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Health Technology Expert Review Panel

The Health Technology Expert Review Panel (HTERP) is an advisory body to CADTH, convened to develop guidance and/or recommendations on non-drug health technologies to inform a range of stakeholders within the Canadian health care system.

The HTERP approach is evidence-based and uses a multi-criteria framework that considers the strength and quality of available clinical evidence; the strength and quality of available economic information; current practices and resource utilization patterns; and other factors including, but not limited to, patient input and practical, ethical, environmental, and psychosocial considerations.

HTERP consists of five Core Members appointed to serve for all topics under consideration. In addition, specialists will be appointed on a per-project basis to provide subject matter expertise on specific topics. Core Members include individuals with qualifications in evidence-based medicine and/or critical appraisal, including a Chair, an ethicist, a health economist, a health care practitioner, and one Public Member who represents the broad public interest.

HTERP reports to the CADTH President and CEO. Committee members must abide by the Conflict of Interest Guidelines for Committee and Panel members and by the CADTH Code of Conduct. An honorarium is paid to the Health Technology Expert Review members for their preparation and meeting time.

Terms of Reference

HTERP Process

Chair

Stirling Bryan, PhD (Economics, Brunel University London, United Kingdom)
Dr. Stirling Bryan is an economist with a career-long specialization in health care. His early career was spent in the United Kingdom (UK), initially in London (appointments at St. Thomas' Hospital Medical School and then Brunel University) and subsequently Birmingham (appointments at the University of Birmingham). His research track record reveals a long-standing goal of informing policy and practice. This is demonstrated, in part, through an extensive involvement with the UK's National Institute for Health and Care Excellence (NICE). For many years, Stirling led the University of Birmingham team that conducted economic analyses for NICE, and subsequently served for three years as a member of the NICE technology appraisals committee, advising on national coverage policy. In 2005, he was awarded the Commonwealth Fund's Harkness Fellowship and spent a year at Stanford University, researching technology coverage decision-making in US health care organizations. He moved to Canada in 2008 (Professor, School of Population and Public Health, University of British Columbia; and Director, Centre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute), where he continues to focus on policy-relevant research. His current position, sponsored by Vancouver Coastal Health, sees him working alongside policy colleagues in one of British Columbia's largest regional health authorities.
Conflict of Interest Statement

Members

Jenny Basran, MD, FRCPC
Dr. Jenny Basran is an Internist Geriatrician with a clinical practice helping older patients and their families who are struggling with the challenges of cognitive and physical decline. In addition, Jenny provides internal medicine services to the Acute Care Medicine service at Royal University Hospital in Saskatoon, Saskatchewan. She has also been the Head of the Division of Geriatric Medicine at the University of Saskatchewan since 2004. In this role, she has worked with the health region to restructure clinical services to meet the growing demand of its aging population. Through this process and her clinical experience, Jenny has gained insight into both the gaps in the current system, as well as how to effect change in a complex health system. She has led and participated in several regional, provincial, and national initiatives to improve health care for seniors. Jenny has recently been named one of the physician co-leads for Saskatchewan Health's newest initiative — ED Wait Times and Patient Flow, a project aimed at decreasing wait times in emergency departments.

Jenny is a researcher with a tenured Associate Professor position at the University of Saskatchewan. She has received multiple national research grants from CIHR and NSERC. Her research is in the area of technology and older adults. She has worked with engineers on the development of a falls detection system, as well as with computer scientists on an electronic health record for the hospitals and on technology to allow older adults to age in their homes safely.

Jenny is currently evaluating the feasibility of using technology products with older adults. She is examining the hypothesis that technology will increase the quality of life for older adults and their caregivers, while at the same time increasing quality and efficiencies in the health care system. She has a particular interest in improving the quality and accessibility of health care in rural areas.
Conflict of Interest Statement

Leslie Anne Campbell, PhD, RN
Dr. Leslie Anne Campbell is an Assistant Professor in the Department of Community Health and Epidemiology at Dalhousie University and the inaugural Sobey Family Chair in Child and Adolescent Mental Health Outcomes. Her background is in Nursing (BScN, University of Toronto), Epidemiology (MSc, Dalhousie University), and Health Services Research (PhD, Dalhousie University). Leslie Anne is a health services researcher, with academic interests in patient-centred mental health outcomes, patient engagement, population screening, simulation modelling, secondary data analysis, and health technology assessment. She works closely with colleagues in the IWK Health Centre’s Mental Health & Addictions program to improve child and youth mental health outcomes through the incorporation of routine patient-oriented outcomes measurement into clinical, administrative, and policy decision-making. Leslie Anne’s work has been supported by the IWK Foundation, the Nova Scotia Health Research Foundation, and the Canadian Institutes of Health Research.

Brigadier General (Retired) Hilary Jaeger, MSc, MD, CHE
Dr. Hilary Jaeger is a former Surgeon General of the Canadian Armed Forces and National Medical Officer of Veterans Affairs Canada. Starting out as a primary care physician, during her 30-year military career she served in many locations across Canada, and overseas in Germany, Croatia, Bosnia, and Afghanistan. Beyond hands-on care, she developed skills in health system leadership, development of health human resources, management of health-related research, and health policy development as she progressed to increasingly senior levels. Her principal professional interests at present concern the effect of health systems design and health policy decisions on population health outcomes.

