Federal Health Minister Rona Ambrose created the Advisory Panel on Healthcare Innovation, asking them to identify five priority innovation areas that would improve accessibility, quality of care and health spending. Their 2015 report found fragmented systems, a lack of collaboration across jurisdictions to share learnings and best practices and undercapitalized technological advancements, among other barriers to spreading successful innovation. Ten years later, we review the report's main recommendations and examine progress in the key areas identified for action. Progress on many of the recommendations is lacking. The panel's main recommendations – creation of a $1-billion innovation fund to enable sustainable changes in care delivery and a national healthcare innovation agency – have gone largely unanswered. We illustrate the need for an innovation agency that spans all provinces using several examples, including ones where digital health innovation is required, including central intake and triage for specialist referrals. We discuss the conditions needed for successful implementation: An interoperable digital solution, changes to models of care and funding flows, leadership and a patient-centred culture within the health system. We also highlight how local innovation hubs enable the development of new technologies and identify the key local, provincial and national factors for success that should be considered for a new federal agency.

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