Optimal diffusion of health care technologies

1. Avoiding Bedlam: Optimal
Health Technology Diffusion
at the Bedside and Boardroom
Don Juzwishin PhD
Director, Health Technology
Assessment and Innovation
March 17, 2010

2. HTA and Diffusion of Health Technologies
Use
HTA
Disinvestment
Innovation
Obsolescence
HTA
Medical Device
Licensing HTA
Time
Research and Development Experimental Technology Innovative General Use Obsolescence/
Technology Replacement

3. Evidence certain Evidence certain
2. Disinvestment Not effective Effective
1. Assessment
Technology
Ineffective
to be
technology
Certainty of Evidence
adopted
3. Access with
Evidence Development
Promising
technology
4. Innovation
Uncertain evidence Uncertain evidence
Not effective Effective
Effectiveness

4. Alberta Health Services
UNIT Health Technology Assessment, Appraisal and Innovation
FUNCTION
AHS
PROGRAM health
promotion
disease
prevention
public screening diagnosis intervention rehabilitation continuing palliative
health care
OR
SERVICE

5. Federal, provincial and
industry funding
BOSE Biomaterials
and Tissue
Engineering
Integra Nerve Repair
and Regeneration
Biosensors/
BioImaging
Other Technology Health Technology
Development Assessment and Innovation
Centres
Ward of the 21st
Century
Glenrose
Rehabilitation
Hospital
Validation
iRSM
Product Testing &
Alberta Health Services Others Testing &
Development Sites
Industry: SME, MNE
Market Development
Alberta Health and Wellness
Programs
Business Growth
Mentoring
AHS HTAI Ecosystem
International Trade
Technology
Programs
Commercialization
Access to Capital
Facilitation
HQP
• Better
growth
system
products
efficiency
• Increased
• Increased
• Economic
healthcare
valuable IP
demand for
&treatments
• Employment
diversification
• Commercially-

6.  Funder of health
 IHE
services
 U of A
 Alberta Health
 U of C
and Wellness
 ECRI
 AHTDP
 CADTH
Government
HTA Producers
Funders
Knowledge and
HTA Users Technology
 Provider of Creators  Research &
health Development
services molecules to
 Alberta Health bedside to
Services population

7. Knowledge Management and Exchange
Knowledge Management
And
Exchange

8. Knowledge-to-Action Cycle
Monitor
Knowledge
Use
Select, Tailor,
Implement
Interventions KNOWLEDGE CREATION
Evaluate
Outcomes
Knowledge
Assess Inquiry
Barriers to
Knowledge Use
Synthesis
Sustain
Knowledge
Products/
Use
Tools
Adapt
Knowledge
to Local Context
Identify Problem
Identify, Review,
Select Knowledge Graham et al., 2006

9. •Discussion
•Questions