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WINNIPEG REGIONAL HEALTH AUTHORITY 2012 Supply Chain Forum Innovation in Health Care

WINNIPEG REGIONAL HEALTH AUTHORITY 2012 Supply Chain Forum Innovation in Health Care Dan Skwarchuk, Executive Director, Health Services Integration and Innovation Winnipeg Regional Health Authority November 21, 2012. Health Innovation as a Literary “Trend”.

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WINNIPEG REGIONAL HEALTH AUTHORITY 2012 Supply Chain Forum Innovation in Health Care

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  1. WINNIPEG REGIONAL HEALTH AUTHORITY 2012 Supply Chain Forum Innovation in Health Care Dan Skwarchuk, Executive Director, Health Services Integration and Innovation Winnipeg Regional Health Authority November 21, 2012

  2. Health Innovation as a Literary “Trend” University of Manitoba Library search… Found over 268,000 published articles on file Total Published Articles (Annual), 2003-2009

  3. Literary “Trend” Cont’d… • Generally, across the literature, health innovation usually falls into the following broad categories: • Research • New products and technologies • New processes and approaches • New ways of thinking • New ways to use people • Doing more with similar or fewer resources (productivity and efficiency)

  4. WRHA Strategic Plan - Innovation • Maximize benefits from research, development & innovation including the increased use of evidence informed decision making. • Improve productivity through process improvement, service reconfiguration and benchmarking

  5. The WRHA Views of Innovation Innovation refers to a process through which economic or social value is extracted from knowledge through the generation, development, and implementation of ideas to produce new or significantly improved products, processes, and services.

  6. Model of sustaining innovation Christensen et al. (2009) The Innovator’s Prescription

  7. Christensen et al. (2009) The Innovator’s Prescription

  8. Innovation within the WRHA • Some (selective) examples include: • Bell Hotel Redevelopment Project (new thinking) • Use of evidence in contracting (processes) • Nurse Practitioners and Physician Assistants (people) • Manitoba Renal Program’s new Nurse-Led Telehealth Service (technology) • Business Process Solution Project (processes) • Home-based specialty services (new thinking) • Unit-level inventory process improvement (processes)

  9. Workplan for Innovation in the WRHA • Overall need to develop a culture of innovation with supports to go outside of normal boundaries. • Committee with focus on fostering and incubating innovative ideas within the WHR. • Inventory of innovation in the WHR. • Provision of seed funding for innovative ideas. • Tolerance for failure and not punitive when innovative ideas fail. Learn from mistakes. • Better understanding of tolerable risks.

  10. Draft - Enterprise Risk Management Risk Universe Strategic Operational Compliance Financial Governance & Leadership Stakeholder Relations Patient Care Human Resources Information Technology Physical Assets Compliance Financial • Governance • Board Structure & Performance • Culture and Ethics • Control/Risk Environment • Social Responsibility • Planning and Resource Allocation • Organizational Structure • Strategic Planning • HR Strategy • IT Strategy • Partnership Development & Management • External Environment • Demographics • Lifestyle Trends • Socio-Political • Economic Factors • Hazards (Pandemic, terrorism, natural disasters, etc) • Business Continuity • Major Initiatives • Vision and Direction • Planning and Execution • Measurement and Monitoring • Business Acceptance • Corporate Reputation • Communication and Relations • Public and Media Relations • Patient Relations • Government Relations • Employee Communication • Vendor Relations • Union Relations • Crisis Communication • Service Delivery • Admission, Transfer and Discharge • Assessment & Diagnostics • Care & Service Accessibility • Care Plan/ Service Plan • Treatment • Coordination of Services • Patient Rights • Medication Management • Support Services • Supply Chain • Food and Laundry Services • Facilities Management • Health Information Management • Patient Safety • Infection Prevention Control • Incident Reporting • Education & Training • Security • Recruitment, Selection & Retention • Credentialing • Medical staff • Support staff • Contractual staff • Employment Equity • Development & Performance • Training and Education • Succession Planning • Performance Management • Labor Relations • Labor Agreements • Contingency Planning • Compensation & Benefits • Salary Administration and Compensation Management • Employee Safety • Health and Safety • IT Management • E-Health • Access & Security • System Reliability & Continuity • Back up and recovery • Disaster Recovery • System Integrity • End User Support & Education • Infrastructure • Asset replacement, deployment and retirement • Inventory Management • Asset Management • Replacement Management • Capital/ Construction Acquisition & Disposal • Asset Acquisition • Commitment Tracking & Processing • Contract/Project Management • Asset Disposal • Equipment Acquisition, Maintenance & Disposal • Equipment Acquisition • Commitment Tracking & Processing • Contract Management • Maintenance • Equipment Obsolescence & Disposal • Site/Asset Security • Asset storage & handling • Facilities • Security and Access • Inventory Management • Contract Management • Distribution • Inventory Shrinkage and Obsolescence • Valuation • Product Recalls • Standards of Business Conduct • Ethics • Fraud • Conflict of Interest • Industry Relations • Legal & Regulatory • Governing Legislation, Bylaws & Regulations • Contractual Agreements • Professional Regulatory Bodies • Prescribed Standards of Practice • Data Protection • Privacy • Environmental, Health & Safety • Research • Facility Standards • Procurement Practices • Patient Safety • Intellectual Property • Funding • Capital • Operating • Debt • Foundation • Market • Interest Rates • Foreign Exchange • Financial Instruments • Investments • Liquidity and Credit • Cash Management • Credit and Collections • Insurance • Accounting and Reporting • Accounting, Reporting & Disclosure • Internal Control Requirements • Trust Accounts/Special Purpose Accounts • Pension Funding • Budgeting and Forecasting • Taxes (Property, Commodity)

