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
Overall Ranking of Health Care Quality: Commonwealth
Fund Report
Country Rankings
1.00–2.33
2.34–4.66
4.67–7.00
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
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
Access
Health Expenditures/Capita, 2009
$3,357
$3,895
$3,588
$3,837*
$2,454
$2,992
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).
$7,290
Self-Reported Health Status
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&
Leading the Future of Health Care
in Canada?
“If I had asked people
what they wanted, they
would have said faster
horses”
│Key Ingredients to innovation adoption: Case
Learning Approach
Industry drives
economic value,
creates technologies,
devices that can be
transformational.
Create the evidence
for impact, system
level impact.
New metrics are
needed to capture
value
Industry
Policy Makers
Academic
Research
Team
Health
System,
Clinical
teams,
Patients
Create the
conditions for
innovation
adoption and
scalability
Innovation means
transforming health
services models,
leveraging technology,
health teams need to
design the way forward
Build Capacity to Drive Innovation Locally, scaled regionally/nationally
6
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
Professional
and
Discipline
specific
Silos
Academic
Health
system
Industry
Policy
Hospital
Community
Primary Care
Long Term Care
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?
Provider
Person
MD Costs
Wait
Times
Procedure
&
Equipment
Costs
Adverse
Events,
Mortality
Family
engagement
Community
Support
systems
Access
to help
Meaningful
Friendships
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
Innovation Adoption across
Health Systems
Clinical Innovation
Research Innovation
• Patient care
implementation
• Clinician adoption
• Integration into
service delivery
• New technology
• New therapies
Proof of Relevance
Proof of Concept
• IT decision support
• Service delivery model redesign
• Performance xs
metrics support
adoption
• Financial model for reimbursement
• Leadership to drive innovation
• Integrate innovation into the DNA of
the health system
• Consumer value
Proof of Value and
Scalability
“Strive not to be a success, but to be of value”
- Albert Einstein
Thank you
asnowdon@ivey.ca