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Fiona Clement

2014–15 Harkness Fellow Assistant Professor, Community Health Sciences/Medicine Director, Health Technology Assessment Unit University of Calgary

Harkness Project Title: Achieving Optimal Use of Technology: Learning from the American Experience

Mentor: Rita F. Redberg, M.D., M.Sc. (University of California, San Francisco)

Co-Mentor: Elizabeth A. McGlynn, Ph.D. (Kaiser Permanente Center for Effectiveness and Safety Research)

Placement: University of California, San Francisco Medical Center

Biography at time of Harkness Fellowship: Fiona Clement, Ph.D., a 2014–15 Canadian Harkness/CFHI Fellow in Health Care Policy and Practice, is assistant professor of community health sciences and director of the Health Technology Assessment Unit at the University of Calgary. Previously, Clement was a post-doctoral fellow with the Canadian Health Services Research Foundation, which allowed her the opportunity to spend two years in the U.K. with the National Institute for Health and Clinical Excellence, which spurred an ongoing data collection initiative of all public drug reimbursement decisions in Australia, Canada, and the U.K. She is active in health technology policy in Alberta, apparent in her leadership in numerous grants to build capacity and support, as well as her contribution in the Alberta Health Technology Decision Process (the expert advisory panel to review publicly funded health services). Clement’s research interests include health technology assessment, drug plans, payment reimbursements, cost containment, and chronic disease. She has published over 50 articles in peer-reviewed journals including JAMA and BMC Health Services Research. Clement received her Ph.D. in community health sciences specializing in health services research and health economics from the University of Calgary.

Project: Dr. Clement will examine existing processes aimed at optimizing technology use within the United States, and describe the adopted definition of “optimal use,” organizational approach, processes, and desired outcomes of active exemplar programs. Using a case study design to feature four agencies in varied contexts and using different approaches within the United States, Fiona will review written material on relevant policies and strategies and complete semi-structured interviews with key informants. She will explore the adopted definition “optimal use,” the theoretical framework, strategies, intended outcomes of the organization’s program, and lessons learned for each of the agencies featured. The results of the project are expected to have direct policy impact in Alberta, where the Ministry of Health is actively developing an evidence-informed approach to achieve the optimal use of technology. In the United States, this research will provide insight into established programs and fill a knowledge gap for those interested in developing optimal technology use programs.

Email: [email protected]

Harkness Related Publications:

L.J. Soril, L.E. Leggett, D.L. Lorenzetti, T.W. Noseworthy, F. Clement, “Characteristics of frequent users of the emergency department in the general adult population: A systematic review of international healthcare systems,” Health Policy, 2016.

Parkinson B, Sermet C, Clement F, Crausaz S, Godman B, Garner S, Choudhury M, Pearson SA, Viney R, Lopert R, Elshaug A. “Disinvestment and Value-Based Purchasing Strategies for Pharmaceuticals: An International Review,” Pharmacoeconomics. 2015.