Ecosystem A member of the ECHAlliance International Ecosystem Network eHealth driving the Innovation Environment May 17th Radisson, St Helen’s, Dublin Appendix C: Roundtable discussions Do we understand the value of innovation? What will happen if our health service has a low rate of innovation? Key Issues Challenges Strategies Other Attraction of nurses and clinicians to the Irish healthcare system as an employer Lack of data Unwillingness to empower people in their own health and care (the elderly especially) Missing a policy to encourage frameworks and spaces, like a transformation lab Not asking questions and having data to provide date points baselines Limited data and infrastructure to share between doctor and patient GDPR adherence Define success criteria in advance, failure is okay Root cause, rigor analysis, stakeholder expectations Rigor of process, agree in advance what good looks like – success (KPI), acceptance Culture technologies (existing) If going to fail, fail quickly How disruptive do you want innovation to be?
Gap between academic research and practical research Lack of data to spot opportunities for predictive care Don’t use existing data (attendance data for example) Confusion about the exact definition of innovation Stakeholder dependent Health and Doing something differently Money follows universities for research. Clinicians not affiliated to colleges and struggle to get funding No aggregated data to provide predictive analytics Fear of innovation, afraid of change Privacy – a limitation Support sustainability Data security Alignment /partnership with health environment Cultural change (people, processes, technology, systems) Source of the problem to innovate in Difficult to agree success measures of innovation Visibility of issues (patients problems e.g. waiting list) Is innovation unwelcome today? If so, how and can we change this? Key Issues Challenges Strategies Other Lower down priorities ‘Rocking the boat’ Who are the decision makers? How are those decisions made? Slow progress Adoption is a problem Becoming flexible enough to adopt innovation when it comes along Resistance to change, easier to with incumbent Management level Budgetary constraints Control of budget Aversion to risk More support for individuals Increase incentives Publicize to increase awareness of programmes and supports Multi-annual planning is important for business and innovators. Review of progress and value Benefits management planning Publicise and incentivise within health service to reduce resistance to change Is innovation theory or practice? Key Issues Challenges Strategies Other Procurement Assessment Analysis Solution Deployment Presenting solution to patient Everyone has a day job Access to IT ecosystem Data sharing Reimbursements Accountability – where does the buck stop? Innovations ‘too small’ Clinical engagement Adoption process Guided pathway Eliminate favouritism Implementation fixer HSE and hospital groups More direct show and tell being
Innovations ‘not on frame agreement’ How can you make your organisation more innovative? Key Issues Challenges Strategies Other Recognising value What is innovation? What is baseline of innovation? Is it doing something new? Or Doing something differently? Enabling research Lack of awareness of internal expertise Time poor Culture Mind-set Buy-in Money Support within hierarchy / structure Conflicts of interest Person at the top Patient input – how much do you understand and about the needs of the patient HRB research process Public / patient involvement New blood Networking Empowerment Suggestion box, engagement Leave public sector Collective ownership / leadership Joint decision-making Validation of innovation Educate people to innovate Listen to people Partnerships Stakeholder engagement Consensus on problem solving, system analysts Education leads to confidence Culture of encouragement Pilot projects Up-skill people What disciplines / teams/ perspectives / roles are required for innovation in healthcare? Key Issues Challenges Strategies Roles required Clinical leads Entrepreneurs Risk managers Project managers Change management CIO types IT people with a view of the business Outsiders Patients Innovation leads Clinical excellence to innovation, risk averse Risk and reputation Better buy-in Layout clinician time Connecting people Expertise database Celebrate failures More project management and training Top-down and bottom-up innovation both needed Credit the innovators at the end of the day How do we capture the knowledge within our healthcare system and make it available to entrepreneurs from outside to help progress ideas? Key Issues Challenges Strategies Other What knowledge do entrepreneurs need? How healthcare works Process metrics Raw data Different types of entrepreneurs Very difficult to capture knowledge Protecting data while sharing it Lots of useful data is still Prioritise healthcare careers that need innovation and share on that EPRs Standardisation of data Standards are their own problem
Getting to service users i.e. patients Identify fundamental issues Trusting newer perspectives Openness to new ideas Encourage all New users vs. existing users Basic access to technology and knowledge Evaluate new early to identify what is not working Forum to put forward ideas How can you facilitate innovation in your organisation? Key Issues Challenges Strategies Other Software to manage accommodation process for nursing homes Secure messaging platforms between hospital and clinicians ICT firewall challenges Silo’d applications and fragmented organisations Work with OoCIO and eHealth community Work with some key hospitals to define how best to apply Significant experience in private sector Engagement with clinical staff is critical How can we support innovation without organising it into stifled? Key Issues Challenges Strategies Other Data silos Mentoring SMEs into systems Time for multidisciplinary teams for innovative thought processes of planning and implementation Streamline the process to get a project implemented How do you share success stories and create viral implementation? Integration to HSE data Difficult for SMEs to get access and support Meeting day to day demand IT conformity / security ethics approval connect servers that can integrate data to outside systems Protecting personal information Looking at best practices internationally Build on QIC, health innovation hub and ARCH Ringfence time and rotate staff to engage with innovative projects Standardisation of evaluation and approval process Social media seminars Encourage a culture of innovation within HSE and clinics Make innovation part of performance review Online application and scoring with auto approval