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DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Visit us at marsdd.com
Successful
models of public
and private
collaboration
N O V E M B E R 2 5 , 2 0 1 6
Zayna Khayat, Ph.D.
Health System Innovation
MaRS Discovery District
zkhayat@marsdd.com
@ZaynaKhayat | @MaRSDD
British Columbia
(5 million)
 PHIX
 Innovation
Boulevard
 Minister Davidson
 IHSTS
Alberta (4 million)
 Strategic Clinical
Networks
 TEC Edmonton Ontario (14 million people, $50B health spend)
 Office of Chief Innovation Strategist
 First Nations health
 MaRS EXCITE
Quebec (8 million people)
 Rx policy
 Aggressive reforms
Health policy meets industrial policy
2Zayna Khayat – MaRS Discovery District (2016)
Canada
• 35 million people
• $220B health spending
Ontario: the first
province to have
a Chief
Innovation
Officer for
healthcare
Mandate: use the
$50B health
system to drive
the new health
economy
To read the full report visit www.ohic..ca
3
10%
25%
9%
52%
4%
BOSTON REGION
Employment:
82,000
19%
12%
8%
55%
6%
SAN FRANCISCO REGION
Employment:
63,000
9%
15%
10%
59%
7%
SAN DIEGO REGION
Employment:
62,000
The Toronto region health cluster
4
Source: Jones, Lang, LaSalle. Life Sciences Cluster Report 2014
Toronto region aiming to be a top 5
human health science clusters. 27%
15%
14%
31%
13%
TORONTO REGION
Pharma & medicine manufacturing
Electromedical instrument manufacturing
Medical equipment & supplies manufacturing
Testing Labs and R&D
Medical & diagnostic laboratories
Employment:
38,000
Developingtalent•Growingventures•Openingmarkets
Visit us at marsdd.com
November
2016
MaRS works with partners to catalyze,
accelerate, scale and diffuse innovation.
We help entrepreneurs start and grow
successful global companies.
Together, we help Canada prosper.
Our Future Matters.
Build the new economy. Improve society.
Health | Energy & Environment | Finance & Commerce | Work & Learning
Developingtalent•Growingventures•Openingmarkets
Our Future Matters
November
2016
Developingtalent•Growingventures•Openingmarkets
Visit us at marsdd.com
Dense biocluster + biz + gov + arts
February
2016
Developingtalent•Growingventures•Openingmarkets
Our Future Matters
MaRS: North America’s largest urban
innovation hub
February
2016
MaRS Centre
•1.5 million square feet
•200+ organizations, ~6,000 people
•Science, business (startups to multinationals),
investors, enablers
•Co-location, incubation, collaboration, resources and
local/global networks
Developingtalent•Growingventures•Openingmarkets
Visit us at marsdd.com
Private Public/para-public
Coming in 2016: Starbucks, Facebook Canada headquarters and J&J’s largest global JLABS Accelerator.
