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Business Solutions: Data, a gateway to Patient Safety<img alt="" src="/PublishingImages/Business-Solutions-002.jpg" style="BORDER:0px solid;" />Business Solutions: Data, a gateway to Patient SafetyThe Business Solutions Team is a group of seasoned Computer Science and Business Intelligence (BI) professionals who develop the tools and capabilities needed to enable HIM leaders to make data-informed decisions.<div><p>It is widely thought that innovation in healthcare decision-making comes from the data available. However, without talented people mining knowledge from the complex data, solutions to healthcare operational challenges are often slow to develop.</p><p>The Health Information Management (HIM) Business Solutions' team develops and supports a wide variety of innovative Data Management and Business Analytics Solutions to support the need of all HIM portfolios (Transcription and Health Information Exchange Services, Records Management, Patient Registration, and Clinical Coding and Informatics Services) across all Health Organizations in the Lower Mainland (VCH, PHC, PHSA, FHA).  </p><p>The Business Solutions Team is a group of seasoned Computer Science and Business Intelligence (BI) professionals with well over two decades of experience in healthcare. They develop the tools and capabilities needed to enable HIM leaders to make data-informed decisions. </p><p> "What gets us up in the morning to come to work every day is our strong desire to make a difference, combined with our passion for data. Our work is empowered through our close partnership with HIM business departments, and our access to HIM professionals' experience and expertise. It's a mutual win-win relationship," says Ladan Irannejad, Manager, HIM Business Solutions.</p><p>Ladan works in a consultative, advisory relationship with HIM Senior Leadership and stakeholders, helping them design and pursue a range of data access strategies, maximizing use of standard reporting options and establishing transparency. She has a proven track record of designing and building complex software and data management solutions for different industries and on different technology platforms, both in private and public sectors for over 14 years. Ladan holds a Bachelors of Art degree and also a Diploma in Computer Science from Simon Fraser University. </p><p>Lolita Cheveallier, *ETL Developer/BI Analyst, joined HIM Business Solutions 3 years ago. She has since made significant contributions to the establishment and expansion of the HIM Data Mart, which is the infrastructure used to develop all HIM data management and analytics solutions. Her unique customer-centric way of doing business has contributed greatly to establish a strong customer service oriented culture within the team. Lolita is an expert data technologist, with an associate's degree in Computer Information Systems from Kwantlen University College. Lolita is highly respected by her HIM colleagues.</p><p> "Lolita has been working hard for us and we totally appreciate everything she is doing. She is so patient and is helping us out more than she realizes. I wanted to make sure you knew how valuable she is to us and this project," says Mary Tucker, CST Data Remediation lead.</p><p>Steve Sung, ETL Architect and Developer, is responsible for ensuring coherence of all aspects of the HIM Business Solutions products as an integrated system. With a humble approach to architecture and leading development work, Steve builds consensus, as he defines the architecture, and general layout of the system. Since joining the team in January this year, he has refined data modelling and reporting techniques and has helped to improve the overall efficiency of Business Solutions' development framework and products.</p><p>"I was thrilled to come to HIM. I feel like a chef entering a kitchen that has a wide variety of data ingredients and trying to create analytics meals that are tasty, healthy and easy to digest."</p><p>Steve holds a BSc in Computer Science from UBC and an MBA from Trinity Western University. He has worked in healthcare for over 12 years. </p><p class="phsa-rteElement-References">​*ETL stands for Extract, Transform, Load which is a computing terms that refers to extracts data from one or more sources and moves it into a another data warehouse or data mart.</p></div>http://www.himconnect.ca/blog/blog-item-12017-01-03T08:00:00Z
Media Summary June 23, 2017Media Summary June 23, 2017The HIM Media Summary is compiled by the HIM Communications’ team on a bi-weekly basis. The stories featured in this email include topics related to Health Information Management. <table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:100%;"><strong>HEALTH CARE NEWS & POLICY</strong></td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr><td class="phsa-rteTable-default" style="width:100%;">​</td></tr><tr><td class="phsa-rteTable-default"><a href="http://trk.cp20.com/click/h9k22-b2hzdi-5kprvjd2/"><strong>Faster admissions, less infection at Port Moody hospital</strong></a></td></tr><tr><td class="phsa-rteTable-default">Tri-City News | June 14, 2017</td></tr><tr><td class="phsa-rteTable-default"><p>Eagle Ridge Hospital's executive director is crediting hospital staff for initiatives that have resulted in fewer cases of sepsis and quicker hospital admissions.</p><p>Data contained in the biannual report of the Canadian Institute for Health Information (CIHI) shows that the Port Moody hospital has cut in half the number of infections resulting in sepsis while the hospital is doing the same or better in other key indicators.</p><p>(Sepsis is a life-threatening illness caused by a body's response to an infection.)</p><p>"It's a great hospital to work in because staff are taking initiative in [dealing with] quality indicators," Lisa Zetes-Zanatta told <em>The Tri-City News.</em></p><p>For example, ERH has focused on hand washing, preoperative preparation, removing clutter and other moves to cut sepsis rates from 3.5 per 1,000 patients to 1.4/1,000.