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Sunday, February 5, 2012
Volume XVIII, Number 3 - October 2004

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Editorial - Overload
Steven A. Huesing, Editor

COACH Column - It takes a community, and we're all members!
Don Newsham, President, COACH: Canada's Health Informatics Association, Senior Consultant, Sierra Systems, Calgary, AB
Don Newsham has just assumed the presidency of COACH. In the context of those who have lead COACH through almost 30 years ofgrowth and change in health informatics, he reflects on thechallenges we face and the possibilities and growth that will impacthealth informatics. Challenges that he believes will surpass allexpectations - no matter how high those may, or should, be.

The Role of Clinical Content
Paul Gertman, MD, Chief Scientist, Clinical Knowledge Division, Eclipsys Corporation, Boston, MA
Fifty percent of healthcare knowledge now changes every five years;hence it is difficult for clinicians to keep up with every disease andevery new development in diagnostic and treatment methodologies.Clinical information technology, validated content, workflowmanagement, and world-class software applications are thecornerstones for supporting superior clinical performance, maximizepatient safety, and assist the bottom line. These tools can deliverimproved patient care, increase customer satisfaction, reduce theaverage length of stay, and improve staff recruitment and retention.

VoIP: New Life for Healthcare Communications
Teresa Aysan, Enhanced VPN Offering Manager, AT&T Global Services, Thornhill, ON
VoIP technology and applications represents the most significant,technology shift in telecommunications in decades, offeringtremendous value by leveraging the efficiencies and advancedcommunications capabilities of IP-enabled services Ms. Aysandiscusses VoIP's benefit potential and the factors to consider in itsimplementation.

Electronic Health Records Offer Prescription for Relief
Barry Burk, General Manager, Healthcare Industry, IBM Canada Ltd., Edmonton, AB
St. Michael's Hospital in the heart of Toronto is renowned forproviding exceptional patient care. The hospital has recentlycompleted Phase One of Project Gemini, an initiative to build anElectronic Health Record-based patient care system, a cornerstone ofits vision to provide reliable, relevant and accessible health data topractitioners engaged in diagnosis and treatment.

Thinking About the "Business" of Collaboration
H. Dominic Covvey - Education Editor, NSERC/Agfa Executive Industrial Research Chair, Waterloo Institute for Health Informatics Research, University of Waterloo, Waterloo, ON
Prof. Covvey takes the opportunity to look at collaboration as astructured, definable process. He shares his thoughts and somereferences with you in the hope that this might stimulate your interest in looking at collaboration on a more "business like" basis.

Smart Charts and Chronic Disease Management
Barbara Kermode - Scott, Medical Writer, Calgary, AB
A new British Columbia initiative is working to reduce the morbidityand mortality associated with heart failure. Grassroots family physicians are collaborating with the British Columbia (BC) Ministry of Health Services to evaluate the use of electronic medical records(EMR) to improve outcomes in heart failure. Those involved in this initiative believe this is the first private/public chronic diseasemanagement (CDM) system to improve patient outcomes and reducethe burden of chronic disease in BC.

Alberta's EHR - Progress Personified
Andrew Komes, Staff Writer
The Alberta EHR is the provincial network that links health careproviders within communities and across regional boundaries. Itcontains patient data from existing repositories and continues toexpand through data entered at the point of care from across theprovince. Mr. Komes reports on the progress to date.

Bridging the Gap. . .
David M.Wattling, CMC, ISP - e-Health Editor, Managing Partner, Courtyard Group, Ltd., Toronto, ON
Many Canadians are still isolated or getting even more isolated withregard to access to health care. This isolation, brought about bygeographic obstacles, is compounded by the scarcity of clinicians. Mr.Wattling, using Northern Ontario Remote TelecommunicationHealth (NORTH) Network as an example, he discusses telemedicine'sto becoming integrated into routine health care service processes.

Screening Patients for Infectious Disease using Technology
Lenny Louis, Product Manager .NET Developer Tools, Enterprise Microsoft Canada Co., Mississauga, ON
Containing Ontario's SARS outbreak in early 2003 demanded quick decisions and innovative responses. To that end, Ontario assembledthe Provincial Transfer Authorization Centre (PTAC), operated by Toronto EMS and Ontario Air Ambulance. PTAC, with industrypartners developed a solution that can be configured to screen for infectious diseases in addition to SARS; this is now fully deployed andavailable for all acute-care hospitals and long-term care facilities in the Province of Ontario.









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