Health Research Roadmap II: Capturing Innovation to Produce Better Health and Health Care for Canadians – Long descriptions

Figure i. Overview of CIHR’s three strategic directions

Roadmap II

Capturing Innovation to Produce Better Health and Health Care for Canadians

Promoting Excellence, Creativity and Breadth in Health Research and Knowledge Translation

Supporting leading researchers for advances in health
Building a solid foundation for the future

Mobilizing Health Research for Transformation and Impact

Refreshing health and health system research priorities
Reaping benefits through strategic alliances
Embracing the data revolution

Achieving Organizational Excellence

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Figure ii. CIHR’s health and health system research priorities for 2014-15 to 2018-19

Research Priority A: Enhanced patient experiences and outcomes through health innovation

This research priority focuses on accelerating the discovery, development, evaluation and integration of health innovations into practice so that patients receive the right treatments at the right time.
Research Priority B: Health and wellness for Aboriginal peoples

This research priority focuses on supporting the health and wellness goals of Aboriginal peoples through shared research leadership and the establishment of culturally sensitive policies and interventions.
Research Priority C: A healthier future through preventive action

This research priority focuses on a proactive approach to understanding and addressing the causes of ill health, and on supporting physical and mental wellness at the individual, population and system levels.
Research Priority D: Improved quality of life for persons living with chronic conditions

This research priority focuses on understanding multiple, co-existing chronic conditions, and on supporting integrated solutions that enable Canadians to continue to participate actively in society.

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Figure 1. Canada’s Health Research Enterprise: Delivering the benefits of health research to Canadians. Researchers are found in all of these groups.

Delivering the Benefits of Health Research to Canadians

Health professionals
Patient and public groups
Research-intensive institutions
Industry
Foundations and charities
Governments
Caregivers, families and communities

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Figure 2. Key components of the College of Reviewers

College of Reviewers:

Quality Peer Review and Peer Review System
Breadth and Diversity of Expertise
- Structured Recruitment
- Training and Mentoring
- Quality Assurance
- Recognition Program

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Figure 3. Examples of research areas and knowledge translation activities for Research Priority A: Enhanced patient experiences and outcomes through health innovation

Health innovations

Discovery and development

New targets and technologies for improved diagnostics, therapeutics and therapies
Improved practice guidelines
New technologies that support providers and patients
New models of financing, funding and delivering health care

Evaluation

Patient experience and satisfaction research
Patient outcomes research
Health policy and systems research
Economic evaluation and technology assessment
Comparative effectiveness research
Clinical research

Implementation and scale-up

Commercialization and uptake of predictive, preventive and precision clinical innovations
Integration of e-enabled health care models
Validation of health care financing, funding and delivery models

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Figure 4. Examples of research areas and knowledge translation activities for Research Priority B: Health and wellness for Aboriginal peoples

Aboriginal peoples’ health

Shared leadership

Aboriginal people's research leadership capacity and development
Understanding of indigenous ways of knowing and knowledge translation

Culturally sensitive policies and interventions

Factors influencing conditions of vulnerability and health equity
Design, implementation and evaluation of policies and interventions
Adoption and use of intervention programs, tools and services

Sharing knowledge across jurisdictions and populations

International linkages and comparisons
Shared innovations

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Figure 5. Examples of research areas and knowledge translation activities for Research Priority C: Promoting a healthier future through preventive action

Health promotion and prevention

Discovery and understanding

Environmental, social, economic and cultural determinants of health
Psychological and behavioural influences on health
Biological action and disease mechanisms
Interplay of biopsychosocial risk factors

Health promotion

Healthy lifestyle strategies across the life course
Health literacy and education strategies
Policy and other interventions in health and other sectors
Healthy environments, food security and safety

Disease prevention

Surveillance and screening for early detection and prevention
Novel vaccines and other therapeutics
Improved containment strategies for health threats (pathogens, contaminants, toxins)
System coordination across health and other sectors

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Figure 6. Examples of research areas and knowledge translation activities for Research Priority D: Improved quality of life for persons living with chronic conditions

Management and treatment of chronic conditions

Discover and understanding

Comorbidities, common disease pathways and interactions
Factors influencing chronicity
Complexities of diagnosis, treatment and care across the life course
Promoters and barriers to self-management

