eHealth - Norm Archer

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eHealth - Norm Archer

  1. 1. eHealth Education and Research at McMaster Norm Archer eHealth Technology Showcase Burlington Ontario November 18, 2008
  2. 2. Agenda <ul><li>Introduction </li></ul><ul><li>The M.Sc. eHealth Program at McMaster </li></ul><ul><li>eHealth Research at McMaster </li></ul><ul><li>eHealth Research Centres, Institutes, and Programs </li></ul><ul><ul><li>Faculty of Health Sciences </li></ul></ul><ul><ul><li>DeGroote School of Business </li></ul></ul><ul><ul><li>Faculty of Engineering </li></ul></ul><ul><ul><li>Associated Small Business </li></ul></ul><ul><li>eHealth Research Network Exchange </li></ul>
  3. 3. eHealth is About... <ul><li>Achieving better health outcomes by transforming health systems and business practices through the investment in and more comprehensive use of information and information technology </li></ul>
  4. 4. McMaster’s M.Sc. eHealth Program <ul><li>Director – Dr. Ann McKibbon (Dept. of Clinical Epidemiology & Biostatistics) </li></ul><ul><li>Contact mckib@mcmaster.ca </li></ul><ul><li>Collaborative multi-disciplinary program </li></ul><ul><ul><ul><li>Health Sciences </li></ul></ul></ul><ul><ul><ul><li>Engineering (Computing and Software Dept.) </li></ul></ul></ul><ul><ul><ul><li>DeGroote School of Business </li></ul></ul></ul><ul><li>Full time option </li></ul><ul><ul><li>Two years – Thesis or Course/Project </li></ul></ul><ul><ul><ul><li>Includes 8 month paid internship with a company, healthcare institution or government agency </li></ul></ul></ul><ul><ul><ul><li>Thesis option – four courses </li></ul></ul></ul><ul><ul><ul><li>Course/Project option – seven courses </li></ul></ul></ul><ul><li>Part time option </li></ul><ul><ul><ul><li>Course/Project option only, no internship </li></ul></ul></ul>
  5. 5. M.Sc. eHealth Program… <ul><li>Students </li></ul><ul><ul><li>All take a three course core (one each from Health Sciences, Computing and Software, and Business) </li></ul></ul><ul><ul><li>Students “specialize” in their supervisor’s field; they choose the field when applying </li></ul></ul><ul><ul><li>Full time students take an 8 month paid internship in a company, healthcare institution, or government health agency </li></ul></ul><ul><li>Now recruiting for September 2009 admission </li></ul><ul><li>Application deadline is April 1, 2009 </li></ul><ul><li>Details about the program and how to apply online at http://mscehealth.mcmaster.ca/ </li></ul>
  6. 6. Potential Careers in eHealth <ul><li>A pplied/professional – operational informatics settings: </li></ul><ul><ul><li>chief information officer, nursing information officer, project manager, developer, trainer, healthcare systems integration architect, consultant </li></ul></ul><ul><li>Expert/liaison </li></ul><ul><ul><li>local experts, interfacing with informatics or information technology professionals, including chief medical or nursing information officer, clinical information technology liaison </li></ul></ul><ul><li>Academic/research </li></ul><ul><ul><li>individuals planning to continue to doctoral studies and careers as professors and researchers. </li></ul></ul>
  7. 7. eHealth Research at McMaster <ul><li>Comparison of eHealth core competencies and research across three disciplines </li></ul><ul><ul><li>Health Sciences </li></ul></ul><ul><ul><li>Information Sciences/Computer Science </li></ul></ul><ul><ul><li>Management Sciences </li></ul></ul>
  8. 8. COACH Core Competencies
  9. 9. Disciplinary Research in eHealth at McMaster Management Computer Science Project Management Analysis & Evaluation Organizational & Behavioural Mgt Canadian Health System Information Technology Information Management Health Sciences Clinical Health Services
  10. 10. eHealth Research at McMaster <ul><li>Faculty of Health Sciences </li></ul><ul><li>DeGroote School of Business </li></ul><ul><li>Faculty of Engineering (Computing and Software) </li></ul>
  11. 11. Research Centres, Institutes, and Programs
  12. 12. Faculty of Health Sciences
