in Surgery: An Alberta Environment Scan CADTH Symposium April 16, - - PowerPoint PPT Presentation

Introduction of New Health Technology in Surgery: An Alberta Environment Scan

CADTH Symposium April 16, 2019 Edmonton, AB Poulin P, Robert J, Rudmik L, Schuler T Presented by: Paule Poulin

Disclosure

I have no actual or potential conflict of interest in relation to this topic or presentation.

106 acute care hospitals 650 facilities 5 psychiatric facilities 4+M Albertans Rural hamlets to urban centres 100,000 AHS employees 15,000 volunteers 7,900 medical staff 8,471 acute care beds 23,742 continuing care beds 208 community palliative & hospice beds 2,439 addiction and mental health beds

Calgary Zone North Zone Central Zone

Red Deer Regional Hospital Stollery Children’s Hospital

Edmonton Zone

University

• f Alberta

Hospital Misericordia Community Hospital Sturgeon Community Hospital

South Zone

Medicine Hat Hospital Foothills Medical Centre Alberta Children’s Hospitals South Health Campus Peter Lougheed Centre Chinook Regional Hospital Grey Nuns Hospital Royal Alexandra Hospital Rockyview General Hospital Queen Elizabeth II Hospital Northern Lights Regional Hospital

Environment Scan

What Did We Do?

• Key ES survey elements:
• 1. Definition of new Health Technologies
• 2. Review process
• 3. Committee structure / Relevant decision-making bodies/individuals
• 4. Literature appraisal /Types and sources of information considered
• 5. Decision/adoption Process/ factors/ philanthropy
• 6. Budget authority
• 7. Outcomes measure

What Did we Find?

• Key Challenges Encountered
• Unwarranted variations in technology adoption
• Silos decision making processes
• Duplication of efforts
• Significant budget impact
• No outcomes reporting

What Did we Find?

• Key Opportunity for Improvements
• Coordination, Communication and Education
• Guidance for topic identification and prioritization
• Provincial Advisory Committee on Surgical Innovation

(PACOSI)

PACOSI

• Purpose
• Enhance Communication, Coordination & Education
• Provide Recommendations
• Value & Impact
• Implementation strategy
• Outcomes reporting
• Advise on Key Emerging Technologies

PACOSI

• Roles
• Topic identification and prioritization
• Evaluate selected technology request
• Recommend where the technology should be implemented
• Evaluate budget impact across zones
• Provide support for implementation strategy development
• Facilitate post-implementation monitoring
• Strengthen engagement with stakeholders
• Review appeals

Committee Procedure

PROVINCIAL INTAKE REFERRAL DUE DILIGENCE RECOMMENDATION APPEALS

2 3 4 5 6 1

• Stakeholders

engagement

• Check priority and

unmet needs

• Review requests &

recommend how requests should be handled at a provincial level

• Refer selected

requests for review

• Due diligence

team identified

• Due diligence team

carry out evidence assessment

• Impact Assessments
• Budget/Risk/Benefit

analysis

• Report &

Recommendation to PACOSI

• Handle appeals

EVIDENCE SYNTHESIS & ASSESSMENT

• PACOSI review the

R&R

• Evaluate impacts

across the Zones

• Suggest strategic

implementation

• Support business

plan creation

• Performance

monitoring

• PACOSI make

provincial scope and scale recommendations to SSCN Core

• SSCN Core make

recommendations to AHS leadership for decision

Due diligence team Assessment & Recommendation to PACOSI Technology Requests To PACOSI

PACOSI Accountability and Reporting:

PACOSI Make Recommendations to SSCN Core Approved Not Approved Implementation, Monitoring Evaluation Appeal Process Approval Pending: Evaluation, Clinical Trial, Funding Decision by AHS Leadership Zone Operation Site Leaders Purchase / Implement SSCN Core Make Recommendations to AHS Leadership

Acknowledgements

• Paule Poulin
• Sean Grondin
• Jill Robert
• Jonathan White
• And all members who participated

in the Environment Scan

• Trevor Schuler
• David Williams
• Luke Rudmik
• Stacey Litvinchuk

April 23, 2019

Surgery SCN

PACOSI

Membership

 Zone Clinical Department Head, Calgary Zone (or delegate).  Zone Clinical Department Head, Edmonton Zone (or delegate).  Clinical surgical leaders from each additional Zone/Site (Red Deer, Lethbridge, Medicine Hat, Grand Prairie, Fort McMurray  Operational surgical leaders from each Zone (e.g., SOOs, ED Surgical Services, others)  A representative from the AHS Innovation Evidence & Impact group  A representative from Alberta Health, Alberta Advisory Committee for Health Technology (AACHT)  Representatives from SSCN Core Committee leadership