</p><p>As well, the hospital is doing a better job of moving patients out of emergency into regular beds, Zetes-Zanatta said. Now, instead of waiting until the afternoon for moving patients into wards, ER patients are moved in the morning, speeding up the process.</p><p>Zetes-Zanatta said she expects to see the change reflected in the number of hours it takes for ER patients to be admitted, posted as 43.6 hours (in 90th percentile) in the CIHI report, which is still below the Fraser Health average of 46.8 but above the national average of 29.3 hours.</p><p>(There have previously been complaints about the number of ER patients left in hallways.)</p><p>"First thing at 8 a.m., patients are pre-identified to go upstairs and up they go. We no longer wait for people," she said, noting that discharged patients can wait in a departure area where they can still be seen by a doctor or a nurse, and older patients have access to a geriatric chair for their comfort.</p><p>"You want to have people up-seated and mobile because mobility is one of the predictive factors in doing well in hospital," she said.</p></td></tr><tr><td class="phsa-rteTable-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr><td class="phsa-rteTable-default" style="width:100%;">​</td></tr><tr><td class="phsa-rteTable-default"><a href="http://trk.cp20.com/click/h9k22-b2hzdl-5kprvjd5/"><strong>Harnessing Information Technology to Inform Patients Facing Routine Decisions: Cancer Screening as a Test Case</strong></a></td></tr><tr><td class="phsa-rteTable-default">Annals of Family Medicine | May/June 2017</td></tr><tr><td class="phsa-rteTable-default"><p>This pragmatic observational cohort study harnessed EHR data and patient portal capabilities to create an automated decision module that could identify patients likely to be facing common cancer screening decisions, engage and inform patients, clarify questions and fears, identify next decision steps, and improve the decision-making process. We found that practices had large decision burdens—with 1 in 5 patients facing a decision—yet only 20.6% of patients facing a decision started and 7.9% completed our decision module. Users reviewed a range of topics, and one-half of patients forwarded their priorities and concerns to clinicians. Both patients and clinicians reported that module completion helped with decisions: one-third to one-half reported it made appointments more productive, got patients more involved in decisions, broadened knowledge, and improved communication.</p><p>Our proposed decision module is appealing, yet a clear challenge is getting patients to use such a system. Decision support use is high in the context of clinical trials.<a href="http://trk.cp20.com/click/h9k22-b2hzdo-5kprvjd8/">23</a>, <a href="http://trk.cp20.com/click/h9k22-b2hzdp-5kprvjd9/">25</a>Routine use of decision support in clinical practice, which we tried to automate in this study, is low (9% to 10% of encounters in implementation trials), however.<a href="http://trk.cp20.com/click/h9k22-b2hzdq-5kprvjd0/">26</a> Furthermore, pragmatic trials looking at patient portal use frequently demonstrate low initial uptake with increasing use over time as the portal becomes part of new standard workflows.<a href="http://trk.cp20.com/click/h9k22-b2hzdr-5kprvjd1/">47</a>, <a href="http://trk.cp20.com/click/h9k22-b2hzds-5kprvjd2/">48</a></p></td></tr><tr><td class="phsa-rteTable-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:767px;"><a href="http://trk.cp20.com/click/h9k22-b2hzdt-5kprvjd3/"><strong>Applications now open for Core LINX 2017-2018</strong></a></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">POD | June 19, 2017</td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default"><p>Core LINX is a comprehensive, best-of-class leadership development program developed collaboratively by health care leaders from all health authorities and Providence Health Care.</p><p>Participants of Core LINX will learn essential leadership skills to increase their confidence and build a strong foundation for their future as a health care leader.  This program is open to all PHSA employees who meet the eligibility criteria. </p><p><strong>WHO SHOULD REGISTER?</strong></p><ul style="list-style-type:disc;"><li>Managers within the first 18 months of their first formal management position.</li><li>Managers who have been with PHSA for at least 1 year.</li><li>Managers who influence the work of others daily.</li></ul><p><strong>Application deadline: </strong>July 5, 2017</p><p>Please visit our <a href="http://trk.cp20.com/click/h9k22-b2hzdx-5kprvjd7/">POD page </a>for more information and to apply. </p></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:100%;">​</td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default"><a href="http://trk.cp20.com/click/h9k22-b2hzdy-5kprvjd8/"><strong>FormImprint upgrade goes live on June 22</strong></a></td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default">FH Beat | April 26, 2017</td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default"><p>This past October, the Health Informatics department introduced the MEDITECH® Mobile Rounds application to a pilot group of Fraser Health physicians. MEDITECH® Mobile Rounds provides physicians with access to the electronic health record (MEDITECH® EMR) for their patients from their personal mobile phone or tablet. The application allows physicians to interact with their patient lists, access laboratory results and imaging reports, and display clinical information such as intake and output, vital signs, medications, and allergies.<br> <br>Having mobile access to patient information allows the physician to step away from the computer and interact with patients and the health care team in new ways by getting the information they need when and where they want. It goes without saying that mobile technology and security go hand in hand. Considered in the context of health care information, the importance of security is amplified; when accessing the electronic health record via a mobile device every precaution must be undertaken to ensure the security and integrity of sensitive information is maintained.