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Neil Fraser
- 1. Measuring Value of Medical Technology vs. Cost Neil Fraser President, Medtronic of Canada Chair, Ivey Centre for Health Innovation & Leadership Advisory Council
- 2. Some Definitions Health Care System Innovation Value
- 6. Pill-Popping to Bionic Man Condition Example Drugs Used Medical technologies as adjunct or replacement to drugs Ventricular arrhythmias Amiodarone Implantable Cardiac Defibrillator Atrial fibrillation Digoxin, coumadin, ca+ channel blockers Endocardial ablation Obesity Lipase inhibitors, appetite suppressants Bariatric surgery Depression Antidepressants Deep brain stimulation Parkinson’s disease L-Dopa Deep brain stimulation Acute MI Thrombolytic Coronary stents (primary angioplasty) End-stage heart failure Inotropic drugs Bridge to transplantation and destination ventricular assist devices
- 7. Government HC Region Purchase groups Professional Groups HC Rx Copycat Feds Med School HTA / F/P/ Local Intl. HTA Orgs. FDA EU / CE Specialist Hospital/ C-suite/ Foundation GP / FHTs Public / community Advocacy Politician Health Care System Patient
- 8. Innovation
- 10. Focus on Product Innovation and Leadership Professional CGM BG Meters Insulin Pump Therapy 1978 1977 2003 Professional CGM Gold 2005 Guardian RT 2007 2008 2006 1999 Paradigm REAL-Time, w/MiniLink Paradigm REAL-Time Guardian REAL-Time Yesterday Today 2009 2010 Veo (LGS) iPro2
- 11. * Emerging Therapies Parkinson’s Disease Essential Tremor Chronic Pain Gastroparesis Urinary Incontinence Obsessive-Compulsive Disorder Depression Epilepsy * Bowel Disorders Dystonia Migraine Headache Pain * Neuromodulation: Unmatched Experience and Expertise
- 12. Value in Health Care
- 13. Value Perspective Outcomes Time Horizon
- 22. Real faces of Health Care and their perception of the value of innovative technology Delphine Diabetes Insulin Pump Perry Parkinson's Deep Brain Stimulation Christine Long QT Syndrome Implantable Defibrillator Lin Diabetes Insulin Pump
- 23. Tele-monitoring and Electronic Medical Records
Notas do Editor
- Health has a broad definition and the goal of the health care system is to provide health care services to the population. The health care system is not just a hospital or a clinic. It is the sum of all organizations and individuals to PROVIDE services to the Population. Often times the main goal of the health care system is forgotten.
- Progress towards them depends on how systems carry out 4 vital functions: Provision of health care services Resource generation Financing Stewardship. Other dimensions for the evaluation of health care systems include: Quality Efficiency Acceptability Equity.
- Human beings have always been looking for treatment of illnesses. From the early days of the superstitious approach to exploring the remedy power of nature which contributed to the creation of pharmaceuticals, therapeutics have come a long way. With advances in technology, today we have innovative products that can have a great impact on the cure or management of chronic diseases. I am sure there is still a long way to go with the emergence of nano-technology.
- Today Medical Technologies are helping millions of patients achieve a better life. Medical Technologies are becoming a substitute for pharmaceuticals with better outcomes and less unwanted effects. Today we also have a more complex health care system.
- Some individuals have tried to develop a sophisticated and complex environment of multiple stake holders around health care systems. But The fact of the matter is, that health care systems are and should be developed around the patients and their needs. Advances in technology, facilitated many innovations in modern medicine.
- Innovation is not about making a new device. Innovation is merely a concept Strategic vs. Tactical A scientist or technologist’s “strategic” work will usher a “tactical” opportunity in the industry. Example: Nirenberg's work in the early 70s that won the Nobel prize, provided opportunities for the biotechnology industry. Or integrated circuits caused an information technology revolution
- Innovation does not equal invention. Invention is producer driven. Someone says, I want to have some kind of gadget. And they dream it up in their lab or basement or garage. And it may not be of interest to anyone else. That’s invention. Innovation is driven from the user or the consumer side…it’s about improving the experience of the end user or consumer. Roger Martin, Dean of the Rotman School of Management, University of Toronto.
- The development of therapies and creation of technology which monitors and regulates the central and peripheral nervous system with site-specific delivery of drugs, biologics and electrical stimulation.
- In order to understand the concept of value in the health care system, we should consider three major elements of value in the context of cultural and societal beliefs.
- In words of the renowned researcher “Michael Porter” value is:
- In words of the renowned researcher “Michael Porter” value is:
- Highly paid, High Tech manufacturing jobs will have a significant impact on the national economy.
- All of our patients today have another layer of support for added reassurance. Today many of our implanted devices including the pacemaker, defibrillator and even our insulin pump can wirelessly transmit device data and some physiological measures to the health care providers by Remote Monitoring systems through the internet. This will provide easy and timely access to the health care professionals when needed.