Tai M. Huynh

Research Knowledge & Innovation: Government as Receptor

Tai Huynh Senior Fellow, Centre for Innovation in Complex Care University Health Network

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“The less people know about how laws and [ ] are made, the better they'll sleep at night.” Otto von Bismarck

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“The less people know about how laws and sausages are made, the better they'll sleep at night.” Otto von Bismarck

The Quality & Patient Safety Agenda in Ontario 2004

The Canadian Adverse Events Study (“Baker/Norton” study)

2004-2006 Local and grassroots efforts to improve quality and safety

2007-2010 Public reporting of HSMR nationally (2007), mandatory patient safety reporting in Ontario (2008)

2010 +

Excellent Care for All Act

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Evidence and Policy-Making “[Policy-makers] considered peer-reviewed research, along side grey literature, raw data (in their tabular presentation), the actions or programs in other jurisdictions, the views of experts or expert advisory committees, and opinion polls to form the core components of evidence for policy. For researchers and, to a lesser extent, for evidence-based medicine proponents, the word evidence is synonymous with research, whereas for these civil servants, evidence is more synonymous with data, analysis, or investigation.” Lomas and Brown, Milbank Quarterly 2009

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Case Study: Baker/Norton

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Impact of Baker/Norton: Knowledge Translation Publication downloaded 25,000 times within first 4 days of publication, largest ever in CMAJ history More than 28 newspaper stories, 47 radio items and 19 TV news items about the study

Large number of stakeholders (government officials, healthcare providers, researchers, etc.) attended forums and webcasts in 2002, 2003 and 2004

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Ministry of Health: Knowledge Receptor

Source: Lomas and Brown, Milbank Quarterly 2009

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Impact of Baker/Norton: Healthcare Policy (Politics)

Source: Legislative Assembly of Ontario, Debates Transcript (Hansard) from May 30, 2004

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“What Ministers call 'evidence' is what they get from their constituents.” Petticrew et al. 2004

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Impact of Baker/Norton: Healthcare Policy (Politics) delisting

Last Wednesday, I attended a rally in my riding about delisting OHIP services…they're shocked that the government didn't think about how the delisting of essential health care services would affect the daily lives of real people like them before they grabbed the money. (Ernie Hardeman, MPP)

Source: Legislative Assembly of Ontario, Debates Transcript (Hansard) from May 30, 2004

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Impact of Baker/Norton: The Mainstream “An analysis by CIHI of the perceptions of major news events in that period discovered that despite the large number of media stories across the country, few Canadians knew much about the adverse events study and its results.” Baker et al., Healthcare Policy, 2006

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Amplification of Research Knowledge & Innovation

mainstream

Politicians

public opinion advocacy human stories

Civil Servants

grey literature raw data inter-jurisdictional precedents expert opinion

policy wonks

Researchers

research RCTs

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Thank You! Tai Huynh Senior Fellow Centre for Innovation in Complex Care University Health Network [email protected] www.thecicc.com