Primary and acute health care

Integrated health care delivery models, including team-based models of care
Innovative policies, strategies and programs
Rehabilitation therapies and medical devices

Long-term management

Self-care and self-management strategies
Community-based care models
Support for caregivers and family
Workplace accommodation
Organizing and financing of institutional care

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Figure 7. Incorporation of eHealth across the four research priority areas

Research for evidence-based development, evaluation and integration of eHealth innovations

	Innovations that...	Improve...	Examples...
eHealth for enhanced patient experiences and outcomes	Connect providers, patients and disparate sources of data and information	Diagnostic accuracy; treatment appropriateness; accountability of care	E-records Gene banks E-diagnosis E-decision support
eHealth for health and wellness in Aboriginal peoples	Include citizen-informed, culturally sensitive, population-specific design and content	Access to health care across social, geographical or cultural contexts	E-learning E-community Telemedicine Remote technologies
eHealth for a healthier future through preventive action	Provide analytical and predictive modelling using data integrated across systems	Evidence-informed preventive action at the individual, system and population levels	My-health Surveillance platforms E-detection eHealth map
eHealth for enhanced quality of life for persons living with chronic conditions	Enable access to personal health information, support networks and care providers	Citizen empowerment in health maintenance and autonomy at home and at work	E-biometrics E-network Smart home/office E-wear/clothing

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Figure 8. CIHR performance measurement regime and its relationship to Roadmap II

Column 1

CIHR performance measurement regime (approximately 100 indicators)

Column 2

CAHS framework and accountability

CIHR accountability
Building capacity
Advancing knowledge
Informing decision making
Health and health system impacts
Broad social and economic impacts

Column 3

Reporting timeframe

Short-term reporting (annually)
Intermediate reporting (2-5 years)
Long-term reporting (beyond 5 years)

Column 4

Types of reports

facts and figures
progress reports
cohort reports
audits
evaluations
impact studies

CIHR action plans and performance measurement framework

Roadmap II high-level performance measurement framework

Performance measurement framework for signature and other strategic initiatives

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Table 1. Expected outcomes and performance indicators for Roadmap II

