GDHI

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 GDHI 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 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 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 England Spain Qatar India Australia Brazil United States South Africa Testing the framework internationally GDHI

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

… and commonality in prevalence of front line behaviours 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’

Innovation Phase 1 Create a climate for change Phase 2 Engage and enable organisations to implement change Phase 3 Embed and sustain the change Transformation Specific agent for change ICT Incentives and rewards Specific funding for diffusion Vision strategy and leadership Transparency of research and data Comms channels Standards and protocols Time and space for learning Identify champions Delayering Improving the next journey Adapt to local context Engaging patients and the public Address concerns of professionals Enablers Frontline behaviours Accelerating the journey – building organizational capacity for change

GDHI