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Healthcare Innovation

CHIR News

News stories about the Centre for Healthcare Innovation Research since our launch in 2019.

Highlights

New Collaboration

17 October 2022: CHIR new partner at the NIHR Biomedical Research Centre at The Royal Marsden

The Royal Marsden NHS Foundation Trust and the Institute for Cancer Research (ICR) welcome City, University of London and the Clatterbridge Cancer Centre as two additional partners, and renew their Biomedical Research Centre status. At the Centre for Healthcare Innovation Research (CHIR) at City, University of London we are delighted to continue our collaboration with The Royal Marsden to understand the challenges of spreading innovation in cancer diagnosis and treatment, and to support the translation of ideas developed through the BRC into routine NHS practice.

Read more about this collaboration here

New publication

October 2022: New Publication: Identifying core strategies and mechanisms for spreading a national medicines optimisation programme across England—a mixed-method study applying qualitative thematic analysis and Qualitative Comparative Analysis

CHIR's Dr Alexandra Ziemann and Prof Harry Scarbrough just published with partners at various Academic Health Science Networks (AHSN). This new publication compares spread activity of Transfers of Care Around Medicines (TCAM) across 15 AHSNs in England. They identified six common spread strategy-mechanism constructs that AHSNs applied to spread the TCAM national spread programme: (1) the unique intermediary position of the AHSN as “honest broker” and local networking organisation, (2) the right capacity and position of the spread facilitator, (3) an intersectoral and integrated stakeholder engagement approach, (4) the dynamic marriage of the innovation with local health and care system needs and characteristics, (5) the generation of local evidence, and (6) the timing of TCAM.

Read the open access journal here

Article AHSN's rapid implementation experiences

Together with colleagues from South West AHSN and Wessex AHSN, we explored how Academic Health Science Networks have implemented innovations during the first wave of the pandemic in England. Our study contributed insights into how the rapid implementation concept could work in implementation practice. Rapid implementation practice was characterized by an increase in pace and efficiency. It was enabled through a change in rigor, characterized by a less restrictive governance context and stakeholders’ reduced risk averseness. Implementation methods were adapted to be more agile and adaptive and involved more remote stakeholder engagement. Rapid implementation was balanced with rapid testing and evaluation to ensure quality, safety, and rigor. Our insights can inform if and how to practice rapid implementation in non-crisis times.

Read the open access article here

2022

11 July 2022: Welcome, Milou Silkens! New research fellow joining CHIR team

The CHIR team is growing as we welcome Milou Silkens as new research fellow, Milou is interested in the complexity of the healthcare context and how it impacts care provision and use. She has extensive experience in medical education research.

Find out more about Milou here and follow her on Twitter.

CHIR has helped contribute to this POSTnote that gives an overview of innovation in adult social care. It provides a summary of the types of innovation in the sector and evidence on key barriers to and facilitators of innovation. It also presents lessons from the COVID-19 pandemic. It focuses on England but includes examples from all four UK nations.

Download the full report here

Together with colleagues from South West AHSN and Wessex AHSN, we explored how Academic Health Science Networks have implemented innovations during the first wave of the pandemic in England. Our study contributed insights into how the rapid implementation concept could work in implementation practice. Rapid implementation practice was characterized by an increase in pace and efficiency. It was enabled through a change in rigor, characterized by a less restrictive governance context and stakeholders’ reduced risk averseness. Implementation methods were adapted to be more agile and adaptive and involved more remote stakeholder engagement. Rapid implementation was balanced with rapid testing and evaluation to ensure quality, safety, and rigor. Our insights can inform if and how to practice rapid implementation in non-crisis times.

Read the open access article here


The CHIR team is growing as we welcome Milou Silkens as new research fellow, Milou is interested in the complexity of the healthcare context and how it impacts care provision and use. She has extensive experience in medical education research.

Find out more about Milou here and follow her on Twitter.


CHIR has helped contribute to this POSTnote that gives an overview of innovation in adult social care. It provides a summary of the types of innovation in the sector and evidence on key barriers to and facilitators of innovation. It also presents lessons from the COVID-19 pandemic. It focuses on England but includes examples from all four UK nations.

