1. Research Knowledge & Innovation: Government as Receptor Tai Huynh Senior Fellow, Centre for Innovation in Complex Care University Health Network

2. “The less people know about how laws and [ ] are made, the better they'll sleep at night.” Otto von Bismarck 2

3. “The less people know about how laws and sausages are made, the better they'll sleep at night.” Otto von Bismarck 3

4. The Quality & Patient Safety Agenda in Ontario 2004The Canadian Adverse Events Study (“Baker/Norton” study) 2004-2006Local and grassroots efforts to improve quality and safety 2007-2010Public reporting of HSMR nationally (2007), mandatory patient safety reporting in Ontario (2008) 2010 +Excellent Care for All Act

5. 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 5

6. Case Study: Baker/Norton 6

7. 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 7

8. Ministry of Health: Knowledge Receptor 8 Source: Lomas and Brown, Milbank Quarterly 2009

9. 9 Source: Legislative Assembly of Ontario, Debates Transcript (Hansard) from May 30, 2004 Impact of Baker/Norton: Healthcare Policy (Politics)

10. “What Ministers call 'evidence' is what they get from their constituents.” Petticrew et al. 2004 10

11. 11 Source: Legislative Assembly of Ontario, Debates Transcript (Hansard) from May 30, 2004 delisting Impact of Baker/Norton: Healthcare Policy (Politics) 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)

12. “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 12 Impact of Baker/Norton: The Mainstream

13. Amplification of Research Knowledge & Innovation 13 Researchers research RCTs public opinion advocacy human stories grey literature raw data inter-jurisdictional precedents expert opinion Civil Servants Politicians policy wonks mainstream

14. Thank You ! Tai Huynh Senior Fellow Centre for Innovation in Complex Care University Health Network tai.m.huynh@gmail.com www.thecicc.com 14