  13. 13. The COMPETE Program <ul><li>“ Computerization of Medical Practices for the Enhancement of Therapeutic Effectiveness” </li></ul><ul><li>A major program within the Centre for the Evaluation of Medicines </li></ul><ul><li>Since 1996 the research team has completed three major phases and is currently preparing for the next phase </li></ul><ul><li>www.compete-study.com </li></ul><ul><li>Contact: Anne Holbrook, Principal Investigator, COMPETE holbrook@mcmaster.ca </li></ul>
  14. 14. COMPETE… <ul><li>Key Projects and Publications </li></ul><ul><ul><li>EMR implementation success in real world community primary care </li></ul></ul><ul><ul><li>Transforming EHR data to research-quality information </li></ul></ul><ul><ul><li>Randomized trials of computerized decision support for patients and providers for diabetes and for vascular disease </li></ul></ul><ul><ul><li>Ensuring the quality of electronic quality-of-care measurements </li></ul></ul><ul><ul><li>Electronic data sources for post-marketing drug evaluation </li></ul></ul><ul><ul><li>Impact of automated telephone support systems on quality of diabetes care </li></ul></ul>
  15. 15. COMPETE… <ul><li>Key Projects and Publications (continued) </li></ul><ul><ul><li>Patient and providers views on health information privacy with electronic medical records </li></ul></ul><ul><ul><li>Systematic review of factors that predict success versus failure of prescribing decision support systems </li></ul></ul><ul><ul><li>Systematic review of effectiveness and harms of electronic drug interaction checking systems </li></ul></ul><ul><ul><li>Provider willingness to pay for e-health systems </li></ul></ul><ul><ul><li>Ontario stakeholder views on e-prescribing </li></ul></ul><ul><ul><li>Usability and ease of use of clinical decision support for patients and providers </li></ul></ul><ul><ul><li>Best methods of information communication between clinical systems and decision support </li></ul></ul>
  16. 16. COMPETE… <ul><li>Currently Investigating: </li></ul><ul><ul><li>Clinical, technical and policy ‘readiness’ for e-prescribing in Canada </li></ul></ul><ul><ul><li>Best practices in electronic signatures and authentication for clinical practice </li></ul></ul><ul><ul><li>Cost-effectiveness of large scale electronic shared decision support for patients and providers </li></ul></ul>
  17. 17. Department of Family Medicine <ul><li>http://fammedmcmaster.ca/research/about </li></ul><ul><li>Contact Lisa Dolovich [email_address] </li></ul><ul><ul><li>Family Practice electronic health records – McMaster and Hamilton Family Health Teams </li></ul></ul><ul><ul><li>Patient-controlled electronic health records – David Chan (MyOSCAR) </li></ul></ul><ul><ul><li>Patient-centred tool for self-management of hypertension </li></ul></ul><ul><ul><li>CHAP - Cardiovascular Health Awareness Program (Online support) </li></ul></ul>
  18. 18. MIIRIAM Department of Radiology <ul><li>“ Medical Imaging Informatics Research Institute at McMaster” </li></ul><ul><li>http://www.fhs.mcmaster.ca/radiology/ </li></ul><ul><li>Contact David Koff [email_address] </li></ul><ul><ul><li>MIIRIAM is currently in the process of formation, and will be announced soon </li></ul></ul><ul><ul><li>The Institute is an open forum designed to organize partnerships between clinicians, starting with radiologists, who have access to clinical data, and computer scientists and engineers who are looking for access to these data and validation of their projects. </li></ul></ul><ul><ul><li>The radiologists are very enthusiastic and there are already a number of stakeholders within and outside McMaster, including the University of Waterloo. </li></ul></ul><ul><ul><li>A major research project on image compression funded by Canada Health Infoway is currently underway and should be completed by mid 2009 </li></ul></ul>