Download the full report here


31 March 2022: New perspective article published: Making Digital Health "Solutions" Sustainable in Healthcare Systems: A Practitioner Perspective

Prof Harry Scarbrough has joined forces with Prof Matthew Cripps to provide a practitioner perspective on the challenges of effectively implementing and sustaining digital health innovations in the English NHS. It shows how  the different pillars of the NHS Sustainable Healthcare approach help to ensure effective embedding of digital solutions. They argue that our thinking needs to shift from a focus on the technology itself to how we bring about the changes needed to deliver more efficient and effective care for patients. In practical terms, we need to focus on the changes involved to integrate digital health solutions into the delivery of services.

Read the open access publication here.


15 March 2022: Harry Scarbrough gives invited lecture at HEC Montreal

Harry Scarbrough presented our work on 'Professionals' sense-making response to AI as an epistemic technology in the field of radiology' to faculty members of HEC Montreal, Canada.


15 March 2022: Are you enthusiastic about innovation and implementation research? Join our team as (senior) research fellow!

We are looking for a postdoctoral research fellow/senior research fellow to join our interdisciplinary team. The researcher will be part of the core research team of CHIR and will be engaged in fieldwork research, data analysis, and report/paper writing on CHIR research projects. In addition, the researcher is expected to contribute to grant proposals for external funding. The role requires the ability to interact with a range of stakeholders, including senior managers. The fieldwork and research element of the role will involve interviews, meeting observations, and the analysis and synthesis of data from mixed methods.

More information & application.


17 February 2022: New journal article: Mapping the role of patient and public involvement during the different stages of healthcare innovation: A scoping review

We have mapped where patients and the public help us along the innovation journey in a new scoping review in Health Expectations. Our study highlights that Patient and Public Involvement (PPI) is more common across earlier stages of innovation (research and development) and focuses mostly on service innovations. Stronger PPI in later stages of adoption and diffusion of innovations could support the embedding of innovations in healthcare practice.

Read the open access publication here.


2021

29 November 2021: Frontiers in Digital Health Research Topic 'Digital Health Adoption: Looking Beyond the Role of Technology'

Prof Harry Scarbrough and CHIR co-founder Dr Yiannis Kyratsis together with Dr Amanda Begley, UCLPartners and Prof Jean-Louis Denis, University of Montreal, have co-edited a new collection of open access peer-reviewed articles around digital health adoption in the new journal Frontiers of Digital Health.
The first publications have been published now and the collection is still developing so keep checking back for more.


11 November 2021: New publication & webinar presentation: How do healthcare professionals respond to AI in radiology?

We worked with NHS radiology teams to understand what artificial intelligence means for them. Read our new BMC Health Services Research publication and join us at the free webinar
organised by City's School of Science and Technology and the Institute of Physics and Engineering in Medicine (IPEM) on 11 November 11am-12pm to learn more about our study's findings.


11 October 2021: Dr Katie Rose Sanfilippo joins us as Research Fellow - Welcome to CHIR!

Very happy to welcome Dr Katie Rose Sanfilippo to the CHIR team. Katie Rose will work on different existing and new CHIR research projects. Her overall research interests concern the function and application of music and the arts within healthcare contexts. Her current research is exploring the application of music-based interventions to support maternal mental health across different cultural contexts in Africa and the UK.


23 July 2021: New publication: From spreading to embedding innovation in healthcare

Prof Harry Scarbrough and CHIR co-founder Dr Yiannis Kyratsis critically analysed the theoretical basis of spreading and implementing healthcare innovations and propose to refocus it towards the "embedding of innovations", the sustainable implementation of innovations at scale. Read the article here.