</p><p><strong>Authored by: Heather Greenizan, System Application Coordinator, Health Information Management – Clinical Forms Services</strong></p></td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:100%;">​</td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default"><a href="http://trk.cp20.com/click/h9k22-b2hze3-5kprvjd9/"><strong>Where the B.C. NDP and Greens stand on 20 hot topics</strong></a></td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default">Vancouver Sun | May 30, 2017</td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default"><p><strong>NDP:</strong> Reduce costs of prescription drugs paid by individuals and give more money to UBC Therapeutics Initiative to help keep province's drug costs down and patients safe. Advocate for national Pharmacare program. Establish urgent care centres that have extended hours and stay open seven days a week. Boost paramedic numbers and counselling for their work-related stress. To reduce surgical wait times and extend hours of operating rooms.</p><p><strong>GREEN:</strong>  The Greens promise to expand government with a new ministry responsible for health promotion, disease prevention and active lifestyles. Invest $35 million in nutrition and physical activity programs that will improve youth health. Give more incentives to new medical school grads to boost numbers of family doctors. Provide $100 million in funding to expand mixed-care teams of primary care, physiotherapists, nurse practitioners, midwives and dieticians. Free up acute care beds by investing more in long-term care facilities. Improve staffing levels in residential care facilities.</p></td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:767px;"><a href="http://trk.cp20.com/click/h9k22-b2hze9-5kprvjd5/"><strong>Yoel Robens-Paradise: a healthcare executive, a healthy commuter</strong></a></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">VCHnews | May 25, 2017</td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default"><p><strong><br></strong></p><p><strong>Yoel Robens-Paradise: a healthcare executive, a healthy commuter</strong></p><p>Meet Yoel Robens-Paradise, Providence Health Care's Vice President of Clinical and Systems Transformation and Lower Mainland Health Information Management. Yoel provides strategic direction for the CST project and oversees all of HIM operations at Fraser Health Authority, Providence Health Care, Provincial Health Services Authority, and Vancouver Coastal Health.</p><p>Yoel also recently celebrated a 50 year milestone. Congratulations from all of HIM, Yoel!</p></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:767px;"><strong>PRIVACY</strong></td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:100%;">​</td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default"><a href="http://trk.cp20.com/click/h9k22-b2hzed-5kprvjd8/"><strong>Hospital clerk's snooping could cost Nova Scotia taxpayers $1M</strong></a></td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default">cbc.ca | June 15, 2017</td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default"><p>The actions of a hospital employee who went snooping around hundreds of patient records for more than a year could cost Nova Scotia taxpayers $1 million in a proposed settlement.</p><p>Court documents filed as part of a class action lawsuit identify the employee at the centre of the privacy breach as Cheryl Decker, an admissions clerk at Roseway Hospital in Shelburne. </p><ul style="list-style-type:disc;"><li><a href="http://trk.cp20.com/click/h9k22-b2hzeh-5kprvjd2/">707 patient records breached at Roseway Hospital</a></li></ul><p>The privacy breach came to light in April 2012 when another employee caught Decker looking up patient records on a work computer and reported it to management. </p><p>An audit was subsequently carried out and 707 patients within the district health authority received a letter in the mail advising them their personal health information had been inappropriately viewed. Decker was authorized to look at only 12 of those patient files.</p></td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:767px;"><strong>QUALITY IMPROVEMENT</strong></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:767px;"><a href="http://trk.cp20.com/click/h9k22-b2hzei-5kprvjd3/"><strong>Mining Your Hospital Data to Empower Quality and Utilization Improvement</strong></a></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">Ontario Hospital Association | June 2017</td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default"><p><strong>Webcast: June, 29, 2017 (FREE)</strong></p><p>In this webcast, Quinte Health Care will share their learnings and insights on how they have derived high value from their hospital data to drive quality, utilization and process improvements.</p><p>You will hear their experiences of automating and visualizing analytics and how this has positively impacted their ability to use this information to pursue a quality and utilization "Choosing Wisely" agenda.</p><p>They will also discuss the importance of data modelling in your data warehouse and how to turn it into a data bank that can be readily accessed and used to influence behaviour.</p><p><strong>Speaker:</strong><br><strong> </strong><br><strong>Peter Papadakos</strong><br> <em>Director Decision Support and Analytics, Health Records, Transcription, Freedom of Information and Chief Privacy Officer</em><br> Quinte Health Care</p></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:767px;"><strong>CLINICAL DOCUMENTATION</strong></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:767px;"><a href="http://trk.cp20.com/click/h9k22-b2hzek-5kprvjd5/"><strong>Three Ontario hospitals announce plans to share patient record system</strong></a></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">Canadian Health Tech | June 2017</td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default"><p>Three Ontario hospitals recently announced they are joining hands to share an implementation of Meditech's latest electronic medical records system, called the Meditech Web EHR.