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Media Summary April 21, 2017Media Summary April 21, 2017​The 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. <h2 class="phsa-rteElement-Header2">HEALTH CARE NEWS & POLICY</h2><p class="phsa-rteElement-Paragraph"><br><a href="http://www.theglobeandmail.com/news/british-columbia/bc-health-care-workers-slam-decision-to-reverse-ihealth-suspension/article34693521/" target="_blank" name="theglobeandmail news british columbia bc heal">B.C. health-care workers slam decision to reverse IHealth suspension</a><br>Globe and Mail | April 13, 2017</p><p class="phsa-rteElement-Paragraph">The Vancouver Island Health Authority has reversed a decision to suspend part of its $174-million IHealth electronic records system, despite concerns among some medical staff that problems – including potentially dangerous dosing errors – have not been fully addressed.<br><br>“We still feel strongly that the system needs to be suspended in order to be redesigned because of these safety issues,” Dr. David Forrest, president of the Nanaimo Medical Staff Association, said Friday.<br><br>“And it is quite clear to us that [VIHA] has not been able to fix the system, to date, with it up and running.”<br><br>In February, VIHA said it planned to temporarily suspend the part of the system used to order medications and tests such as X-rays or lab work.<br><br>Last month, however, VIHA reconsidered, saying the feature – computerized provider order entry, or CPOE – had become “fundamentally intertwined” with other electronic health records already in place and that to put it on hold would jeopardize improvements CPOE has provided, including quicker turnarounds on lab tests and X-rays.</p><p class="phsa-rteElement-Paragraph"><br><a href="http://cmajnews.com/2017/04/18/new-guidelines-for-evaluating-health-tech-cmaj-109-5415/" target="_blank" name="cmajnews 2017 04 18 new guidelines for evalua">New guidelines for evaluating health tech</a><a href="http://bccare.ca/2017/03/opinion-transferring-health-funding-to-the-community-will-improve-seniors-care-in-british-columbia/" name="bccare ca 2017 03 opinion transferring health" target="_blank"></a><br>CMAJ News | April 18, 2017<br><br>The fourth edition of the <a href="https://www.cadth.ca/about-cadth/how-we-do-it/methods-and-guidelines/guidelines-for-the-economic-evaluation-of-health-technologies-canada" name="https cadth ca about cadth how we do it met">Guidelines for the Economic Evaluation of Health Technologies: Canada</a>, provides essential information for those making decisions about the most efficacious pharmaceuticals, devices and methods of treating and diagnosing Canadians. It sets out how to effectively and consistently determine the economic value of health technologies compared to existing approaches.<br><br><a href="http://www.theglobeandmail.com/news/national/consultants-are-helping-the-sick-navigate-canadas-health-care-system/article34714551/" target="_blank" name="theglobeandmail news national consultants are">Patients resort to paying consultants to help navigate Canada’s Byzantine health-care system</a><br>Globe and Mail | April 18, 2017<br><br>Andrée Colella had been in and out of hospital for months with bladder and bone infections when her husband, Tom, broke down and asked for help from an unconventional source: a private health-care advocate.<br><br>For $90 an hour, Jana Bartley, a former obstetrics nurse and legal nurse consultant, took charge of the family’s case.<br><br>She organized meetings of the three agencies that care for Ms. Colella at home, where multiple sclerosis keeps the 60-year-old confined to a hospital bed in the kitchen. Ms. Bartley took minutes at the gatherings and set goals for Ms. Colella’s care, including reducing the number of nurses and personal-support workers who cycled through the couple’s modest house in east Toronto.<br><br><a href="https://thetyee.ca/Opinion/2017/04/04/Crisis-in-BC-Emergency-Rooms/" target="_blank" name="https thetyee ca Opinion 2017 04 04 Crisis ">Experiencing Firsthand the Crisis in BC Emergency Rooms</a><br>The Tyee | April 4, 2017<br><br>The chest pain was bad, I was short of breath, with a diagnosed heart condition, lying in bed in a hospital gown after an electrocardiogram test.<br><br>And then I was asked to leave Vancouver General Hospital’s emergency room — because they were out of space.