CADTH 2015 Symposium

1. The Canadian Top Ten Watch List of New and
Emerging Health Technologies:
Methods, Lessons Learned, and Impact
Rosmin Esmail, MSc, CHE
Chair for CNESH
Director, Health Technology Assessment and Adoption
Research, Innovation and Analytics Portfolio
Alberta Health Services
CADTH symposium, April 13, 2015

2. ∗ Started in May 2011.
∗ A Canadian collaborative network of organizations
and individuals.
∗ Identifies and shares information on new and
emerging health technologies to support health care
decision making and the appropriate adoption and
use of effective and safe health technologies.
Canadian Network for Environmental
Scanning in Health

3. ∗ To identify information on new, emerging, or new
applications of health technologies, and to share this
information across Canada.
∗ To develop and promote methods for the
identification, filtration and prioritization of new or
emerging health technologies.
Mandate

4. ∗ Rosmin Esmail, Chair, Health Technology Assessment and Adoption, Research Innovation and
Analytics Portfolio, Alberta Health Services
∗ Cédric Jehanno, Vice-Chair, Institute national d’excellence on santé et services sociaux (INESSS)
∗ Ron Goree, Past Chair
∗ Nelson Millar, Office of Pharmaceuticals Management Strategies, Health Canada
∗ Keith Keough, Healthcare Technology and Data Management, Eastern Health Region
∗ Janet Martin, Health Technology Assessment for the Evidence-based Perioperative Clinical
Outcomes Research (EPiCOR-HiTEC)
∗ Gabriela Prada, Health Innovation, Policy and Evaluation, The Conference Board of Canada
∗ Dagmara Chojecki, Institute for Health Economics
∗ Mitch Levin, Programs for Assessment of Technology in Health Research Institute (PATH),
McMaster University
∗ Elena Lungu, Patent Medicines Prices Review Board
∗ Nina Buscemi, Health Technologies and Services Policy, Alberta Health (Observer)
∗ Andra Morrison, Program Development Officer, CADTH
∗ Nina Frey, CADTH Secretariat
CNESH Members

5. What should CNESH focus on

6. WHY A TOP 10 LIST? – WE HAVE
OTHER EXAMPLES

7. EXAMPLES
OF OTHER
TOP 10
LISTS IN
HEALTH
CARE

8. Why not a Canadian top 10 list?

9. ∗ Fall 2012-Network members agreed to develop an annual top 10 list of new and
emerging health technologies for Canada.
∗ Technologies that would be potential “game changers”.
∗ List would be useful to support Canadian health care decision makers (patient,
provider and policy maker) and HTA producers.
∗ Support effective planning and decision making for introduction of new and
innovative health technologies in the Canadian Health Care system.
∗ Sought advice at CADTH 2013 workshop
∗ Developed a rigorous process to ensure we were following best practices in
horizon scanning
What we did?

10. ∗ Drugs, including but not limited to, biologics, blood products, vaccines,
and prescription and non-prescription medicines.
∗ Medical, dental, and surgical devices and procedures.
∗ Diagnostics, including but not limited to, laboratory tests, screening
programs, and diagnostic imaging.
∗ Does not include:
∗ Health human resources
∗ Health system design
∗ Electronic health-related technologies
CNESH definition of Health
Technology

11. ∗ ‘New’ refers to health technology that has been approved for clinical
use for only a short time and is generally in the launch or early post-
marketing stage of diffusion. Medical devices may be marketed but
<10% diffused or localised to only a few centres.
∗ Drugs are considered if they have not received Health Canada approval
at the prioritization phase of the CNESH top 10 process.
∗ ‘Emerging’ refers to a health technology that has not yet been
approved by the regulator for use but has potential for significant
impact on the health care system. Pharmaceuticals will usually be in
phase II or III clinical trials; medical devices will be within six to nine
months of marketing.
∗ Emerging technologies could also include:
∗ an existing health technology being investigated for a new indication, or
∗ a health technology that is part of a group of developing technologies that, as
a whole, may have an impact.
New and Emerging Health
Technologies

13. Some good press…

15. Want to know where healthcare tech is heading? Watch the CNESH Top 10
Watch List
WRITTEN BY TIM WILSON ON OCTOBER 29, 2014
Email Print Text size Comment
Tech Tonic
by Tim Wilson
http://www.canadianhealthcarenetwork.ca/healthcaremanagers/discussions/blogs/technology-blog/want-to-know-where-healthcare-tech-is-
heading-watch-the-cnesh-top-10-watch-list-25184/2

16. http://www.google.ca/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=2&cad=rja&uact=8&ved=0CCQQFjAB&url=http%3A%2F
%2Feuroscan.org.uk%2Fmmlib%2Fincludes%2Fsendfile.php%3Fid
%3D158&ei=kDUdVf2rJ9WwyATdxYCwAw&usg=AFQjCNHvN4NPZ59vp7MTwKactSCbwZlXwg&bvm=bv.89744112,d.aWw

17. 10. Finding time for network volunteer activities
is very challenging
9. Getting agreement on process
8. Significant in-kind volunteer support
7. Convincing folks to nominate a technology
6. Start-up process is very time consuming
Top 10 Lessons Learned from
2014…

18. 5. Nominators exaggerate benefits/minimize
harms
4. Significant staff resources are required
3. Very hard to screen out technologies
2. Expert involvement
1. With dedication and commitment it can be
done!
Top 10 Lessons Learned from
2014…

20. New and Improved Process

21. Andra Morrison
Program Development Officer (Medical Devices)
CADTH
Panel Presenter

22. Top 10 New and Emerging Health
Technologies Watch List 2015

23.
Cédric Jehanno
Vice-chair of CNESH
INESSS
Panel Presenter

24. Timing of the call for nominations
and
number of nominations we received
Top 3 Lessons Learned from
2015…

25. http://www.newswire.ca/en/story/1418412/cnesh-call-for-
nominations-for-2015-health-technology-watch-list

26. How can we increase the profile
of CNESH and the top 10 list?
Top 3 Lessons Learned from
2015…

27. What is the value add and impact of the list?
Top 3 Lessons Learned from
2015…

28. ∗ John Soloninka, HTX
∗ Alison Drinkwater, Baxter Corporation
∗ Alain Boisvert, Bristol Myers Squibb
Panel Presenters

29. Top 10 Next Steps…
10. Approval of 3 year business plan
9. Feedback from nominators
8.Refinement of process and criteria
7. Involve collaborators in CNESH
6. Evaluation plan

30. Top 10 Next Steps…
5. Feedback from users
4. Publish our work
3. Monitor status of top 10 watch list
2. Develop 2016 top 10 list…
1. Take another (short) break!

31. ASK A QUESTION…
GET a T-shirt
https://www.cadth.ca/about-environmental-scanning/cnesh