</p><p>Markham Stouffville Hospital, in Markham, Ont., will host the system, and a single, shareable electronic health record will be created for patients at Markham Stouffville, Southlake Regional</p><p>Health Centre, in Newmarket, Ont., and the Stevenson Memorial Hospital, in Alliston, Ont.</p><p>The new project is being called SHINE – short for Shared Health Information Network Exchange.</p><p>It's the first group of hospitals to take a cue from the Ontario government's <a href="http://trk.cp20.com/click/h9k22-b2hzep-5kprvjd0/">new eHealth 2.0 strategy</a>, which encourages hospitals to create geographical clusters that can share computerized systems as a way of reducing costs.</p></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:767px;"><a href="http://trk.cp20.com/click/h9k22-b2hzeq-5kprvjd1/"><strong>NLP: An Evolving Dictation Opportunity</strong></a></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">For the Record Magazine | June 2017</td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default"><p><br></p><p>Further underscoring the NLP opportunity, a recent study published in the <em><strong>Journal of Medical Internet <br>Research: Medical Informatics</strong></em>  found that NLP-enabled EHR dictation has the potential to reduce the time required for documentation and improve usability. Considering a growing body of evidence that suggests EHRs have fallen short of delivering anticipated workflow enhancements, these findings could be good news for today's physicians who, by and large, are frustrated with EHR use.</p><p>"Documentation continues to consume a significant portion of physicians' workdays. If documentation becomes more efficient, physicians will be able to see more patients," says James Maisel, MD, one of the study's authors and chairman of ZyDoc. "From the hospital or practice's perspective, this increases revenues and profits. From a societal perspective, increased physician efficiency can slow the growth rate of the cost of health care."</p><p>Dave Kaufman, PhD, lead author on the study and an associate professor with Arizona State University's department of biomedical informatics, suggests that documentation has become an onerous process, one that physicians often view as an end unto itself as they labor to fulfill requirements and obligations associated with patient records. While EHRs are unquestionably promising, he points out that they are also immensely complex and suffer from poor usability associated with structured documentation. As a result, clinicians tend to prefer expressing themselves in narrative or free text.</p><p>"That [free text] is more difficult to analyze," Kaufman says, explaining that free text hinders EHRs from realizing their potential from an analytics and data sharing perspective because analysts have difficulty working with narrative, where important information can get buried. "You need a system that will parse and actually do NLP and recover the structure. EHRs can serve multiple purposes. They serve clinical purposes, but they could also be repurposed for quality assurance and research."</p></td></tr></tbody></table><p></p>http://www.himconnect.ca/blog/media-summary-june-22-20172017-06-23T07:00:00Z
Media Summary July 24Media Summary July 24The HIM Media Summary is compiled by the HIM Communications’ team on a bi-weekly basis. The stories featured in this email include topics related to Health Information Management.<p><br></p><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:100%;"><strong>HEALTH CARE NEWS & POLICY</strong></td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:100%;">​</td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default"><a href="http://trk.cp20.com/click/htm9y-bbt0dj-5kprvjd8/"><strong>Cabinet ministers lauded by big union as the 'health dream team'</strong></a></td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default">Vancouver Sun | July 18, 2017</td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default"><p>As former opposition health critics, they've been thorns in the side of numerous Liberal health ministers for years but now Health Minister Adrian Dix and Mental Health Minister Judy Darcy get their turn to reshape B.C.'s health care system.</p><p>As the NDP pledged during the election campaign, Premier John Horgan appointed two ministers of health (the Greens had pressed for three during the campaign). Dix will head a ministry that spent about $18 billion last year, while Darcy's budget is unclear since it is a new entity.</p><p>Former Liberal health minister Terry Lake, who announced his retirement from politics before the election, said in an interview Tuesday that having two ministries is a bad idea.</p><p>"A minister of state for mental health and addictions would have been a better approach. Having two separate ministries creates turmoil in the civil service and a whole lot more work for health authorities who will now have to report to two ministers. That adds to the workload and will present all kinds of headaches."</p><p>Darcy was health critic from 2013 until the election and Dix preceded her. He was most vocal when issues resonated with him personally. A Type 1 diabetic who injects insulin three times a day, he fought for taxpayer-funded coverage of insulin pumps. Now <a href="http://trk.cp20.com/click/htm9y-bbt0dm-5kprvjd1/"> diabetes advocacy organizations are urging the B.C. government</a> to expand coverage of the pumps to all ages instead of having age cutoffs.</p><p>Dix was also a vocal champion for colorectal cancer screening, an issue dear to his heart because his mother survived a bout of such cancer. The Liberal government finally introduced such a screening program five years ago but <a href="http://trk.cp20.com/click/htm9y-bbt0dn-5kprvjd2/">waiting times for colonoscopies</a> have been an obstacle to prompt diagnosis and treatment, especially in some health regions outside the Lower Mainland.