<br><br>“I’m really sorry, but you have to go to the lobby waiting room — we have no space to treat other patients,” said the apologetic, embarrassed nurse last October. “Your clothes are in this bag and you can take your blanket. We’ll bring you back when we have a spot.”<br><br>I’d already been diagnosed with pericarditis — inflammation of the lining of the heart — 10 days earlier at VGH and the symptoms were back.<br><br>So while <a href="http://www.heart.org/HEARTORG/Conditions/More/What-is-Pericarditis_UCM_444931_Article.jsp#.WOHtuISdt-U" target="_blank" name="heart org HEARTORG Conditions More What is Pe">pericarditis</a> is not a heart attack and rarely fatal, I was still stunned — as were six other patients asked to leave the triage area in the VGH emergency department and go out to the lobby in hospital gown<br><br><a href="http://www.cbc.ca/news/health/tests-treatments-choosing-wisely-cihi-1.4057702" target="_blank" name="cbc ca news health tests treatments choosing ">Unnecessary care in Canada tops 1 million tests and treatments a year</a><br>cbc.ca | April 6, 2017<br><br>Canadians undergo more than a million medical tests or treatments a year that don't help and may be harmful, a new report suggests. <br><br>The report, Unnecessary Care in Canada, was released Thursday by Choosing Wisely Canada, a campaign to reduce unnecessary use of health care, and by the Canadian Institute for Health Information (CIHI).<br><br>"They're tests and treatments that don't help patients and can even in some cases be harmful, and they certainly don't help the health-care system use its resources wisely," said Dr. Wendy Levinson, chair of Choosing Wisely Canada and a professor of medicine at the University of Toronto.<br></p><h2 class="phsa-rteElement-Header2">PRIVACY</h2><p class="phsa-rteElement-Paragraph"><br><a href="http://www.cbc.ca/news/canada/edmonton/ahs-client-health-record-breach-1.4076461" target="_blank" name="cbc ca news canada edmonton ahs client health">Former Alberta Health Services employee fined $3,000 for breaching client files</a><br>cbc.ca | April 19, 2017<br><br>A former Alberta Health Services employee has been fined $3,000 for accessing health records without authorization.<br><br>The former employee pleaded guilty March 27 in Athabasca provincial court to contravening the Health Information Act.<br><br>In 2015, AHS discovered 279 alleged instances of unauthorized access to electronic health record systems by a female registration and staffing clerk at the Athabasca Healthcare Centre.<br>AHS reported the breach to the Office of the Information and Privacy Commissioner.<br><br>The OIPC also received 10 complaints from individuals affected by the breach after they had been notified by AHS.<br><br>An investigation by OIPC focused on 28 of the alleged breaches, and it was found that many of the individuals affected were co-workers, relatives, friends and others known to the employee.<br><br>Many, if not all" of the instances of unauthorized access were done "out of curiosity" by the employee, a news release from OIPC said.<br><br><a href="http://www.canhealth.com/blog/breach-receives-little-attention-from-privacy-office/" target="_blank" name="canhealth blog breach receives little attenti">Breach receives little attention from privacy office</a><br>Can Health Tech | April 5, 2017<br><br>A woman who was accidentally given private medical information belonging to dozens of other people says she alerted the provincial privacy commissioner’s office but has been frustrated by the slow pace of the investigation.<br><br>According to CBC News, a doctor handed Dallas Diamond (pictured) a list of her mother’s prescriptions when her mom was discharged from the Peter Lougheed Centre hospital in 2013.<br><br>Later she noticed the stack of papers included six additional pages that weren’t supposed to be there, including the full names, attending physicians and medical diagnoses of 33 other patients on her mother’s unit.<br><br>“There is no way a copy of this should have been given to me,” Diamond said.<br>She says she alerted Alberta’s privacy commissioner to the error via registered letter in May 2015 and has been emailing the commissioner’s office ever since, with no resolution.<br><br>“My frustration is I keep getting brushed off,” Diamond said.