The Canadian Top Ten Watch List of New and Emerging Health Technologies: Methods, Lessons Learned, and Impact Rosmin Esmail, MSc, CHE Chair for CNESH Director, Health Technology Assessment and Adoption Research, Innovation and Analytics Portfolio Alberta Health Servcies CADTH symposium, April 13, 2015

 Started in May  A Canadian collaborative network of organizations and individuals.  Identifies and shares information on new and emerging health technologies to support health care decision making and the appropriate adoption and use of effective and safe health technologies. Canadian Network for Environmental Scanning in Health

 To identify information on new, emerging, or new applications of health technologies, and to share this information across Canada.  To develop and promote methods for the identification, filtration and prioritization of new or emerging health technologies. Mandate

 Rosmin Esmail, Chair, Health Technology Assessment and Adoption, Research Innovation and Analytics Portfolio, Alberta Health Services  Cédric Jehanno, Vice-Chair, Institute national d’excellence on santé et services sociaux (INESSS)  Ron Goree, Past Chair  Nelson Millar, Office of Pharmaceuticals Management Strategies, Health Canada  Keith Keough, Healthcare Technology and Data Management, Eastern Health Region  Janet Martin, Health Technology Assessment for the Evidence-based Perioperative Clinical Outcomes Research (EPiCOR-HiTEC)  Gabriela Prada, Health Innovation, Policy and Evaluation, The Conference Board of Canada  Dagmara Chojecki, Institute for Health Economics  Mitch Levin, Programs for Assessment of Technology in Health Research Institute (PATH), McMaster University  Elena Lungu, Patent Medicines Prices Review Board  Nina Buscemi, Health Technologies and Services Policy, Alberta Health (Observer)  Andra Morrison, Program Development Officer, CADTH  Nina Frey, CADTH Secretariat CNESH Members

What should CNESH focus on

WHY A TOP 10 LIST? – WE HAVE OTHER EXAMPLES

EXAMPLES OF OTHER TOP 10 LISTS IN HEALTH CARE

Why not a Canadian top 10 list?

 Fall 2012-Network members agreed to develop an annual top 10 list of new and emerging health technologies for Canada.  Technologies that would be potential “game changers”.  List would be useful to support Canadian health care decision makers (patient, provider and policy maker) and HTA producers.  Support effective planning and decision making for introduction of new and innovative health technologies in the Canadian Health Care system.  Sought advice at CADTH 2013 workshop  Developed a rigorous process to ensure we were following best practices in horizon scanning What we did?

 Drugs, including but not limited to, biologics, blood products, vaccines, and prescription and non-prescription medicines.  Medical, dental, and surgical devices and procedures.  Diagnostics, including but not limited to, laboratory tests, screening programs, and diagnostic imaging.  Does not include:  Health human resources  Health system design  Electronic health-related technologies CADTH definition of Health Technology

 ‘ New’ refers to health technology that has been approved for clinical use for only a short time and is generally in the launch or early post- marketing stage of diffusion. Medical devices may be marketed but <10% diffused or localised to only a few centres.  Drugs are considered if they have not received Health Canada approval at the prioritization phase of the CNESH top 10 process.  ‘Emerging’ refers to a health technology that has not yet been approved by the regulator for use but has potential for significant impact on the health care system. Pharmaceuticals will usually be in phase II or III clinical trials; medical devices will be within six to nine months of marketing.  Emerging technologies could also include:  an existing health technology being investigated for a new indication, or  a health technology that is part of a group of developing technologies that, as a whole, may have an impact. New and Emerging Health Technologies

Some good press…

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10. Finding time for network volunteer activities is very challenging 9. Getting agreement on process 8. Significant in-kind volunteer support 7. Convincing folks to nominate a technology 6. Start-up process is very time consuming Top 10 Lessons Learned from 2014…

5. Nominators exaggerate benefits/minimize harms 4. Significant staff resources are required 3. Very hard to screen out technologies 2. Expert involvement 1. With dedication and commitment it can be done! Top 10 Lessons Learned from 2014…

New and Improved Process NominationFiltrationVerification Prioritization Dissemination Evaluation

Andra Morrison Program Development Officer (Medical Devices) CADTH Panel Presenter

Top 10 New and Emerging Health Technologies Watch List 2015

Cédric Jehanno Vice-chair of CNESH INESSS Panel Presenter

Timing of the call for nominations and number of nominations we received Top 3 Lessons Learned from 2015…

nominations-for-2015-health-technology-watch-list

How can we increase the profile of CNESH and the top 10 list? Top 3 Lessons Learned from 2015…

What is the value add and impact of the list? Top 3 Lessons Learned from 2015…

 John Soloninka, HTX  Alison Drinkwater, Baxter Corporation  Alain Boisvert, Bristol Myers Squibb Panel Presenters

Top 10 Next Steps… 10. Approval of 3 year business plan 9. Feedback from nominators 8.Refinement of process and criteria 7. Involve collaborators in CNESH 6. Evaluation plan

Top 10 Next Steps… 5. Feedback from users 4. Publish our work 3. Monitor status of top 10 watch list 2. Develop 2016 top 10 list… 1. Take another (short) break!

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