Care 4 7 5 2 1 3 6
Effective Care 2 7 6 3 5 1 4
Safe Care 6 5 3 1 4 2 7
Coordinated Care 4 5 7 2 1 3 6
Patient-Centered Care 2 5 3 6 1 7 4
Access 6.5 5 3 1 4 2 6.5
Cost-Related Problem 6 3.5 3.5 2 5 1 7
Timeliness of Care 6 7 2 1 3 4 5
Efficiency 2 6 5 3 4 1 7
Equity 4 5 3 1 6 2 7
Long, Healthy, Productive Lives 1 2 3 4 5 6 7
Health Expenditures/Capita, 2009 $3,357 $3,895 $3,588 $3,837* $2,454 $2,992 $7,290
Country Rankings
1.00–2.33
2.34–4.66
4.67–7.00
Overall Ranking of Health Care Quality: Commonwealth Fund Report
Self-Reported Health Status
Leading the Future of Health Care in Canada?
“If I had asked people what they
wanted, they would have said faster
horses”
6
│Key Ingredients to innovation adoption: Case Learning Approach
Industry Policy Makers
Academic Research
Team
Health System, Clinical teams,
Patients
Industry drives economic value, creates technologies, devices that can be transformational.
Create the conditions for innovation adoption and scalability
Innovation means transforming health services models, leveraging technology, health teams need to design the way forward
Create the evidence for impact, system level impact.New metrics are needed to capture value
Build Capacity to Drive Innovation Locally, scaled regionally/nationally
Leadership “Pipeline”: how does leadership drive innovation?
Leading transformation is a “team sport”, it will take ALL of us, within the health sector, and collaborations with other sectors: ex. Education, clinicians, youth organizations, Universities/colleges, private sector, etc
Role of the Private Sector in health system innovation?
How do we leverage industry partnerships to build capacity for innovation in health systems. Paradigm of Economic Value applied to health care , Business Thinking Opens up thinking about what is possible.
What are the opportunities to break down the Silos and foster Innovation?
Data Silos
Professionaland
Discipline specific
Silos
Academic Hospital CommunityPrimary CareLong Term Care
Health system
IndustryPolicy
How do Innovators Overcome Risk Aversion?
Need to commit to Longer term strategies within a “balanced portfolio” with shorter term, “quick wins”. Focus on learning, “fail early, fail cheap” and then disseminate to achieve scalability
What are the new Metrics for health systems that capture value?
Access to help
Meaningful Friendships
Community Support systems
Family engagement
Wait Times
Adverse Events,
Mortality
Procedure&
Equipment Costs
MD Costs
Provider Person
How does the “Empowered” Consumer influence Innovation?
• The “Passive Patient” is now the empowered consumer
• shift from “blind trust” to “earned trust”, engagement that delivers value
• “Dr. Google” arrives in MD offices every day, even an ATM asks if I would like another transaction.
• Shifting role of consumer and health provider
The Future of Health Care?• Need to understand how
Health systems can deliver Value to Canadians
• Need to define success in terms of what matters to the person and family
• Need to understand how digital technologies can connect people to health systems in a meaningful way
│BUILD THE EVIDENCE FOR ADOPTION AND SCALABILITY
Research Innovation• New technology• New therapies
Proof of Concept
xs
Proof of Relevance
Clinical Innovation• Patient care
implementation• Clinician
adoption• Integration into
service delivery Proof of Value and Scalability
Innovation Adoption across Health Systems
• IT decision support• Service delivery model
redesign• Performance metrics support
adoption• Financial model for
reimbursement• Leadership to drive
innovation• Integrate innovation into the
DNA of the health system• Consumer value
“Strive not to be a success, but to be of value” - Albert Einstein
Thank you