- Concurrent Session 37: Looking Forward
- Concurrent Session 52: Business Intelligence
- Saving Lives and Healthcare Dollars: Pharmacy’s Action Plan for Better Health Care
Speaker: Ron Parker Canada Health Infoway With 28 years of experience with IT in health and social services sectors, Ron is part of a team at Infoway identifying, assessing, and elaborating on the implications of emergent ICTs for the healthcare sector. He is also responsible for the maintenance and extension of Infoway’s e-Health Blueprint, an enterprise architecture for e-Health in Canada. Session’s Details: To introduce the next iteration of the Infoway Blueprint and elaborate on the implications for e-Health in Canada. Methodology/Approach The Infoway Emerging Technologies Group has been evolving the EHRS Blueprint to address current and emerging needs of health care in the context of the “2018 Opportunities for Action” published by Infoway in June of 2013. The new Blueprint provides guidance and considerations for e-Health IT strategies, architectures, and deployment approaches that support collaborative and coordinated health service delivery while improving the patient and provider experience. This presentation provides an overview of that work. Coordinated and collaborative care is an imperative for health consumers and health service providers. It must be enabled by health information technologies to support healthy living, access to health services, person-centered continuity of care, and quality and efficiency improvements necessary for a sustainable health system. Findings/Results The rapid evolution and use of emerging technologies by consumers and providers in their personal and professional lives has created both a compelling need and an opportunity for health care to innovate using technology to achieve its the goals. The new Blueprint describes options and considerations for all stakeholders. It illustrates how reusable technology building blocks can be dynamically configured to orchestrate and manage clinical processes. It also focuses on the provision of e-Health for the consumer. Conclusions/Implications/Recommendations The new Blueprint provides guidance on the planning, integration, and deployment of practical yet sustainable computing environments. It includes considerations for building a road-map to evolve current systems to the new vision and speaks to the roles of people, process, and e-Health services in the delivery of a sustainable health care system.
Speaker: Aditya Pai BSc, MSc, MSc, MS, CGC, MBA Senior Managing Consultant Strategy and Transformation, Healthcare Practice IBM Global Business Services Aditya Pai is a Senior Managing Consultant and Healthcare SME with IBM Global Business Services. Aditya has a background in medical, molecular genetics and is a certified genetic counselor. He works in areas of IT strategy, business strategy, Clinical information systems, e-health, life sciences and pharmaceutical innovation and governance. Session’s Details: To provide ehealth leaders, stakeholders with vital information about genomic medicine and its disruptive technologies that are already revolutionizing the practice of medicine and ehealth. –> Of note, the past two opening key note speakers for ehealth each quoted genomic medicine as key technology enablers in their talks. This presentation provides practical information for ehealth leaders that can influence their ehealth agendas Methodology/Approach Use case description; patient care related examples of application of genomic medicine in a clinical scenario, literature review of genome based statistics Findings/Results Coming to you shortly: Your Genomic Health Record Genomic Medicine has reached a unique inflection point owing to the rapid decrease in cost of gene sequencing as well as the increased processing of such information. Coupled with the number of genome based tests available through publicly funded laboratories or through private consumer based genomics companies, genome based information is fast becoming a vital part of a patients health record. The healthcare system is already experiencing the outputs of three key pillars of genomic medicine: Gene sequencing, translational medicine and personalized healthcare. Each of these will continue to impact healthcare and ehealth in significant ways ranging from storage and processing of such data to applying advanced analytics and personalization. Such data will be uniquely tied to a person’s electronic health record in the form of a Genomic Health Record. With the explosion of information in genomics, every individual who has an interaction with the healthcare system will have some form of a genomic health record; whether it be to manage a disease with precision medicine (a targetted therapy for a known gene alteration), or to prevent disease state through earlier predictive testing, or to dose medications based on a pharmacogenomic profile. Such a genomic health record will add unique value to the traditional electronic health record by offering “molecular personalization”. This presentation examines key use cases for the development of the genomic health record and links these to patient scenarios where this is already a reality. Conclusions/Implications/Recommendations Genomic Medicine is here As EMR maturity increases, a new aspect to the traditional health record will become reality: Your Genomic Health Record The Genomic Health Record will add a degree of molecular personalization that will revolutionze how healthcare is practiced.
