Linking Foresight to Action: Linking Foresight to Action: A Health Case StudyA Health Case Study

Leah Soroka - Health CanadaLeah Soroka - Health CanadaLois Macklin – Alberta Innovates Technology FuturesLois Macklin – Alberta Innovates Technology Futures

Health Foresight Initiative Rationale

Our Objective: • How Can S&T Improve the Health of Canadians in One Generation?

Our Opportunities: • Health Accord ending 2014 • Economic crisis• Aging population and an increase in bad habits

Our Challenges: • Needed more than a good idea…need action• Reluctance to thinking and ideas generated in non-traditional ways• Increasing complexity and uncertainty• Short term nature and focus of politics• There is an understanding that the world is changing, but less understanding on

how institutions may need to change

Structure of the Health Foresight Initiative

Partners: • Health Canada – federal government department• Alberta Innovates Technology Futures – provincially owned research institution

Health Foresight Initiative Workshops: (7 events, 250 people, various locations)• Trends and Drivers• Scenario Creation• Contradiction Oriented Problem Solving (TRIZ)• Jasper Innovation Forum• Exploration of how technology may be utilized to improve the health of

Canadians• Development of a new framework for enhanced health outcomes• McGill University World Platform on Health Conference

Design Characteristics - Linking Foresight to Action

• Project Leadership – Complex Adaptive Management

• Design of the Process – Foresight in the context of Action– Open based focal question– Engagement and innovation foresight methodologies and event– Workshop and facilitation selected for strategic outputs– Budget and logistic constrain the objective function– Selection of participants need to be remarkable people appropriate to

engagement and innovation– Design for the uptake of communications – mental framework, language,

resonance, multi-media

Foresight Methodologies

Causal Layer

Analysis

Scenarios

Trends and Drivers

Delphi

System Mapping

Environmental Scanning

Cross-impact

Analysis

Solution Based Problem Solving

Algorithms

Contradiction Oriented

Innovation

Appreciative Inquiry

Challenge Dialogue

Morphological Analysis

Use of various tools to derive insights

Trends and Drivers

Research,Development &

Tech. Investments

Medical Tech.Advances

Information &Communication

Tech.

HumanEnhancement

Technology

Globalizationof Disease

EnvironmentalQuality Social

Determinantsof Health

DemographicDiversity

Healthcare System

Social Values& Ethics

Power ofStakeholders

Geopolitics

Government &Public Policy

EconomicCapacity

Scenarios

LowEconomic Capacity

IndividualSocietalValues

HighEconomic Capacity

CollectiveSocietalValues

Emergent S&T

NetworksTheEnvironment

Enabling Environment

ØFood & Food Policy ØReform Regulatory ProcessØHealth Impact assessment in Federal policy makingØSolution Based Open InnovationØLeveraging existing technology for healthyactive agingØStandards for Medical InformationØTransparency and Detailing Costs of Health TransactionsØMeasuring the Subjective

ØReplacement PartsØEpigenetic ImprintsØAutomated NourishmentØProgramming ImmunityØDiagnosing the Pre-sickØBiological Previews

The Body

ØUbiquitous sensingØIntegrated Population-BasedØInformation and Surveillance SystemsØCrowd-Sourced ResearchØAugmented EnvironmentsØAnticipatory Quarantines

ØElectronic Bank/ Health CardØOffsite Preventative andØTherapeutic Applications of S&TØAdaptive EncouragementØContagion Health

Convergence and Insights

Foster Innovation through info

sharing

Options forHealth Access

CommunicateFor BetterOutcomes Better

DecisionMaking

Networks,Experimentation& Engagement

CollectiveWell-Being

MobilizeIndividuals

Holistic and Lifestyle

Management

S&T

The Body

NetworksThe

Environment

Enabling Environment

Health Conveyor

EnhancingThe Health of

Canadians

S&T mobilizesintermediaries,

communities, socialentrepreneurs and

caregivers

CommunitySupported

Information& Tools

S&T mobilizesThe individual

Changing Assumptions – The Way We View the World

WorldViews

•More linear•Reductionist•Problem approach

Approach to Health

•Hierarchical•Dr. is expert•Limited Options

S&T

•One of a kind•In institutions•Assist the masses

WorldViews

•Complex•Holistic •System approach

Approach to Health

•Individual role•Health literacy•Many options

S&T

•Widespread•Quickly evolving•Personalized

Traditional

Evolving

Changing Assumption – The Way We View Capitalism

Corporate Social Responsibility

Traditional Evolving

Public Science/Policy

Private Science/ Policy

Public Science/Policy

Private Science/ Policy

Changing Assumptions – The Way We View Public and Private

Individual

Collective

Individual

Collective

Ubiquitous sensing

Personalized and precise medicine

Traditional Evolving

Win/Lose Win/Win

Changing Assumptions – The Way We View The System

Expanded Public Sector Enabled Health System

Wellness

Public Private Partnerships (PPP)

Innovative Charities, NGOs & Patient

Groups

The system is enabled through policy, regulations, shared science and best practices.

Primary Care

Traditional

AcuteCare

Publicly funded

Evolving

Primary Care

AcuteCare

ManagementEnter Health System

Health Facilitatio

n

Prevention and issue managem

ent are key

Impact to Improving the Health of Canadians

S&T is a fundamental game changer by enabling:

• Individual, community and informal care by mobilizing participation in prevention, treatment, management and wellness

• Integration of other services for enhanced access to information, decision making and delivery at all agents/levels

• Feedback mechanisms to support behavioural change.

Next Steps and Expectations

•Evolved conversation on the challenges and opportunities to improve the health of Canadians

•Evolved path forward for action including:Expanded definition of science (system, cognitive, ICT, wellness)Enhance the communications of science for resultsUbiquitous sensing – infrastructure, standards, etcNew corporate modelsAdopting frameworks inclusive of dialecticsLifestyle management approach

•Enabling the movement from Health to Wellness through S&T

•Interim results are positive through the creation of artefacts and embedding in departmental strategic direction setting and planning systems

•Long term uptake …needs to be seen

Thank YouQuestions?

Leah.Soroka@hc-sc.gc.caLois.Macklin@albertainnovates.ca