Page 33 - An Innovation Spirit ...
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Dr. Barry         The Innovation Fund provided the                              Dr. Barry, Dr. Barry        including physicians, surgeons,
Rubin (left)     $150,000 needed to pilot the blood-                            Rubin, approached           scientists, a nurse practitioner,
and Dr. Harry    conservation project at the PMCC,                              cardiologist Dr. Harry      a psychologist, administrators,
Rakowski         and Dr. Karkouti says that funding                             Rakowski to create a        entrepreneurs and real estate
(right) are the  was essential to make the project a                            new program to fund         developers. Everybody gets an equal
architects       reality. “It not only made it fast, [but]                      innovation, they both       vote – thumbs-up or thumbs-down.
of the Peter     it also made it possible,” he says.                            agreed that they wanted
Munk Cardiac                                                                    to do things differently.    “Usually, I try to pair a medical person
Centre’s          “Within a year, we had a permanent                            Dr. Rubin thought           and a business person to evaluate
unique and       new program, and that’s unheard                                that Innovation Fund        proposals, so that somebody can always
successful       of,” says Dr. Karkouti. In addition,                           committee members           explain the science, and the other
Innovation       the pilot project’s positive results                           should include health-      can look at it from a business point of
Fund, a vehicle  helped Dr. Karkouti get a Canadian                             care providers, who         view,” says Dr. Rakowski. “Does the
for staff to     Institutes of Health Research (CIHR)                           would assess if proposals   idea make sense? Can they achieve
submit and       grant to run a multicentre study                               made sense from a           what they want to achieve with the
test innovative  of the blood-conservation project                              medical point of view,      funds they will have? Is it sustainable,
ideas.           in 12 hospitals across Canada. It’s                            and people from the         so they can likely get more funding for
                 only been three years from the pilot                           business world who          a larger-scale study that will impact
   Winter 2015   project’s inception, and results of the                        might not have significant  care? And, from a personal patient
                 larger study are almost finalized.                             medical knowledge, but      perspective, is this just a good idea?”
                                                                                who “know a winner
                  “Based on my experience, similar                              when they see it.”           Because of the mix of medical and
                 projects would normally take at least                                                      business committee members, the
                 five to 10 years to get through,” says Dr.                      “If we’re going to         Innovation Committee had been dubbed
                 Karkouti. “If the multicentre results are                      support innovation,         “the Dragons’ Den of health care.” Jordan
                 positive, it’s going to change practice                        let’s do it in an           Dermer, co-founder and managing
                 across North America by next year.”                            innovative way,” says       partner at Capital Developments, a
                                                                                Dr. Rakowski, lead for      Toronto-based real estate development
                  It’s the kind of success story for which                      the PMCC’s Innovation       firm, is one of the business leaders on
                 the Innovation Fund was created.                               Fund program. “We           the Innovation Committee, and he says
                                                                                see ourselves as being      there is some truth to the comparison.
                 A Dragons’ Den approach                                        thought leaders for
                                                                                the country and              “The debates are healthy, but, unlike
                 When the PMCC’s Medical Director,                              internationally, we try     Dragons’ Den, we’re not trying to
                                                                                to lead the development     make money on their ideas,” says
                                                                                of projects and we have     Mr. Dermer. “It’s interesting when
                                                                                people who are capable      you get two doctors debating on two
                                                             of doing that. But the questions are:          different sides of an issue, and it gets
                                                             ‘How do you bring those ideas forward?         a little hot in the kitchen. But, in
                                                             And how do we vet those ideas?’”               the end, we all walk away smiling,
                                                              Generous donors had supplied                  and there are no hard feelings.”
                                                             $5-million to get the program off the
                                                             ground. Dr. Rubin and Dr. Rakowski              Another unique part of the program is
                                                             decided that the new Innovation                that, while most funding bodies reject
                                                             Fund would be open to all 1,000                unsuccessful applicants without so much
                                                             people working at the PMCC, from               as an explanation, the PMCC Innovation
                                                             cardiac surgeons to physiotherapists.          Fund gives constructive input, both
                                                             Unlike typical granting bodies that            before and after the submission process.
                                                             require pages of detailed proposals,
                                                             applicants would only need to answer            “If you submit something, and we think
                                                             10 questions about their project,              you could do it better, cheaper, whatever,
                                                             with submissions accepted quarterly.           we’re going to give you that constructive
                                                             That makes the Innovation Fund                 input,” says Dr. Rakowski. “We’ll let
                                                             nimble and able to rapidly support             you resubmit or put you in touch with
                                                             evaluation of new ideas and medical            people who can make it better.”
                                                             devices, says Dr. Rubin. The fund
                                                             would also change the way proposals             Since the Innovation Fund program
                                                             are typically assessed in a hospital.          started three years ago, they’ve awarded
                                                              “Rather than [vetting ideas] in the           $1-million per year to a total of 31
                                                             traditional way – a physician and              recipients, with approximately 80 per
                                                             an executive sit down and make                 cent of applications being funded, in
                                                             the decision – we would make the               comparison with the 15% funding rate
                                                             process more broad-based, with both            for projects submitted to the Canadian
                                                             physicians and non-physicians on a             Institutes of Health Research. For
                                                             committee that reflect diverse interests       example, the Transcatheter Aortic Valve
                                                             and skill sets,” says Dr. Rakowski.            Implantation (TAVI) procedure – a
                                                              The Innovation Committee is                   non-invasive surgical technique that
                                                             currently made up of 14 people,                can be performed while the patient
                                                                                                            is awake – has become a viable way
                                                                                                            to replace failing valves for patients
                                                                                                            who are too unwell for open heart
                                                                                                            surgery. Other successes include
                                                                                                            iHeartChange.org, a website for young

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