<br><br><a href="http://www.timescolonist.com/news/local/arrest-made-in-pharmanet-privacy-breach-20-500-may-be-affected-1.13962023" name="globalnews ca news 3328360 former ahs supervi" target="_blank">Arrest made in PharmaNet privacy breach; 20,500 may be affected</a><br>Times Colonist | April 4, 2017<br><br>The ministry said it became aware of the breach last fall and indicated at the time that about 7,500 people had their basic profiles viewed, while about 80 had their recent medication history examined.<br><br>The Vancouver Police Department’s identity theft unit launched an investigation that same month in conjunction with the province.<br><br>The government now says the probe has identified an additional 13,000 people who may have had their PharmaNet profile or medication history viewed inappropriately.<br><br>Vancouver police confirmed Monday that it searched a Richmond residence March 23 and arrested a man who could face charges related to identity theft.<br></p><h2 class="phsa-rteElement-Header2">PATIENT PORTALS</h2><p class="phsa-rteElement-Paragraph"><a href="http://hospitalnews.com/empowering-providers-patients-one-patient-one-record-one-connected-system-approach/" target="_blank" name="hospitalnews empowering providers patients on">Empowering providers and patients through a “one patient, one record, one connected system” approach</a><br>Hospital News | April 2017<br><br>“The evolution of patient care, not only at SickKids, but throughout the entire health-care system, has become incredibly complex and fragmented,” says Dr. Michael Apkon, President and CEO of SickKids. “We need to work towards creating a more coordinated system to improve care across the province; a system where a child’s entire care team, including their family, can contribute their expertise and access their health information.”<br><br>To move in this direction, SickKids has begun a multi-year project to implement a fully integrated health information system using software from the company Epic, an industry leader in electronic health record software. In addition, SickKids and the Children’s Hospital of Eastern Ontario (CHEO) have partnered to develop and implement the first integrated Canadian paediatric instance of Epic.<br><br>The project will fundamentally change the way SickKids provides care and will improve research by bringing all patient information and charting into one integrated electronic system.<br><br>The Epic system also provides patients and their families with anytime access to their health information through an online portal called MyChart, a radical departure from the limited access many patients and families currently have.<br></p><h2 class="phsa-rteElement-Header2">QUALITY IMPROVEMENT</h2><p class="phsa-rteElement-Paragraph"><br><a href="http://www.fortherecordmag.com/archives/0217p5.shtml" name="https cihi ca en submit data and view stand" target="_blank"></a><a href="http://qualityforum.ca/qf2017/wp-content/uploads/2017/03/001.-Transforming-Raw-Data-into-Actionable-Health-Information-with-Interactive-Dashboards.-Kushal-Acharya.pdf" target="_blank" name="qualityforum ca qf2017 wp content uploads 201">Transforming Raw Data into Actionable Health Information with Interactive Dashboards</a><br>qualityforum.ca | April 2017<br><br>The initiative started in the Quality, Patient Safety and Infection Control department in an ongoing plan to make validated data available to the end users to support decision making. Key stakeholders were consulted to ensure that the dashboards created would meet information needs and usability requirements.<br><br><a href="http://www.fortherecordmag.com/archives/0217p5.shtml" name="https cihi ca en submit data and view stand 2" target="_blank"></a><a href="http://qualityforum.ca/qf2017/wp-content/uploads/2017/03/015.-Tackling-Cultural-and-Social-Change-An-Example-of-a-Successful-QI-Initiative.-Alison-Giddings.pdf" name="qualityforum ca qf2017 wp content uploads 201 2">Tackling Cultural and Social Change: An Example of a Successful Quality Improvement Initiative</a><a href="http://qualityforum.ca/qf2017/wp-content/uploads/2017/03/001.-Transforming-Raw-Data-into-Actionable-Health-Information-with-Interactive-Dashboards.