University of Toronto Asset Management
Sample Tenants
Examples of MaRS Centre Tenants
November
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
• 40,000 square feet @
MaRS
• 50-70 health startups
incubated
• Rx + med tech + digital
health + consumer
• Access to J&J global
networks
• No strings attached
model
10Zayna Khayat – MaRS Discovery District (2016)
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
Roland Harwood, Open Innovation (2014) (Reproduced)
• >250 health
startup
entrepreneurs
• + fin-tech, ed-
tech, clean-tech,
retail (1000
startups)
Invention
MaRS 1.0: Building Canada’s Next
Generation of Growth Industries
November 2016Zayna Khayat – MaRS Discovery District (2016)
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
Single Commercialization
Storefront for Toronto’s
Academic Institutions
Business Accelerator
for Emerging Companies
Entrepreneurs from
across Ontario, and
Canada
Startups
Member Institutions
Licensing&Industry
Co-development
Pg 13
MaRS + MaRS Innovation:
IP Commercialization Platform
Zayna Khayat – MaRS Discovery District (2016)
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
Health Venture Client Examples
Biotechnology Medical Devices Digital Health Consumer Health &
Wellness
Invention
November 2016Zayna Khayat – MaRS Discovery District (2016)
Hurdles to full value capture from med tech
6. Adoption
Patients
accessing
technology
Time
1. Evidence
2. Licensing
3. HTA, Coverage decision
4. Funding, fee codes …
5. Procurement
(+ Obsolescence of old)
15Zayna Khayat – MaRS Discovery District (2016)
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
Roland Harwood, Open Innovation (2014) (Reproduced)
• >250 health
startup
entrepreneurs
• + fin-tech, ed-
tech, clean-tech,
retail (1000
startups)
Invention Adoption
Capacity
building
6. Corporate
7. Health
delivery orgs
1. Reimbursement | adoption
2. Procurement
3. Outcomes Financing
4. Data Liquidity
5. Thought leadership/policy
Invention + Adoption = Innovation
Bottlenecks
MaRS 2.0: Health Innovation Platform
November 2016Zayna Khayat – MaRS Discovery District (2016)
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
Pg 17
MaRS’ theory of system change
Zayna Khayat – MaRS Discovery District (2016)
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
Health System
Academic HTA
Regulators
Industry
+ 24 research hospitals
+ >30 community health orgs + 15 others
1. EXCITE: Pull model for health innovation
18
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
EXCITE INTERNATIONAL
SECRETARIAT
• Coordinates multinational
evaluations for MNEs &
SMEs
• Facilitates methodologist
centre quality frameworks
• Advises/assists members in
setting up local EXCITE –
like operations
International Board
International
Scientific Collab.
International Leadership
Centres
EXCITE International Affiliates
P R E L I M I N A R Y
C A N A D A ( M A R S )
Develop accepted frameworks
to assist EXCITE International
affiliates in their work
U S U K N E T H E R L A N D
S
…N Z
EXCITE International: Working Model
19
INITIATION DESIGN & PROTOTYPE PROCURE
32 weeks10 weeks
Design
Discovery Prototype
Evaluate
Final
evaluation
Procurement
voucher $25K
Provider
Challenge
Briefs
Vendor
Innovator
Briefs
Vendor
Selection
2. Procurement by Co-Design
$50K to help health organizations buy innovative med tech
$25K
20Zayna Khayat – MaRS Discovery District (2016)
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
3. Health outcomes financing: structuring value-
based payment schemes with government payers
Community-based intervention for
individuals with or at risk of high
blood pressure
Stage: Social Impact Bond
Launched
Housing first solution for
individuals who are homeless and
suffering from mental illness
Stage: Feasibility complete
Enablers
Zayna Khayat – MaRS Discovery District (2016)
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
Public Health
Agency of Canada
Investors
• Telus Ventures
• RBC Generator
• Max Bell
• Catherine
Donnelly
• McConnell
• Bealight
Pre-Hypertensive Seniors
Capital
investment
Success
payments
Community Hypertension
Prevention Intervention
SRDC
Success
payments
• Project development
• Deal structuring
• Investor relations
• Performance mang. support
• Independent
evaluation
Canada’s 1st Health Social Impact Bond
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
Source: Lucien Engelen, Radboud Medical University Centre (Netherlands)
4. MyHealth: Data flows to/thru Patient
Zayna Khayat – MaRS Discovery District (2016)
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
6. MaRS’ Corporate Innovation Platform
29
Thank you
30
Investor Relations contacts
Steven Moore, MBA, FCSI, CGA, CFA, CFP
Senior Vice President and Treasurer
steven_moore@manulife.com
(416) 926-6495
Robert Veloso, MBA, CFA
Vice President
robert_veloso@manulife.com
(416) 852-8982
Daniel Kenigsberg, MBA, CFA
Assistant Vice President
daniel_kenigsberg@manulife.com
(416) 852-7208
Adoption
Zayna Khayat – MaRS Discovery District (2016)
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
7. Health Innovation Centre Meetup
Building Capacity for Health Innovation in Health Delivery Organizations
(Hosted by MaRS)
Zayna Khayat – MaRS Discovery District (2016)
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
“A burgeoning new
solution economy
has emerged, where
players from
across the
spectrum of
business,
government,
philanthropy and social
enterprise converge
to solve big
problems and, in
the process, create
tremendous
public value and
new wealth.”