Hilary serves as Vice-Chair of the Board of Directors of Osteoporosis Canada. She holds a Bachelor of Science in Mathematics from Acadia University; a Master of Science in Health Economics, Policy and Management from the London School of Economics; and a Doctor of Medicine from the University of Toronto.
Conflict of Interest Statement

Jeremy Petch, PhD
Dr. Jeremy Petch is the Managing Editor of Healthy Debate, the Manager of Special Projects at the Li Ka Shing Knowledge Institute of St. Michael’s Hospital, and an Assistant Professor at the Institute of Health Policy, Management and Evaluation at the University of Toronto. He is also the co-creator of Faces of Health Care, which explores the human side of health policy through photography and storytelling. He sits on the Board of Directors of the Regent Park Community Health Centre and is the Chair of its Quality Committee.

Jeremy holds a PhD in Philosophy from York University, a graduate diploma from the Ontario Training Centre in Health Service and Policy Research, and Master’s and Bachelor’s (honours) degrees in Philosophy from the University of Victoria. His doctoral work focused on the intersection of ethics, law, and public policy in the regulation of genetic screening technologies. He was previously a Research Associate at the Institute for Work and Health.

Lynette Reid, PhD
Lynette Reid, PhD, is Associate Professor in the Department of Bioethics, Faculty of Medicine at Dalhousie University. In this capacity, she had collaborated with colleagues in leading the revision of the overall curriculum outcomes and the design and implementation of the two-year interdisciplinary Professional Competencies Unit.

Lynette’s research activities involve the interface of public health, health systems design, and medical practice. She is currently at work on a book project about ethical and philosophical issues in cancer screening and has recently edited a special issue concerning normative issues around “preferential access” in the Canadian health care system.

Lisa Schwartz
Lisa Schwartz, PhD is the Arnold L. Johnson Chair in Health Care Ethics in the Faculty of Health Sciences at McMaster University, Associate Professor in the department of Clinical Epidemiology & Biostatistics, co-Associate Director of the Centre for Health Economics and Policy Analysis (CHEPA), and associate member of the Department of Philosophy. She is also the Vice-Chair of the Standing Committee on Ethics at the Canadian Institutes of Health Research (CIHR), a member of the Expert Review Panel for non-pharmaceutical health technology assessment at CADTH, and a member of the Ethics Committee at the Royal College of Physicians and Surgeons of Canada.

Lisa has a strong background in ethics and human research, evaluation of ethics education in medicine, and advocacy in health care. Currently, she is the Primary Investigator on CIHR-funded studies examining the ethical challenges faced by health care professionals providing humanitarian health care assistance abroad, and on ethics and policy development in humanitarian health care agencies. She is also co-Principal Investigator on a related study on professional ethics and conflicts of role for health care professionals working in military and humanitarian contexts.
Conflict of Interest Statement

Tonya Somerton, BN, RN, MTM
Tonya Somerton is an Acute Care Division Manager with Eastern Health in Newfoundland and Labrador. She graduated as a nurse in 2001 with a baccalaureate degree from Memorial University of Newfoundland (MUN). Tonya has practised in acute care settings her entire career and, while bedside nursing, focused mainly on critical/intensive and emergency care. She has been a Manager with Eastern Health since 2007, and in that role is responsible for all of the services under the Surgical Services and Children and Women’s Health programs at Carbonear General Hospital in Carbonear, NL. In 2015, Tonya completed a Masters in Technology Management at the Marine Institute of NL (MUN), during which her research focused on health technology assessment and prioritization of health technology acquisitions.

 

Jean-Eric Tarride, PhD
Trained as an economist (with a PhD in Economics from Concordia University in Montreal), Dr. Jean-Eric Tarride is an Associate Professor at McMaster University in the Department of Health Research Methods, Evidence, and Impact, and the Department of Economics. He is the Director of the Centre for Health Economics and Policy Analysis (CHEPA) at McMaster University and the co-Director of the Program for Assessment of Technology in Health (PATH), The Research Institute of St. Joe’s Hamilton, St. Joseph’s Healthcare Hamilton.

His primary research interests are in methods for the economic evaluation of health technologies and programs, and the treatment of uncertainty. Jean-Eric has authored more than 120 peer-reviewed journal articles related to economic evaluations of health care programs and has successfully collaborated with clinicians and academics by providing economic leadership in more than 70 peer-reviewed grants.

During his 10-plus years at PATH and McMaster University, Jean-Eric has designed and conducted pragmatic trials to inform the Ontario Health Technology Advisory Committee (OHTAC) and the Ontario Ministry of Health and Long-Term Care (MOHLTC) on the reimbursement and diffusion of medical technologies in Ontario. Jean-Eric received a five-year Career Scientist Award from the MOHLTC (2007-2011) for his contribution to health services research in Ontario. He is actively involved in graduate and professional education activities and teaches introductory to advanced courses in health technology management, as well as advanced decision-analytic modelling.

In addition to his academic expertise, Jean-Eric has worked for more than ten years in the pharmaceutical industry in various roles including Director of Health Economics and Reimbursement at AstraZeneca Canada (July 2012 to August 2014) and as Senior Manager of Outcomes Research at Pfizer Canada (2001 to 2005). He is currently a member of the CADTH pan-Canadian Oncology Drug Review (pCODR) Economic Guidance Panel.