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Editorial: Information Systems; Yesterday and Tomorrow
Bill W. Childs, Guest Editor
Don Newsham, President, COACH: Canada’s Health Informatics Association, Senior Consultant, Sierra Systems, Calgary, AB
As COACH is about to celebrate its 30th Anniversary, Mr. Newsham. discusses the realization of the COACH vision: taking health informatics mainstream, with a mission to promote the understanding and adoption of health informatics within the Canadian health system through professional development, advocacy and a strong and diverse membership.
Matthew Anderson, Vice President and Chief Information Officer, University Health Network, Toronto, ON
In February 2004, UHN introduced Information Management Strategy 2009: Information Enabling Care, moving beyond the traditional theme of reliability and availability of technology and focusing instead on the use of information and technology to profoundly change and improve the delivery of patient care. Mr. Anderson discusses some of the experiences engendered in implementing this strategy.
Scott Murray - CIHI Columnist, Chief Technology Officer, Canadian Institute for Health Information, Ottawa, ON
Mr. Murray comments on CIHI’s involvement in leading the development of the NeCST (National e-Claims Standard) project and the impact that the standard is having within the healthcare community.
Denis Protti, Professor, School of Health Information Science, University of Victoria, Victoria, BC
Francis Brunelle, Partner, The Caldwell Partners International, Toronto, ON
Dr. Michael Guerriere, Managing Director, Courtyard Group, Toronto, ON
Corinne Eggert, Consultant, Health Information Services, Victoria, BC
Tell Me What You Read, and I Will Tell You What You Are? - The authors report on the outcomes of a survey conducted with 28 Chief information Officers in Western Canada and Ontario in respect to their reading practices and identifies publications cited as being read by CIO’s. As well, the authors interpret reading practices in respect to relevance and rigour.
Brantz Myers, Enterprise Marketing Manager, Cisco Canada, Toronto, ON
Mr. Myers describes how Lakeridge implemented a multi-tiered security solution that incorporates a system-level approach to deliver secure connectivity, threat defense, and identity/admission control. Firewalls, virtual private networks and intrusion detection protects their network infrastructure and critical endpoints, controls access and protects external communications.
Lisa Meginbir, President, L Meginbir Consulting, Richmond, BC
Change management seems to be the mantra on everyone’s lips these days and in every consultant’s portfolio. Is it really new, or is it something we have been doing all along and just didn’t have a name for? Meginbir describes a systematic approach to preparing and supporting the organization and individuals in moving from how things are done today to how they will be done in the future.
William Pascal, CTO, Canadian Medical Association, Ottawa, ON
Mary Gibson, Program Director, Physician Office System Program, Edmonton, AB
The ultimate success or failure of any project is in the planning. The time and effort spent upfront directly relates to success in achieving your goals. What should be included in the planning process? When it comes to physicians and healthcare IT projects, there is a simple answer: The success of any physician end-user IT project is directly linked to the amount of physician involvement in the planning process. It’s an answer that’s widely known, and one that’s supported by a plethora of evidence from studies, surveys, and actual examples from around the world.
David M.Wattling, CMC, ISP - e-Health Editor, Managing Partner
Vincent Ng, Courtyard Group, Ltd., Toronto, ON
Much emphasis has been placed recently on “engaging” clinicians, and numerous physician engagement strategies have been proposed. Strategies range from “engaging physicians early and often in the adoption process” to providing financial incentives to physician practices for adopting EHRs. Wattling & Ng discuss the various messages emanating from physicians as shown by current studies and experiences.
Dr. Bill Haver, Medical Editor, Managing Partner, Lakeside Medical Clinic, Saskatoon, SK
CMA Holdings, a subsidiary of the Canadian Medical Association, recently purchased a majority interest in HealthCare Software Inc, a Physician Office System (EMR) vendor. Dr. Haver offers his views on the ethical and practical aspects of this acquisition, the conflict of interest of a professional association being a vendor, and the ramifications on the uptake of EMRs by physicians in Canada.
Dr. Neil Stuart, Partner, Healthcare Practice, IBM Canada, Toronto, ON
Dorothy L Whittick, Principal, Business Consulting Services, IBM, Markham, ON
Healthcare has and will continue to become a much more complex endeavour. In addition to the increasing complexity of medical knowledge itself, the needs of the people being served by our health system are becoming more complex. This underlines the case for an electronic health record (EHR) as key to integrating different service silos and getting health professionals to work together to achieve a more lifelong and less episodic approach to care delivery.
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