</p><p>Waiting times for all kinds of treatment and diagnostic imaging are a chronic problem in B.C. Darcy said during the election campaign that the NDP would solve the problem by extending operating room hours since most surgical suites sit idle from about 3 or 4 p.m. every day until 6 or 7 a.m. the next day. </p><p>Lake said Dix and Darcy will soon find out that extending operating room hours means finding more nurses to staff them and that hasn't been easy. "First, there are only so many nurses to go around, and secondly, unions have their rules around the hours that their members can work. So if the NDP thinks they have a better way to convince unionized health care workers to be more flexible, good for them."</p><p>Analysts will closely watch how the NDP handles negotiations with health care unions since contracts expire in 2019. Bargaining typically begins a year in advance. Darcy, who belonged to the Communist party in her youth, is a former national president of the Canadian Union of Public Employees and a former business manager of the Hospital Employees Union. There are more than 100,000 unionized health care workers in B.C. </p><br></td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr><td class="phsa-rteTable-default" style="width:100%;">​</td></tr><tr><td class="phsa-rteTable-default"><a href="http://trk.cp20.com/click/htm9y-bbt0do-5kprvjd3/"><strong>Lawrie McFarlane: After a health scare, a new respect for electronic records</strong></a></td></tr><tr><td class="phsa-rteTable-default">Times Colonist | July 21, 2017</td></tr><tr><td class="phsa-rteTable-default"><p>But rather than getting into a jousting match, I can offer some personal testimony that might help explain the benefits of electronic records.</p><p>Two weeks ago, I had to visit the ER at Saanich Peninsula Hospital with symptoms of an allergic reaction. My throat muscles had tightened, and I was having trouble swallowing.</p><p>I explained to the physician on duty that I had undergone numerous allergy tests some years ago, and nothing was found. He promptly called up those test findings on his computer, even though they were stored at a different site.</p><p>He then ordered an ECG, and 20 minutes later, sat down with me to review the results. It was possible, he said, that I had suffered a heart attack, which might explain my symptoms.</p><p>His reason for thinking this was that he also had on his computer the results of an ECG I'd had done nine years earlier, again at a different location. The two sets of results differed, raising the possibility of a silent heart attack.</p><p>A blood test then followed, which fortunately showed there had been no heart attack.</p><p>But here is the point. There is no way on Earth this diagnostic process could have been carried out with paper records. I might, indeed, have suffered a heart attack, and using a paper system, no one would have been any the wiser.</p><p>Instead, the ER physician was able to log onto an existing electronic-record system that contains previous lab and ECG results. However, there are significant limitations to this system.</p><p>First, it omits huge chunks of a patient's medical file, such as handwritten physician notes, and interactions with other types of caregivers, such as physiotherapists.</p><p>Second, it is not easily accessible to physicians in private practice, other than your own GP, who is automatically copied on results.</p><p>The electronic health record being introduced in Nanaimo closes these gaps. Every interaction you've ever had with a caregiver will be there, including consults with specialists, physician notes, and an easily updatable list of medical problems and surgeries. And over time, these records will be available to any physician on the Island.</p><p>The new system also alerts caregivers to potential errors, such as an incorrect drug dose or a pre-existing ailment that might make a specific form of treatment dangerous.</p><p>This is a massive project. Physicians in private practice on Vancouver Island use 20 different software formats, few of them compatible. It will take years to drill down through these layers, though Island Health expects to expand the Nanaimo project to the capital region in 2019.</p><p>Yes, as with any new software, it takes some getting used to.</p><p>But the potential is enormous. Physicians who have at their fingertips such a wealth of knowledge cannot help but offer better and more timely care.</p><p>When you go into an ER with an allergic reaction, and the possibility is raised that you've had a heart attack, then that possibility is almost as rapidly dismissed, you leave with a new respect for electronic records.</p></td></tr><tr><td class="phsa-rteTable-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr><td class="phsa-rteTable-default" style="width:100%;">​</td></tr><tr><td class="phsa-rteTable-default"><a href="http://trk.cp20.com/click/htm9y-bbt0dr-5kprvjd6/"><strong>Health Sciences North Research Institute to receive $200,000 for electronic record development</strong></a></td></tr><tr><td class="phsa-rteTable-default">CBC.ca | June 23, 2017</td></tr><tr><td class="phsa-rteTable-default"><p>Medical research in northern Ontario is getting a double shot of investments this morning.</p><p>Both the federal and provincial governments are investing a total of $200,000 to Health Sciences North Research Institute. The funding is to help develop technology that provides better access to electronic health records for hospitals, researchers and clinicians.</p><p>The technology is a cloud-based information sharing platform to improve access to patient records, and enhance the delivery of health care services and products.</p><p>The plan is for researchers to collect data from northern residents, clinicians, entrepreneurs and community leaders. This way, the electronic health records system would be specific to the needs of those living in northern Ontario.