Speakers: Dr. Alan Brookstone Dr. Alan Brookstone Inc. Dr. Alan Brookstone is a family physician and internationally recognized expert on Electronic Medical Records and health information technology. He also works as an addiction physician in an EMR-based 6 physician practice in Surrey, British Columbia. Michael Martineau VP Sales and Marketing B Sharp Technologies Session’s Details: The Digitization agenda in Canada has been moving through three fundamental phases; amassing data, exchanging data and analyzing data. Good progress has been made on the first phase but the latter two have seen far less success. There has not been a good debate on what needs to happen in Canada to bring more success to the other phases defined as value. This panel would highlight other ideas, some that will be considered contrarian, about how to make more progress by considering other approaches to achieving more value Methodology/Approach The panel will be comprised of some members from the main stakeholder groups but also others from non health care sectors groups that have been considering and exploring alternative ways to achieve value from the digitization agenda. The intent is for participants to comment on the current drivers for changes in the health care sector and link them to the opportunities that a digitization agenda can introduce. A roundtable is being organized in February/March to explore potential areas and approaches that could have applicability to the health care sector with a cross section of thinkers from the broader based digitization community. The outcome from these deliberations will form the basis for the debate. Findings/Results The ideas that will be shared will build off current research on digitization that focuses on; business processes, customer engagement, introducing more value, maximizing core competencies, changing roles of participants and analytics Conclusions/Implications/Recommendations The discussion will be thought provoking, challenge the thinking currently driving the eHealth agenda today and hopefully lead to a more robust and innovative agenda going forward.
Speakers: Mohamed Badsha Reconnect Mental Health Mohamed Badsha is Chief Operating Officer at Reconnect Mental Health Services and is responsible for Clinical Programs, Finance, Planning, Development, Information Systems, Human Resources, Corporate Performance, and Projects (Business Intelligence, Shared Services, Infrastructure, IT/IM). As Chief Operating Officer, Mohamed is responsible for the strategic and operational management of the organization. Mohamed provides leadership in all aspects of planning, operations and evaluation of health service programs. Mohamed has extensive experience in strategic planning, senior IM/IT management, and clinical change management. Since commencing with projects on behalf of the Toronto Central Local Health Integration Network (TCLHIN), Mohamed and his team have established the foundation for the implementation of a community based business intelligence tool coupled with several initiatives to boost IT/IM infrastructure and shared services in the community health care space. An experienced healthcare executive with 12 years of progressive leadership experience, Mohamed’s previous roles included Director of Community Support Services and Director of Program Development and Community Integration. He has extensive leadership experience as a senior executive in complex environments. Mohamed’s educational background is in community development and healthcare leadership. Nathan Frias Toronto Central Local Health Integration Network Nathan Frias is a Senior Consultant and Business Intelligence Lead for the Toronto Central Local Health Integration Network (TC LHIN). In this role, Nathan facilitates the identification, planning and implementation of cross-sector BI initiatives. Some of these initiatives include the TC LHIN implementation of the Integrated Decision Support (IDS) tool and the Community Business Intelligence and Information Infrastructure projects. Mr. Frias received his B. Sc. (Honours) in Human Biology from the University of Toronto and his MBA from the Schulich School of Business (York University). Session’s Details: The Community Business Intelligence (CBI) Project was undertaken in early 2012 to take the TC LHIN to an enhanced level of data quality and reporting by Community Sector services as a foundation for organizational, sector and system planning, and performance monitoring. In the current state, community health service providers (HSPs) often access multiple resources to provide aggregate level data to funders, HSPs are not provided access to their own data after submission, and the aggregated data provided to organizations allows little flexibility for analysis and insight into sub-sectors. The CBI project will address these issues by providing both HSPs and the TC LHIN, a single resource in which to access standard reports and enable ad hoc querying of select data elements. Uploading of the most currently available data to a single repository will allow the TC LHIN and funded providers to understand who is receiving what service, after what waiting time, and how much they are receiving (visits and length of service). Methodology/Approach The CBI project has limited impact on HSPs as data will be pulled directly from the HSP client management system and submitted to an existing electronic service provider (DATIS, Drug and Alcohol Treatment Information System) held by the Ministry. CBI is being implemented in phases, beginning with a data set (client demographic and service utilization data) which is consistently captured across the three sub-sectors. Subsequent tiers will aim to link these data elements with hospital utilization records and community assessment data as well as add additional data sets such as referral and access hubs. The project team has embraced a “made in community” approach and has ensured that engagement with the sector and stakeholders is a primary component of the initiative. A number of working groups, and open information sessions for the sector and vendors have been organized. Findings/Results There are significant gaps in the information available to community HSPs about the populations they serve, especially with respect to patient journeys across the different community sub-sectors. As a result, HSPs have a high degree of interest in accessing and using data, as well as, fairly well developed ideas and requirements for system functionality and reports. Conclusions/Implications/Recommendations The success of the project to date has been a result of a high degree of stakeholder engagement throughout the initiative. The project team leads weekly calls with both HSPs and vendors to ensure project process and issues are effectively communicated. Similarly, the next phase of the CBI project will include investments in change management and training for HSPs to ensure the technology will be used effectively. The limited availability of community health sector data has hindered the ability of health system planners to provide a comprehensive analysis of health system use. Upon enabling community sector data collection, integration with other health sector data will eventually yield a view of the patient journey that extends across all sectors and inform a holistic view of health system use.
