Evidence and Innovation in Clinical Care
This theme supports a safe and cost-effective health care systems that implements existing evidence, and generates new knowledge to inform decisions about the adoption of emerging innovations in treatment and diagnostic technologies. This vision brings together senior clinicians with strong track records in innovative clinical care, research intensive academics with extensive experience in policy relevant research, and senior health administrators with interest and track record in clinical redesign and innovation.
This theme aims to:
- Emphasise economic efficiency for the health services in the partnership. A mechanism for this will be to encourage research funding within the health services towards small but important projects that identify low and high value care. The new knowledge generated can be used to re-allocate scarce resources such that cost-effectiveness is improved.
- Provide ongoing mentoring and support for clinician researchers building their skills and knowledge and strengthening the innovation capacity. We want innovation to emerge from the clinicians who provide services, who can describe and see the waste and poor quality in the system and are empowered to address it.
- Engage clinicians via practical short courses including cost-effectiveness, implementation science, health economics, epidemiology and statistics.
- Set research priorities by using existing data on health service activity and performance. It will work closely with the health services executive for this task. There will be recommendations made for changes in the most obvious areas; some examples might be over testing and over diagnosis; measures to reduce futile care in the acute setting; the adoption of evidence based integrated care and a focus on preventable adverse events and patient safety initiatives.
- Evaluate the cost-effectiveness of some existing services and prospectively evaluate proposed future investments in new services and technologies and alternate models of care.
- Bring the science of implementation into health services. Its activity will be to use proven frameworks, such as PARiHS and CIFR, to promote the successful translation of evidence into practice. Knowledge translation is poorly understood and many good innovations are not part of routine health services, despite a strong evidence base to support their adoption.