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Leveraging Innovation for
Person-Centered Care
Justin RiemerAssistant Deputy Minister
Innovation and Stakeholder Relations Division
Alberta Health
March 6, 2017
Alberta’s Unique Health Assets:
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• Single health authority (AHS).
• Organized communities of clinical practice (SCNs).
• Integrated data-rich information systems – supporting health and
social care innovation.
• Strong capacity in universities and research centres to evaluate
value for public and private partners.
Strategic Clinical Networks
Addiction and
Mental Health
Diabetes, Obesity,
and Nutrition
Population, Public,
and Indigenous
Health
Bone and Joint
HealthDigestive Diseases
Primary Care
Integration
Network
Cancer Emergency Respiratory Health
Cardiovascular
Health and StrokeKidney Health Seniors’ Health
Critical Care
Maternal,
Newborn, Child,
and Youth
Surgery
Alberta’s Health Challenges
• Alberta is facing challenges to the
sustainability of its health care system.
– Increasing demand
– One of the highest per capita expenditures among
provinces
– Middle of the road outcomes
– Somewhat fragmented services
• Other Canadian and international jurisdictions
face similar problems, with increasing costs
and changing demands for services.
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• Community-based health care will see…
Albertans’ health and well-being improved through
an integrated health care system that structures
and plans around individuals and their
communities and connects people to needed care
and services.
• Care begins and ends at home
Vision for Community-based Health Care
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Community-based Health Care
• Benefits of community-based health care:
– Albertans to be active partners in their own health
through wellness advice and prevention;
– Balances urban, rural, and remote population needs;
– Builds to establish the right structures, processes for
excellent primary health care; and
– Coordinates service planning, ensures communities
receive needed services.
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Action on Addictions and Mental Health
Action on Primary Health Care
Action on Continuing Care
Action with Health Workforce
Action on Health Information
Proposed Elements
Implementation starting 2017
Co
mm
un
ity-
bas
ed
He
alth
Car
e
Leveraging Innovation
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• Transformation requires incremental changes
over time.
• Each action to be enabled by process or
technological innovation.
InnovationBetter Care Outcomes
Alberta Health Innovation
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• Goal: Facilitate increased innovation
adoption in the health care system with the
goal of building the strongest health
innovation ecosystem in Canada.
• Priorities: - Define innovation and health system priorities through
the Strategic Clinical Networks (SCNs)
- Improving secondary use data access
- Renewing the Health Technology Assessment process
- Creating a strategy for precision health
Innovation System Evolution
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Innovation-push SystemDemand-pull System
Identify Priorities
Validate with SCNs,
Health system
Create
partnerships
Co-develop solutions
Better health
outcomes
New innovation
Innovation-push System
Pitch to AHS, Alberta
Health
Procurement or not
Marginal
improvements to
health outcomes
From To
Strategic Clinical Networks
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• SCNs are Alberta’s health innovation engine
• Integral to demand-pull innovation system
• Alberta Health will work with SCNs to:
- clarify priority needs and connect with industry
- expand innovation receptor capacity
- enable co-development of innovations between
government, industry, and the health system.
• SCNs will be integral in:
- evidence generation and implementation
- scaling/spreading innovation
- extracting low-value innovations from the system
Precision Health
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• Advances in genomics, metabolomics, and
human microbiome enabling health care on
a far more personal level.
• Will especially enable advanced treatments
in oncology, endocrinology, and other areas
• Working with the Alberta Academic Health
Network to develop a provincial strategy.
Health Technology Assessment
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• Existing HTA mechanism can be slow
• Optimizing how new innovations are used
and applied key to future success
• Need to adapt Alberta’s HTA process to one
of Health Technology Optimization, with
stronger clinical and decision linkages.
Secondary Use Data Access
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• Alberta has a unique secondary data asset
that can be leveraged for research by post-
secondaries, industry, and the public
• Better availability of this data can make
Alberta more attractive for more health
research, development, and investment
• Work will ensure first that Albertans’ privacy
is protected
Summary
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• Community-based health care plans around
the needs of Albertans, their families, and
communities.
• It will be enabled by new innovation
• A demand-pull innovation system will
ensure new technology and processes
address identified priorities and system
issues.
• Advancing our priority areas will attract new
research, development, and investment and
lead to better clinical outcomes.
Thank you!
Justin Riemer
Assistant Deputy Minister
Innovation and Stakeholder Relations Division
Alberta Health
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