-Kushal-Acharya.pdf" target="_blank" name="qualityforum ca qf2017 wp content uploads 201 3"><br></a>qualityforum.ca | April 2017<br><br>Implementation of the “Patient Identification Prior to Treatment” was considered a success. Radiation therapists have repeatedly provided feedback that the change process was effective and engaging. With respect to cultural change, they have stated that formal daily patient identification has become a routine part of the treatment process. Patients have overwhelmingly welcomed the daily identification procedure, understanding that it is a check designed to ensure their safety. These anecdotal indicators have been reflected in the results of two separate audits.<br><br><a href="http://www.fortherecordmag.com/archives/0217p5.shtml" name="https cihi ca en submit data and view stand 3" target="_blank"></a><a href="http://qualityforum.ca/qf2017/wp-content/uploads/2017/03/017.-Lions-Gate-Hospital-E-notification-of-Admission-and-Death-Project.-Chisato-Ito.pdf" name="qualityforum ca qf2017 wp content uploads 201 4">Lions Gate Hospital E-notification of Admission and Death Project</a><a href="http://qualityforum.ca/qf2017/wp-content/uploads/2017/03/015.-Tackling-Cultural-and-Social-Change-An-Example-of-a-Successful-QI-Initiative.-Alison-Giddings.pdf"></a><a href="http://qualityforum.ca/qf2017/wp-content/uploads/2017/03/001.-Transforming-Raw-Data-into-Actionable-Health-Information-with-Interactive-Dashboards.-Kushal-Acharya.pdf" target="_blank" name="qualityforum ca qf2017 wp content uploads 201 5"><br></a>qualityforum.ca | April 2017<br><br>Bridge the gap in communication by centralizing and utilizing an electronic resource to inform community physicians of hospital admissions and deaths, and inviting family physicians to provide patient information to hospitalists and share in care.<br><br>By allowing clinical information to be shared through e-notification, we also expect the following benefits:<br><br></p><ul><li>Reduced re-admissions due to timely follow up by community physician<br></li><li>Well-coordinated patient care delivery resulting in improved patient outcomes<br></li><li>Avoid additional costs (of re-admission) to the health system<br></li></ul><p></p><h2 class="phsa-rteElement-Header2">CLINICAL DOCUMENTATION</h2><p class="phsa-rteElement-Paragraph"><br><a href="http://www.fortherecordmag.com/archives/0417p24.shtml" target="_blank" name="fortherecordmag archives 0417p24 shtml">Is Speech Recognition Viable in the ED?</a><br>For the Record Magazine | April 2017<br><br>There's a lot going on in emergency departments (EDs), most of it centered on saving lives. Documentation may rank pretty low on the staff's list of priorities, but that doesn't diminish its significance. To make note-taking more convenient, some hospitals have turned to speech recognition for help. Is it effective?<br><br>Scott Weiner, MD, MPH, attending physician and associate director at Brigham and Women's Hospital Department of Emergency Medicine in Boston, describes the adoption of speech recognition software in the ED as a game changer. "We love it. I can't imagine going on shift without using it," he says. But when errors began popping up, Weiner says the team wanted to dig deeper into the causes. "Occasionally there were errors that were ambiguous, and we didn't understand the meaning from the context," he says.<br><br><a href="https://www.nytimes.com/2015/03/22/opinion/sunday/why-health-care-tech-is-still-so-bad.html?_r=0" target="_blank" name="https nytimes 2015 03 22 opinion sunday why">Why Health Care Tech Is Still So Bad</a><br>NY Times | March 21, 2017<br><br>LAST year, I saw an ad recruiting physicians to a Phoenix-area hospital. It promoted state-of-the-art operating rooms, dazzling radiology equipment and a lovely suburban location. But only one line was printed in bold: “No E.M.R.”<br><br>In today’s digital era, a modern hospital deemed the absence of an electronic medical record system to be a premier selling point.<br><br>That hospital is not alone. A 2013 RAND survey of physicians found mixed reactions to electronic health record systems, including widespread dissatisfaction. Many respondents cited poor usability, time-consuming data entry, needless alerts and poor work flows.