  11. “If you're not failing every now and again, it's a sign you're not doing anything very innovative.” - Woody Allen

  12. Enablers of Innovation • Need for improved knowledge translation: - Improved spread and adoption of new and best practices - Innovation rounds and storytelling - Increased public and provider engagement - Enhanced supports for publications - Awards – but celebrating the successes as well as failures

  13. Development of Innovation Community of Practice • Health Sciences Centre Foundation • St. Boniface Hospital Research Centre • Professional Associations • University of Manitoba Centre for Health Innovation (Faculty of Medicine) • University of Manitoba – Other Faculties (mechanic, computer, and biosystem engineering) • University of Winnipeg • Red River College • Business Council of Manitoba • Innovation Council of Manitoba • Manitoba Health Innovation Branch • Manitoba Centre for Health Policy • Business Community

  14. How Can We Collaborate More Effectively with the Business Community in Health Innovation? First some context…

  15. Understanding the WRHA Structure Childhood  Youth  Young Families  Middle Age  Seniors Primary Care Secondary and Tertiary Care Long Term Care Chronic Care Central Assessment and Placement Deer Lodge Centre Misericordia Personal Care Homes Respite Care Palliative Care Rehab/Geriatrics Riverview Services to Seniors Community Health Centres Family Physicians Home Care Mental Health Neighbourhood Networks Public Health Concordia Grace Health Sciences St. Boniface Seven Oaks Victoria Prevention Promotion Protection Primary Treatment Acute Intervention Supportive and Restorative Services

  16. Community Areas in Winnipeg West St. Paul East St. Paul 8 1) St. James 2) Assiniboine South 9 7 3) Fort Garry 10 4) St. Vital 6 5) St.Boniface 11 1 6) Transcona 12 5 7) River East 2 8) Seven Oaks 9) Inkster 10) Point Douglas 3 4 11) Downtown 12) River Heights

  17. The WRHA Matrix Structure Note: This is just a excerpt

  18. The WRHA Matrix Structure (What this Means to Contracting) • Regional Clinical Programs • Strategic Planning • Quality and Standards • (including clinical contracting) • Centralized Operations Contracting Groups (PRES Groups) n=147 Groups Members = 1,100 Employees • Hospitals & Community Areas • Day-to-Day Operations • Managing to Quality • Managing to Budget • (volume and price)

  19. WRHA and Product Innovations Current Processes – Challenging! WRHA Logistics Services Innovative Idea or Product Business Community PRES Group (n=147) Regional Program (n=30) Hospital or Area (n=15)

  20. How Can We Collaborate More Effectively with the Business Community in Health Innovation? • Improved knowledge sharing • Our priorities and your interests? • Push AND pull innovations? • Contracting flexibility for innovation • Less stringent RFP criteria? • More focus on problem versus solution? • Improved access • PRES Groups? • Regional Programs? • Hospitals and Community Area? • Help in system navigation? • Contract clarity on innovation • Proof of concept costs? • Key risks and mitigation? • Knowledge translation responsibility?

  21. Thank-youQuestions?

  22. Breakout Session 1:30 pm to 2:45 pm Followed by 30 min Break & Networking Opportunity

  23. Breakout Sessions • Group 1- Mapleleaf room A • Group 2- Mapleleaf room B • Group 3- Evergreen Room (main room) • Group 4- Spruce Room (through the restaurant) • Group 5- Elm Room

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