15-16 July 2021: Two CHIR presentations at the 4th UK Implementation Science Conference

CHIR is joining the 4th UK Implementation Science Research Conference with two presentations: Dr Alexandra Ziemann is presenting findings from our joint study with Wessex AHSN and South West AHSN on lessons for spreading innovations across the AHSN Network during the COVID-19 pandemic. Ms Zuhur Balayah is presenting findings from our systematic review and concept analysis of implementation depth/outcome concepts. More information and registration

Watch the presentation recordings:


7 July 2021: CHIR hosts workshop on spreading innovations across the AHSN Network at the annual HSR UK Conference

Together with our research partners Wessex AHSN and South West AHSN we are presenting key findings from our joint study that was exploring spread and adoption approaches across the AHSN Network at the annual Health Services Research UK Conference. The conference is held virtually and our workshop will be conducted as live session. More information and registration

Watch the recording of the session:


27 June 2021: We are hiring -  join our team as (senior) research fellow

We are looking for a postdoctoral research fellow/senior research fellow to join our interdisciplinary team as soon as possible. The researcher will be part of the core research team of CHIR and will be engaged in fieldwork research, data analysis, report/paper writing on CHIR research projects, including an ongoing evaluation of the innovative UCLPartners’ Proactive Care programme. In addition, the researcher is expected to contribute to grant proposals for external funding. The role requires the ability to interact with a range of stakeholders, including senior managers. The researcher will also be expected to help coordinate the work of the centre, including support for dissemination activities, and web-page content. The fieldwork and research element of the role will involve interviews, meeting observations, and the analysis and synthesis of data from mixed methods. More information and application .


15 June 2021 - Session "How do AHSNs spread innovation?" at NHS Confederation Conference

We are joining Dr Andrew Sibley from Wessex AHSN, Dr Sarah Robens from South West AHSN and Prof Gary Ford from the AHSN Network in this session at the NHS Confed Conference presenting findings from our joint study on approaches to spreading innovation across the AHSN Network.
You can access our session recording (and all other content) online if you have registered to the conference.


28 May 2021: CHIR presenting successful strategies to spread a national programme across the NHS at the European Implementation Event

Dr Alexandra Ziemann is presenting findings from a sub project of our joint study "Review of spread and adoption approaches across the AHSN Network" with Wessex AHSN and South West AHSN at the first European Implementation Event to be held fully online on 27 & 28 May 2021. The sub project applied Qualitative Comparative Analysis to identifying spread strategies that are linked to the successful spread of a national medicines optimisation programme across the AHSN Network. To join or watch back our (and all other) sessions, you can register for the event here.

Watch the recording of the presentation (1.45-11.08):


19 May 2021: Final report published: Review of health innovation spread and adoption approaches across Academic Health Science Networks (AHSN) in England

The final project report of our in-depth study undertaken in collaboration with Wessex AHSN and South West AHSN examining approaches to spreading and adopting innovation across the English NHS has been published today. Read the summary and full report published by the AHSN Network here.


25 March 2021: CHIR participates in BEIS expert roundtable on adoption and diffusion in innovation

Prof Harry Scarbrough is participating in an expert roundtable on adoption and diffusion in innovation organised by the UK Government Department for Business, Energy and Industrial Strategy (BEIS).


12 March 2021: CHIR giving guest lecture at national Master in Clinical Leadership in Spain

Dr Charitini Stavropoulou and Dr Alexandra Ziemann are presenting the latest CHIR research findings in a guest lecture at the 'Master Direccion Medica y Gestion Clinica', organised by Instituto de Salud Carlos III,  Ministerio de Ciencia e Innovacion  and Escuela Nacional de Sanidad.


24 February 2021: Session "Spread and adoption of innovation in the time of a pandemic" at Health Plus Care Online Digital Health

Prof Harry Scarbrough and Dr Alexandra Ziemann are joining Dr Sarah Robens from South West AHSN in presenting findings from our joint study with Wessex AHSN on lessons for spreading innovations across the AHSN Network during the first three months of the COVID-19 pandemic at Health Plus Care Online.
You can access our session recording (and all other content) until 24 March online - registration is free for healthcare professionals.


19 February 2021: Dr Charitini Stavropoulou spoke on German TV on long COVID

Dr Charitini Stavropoulou spoke on German national TV station Das Erste's prestigeous programme "Monitor" about the symptoms of long COVID. You can watch the video of the programme online (Charitini is speaking between minutes 6.07-6.34 - dubbed in German).