CS52.2: A Tale of Two (Plus) Teams: How CAPHC and CIHI are Working Together to Improve Paediatric Practice in CanadaSpeakers: Janine Kaye Canada Institute for Health Information (CIHI) Janine is manager of the Portal Services department at the Canadian Institute for Health Information (CIHI). In this role she is responsible for the development and expansion of the CIHI Portal so that clients can continue to efficiently access CIHI data and meet their information needs. Before joining CIHI, Janine at University Health Network where she helped build and support the organizations data warehouse and hospital indicator development. Scott McRae Clinical Consultant BC Women & Children’s Hospital and Health Centre (PHSA) Chair, CAPHC-CPDSN Session’s Details: The Canadian Institute for Health Information (CIHI) and the Canadian Association of Paediatric Health Centres (CAPHC) partnered in 2005 to create a paediatric community of practice (CoP) centred-around the CIHI Portal business intelligence tool. The CoP provides a vehicle for paediatric clinical experts to obtain easy access to information they need to make informed decisions. We will walk participants through two initiatives (paediatric sepsis and surgical wait times) that have leveraged this relationship to drive positive changes in Canadian paediatric practice. Methodology/Approach CAPHC has taken the following approach: • identify priority areas • use data to identify the national situation • bring together clinical experts to provide best-practice guidelines • monitor the impact of changes For paediatric sepsis, CAPHC established a Paediatric Practice Guideline Collaborative in 2011 with the objective to improve healthcare practice quality, safety and efficiency through the creation of paediatric practice guidelines. Sepsis was one of four priority areas identified for investigation. For paediatric surgical wait times, in 2011 the Canadian Paediatric Surgical Wait Times Project in collaboration with CAPHC approached CIHI to use their established administrative databases to measure, monitor and manage paediatric surgical wait times in Canada. Starting in April 2013 project participants were able to use customizable project fields in these databases to collect paediatric wait-time data on the actual surgical record. This data is fed through to the CIHI Portal tool on a monthly basis and can be accessed by authorized users across the country. Findings/Results For paediatric sepsis, the immediate value is a common understanding of national practices and the identification of issues and challenges. Going forward, the Collaborative is working to facilitate the adoption of best practices. Data extracted from the CIHI Portal tool will serve as the basis for evaluating the extent of these infections and will allow the Collaborative to monitor the impact of new guidelines on patient care. For paediatric surgical wait times, the data collected in 2010 shows that 28% of paediatric patients received surgery past acceptable wait times*. At a local level, participating hospitals have reduced this percentage by prioritizing cases by acuity and redistributing resources among surgical departments to address their specific requirements. Providing the wait-time information in conjunction with the clinical administrative data provides richer detail of patient outcomes in a single, national report. Examples of questions that can now be answered within the same tool include: [su_list]
- What is the correlation between surgical wait-times and post-surgical complications?
- What is the correlation between surgical wait times and lengths of hospital stays?
- What are the local and national areas of greatest concern with respect to paediatric surgical wait times?