</p><p>"This funding announcement will help our researchers, clinicians and regional partners transform health research in the north," Dr. Denis Roy, president and CEO of HSN's Research Institute said in a release.</p><p>"This is an example of health innovation that will improve health equity for northerners, seniors and indigenous people."</p><p>The funding is coming from the province's Northern Ontario Heritage Fund, and Canada's FedNor. The two funds are both investing $100,000 each. </p></td></tr><tr><td class="phsa-rteTable-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr><td class="phsa-rteTable-default" style="width:100%;">​</td></tr><tr><td class="phsa-rteTable-default"><a href="http://trk.cp20.com/click/htm9y-bbt0dv-5kprvjd0/"><strong>IT and IPAC collaborate to develop an app to improve data collection</strong></a> </td></tr><tr><td class="phsa-rteTable-default">Can Health Tech | July 2017</td></tr><tr><td class="phsa-rteTable-default"><p>The tool offers the ability to use Apple iPad devices to conduct IPAC audits throughout the SJHH organization, using an efficient checklist entry model. Each auditable point can be annotated with a photograph and comment if required, which transforms the level of effectiveness in capturing and conveying the particulars of compliance items.</p><p>Once the audit data has been collected, the tool can generate summary reports, which allow the ability to email PDFs of each audit summary, including comments and pictures to unit managers and others. As a result, the timeliness and impact of the reports is greatly improved.</p></td></tr><tr><td class="phsa-rteTable-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr><td class="phsa-rteTable-default" style="width:100%;">​</td></tr><tr><td class="phsa-rteTable-default"><a href="http://trk.cp20.com/click/htm9y-bbt0dz-5kprvjd4/"><strong>CHIMA Announce New Board Members</strong></a> </td></tr><tr><td class="phsa-rteTable-default">Can Health Tech | July 2017</td></tr><tr><td class="phsa-rteTable-default"><p>The Canadian Health Information Management Association ( CHIMA) is pleased to announce its new Board of Directors for 2017/18. CHIMA is pleased to announce the appointment of Robert Van Oort (pictured), MLT, CHIMA (ON), as Chair of the CHIMA Board of Directors.</p><p>"Robert's input as the past vice chair and secretary treasurer over the past year has positioned him well to assume the role of Chair, said Gail Crook, CEO and registrar of CHIMA. "As we embark on the task to operationalize our renewed Strategic Plan, Robert's strong leadership experience will help frame our direction to better serve the Health Information Management (HIM) community in Canada."</p><p>Robert Van Oort is currently the senior vice president and chief operating officer at the Dryden Regional Health Centre (DRHC). He has held various senior positions within the DRHC, where he had overall responsibility for Corporate Services, Planning, Support Services, Medical Affairs and Risk Management.</p><p>Robert has strong clinical and information management experience, being both a Medical Laboratory Technologist and Certified Health Information Manager, and helped introduce Electronic Health Records to the DRHC.</p><p>"This is an exciting time as the profession evolves," said Van Oort. "As we move forward with our strategic review, we can look forward to a renewed, stronger CHIMA."</p><p>Robert Van Oort is also pleased to announce CHIMA's newly elected Board Directors:</p><p> </p><ul style="list-style-type:disc;"><li>Kathleen Addison, (Alberta) – Kathleen is the Past Chair. She is a Senior Provincial Director of Health Information Management with Alberta Health Services in Calgary Alberta.</li><li>Leah Anscombe (British Columbia) – Leah is the Vice Chair. She is the Director of Clinical and Information Support at the Vancouver Island Health Authority, in Victoria BC</li><li><strong>Yoel Robens-Paradise</strong> (British Columbia) – Yoel is the Secretary Treasurer. He is the Vice President of Clinical and Systems Transformation and Lower Mainland Health Information Management at Providence Health Care in Vancouver BC.</li><li>Gail Crook (Ontario) – Gail is the CEO & Registrar of CHIMA/CCHIM.</li><li>Karen Pietrangelo (Ontario) – Karen is a Director. She is the Manager Health Information Management / Patient Registration at the Niagara Health System in Niagara Falls Ontario.</li><li>Marlene Raasok (Alberta) – Marlene is a Director. She has retired as the Executive Dean for the School of Health and Life Sciences and Community Services at Conestoga College in Kitchener, Ontario, and now resides in Alberta.</li><li>Sonya Stasiuk (Alberta) – Sonya is a new incoming Director. She is the Director of the Data Management Unit at Alberta Health in Edmonton Alberta.</li><li>Altaf Stationwala (Ontario) – Altaf is a Director. He is the President & CEO of the Mackenzie Richmond Hill Hospital Ontario.</li></ul></td></tr><tr><td class="phsa-rteTable-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:767px;"><strong>EHEALTH</strong></td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:100%;">​</td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default"><a href="http://trk.cp20.com/click/htm9y-bbt0e3-5kprvjd4/"><strong>Put a doctor in his pocket thanks to its smart-phone</strong></a></td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default">Sherbrooke Times | July 17, 2017</td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default"><p>In 2016, between 14 and 22 % of Canadians have used health services digital, according to the organization Canada Health Infoway. These services range from simple appointment scheduling online or the renewal of a prescription to the very complex operation controlled remotely or with medical consultation via videoconference.</p><p>"In a five-year horizon, there will be a lot of services in telehealth, it is coming very soon," predicted Benoit Brunel, president and founder of Hello Health, an online platform that allows you to take an emergency appointment in a clinic close to home without having to queue.