Ko Awatea clinical lead David Galler has appeared in a debate in Canada focused on innovation versus disciplined execution of existing health improvement work.
Dr Galler, who was attending the British Columbia Patient Safety and Quality Council Forum, argued in the affirmative, that discipline in rolling out existing improvement work is necessary for health system transformation. He was joined by Lynn Stevenson the Associate Deputy Minister of Health within Canada’s Ministry of Health.
Arguing against the proposition was Camille Ciarniello, corporate director quality patient safety risk management patient relations and infection prevention and control at Providence Healthcare, and Susan Shaw, a critical care specialist from the Saskatchewan Health Quality Council.
“Waiting for Godot and a magic bullet is not going to work. Let’s get real and face it – there’s very little that hasn’t been thought of already. We’ve got so much unwarranted variation that we do need a bit of discipline,” Dr Galler said. He argued that a combination of standardisation and contextualisation of any given innovation was required for its successful implementation elsewhere.
“There are the solutions there. We need to look up or look out. We need to start looking at what’s working and then testing it, because it is there, and we’re not looking, we’re waiting and waiting and nothing is happening.”
Despite an impassioned argument on behalf of the affirmative side, audience applause awarded the debate to the negative side who argued that innovation is what is needed to create large-scale change.