12 February 2021: Submit your manuscript abstract on digital health adoption to Frontiers Digital Health

Prof Harry Scarbrough is co-editing a new Research Topic on "Digital Health Adoption: Looking Beyond the Role of Technology" at the journal Frontiers in Digital Health with Dr Yiannis Kyratsis , Prof Jean-Louis Denis and Dr Amanda Begley. The research topic specifically invites contributions that explore new approaches, empirical studies, theoretical developments, practitioner insights and policy reviews with the emphasis on the non-technical aspects of digital health technology adoption, diffusion and implementation. Consider submitting your manuscript abstract until 12 February 2021. More information can be found here.


9 February 2021: Preliminary findings on implementation processes of digital technologies presented to ULCPartners Innovation Network

We have presented preliminary findings of our project on learning from adoption and implementation processes of digital technologies in NHS trusts across UCLPartners to their Innovation Network.


25 January 2021: Charitini Stavropoulou starting secondment at MRC

Congratulations to Dr Charitini Stavropoulou for starting a new role at the Medical Research Council's Evaluation and Analysis team. In her secondment she will will explore the impact of the MRC's Early Career Researchers Programme.


2020

1 December 2020 – Yaru Chen presented at Foundations UK Research Roadshow

Dr Yaru Chen presented her work on “How professionals restructure their professional identity in case of a job redesign” at the Research Roadshow of Foundations UK, the National Body for Home Improvement Agencies in England. She was interviewed at the event by Paul Smith, the Director of Foundations.


1 October 2020: Zuhur Balayah joining CHIR as PhD Candidate

We are very happy to welcome Zuhur Balayah to the team. She will be doing her PhD with us and the NIHR Applied Research Collaboration (ARC) North Thames on "Accelerating the implementation of innovations in NHS organisations by learning from other sites". Looking forward to working with you over the next 3 years.


30 September 2020: Dr Alexandra Ziemann re-elected to the Board of the European Implementation Collaborative

Congratulations to Dr Alexandra Ziemann for being re-elected for two more years into the Board of the European Implementation Collaborative (EIC). In her role, Alexandra will be the liason person between the EIC and the UK Implementation Society.


25 September 2020: China's response to COVID-19 - New publication in BMJ Leader

A new comment by Dr Yaru Chen and colleagues from Huazhong Universtiy of Science and Technology (Wuhan), University of York, and Zhongnan University of Economic and Law (Wuhan) published in BMJ Leader explores the effects of the legacy of marketisation of China's health system on the country's response to the COVID-19 pandemic. Read the City, University of London news report here. Read the full-text article here.


7 September 2020: New research publication on professional job role changes

New research publication by Dr Yaru Chen and Prof Trish Reay, University of Alberta School of Business, has outlined a four-step process that professionals undergo when their job role is changed by an organisation. Read the City Businses School news report here. Read the Warwick Business School news report here. Read the HR Magazine article here. Read the open access full-text article here.


2 August 2020: Deadline to apply for PhD Studentship at CHIR & ARC North Thames

CHIR in collaboration with the NIHR Applied Research Collaboration North Thames is offering a funded 3-year PhD studentship starting from September 2020 on the topic "Accelerating the implementation of innovations in NHS organisations by learning from other sites". 31 July 2020: First CHIR Report published: Regulatory challenges in spreading digital health technologies


CHIR has published its first report exploring the topic of "Current regulatory challenges to support the spread of digital health technologies". You can download the report here .


8 July 2020: CHIR presents at British Institute of Radiology Event

Dr Yaru Chen presents research on “Practitioner response to the prospective use of AI in radiology” at the event “Patient centred care in the era of artificial intelligence and technological innovation” organised by the British Institute of Radiology. You can watch the recording of the presentation here.


1 July 2020: New project: Implementing a COVID-19 community response intervention in South African townships

CHIR is co-investigator on a new project led by the University of Bath and together with Stellenbosch University to adapt and implement a social care intervention from a high-income-country context into a COVID-19 community response intervention in a low-and-middle-income country context in South African townships. The research is co-funded by the UKRI Global Challenges Research Fund.