</p><p>For the moment, the telehealth public in Quebec, as has been the experience Ms. Watkins is in its infancy, but elsewhere, governments and private companies share the market in a full, rolling boil.</p><p>In the United States, the giant consortium of private health Kaiser Permanente already provides 50 % of its health services to its 8 million customers at a distance</p></td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:100%;">​</td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default"><strong>PRIVACY</strong></td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:767px;"><a href="http://trk.cp20.com/click/htm9y-bbt0e7-5kprvjd8/"><strong>Hundreds of patient records accessed in privacy breach in Nova Scotia</strong></a></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">Globe and Mail | July 17, 2017</td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default"><p>Hundreds of patient records at the Nova Scotia Health Authority were inappropriately accessed in two separate incidents involving six employees.</p><p> </p><p>The health authority is reaching out to 337 patients whose personal health information was accessed in the widespread privacy breaches.</p><p>A spokesperson said the privacy breaches are among the largest on record at the provincial health body.</p><p>Colin Stevenson, an executive with the authority, called the violation of confidentiality</p><p>"substantial" and said the incidents are being taken seriously.</p><p>"Any time there is a violation of privacy and confidentiality, we do treat it seriously," Stevenson, vice-president of quality, system performance and transformation, said Monday. "It's something we're concerned about and it's something we want people to know we take very seriously.</p><p>"We're not hiding behind it," he added. "We're willing to say it's a problem and it's something we're going to continue to try and fix as an organization."</p><p>The six employees involved are subject to disciplinary action, which could include termination, Stevenson said.</p><p>He could not confirm whether the personal health records were accessed in error or deliberately with malicious intent.</p><p>"If they weren't part of the circle of care, if they didn't need access to any information about that individual in order to do their job, and they've looked it up, they have no reason to look at that record," he said. "For us, that's a violation."</p><p>The first incident, involving the inappropriate access and handling of health information of 244 patients by three employees, came to light after a patient complained in July 2016.</p><p>The second incident, involving the inappropriate access of health information of 93 patients by three different employees, was investigated after a manager raised concerns in January.</p><p>Stevenson said the information contained in a patient's record includes basic demographic information as well as test results, notes by physicians and other personal information.</p></td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:100%;">​</td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default"><strong>QUALITY IMPROVEMENT</strong></td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:767px;"><a href="http://trk.cp20.com/click/htm9y-bbt0eb-5kprvjd1/"><strong>White paper: Workflow Management Software automates Pulmonary Function Reporting</strong></a></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">Influx Workflow | July 2017</td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default"><p>Respirologists at Toronto's St. Michael's Hospital are breathing easier these days. They've deployed software from Influx Workflow Solutions, which extracts patient data from a wide array of cardiology and respirology diagnostic devices and consolidates it all in a single structured report. The reports can then be easily viewed by respirologists, cardiologists, referring physicians and other caregivers – easily and quickly.</p><p>"In our Pulmonary Function Lab, we do a wide range of diagnostic tests including spirometry, lung volumes, lung diffusing capacity, airway resistance and exercise oximetry among others," says respiratory therapist Eva Leek. "In the past, both our staff and physicians have had to go to each machine to create their reports. Now, we can gather all reports from just one workspace and see a complete view of the patient's respiratory status."</p></td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:767px;"><a href="http://trk.cp20.com/click/htm9y-bbt0ed-5kprvjd3/"><strong>White paper: Information Governance - An Imperative for Canadian Healthcare</strong></a></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">Iron Mountain | July 2017</td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default"><p>Digital information risks go beyond the usual IT system risk assessment yet the perspective of an Information Governance (IG) risk assessment can bridge gaps when moving from physical to digital information.</p><p>IG risks include those related to subjects such as information privacy and security associated with patient-provider texting, cloud computing with EMR adoption and integration with personal monitoring devices.</p><p>IG includes how we manage the lifecycle of the complete record of care, inclusive of paper, digital and multimedia assets. IG establishes oversight and a framework for accountability to ensure policies enforce processes around accuracy and integrity of managing various data sources, including longitudinal access to information across jurisdictional boundaries, data matching and real time use for effective research.