he SPOR Rewarding Success Initiative is an experimental funding model that is being piloted in five provinces: British Columbia, Alberta, Manitoba, Saskatchewan, and Newfoundland & Labrador. This initiative is similar to other funding models that have been developed to support innovation and impact, such as risk sharing, social impact bonds, and innovation prizes. The basic principle is that teams of patients, healthcare delivery organizations, clinicians, and researchers identify potential solutions to identified problems and priorities in health care; solutions that will enhance patient and provider experience.
Teams will partner with payers of health services (e.g. Ministries of Health, Regional Health Authorities, insurers, hospitals, etc.) and/or charities and philanthropic organizations who recognize the identified challenges and agree to pay for successful improvement in outcomes, efficiencies, or reduction in low value services based on actual (e.g. lower drug costs) or measured but not readily retrievable savings (e.g. reduction in hospital admissions). Teams and their payers will work together to determine the outcomes, the metrics to be measured, the value of the payback, and the mechanism of the payback. If agreed-upon outcomes are achieved, there will be redistribution of a portion of the savings by the payer, which may be returned to the multidisciplinary research team, and/or redirected into an Innovation Fund, depending upon the agreements outlined.