05 May 2020 – New research project on learning from rapid implementation approach during COVID-19

Our ongoing “Review of spread and adoption approaches across the AHSN Network” qualitative study will be extended to explore the approaches to rapid implementation and spread taken by AHSNs during the first three months of the COVID-19 pandemic to provide formative feedback to AHSNs to support their spread work during the course of COVID-19 and gather early insights on what works in rapid implementation. We will be organising three focus groups for AHSN staff in June/July 2020 to exchange on their experiences and lessons learnt with rapid implementation during COVID-19 and reflect on what changes they would like to sustain into the future. We aim to produce a rapid learning short report to the AHSN Network and the NHS Accelerated Access Collaborative by September to inform ongoing COVID-19 rapid implementation work at the AHSNs.


5 March 2020: AI@Work Conference

Radhika Narasinkan, Honorary Fellow CHIR and Public Health England on translating AI into healthcare practice.


25 February 2020: Master Class

Charitini Stavropoulou and Harry Scarbrough presented a Masterclass on ‘The Innovation Journey- Spreading and Embedding Innovation’  for the Digital Health Technology Catalyst of the UKRI.


7th February 2020: BBC World Service's World Update Programme

Yaru Chen was interviewed by the BBC World Service's World Update Programme to discuss the current state of the healthcare system in China within the context of the 2019-nCov outbreak in Wuhan.

Read the summary article here


2019

13-15 December 2019: Kyoto Workshop

Yaru Chen presented at the EGOS and Organization Studies Kyoto Workshop 2019 and discussed professional identity formation for General Practitioners and the implementation of system-level innovation in China.


30 October 2019: CHIR Launch Event

CHIR has officially launched! Many thanks to our chair Dr Amanda Goodall, our speakers Prof Andrew Jones, Prof Trish Greenhalgh, Prof Marcel Levi and Prof Zoe Radnor and to all who came and joined us!


16-17 September 2019: CHIR co-hosts workshop at the 5th Global Implementation Conference

CHIR is co-hosting a workshop with the Department of Social and Policy Sciences, University of Bath and the MST Institute on adapting innovations into different contexts at the 5th Global Implementation Conference in Glasgow, United Kingdom. Alexandra Ziemann is presenting findings of the project Contextualised adaptation of social care innovations spreading from high to low- and middle-income countries .


25 July 2019: All new and shiny CHIR website is online

We have a (this) new website. Please visit again for updates on our research, activities, and events!


18 July 2019: CHIR presents a poster at the 2nd UK Implementation Science Research Conference

We present preliminary results from our multidisciplinary systematic reviews on implementation depth and diffusion of innovations at the 2nd UK Implementation Science Research Conference in London, United Kingdom.


4-6 July 2019: CHIR presents at the 35th EGOS Colloquium

CHIR is attending the 35th European Group for Organizational Studies Colloquiumin Edinburgh, United Kingdom. Yiannis Kyratsis, Alexandra Ziemann and Harry Scarbrough present the paper “Beyond Barriers: The role of the implementation process in shaping technology innovation outcomes in healthcare” in sub-theme 32: Technological Innovation in Healthcare Organizations: Panacea or Pandora’s Box?


2-3 July 2019: CHIR hosts workshop on interdisciplinary innovation research at HSRUK 2019

CHIR hosts a workshop entitled “Can an interdisciplinary approach help improve sustainable implementation and spread of healthcare innovations?” at the Health Services Research UK 2019 Conference in Manchester, United Kingdom. Chaired by Yiannis Kyratsis, the workshop saw presentations by Yaru Chen on the Startback study Alexandra Ziemann on the London Ambulance Service Maternity Card implementation study and Radhika Sriskandarajah on Artificial Intelligence adoption in breast cancer screening, followed by an interactive discussion with the audience on the pros and cons of interdisciplinary innovation research.


1 July 2019: CHIR has a new co-director

CHIR co-founder and co-director Dr Yiannis Kyratsis leaves City, University of London, for a new post as Head of the Organization Theory Group and Associate Professor Organization Theory at Vrije Universiteit Amsterdam, The Netherlands. Dr Charitini Stavropoulou is succeeding him as our new co-director.


13 February 2019: You can now follow us on Twitter @CHIR_City

CHIR is now on Twitter – follow us on @CHIR_City!


1 January 2019: CHIR is officially starting its work

CHIR is officially starting its work and welcomes two new members to the core team: Research Fellow >Dr Yaru Chen and Senior Research Fellow Dr Alexandra Ziemann.