</p><p class="phsa-rteElement-Paragraph"><br>If the only negative effect of health care computerization were grumpy doctors, we could muddle through. But there’s more. A friend of mine, a physician in his late 60s, recently described a visit to his primary care doctor. “I had seen him a few years ago and I liked him,” he told me. “But this time was different.” A computer had entered the exam room. “He asks me a question, and as soon as I begin to answer, his head is down in his laptop. Tap-tap-tap-tap-tap. He looks up at me to ask another question. As soon as I speak, again it’s tap-tap-tap-tap.”<br><br><a href="http://www.woodstocksentinelreview.com/2017/04/20/woodstock-hospital-first-in-canada-to-implement-electronic-health-records-with-bedside-monitors" name="woodstocksentinelreview 2017 04 20 woodstock ">Woodstock hospital first in Canada to implement electronic health records with bedside monitors</a><br>Woodstock Sentinel Review | April 20, 2017<br><br>The Woodstock General Hospital has become the first regional hospital in Canada to integrate electronic health records on bedside monitors.<br><br>This new interface collects patient data from the vital signs monitor and sends it to the Cerner electronic health record (EHR).<br><br>The new technology was introduced to the hospital on March 30, and it has cut down on the amount of work nurses have to do.<br><br>The hospital’s post anesthesia care unit was the first to implement the new system, allowing nurses to view vital signs data from patient monitors on the Cerner application. This visibility allows nurses to validate vital sign information before sending it to the EHR.<br>Clinical informatics specialist Julie Housworth said the system takes away the need for nurses to manually document vital sign information.<br><br><a href="http://www.canhealth.com/WhitePapers/Case-Study_New_Brunswick_Final_Feb2017.pdf" target="_blank" name="canhealth WhitePapers Case Study_New_Brunswic">How to build an interoperable patient record</a><br>Can Health Tech| April 19, 2017<br><br>In 2003, New Brunswick Department of Health took its first steps towards creating a province-wide electronic health record (EHR) system – an essential building block for reaching the Province’s ultimate vision of creating a ‘One Patient, One Record’ (OPOR) care system. The EHR would link all care resources across the Province so that a patient’s record would contain all information from hospitals, pharmacies, laboratories and diagnostic imaging into a single up-to-date record available to authorized clinicians when needed.<br></p><p class="phsa-rteElement-Paragraph"><br></p><h2 class="phsa-rteElement-Header2">Health Information Management News</h2><p class="phsa-rteElement-Paragraph"><br><a href="http://thebeat.fraserhealth.ca/news/april-2017/celebrating-major-milestones-toward-an-electronic/" target="_blank" name="thebeat fraserhealth ca news april 2017 celeb">Celebrating major milestones toward an electronic health record</a><br>FH Beat | April 12, 2017<br><br>Health Information Management in partnership with Fraser Health is celebrating the completion of the Forms on Demand and Scanning and Archiving implementations. <br><br>“This is a huge success story,” said Yoel Robens-Paradise, vice president of clinical and systems transformation and Lower Mainland Health Information Management. “It takes longevity and tenacity to oversee this project, and the cooperation between all the different departments to row together in the same boat. You can really see how this is a multi-departmental process that is required with these kinds of transformations.”</p><p class="phsa-rteElement-Paragraph"><img src="/blog-site/PublishingImages/blog/media-summary-april-21-2017/Scanning-FoD-celebration-03282017.jpg" alt="Scanning-FoD-celebration-03282017.jpg" style="margin:5px;" /><br></p>http://www.himconnect.ca/blog/media-summary-april-21-20172017-04-21T07:00:00Z
Wise Owl Awards June 2017Wise Owl Awards June 2017Each month we go through a employee nominated HIM staff to showcase the dedication and excellence that our people demonstrate each day.<p style="margin-top:10px;margin-bottom:10px;"> Our HIM’s WISE Owl Award Employee Recognition Program had many well deserving entries this past month and we strongly encourage you to write in your nomination to celebrate your colleague. Recognition sends a powerful message that we care about dedication and excellence.<br></p><div> <br> </div>We did a random draw and narrowed down the selection field to our six winners for June. We notified the Regional and local Managers after our draw and they presented each of these Wise Owl certificates, recognition button and our fun plush friend to each recipient.