</p><p>Considerations including strategic policy, accountability and operational guidance are needed to effectively manage data for direct care, research and administrative needs. Supporting quality of care and information application and use, IG includes practice standards such as:</p><ul style="list-style-type:disc;"><li>establishing and managing commonly defined metadata to increase ability of search and find mechanisms within systems;</li><li>common data dictionaries for standardized terms matched across systems;</li><li>meaningful data sets for content quality and/or feedback loops to data sources to ensure the right information is received and published for use</li></ul></td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:100%;">​</td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default"><strong>CLINICAL DOCUMENTATION</strong></td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default">​</td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:767px;"><a href="http://trk.cp20.com/click/htm9y-bbt0ef-5kprvjd5/"><strong>Electronic Documentation: Celebrating six months of success at Abbotsford Regional Hospital</strong></a></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">FH Beat | July 5, 2017</td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default"><p>In November 2016, Abbotsford Regional Hospital implemented an application called the Meditech Patient Care System (PCS), allowing nurses, allied health, and support personnel to document electronically.<br> <br>This system allows all healthcare providers to be able to view accurate, up-to-date, and complete information about patients at the point of care and enables quick access to patient records for more coordinated, efficient care. This PCS application was designed by clinicians for clinicians in consultation with numerous regional stakeholder groups such as clinical and practice experts, and health record and health informatics specialists.<br> <br>Satisfaction and system quality surveys were conducted with staff, physicians and patients six weeks and six months post implementation, and the results reflect Abbotsford's clinician and patient communities' amazing experience with PCS.<br> <br>Here are some of the highlights from the six month surveys:</p><ul style="list-style-type:disc;"><li>80 per cent of staff agree PCS has improved and increased the quality of patient care they can provide</li><li>82 per cent of staff agree that PCS improves and increases their productivity</li><li>74 per cent of staff agree that Meditech PCS improves sharing of patient information amongst providers</li><li>74 per cent of physicians agree that the availability of PCS information in EMR allows them to make patient care decisions more quickly</li><li>87 per cent of patients agree that staff are always or usually up-to-date on their care</li></ul><p>In particular, hospital clinicians say that some of the biggest benefits they are experiencing include:</p><ul style="list-style-type:disc;"><li>the ability to quickly view their patient's health information (e.g., vital signs, mobility status), saving them precious time looking or waiting for a paper chart and allowing them to spend more time with patients</li><li>the reduction of duplication in documentation – 'one and done' – instead of writing the same information in multiple locations</li><li>the ability to easily trend data over a period of time (e.g., temperature, pain scores, Braden Scale scores) and compare data trends (e.g., bedside blood glucose results, insulin dosage administered and nutritional intake)</li></ul><p>Currently, PCS is used by over 1,400 staff, physicians and students for adult inpatients.<br> <br>The Integrated Plan of Care team is working in collaboration with Abbotsford staff to continuously improve the system. Work is also underway to bring Maternity, Pediatrics, Neonatal Intensive Care and Emergency outpatients online at the hospital in Spring 2018. </p></td></tr></tbody></table><table cellspacing="0" width="100%" class="phsa-rteTable-default"><tbody><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default" style="width:767px;"><a href="http://trk.cp20.com/click/htm9y-bbt0ek-5kprvjd0/"><strong>Working with Physicians to Improve Clinical Documentation</strong></a></td></tr><tr class="phsa-rteTableOddRow-default"><td class="phsa-rteTableEvenCol-default">Media Health Leaders | July 2017</td></tr><tr class="phsa-rteTableEvenRow-default"><td class="phsa-rteTableEvenCol-default"><p>The coding function would not exist if there were no physician documentation from which to code. Some say that's true today—yet we continue to code! The challenge for coders is not so much that there is no physician documentation; it's that the documentation they have does not provide them with what they need to assign an accurate and specific code.</p><p>The reason for this is that the physician is capturing the clinical nuggets he or she needs. "The physician mind is focused on the associated process of evaluating, treating and managing the health conditions presented by each patient. The chart documentation provided by the physician is all framed in the language of diagnostic phrasing and language, and [that language] certainly is not about codes" (Insights from the HCC, n.d.).</p><p>Many hospitals have implemented clinical documentation programs to coach physicians on the documentation elements required for the hospital to optimize its coding efforts. However, when physicians don't feel they or their patients benefit from efforts to alter documentation practices, they are quick to disengage. Physicians are accustomed to being paid by their evaluation and management level, not their diagnoses.</p><p>Thus, the lack of precision of documented conditions, such as pancreatitis without specifying whether acute, idiopathic, alcohol-induced, sclerotic, or not indicating length of laceration or use of anesthetic or even providing details without a diagnosis (e.g., glomerular filtration range provided to indicate stage of kidney disease) is not unexpected according to Lucyk et. al. from the University of Calgary (Lucyk, Tang, & Quan, 2016). No, it's not just a United States problem.<br></p></td></tr></tbody></table><p><br></p>http://www.himconnect.ca/blog/media-summary-july-212017-07-24T07:00:00Z

 
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