GLOBAL DIFFUSION OF HEALTHCARE INNOVATION (GDHI)

JULIE MCQUEEN, POLICY FELLOW – INNOVATION STUDIESIMPERIAL COLLEGE, LONDON

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Origins of GDHI

Innovation is crucial in addressing current and future healthcare challenges

But, it takes too long at present for new ideas and solutions to become prevalent practice

IGHI is undertaking a study to identify and analyse the facilitating factors that support and promote the diffusion of innovations across health systems

• Phase 1: developing a diffusion framework

• Phase 2: exploring, quantitatively, the importance and prevalence of key factors of diffusion

• Phase 3: examining examples of successful diffusion to understand the journey organisations go through and factors that accelerate progress

Three kinds of influences affect diffusion of healthcare innovations

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Enablers

• Vision, strategy and leadership• Specific funding for research,

development and diffusion• Specific agent or program to

promote diffusion • Communication channels and

networks• Transparency of research & data• Incentives and rewards• ICT / informatics capability • Standards and protocols

Frontline behaviours

• Engaging patients and the public

• Addressing concerns of health professionals

• Adapting to local context• Supporting champions• Creating time and space for

learning• Eliminating old ways of working• Improving the next innovation

diffusion journey

System Characteristics

System characteristics

macroeconomic environment

political/legal/regulatory environment

health system size, structure and finance

innovation environment

investment environment

infrastructure for information and communication technologies

research environment

Enablers

vision, strategy and leadership

specific funding for research, development and diffusion

specific organizations or programs to promote diffusion

communication channels and networks

transparency of research and data

incentives and rewards

information communications technology (ICT) capability

healthcare standards and protocols

Frontline behaviours

engaging patients and the public as co-producers of well-being

addressing concerns of healthcare professionals about outcomes and sustainability

identifying and supporting champions who embrace and promote change

adapting innovations to suit the local context “delayering” - eliminating old and less effective

ways of working creating the time and space for learning and new

ways of working improving the next innovation diffusion journey

• We conducted research in eight countries– Australia, Brazil, England, India, Qatar, South Africa, Spain, United States – to examine the relevance of the framework in different health systems

• The study involved 100 qualitative interviews with health experts and quantitative surveys of 1,500 health care professionals

EnglandSpain

Qatar

India

Australia

Brazil

United States

South Africa

Testing the framework internationally

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We observed a noticeable gap between the importance and the prevalence of enablers in most countries …

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… and commonality in prevalence of front line behaviours

GDHIGDHI

GDHI… but there is much to do to increase the prevalence of some behaviours that aid diffusion at the front line

‘Delayering’

Adapting Innovation

Making time and space

for learning and new ways

of working

The diffusion benefit curve (achievement of value over time)

Phase 3 of GDHI examined successful examples of innovation diffusion to trace the ‘diffusion journey’

InnovationPhase 1

Create a climate for change

Phase 2 Engage and enable

organisations to implement change

Phase 3Embed and sustain

the changeTransformation

Specific agent

for changeICT

Incentives and rewards

Specificfunding fordiffusion

Visionstrategy andleadership

Transparencyof researchand data

Commschannels

Standards and

protocols

Time andspace forlearning

Identifychampions

DelayeringImprovingthe nextjourney

Adapt tolocal context

Engagingpatients and

the public

Addressconcerns of

professionals

En

ab

lers

Fro

ntl

ine b

eh

avio

urs

Accelerating the journey – building organizational capacity for change

GLOBAL DIFFUSION OF HEALTHCARE INNOVATION

GDHI