26
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
KEEP CALM & KEEP INNOVATING
B E C A U S E T H E F U T U R E
M A T T E R S
INNOVATION
Zayna Khayat, Ph.D.
MaRS Health
zkhayat@marsdd.com
@ZaynaKhayat
27Zayna Khayat – MaRS Discovery District (2016)
DEVELOPINGTALENT•GROWINGVENTURES•OPENINGMARKETS
Our Future Matters
KEEP CALM & KEEP INNOVATING
B E C A U S E T H E F U T U R E
M A T T E R S
INNOVATION
Zayna Khayat, Ph.D.
MaRS Health
zkhayat@marsdd.com
@ZaynaKhayat
28Zayna Khayat – MaRS Discovery District (2016)

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"Successful model of public and private collaboration: MaRS", ZAYNA KHAYAT

Notas do Editor

  1. Here is a selection of our current tenants – representing Discovery, pool of ideas + Commercialization partners + Commercialization support (e.g. legal, business advisory, financial)
  2. The MaRS model – support startups, some of which grow, some of which go away, and some of which might embed in an incumbent firm as the way to get scale. “An obvious approach for established firms … may be to partner or build innovation ecosystems with small firms. This can be particularly indicated where startup companies tend to cluster, e.g. in industries favored by venture capitalists (like biotechnology or information technology) or ones where there are relatively low barriers to entry”
  3. Consumer focused software applications and services, and consumer-like business models for health & well-being products Advisors: focused on helping early stage digital health companies Startup Curriculum/Training: tailored to the nuances of the healthcare (privacy, data security, regulatory classification, sales strategies, etc.)
  4. The MaRS model – support startups, some of which grow, some of which go away, and some of which might embed in an incumbent firm as the way to get scale. “An obvious approach for established firms … may be to partner or build innovation ecosystems with small firms. This can be particularly indicated where startup companies tend to cluster, e.g. in industries favored by venture capitalists (like biotechnology or information technology) or ones where there are relatively low barriers to entry”
  5. Heart and Stroke Foundation of Canada Community Hypertension Awareness Program (“CHAP”) Program focused on improving the health of seniors through awareness campaign and blood pressure readings, risk assessments, and catered recommendations to improve lifestyle factors Housing First is an evidence-based approach that provides permanent housing at the start of the rehabilitation process for these individuals Through At Home / Chez Soi, Housing First has been tested in 5 cities across Canada with very positive results in housing stability, reduction in public sector usage and improvement in quality of life and community functioning.
  6. The Obama administration in the Unites States has set ambitious targets for system reform. In at an attempt to reward the quality of care delivered rather than the quantity of care delivered, they have set ambitious targets for Medicare payment reform. By 2018, the goal is for 50% of payments to be tied to quality or value. This reorientation towards value rather than volume represents a bold step to alter the healthcare spending trajectory in order to make health care delivery more affordable in the years ahead.
  7. On the back of the investments in data assets, this is now possible… and consumers demanding it, it is also a right
  8. Meetups Internal slide with weights for close friends/partners One pager for key partners Stated priorities How to connect What we need from venture to submit Who we sent to them already Get feedback from partner
  9. Industrial economy Then Knowledge economy Now solutions economy – new currencies, new value to be unlocked Will require creative destruction of existing institutions – and health care system is full of them – gov institutions, delivery institutios, academic institutions. Hallmarks of a solutions economy – players from across the spectrum converge …. data science will have more to do with improving medicine than anything you will ever learn in medical school or anything currently being researched in the laboratory."