Expected Outcomes			Performance Indicators
To promote excellence, creativity and breadth in health research, and mobilize health research for transformation and impact			% of expenditures^{Footnote iiiiii}	no. of grants^{Footnote iiiiii}	no. of researchers funded^{Footnote iiiiii}	no. of publications^{Footnote iviv}	Citation of findings in scientific and non-scientific publications^{Footnote iiiiii,}^{Footnote iviv}	Field analysis of citations^{Footnote iiiiii,}^{Footnote vv}	Share of top 5% cited papers acknowledging CIHR	Average relative citations (ARC)^{Footnote iiiiii}	% of grants reporting contribution to more effective health services and products^{Footnote iiiiii}	% of grants reporting contribution to improved health of Canadians^{Footnote iviv}	% of grants reporting participation of stakeholders in the research process^{Footnote vivi}	% of grants reporting new method, new theory or replication of findings^{Footnote iiiiii}	% of grants reporting application of findings^{Footnote iiiiii}	% of grants reporting potential commercialization outcomes^{Footnote iiiiii}	Co-author analysis of publications^{Footnote iiiiii,}^{Footnote vivi}	% of trainees obtaining post-doctoral fellowship in the top 50 highest ranking universities	% of trainees employed in the Canadian research enterprise^{Footnote viivii}	no. of reviewers^{Footnote iiiiii}	% of appropriate reviewer assignments	Ratio of CIHR to Partner investment^{Footnote vivi}	no. of partnership agreements^{Footnote vivi}	no. of stakeholders involved in CIHR governance & advisory committees^{Footnote viiiviii}
Strategic Direction 1		Diverse health-related projects and programs of research advance knowledge and/or improve health care, health systems, health or economic outcomes	Yes	Yes	No	Yes	Yes	Yes	Yes	Yes	Yes	Yes	No	No	No	Yes	No	No	No	No	No	No	No	No
		Diverse research leaders across the spectrum of health	No	No	Yes	No	Yes	Yes	No	No	No	No	No	No	No	No	Yes	No	No	No	No	No	No	No
		Integration of stakeholders^{Footnote vivi} into the research process	No	No	No	No	No	No	No	No	No	No	Yes	No	No	No	Yes	No	No	No	No	No	No	No
		A base of well-trained reviewers that represent diverse expertise, experiences and perspectives	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	Yes	Yes	No	No	No
		Trainees are leaders in the Canadian Health Research Enterprise	No	No	Yes	No	No	No	No	No	No	No	No	No	No	No	No	Yes	Yes	No	No	No	No	No
Strategic Direction 2	Health Innovation	Knowledge informs the development of diagnostic, therapeutic, clinical, technological and health system solutions	Yes	No	No	Yes	No	No	No	No	No	No	No	Yes	No	Yes	No	No	No	No	No	No	No	No
	Health Innovation	Evidence informs the implementation of new diagnostic, therapeutic, clinical, technological and health system solutions	No	No	No	No	Yes	Yes	Yes	Yes	Yes	Yes	No	No	Yes	No	No	No	No	No	No	No	No	No
	Aboriginal Peoples’ Health	Indigenous knowledge and ways of knowing are an integral part of Indigenous health research	Yes	No	No	Yes	No	No	No	No	No	No	Yes	No	No	No	Yes	No	No	No	No	No	No	No
	Aboriginal Peoples’ Health	Knowledge from Aboriginal research is applied to other relevant settings and health issues	No	No	No	No	Yes	Yes	Yes	Yes	Yes	Yes	No	No	No	No	No	No	No	No	No	No	No	No
	Health Promotion & Prevention	Knowledge of biological, psychological, social, environmental and economic determinants of health is advanced	Yes	No	No	Yes	No	No	No	No	No	No	No	Yes	No	No	No	No	No	No	No	No	No	No
	Health Promotion & Prevention	Evidence-informed intersectoral health promotion and disease prevention interventions are implemented	No	No	No	No	Yes	Yes	Yes	Yes	Yes	Yes	No	No	Yes	Yes	No	No	No	No	No	No	No	No
Man. & Treat. of Chronic Conditions		Knowledge of diagnosis and treatment barriers for multiple, co-existing chronic conditions is advanced	Yes	No	No	Yes	No	No	No	No	No	No	No	Yes	No	No	No	No	No	No	No	No	No	No
Man. & Treat. of Chronic Conditions		Evidence-informed integrated care approaches improve the diagnosis, monitoring and treatment of multiple, co-existing chronic conditions	No	No	No	No	Yes	Yes	Yes	Yes	Yes	No	No	No	No	Yes	No	No	No	No	No	No	No	No
Reaping Benefits from Strategic Alliances		Stakeholders are engaged in CIHR decision making (e.g. priority setting, policies, programs and initiatives)	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	Yes
		CIHR builds collaborative relationships with health and out-of-health sector stakeholders	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	No	Yes	Yes	Yes
		Canadian researchers are leaders and innovators in international research initiatives	No	Yes	No	No	No	No	Yes	No	No	No	No	No	No	No	Yes	No	No	No	No	No	Yes	No
		Knowledge from collaborative research in low- and middle-income countries (LMIC) is applied to the Canadian context	No	No	No	No	Yes	Yes	No	No	Yes	Yes	No	No	No	No	Yes	No	No	No	No	No	No	No

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Footnotes

Footnote iii

To be reported by a) research area: research areas across the spectrum of health, including ethics research, knowledge translation science; and in CIHR priority areas: health innovation, aboriginal research, health promotion and disease prevention, management of chronic conditions, and eHealth; b) type of research (discovery, demonstration, validation and application) and c) type of grantee/awardee, including gender, age or other demographics, where applicable.

iii

Footnote iv

CIHR is currently pilot testing methodologies to access, search and report on citations to funded research in ‘non-journal’ publications such as policies and guidelines.

Footnote v

Field analysis identifies whether findings are taken up by other disciplines.

Footnote vi

To be reported by stakeholder type, region and sector.

Footnote vii

To be reported by sector and position. This indicator is currently based upon the Banting Postdoctoral Fellowships program end-of-award survey.

vii

Footnote viii

Examples of stakeholders include health care/health system/public health practitioners, patients or consumers of the health system/care, study stakeholders, health system/care managers, health system/care professional organizations, federal/provincial representatives, community/municipal organizations, consumer groups, charitable organizations, industry, the media; and other researchers/academics (excluding study stakeholders).

viii

Date modified:: 2015-04-14

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