eHealth 2014 – June 2nd

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Cerner – Know Me: A Shared Vision

Speaker: Dr. Mary-Lyn Fyfe, MD Chief Medical Information Officer & Acting Executive Medical Director, Quality & Safety Island Health Session’s Details: Cerner and Island Health are partners in the iHealth initiative – a transformational change initiative founded on a ‘One Patient, One Record, One Plan for Care and Health” strategy.  Together they are undertaking a number of Canadian firsts in bringing patient information into the electronic health record to complete the patient story. In order to inform and improve the patient experience in an automated health care environment, iHealth teams are actively engaged with patient partners to include their perspectives in the design of Island Health’s electronic health record. Listening to patient stories has fundamentally changed the approach to the design of provider –centric electronic health record content through confirming the need for the patient’s voice to be represented in the electronic health record.  This ensures that social factors that impact patients’ health and wellness, as well as their personal health goals, can be recorded and incorporated into a plan for health; a view of patient information that we now call the “Know Me” view. The objectives of this session are to explore a patient centered approach to Electronic Health Record implementations, and to demonstrate how patient stories have informed the iHealth vision and design. (source: ehealth2014 app) The PowerPoint is not available.

Concurrent Session 3.1: A View into Your Future -The 2014-2019 HI  & HIM HR Supply & Demand

Speakers: Don NewSham CEO, COACH Kelly Abrams BHA, MPA, CHIM VP Canadian Health Information Management Association (CHIMA) Session’s Details: Addressing the 39,900-strong community of Health Informatics (HI) and Health Information Management (HIM) professionals, the 2014 HI and HIM Human Resource Report brings a wealth of insights into the supply and demand for the people resources so key to our future. With the loss of experience from retirees, the need to reduce the skills gap, the importance of engaging with our entry-level and junior professionals and the need to increase clinical informatics training, you will gain important information and awareness of the trends and demands over the next five years for staffing your HI and HIM projects, programs and services. This session is the formal announcement and public release of this foundational report, building on the similar report in 2009. (Source eHealth2014 app) Powerpoint Source: (eHealth-2014) Here is my Personal Notes during the session. Both COACH and CHIMA pointed to a newly updated document that can be downloaded from both association. this document is an update to the previous research on the job trends in 2009. coachorg  

Concurrent Session 14.3: Home Health Monitoring in Home & Community Care: Model Updates and Outcomes

Speaker: Henry Van Boxtel Project Manager Telehealth Island Health Authority Session’s Details: Purpose/Objective The Telehome monitoring service is an evidence-based quality service that supports individuals and caregivers in managing their chronic health conditions within the community (e.g. Pandor et al 2013). Within British Columbia (BC), 1 in 3 persons have a chronic condition and 70% of the health care dollars go towards caring for people with chronic conditions. The health care management of chronic conditions must focus on helping individuals to manage their conditions, to maintain wellness and avoid exacerbations and the need for hospital care. The largest factor in chronic disease management is the behaviours or actions of the client (70%). Telehome monitoring uses technology to enhance an individual’s capacity to manage their chronic condition by providing objective, consistent data to both the client and the health care provider on which to base care planning and self-management decisions. Methodology/Approach Island Health Authority recently expanded their telehome monitoring service for clients with Heart Failure, updated the clinical model of providing the service and participated in a new provincial project. The Island Health expansion included: a review of the existing model of service delivery within Home & Community Care (HCC), including improved self-management support for clients; enhanced partnerships between Home & Community Care and Heart Health services; improved processes for clients discharged from hospital; development of a new model to enhance efficiencies; the rollout of a new service in the Centre of Vancouver Island; and review of clinical practice documents. The new provincial project consisted of a new partnership model with the Ministry of Health, Telus and Island Health Authority and included the following key elements: further development of clinical support tools, configuration of new clinical station, new patient devices, new asset management processes and new service desk support model. Findings/Results Evaluation of this implementation included: client and clinician surveys acute care service utilization (emergency department visits, hospital admissions). Preliminary analysis revealed reduction in acute care services for a cohort of clients. Conclusions/Implications/Recommendations This presentation will include an overview of the process, evaluation results, lessons learned, and future recommendations. (Source: eHealth2014 app) Powerpoint Source: (eHealth-2014) Here is my personal notes for this session.