<br><br> <p style="margin-top:10px;margin-bottom:10px;"> <span style="font-family:verdana, geneva;font-size:12px;"> <br></span></p><table cellspacing="0" width="100%"><tbody><tr><td class="phsa-rteTable-default" style="width:50%;">​<img src="/blog-site/PublishingImages/blog/wise-owl-awards-may-2017/Wise-Owl-Janice-Mella-Mayang.jpg" alt="Wise-Owl-Janice-Mella-Mayang.jpg" style="margin:5px;width:333px;height:186px;" /></td><td> <strong>Janice Mella-Mayang</strong>, Health Records Administrator,  PHC Records Management  – Howe St<br><br>"I nominate Janice Mella-Mayang. Janice can also be called the wizard of scanning in our department.  There is no explanation as to how she does so much of scanning.  Does she wave the magic wand to clear up a wall of scanning?? Makes all of us wonder about this. <br> <br>Janice is hard working and very pleasant.  When all of us would be pulling our hair out seeing so many charts waiting to be scanned, Janet calmly operates two scanners and clears it all up<br><br>Keep it up Janice.  You truly deserve this nomination."     <br><br></td></tr><tr><td>​<img src="/blog-site/PublishingImages/blog/wise-owl-awards-may-2017/Wise-Owl-Melanie-Bostwick.jpg" alt="Wise-Owl-Melanie-Bostwick.jpg" style="margin:5px;width:273px;height:273px;" /><br><br></td><td> <br> <strong>Melanie Bostwick</strong>, Health Records Administrator,  Chilliwack General Hospital<br><br>"Melanie is always eager to assist, as well as, educate staff from other departments. She works efficiently and always goes above and beyond."  <br><br>   </td></tr><tr><td>​<img src="/blog-site/PublishingImages/blog/wise-owl-awards-may-2017/owl-button.jpg" alt="" style="margin:5px;" /></td><td> <strong>Manpreet Sandhu and Sheila Knowles</strong>, Release of Information Clerks, Abbotsford Regional Hospital<br><br>"Manpreet and Sheila both demonstrate compassion and respect when providing exceptional customer service to patients, staff and coworkers. This dual ROI Team is always willing to go above and beyond to assist."     <br><br><br></td></tr><tr><td> <img src="/blog-site/PublishingImages/blog/wise-owl-awards-may-2017/Wise-Owl-Neeta-Long.jpg" alt="" style="margin:5px;width:313px;height:175px;" /><br> </td><td> <strong>​Neeta Long</strong>, Data Quality Analyst, Central City<br><br>"When I read or think about HIM's values, I think of Neeta. She works daily with Client Identity and strives to maintain the integrity of the data that is filed within Meditech, Paris and the Ministry of Health. As one of the 3 contact people for the Ministry, Neeta then liaises with each of the sites within Fraser Health to keep all systems in sync. Neeta gives 100% each day and is willing to help out anyone regardless of what is sitting on her desk. Her high level of achievement and expectation is enhanced by her great smile and laughter – and the great jelly beans that are often found on her desk – dare you to try and take one!"  </td></tr><tr><td><br><img src="/blog-site/PublishingImages/blog/wise-owl-awards-may-2017/owl-button.jpg" alt="" style="margin:5px;" /></td><td>​<br> <p class="phsa-rteElement-Paragraph"> <strong>Mary Anne Gutierrez</strong>, Education Specialist, Transcription Services - Front End Speech Recognition Project.</p> <br> <p class="phsa-rteElement-Paragraph">"Mary Anne constantly goes above and beyond for the team and the physicians we work with and she deserves to be recognized for it.  She is incredibly thoughtful and considerate and is often the first person to offer to take on additional tasks, work longer hours or shift her schedule to accommodate the physician or project needs.  She understands that not everyone is computer savvy, has different levels of knowledge absorption and goes up the learning curve at different speeds.  She tailors her training sessions to each individual physician and when needed offers additional support and refresher sessions to ensure the physician achieves success with the FESR product even if it means breaking the training into multiple sessions."     </p></td></tr></tbody></table><p></p>http://www.himconnect.ca/blog/wise-owl-awards-may-20172017-06-15T07:00:00Z
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

 
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