  19. 19. Health Information Research Unit <ul><li>http://hiru.mcmaster.ca/hiru/Default.aspx </li></ul><ul><li>Contact Brian Haynes bhaynes@mcmaster.ca </li></ul><ul><li>Evidence Based Medicine </li></ul><ul><ul><li>Improved searching and screening methods for the enormous number of medical articles that are being published </li></ul></ul><ul><ul><li>Summaries of the best of the best articles in 150 core medical journals </li></ul></ul><ul><ul><li>Evaluation and ratings for the best articles on therapies, knowledge translation, nursing, obesity </li></ul></ul><ul><ul><li>Systematic reviews on patient adherence with medications </li></ul></ul><ul><ul><li>Reviews of computerized clinical decision support systems </li></ul></ul><ul><ul><li>Finding the best ways to get evidence from the literature to practicing clinicians </li></ul></ul><ul><ul><li>Supplying information feeds of important clinical material to websites and book projects </li></ul></ul>
  20. 20. School of Nursing <ul><li>Contact Ruta Valaitis [email_address] </li></ul><ul><li>Completed </li></ul><ul><ul><li>Online health promotion site for rural youth </li></ul></ul><ul><ul><li>Tailoring Online Health Promotion: A Toolkit for Communities http://fhs.mcmaster.ca/OHPToolkit/index.html </li></ul></ul><ul><li>Underway </li></ul><ul><ul><li>Virtual Community of Practice for Street Nursing http://streetnursing.mcmaster.ca/ </li></ul></ul>
  21. 21. DeGroote School of Business
  22. 22. McMaster eBusiness Research Centre (MeRC) <ul><li>http://www.merc-mcmaster.ca/ </li></ul><ul><li>Director - Dr. Khaled Hassanein </li></ul><ul><ul><li>[email_address] </li></ul></ul><ul><li>Research topics include: eHealth, identity theft, interface design, portals, online trust, mobile systems, change management, knowledge management </li></ul><ul><li>Ph.D. Business Administration and M.Sc. eHealth students </li></ul>
  23. 23. MeRC eHealth Research <ul><li>Completed </li></ul><ul><ul><li>Wireless PDA support for homecare nurses </li></ul></ul><ul><ul><li>Usability: Scrolling versus menus on small device screens </li></ul></ul><ul><ul><li>mHealthcare initiatives for improving outpatient adherence </li></ul></ul><ul><ul><li>Consumer satisfaction with online health information retrieval </li></ul></ul><ul><ul><li>RFID applications in healthcare </li></ul></ul><ul><ul><li>Business process reengineering in healthcare </li></ul></ul><ul><ul><li>Coordination of donor kidney distribution </li></ul></ul><ul><li>Underway </li></ul><ul><ul><li>EMR system adoption in Canadian medical practice </li></ul></ul><ul><ul><li>Adoption and use of personal health record systems </li></ul></ul>
  24. 24. Computing and Software Department Faculty of Engineering
  25. 25. Software Certification Consortium <ul><li>Director Alan Wassyng [email_address] </li></ul><ul><li>SCC's primary objectives : </li></ul><ul><ul><li>To promote the scientific understanding of Systems containing Software (ScS) certification and the standards on which it is based. </li></ul></ul><ul><ul><li>To promote the cost-effective deployment of evidence-based ScS certification standards. </li></ul></ul><ul><ul><li>To promote public, government and industrial understanding of the concept of ScS certification and the acceptance of the need for certification standards for software related products. </li></ul></ul><ul><li>Currently forming a McMaster-based Centre for Software Certification </li></ul>
  26. 26. Computing and Software Department <ul><li>http://www.cas.mcmaster.ca/cas/0template1.php?600 </li></ul><ul><li>Contact Kamran Sartipi [email_address] </li></ul><ul><li>Projects </li></ul><ul><ul><li>Mined knowledge in clinical support systems </li></ul></ul><ul><ul><li>Behaviour-based access control for distributed healthcare environment </li></ul></ul><ul><ul><li>Flexible and customizable workflow in healthcare </li></ul></ul><ul><ul><li>Cross domain interoperability among related domains </li></ul></ul><ul><ul><li>Agent-based decision support for personalized health management with heterogeneous database interoperability </li></ul></ul><ul><ul><li>Collaboration with Mohawk Applied Research Centre in Health Informatics (Professor Duane Bender), on implementation of Canada Health Infoway's Electronic Health Record system (iEHR). </li></ul></ul>
  27. 27. Associated Small Business
  28. 28. InfoClin Inc. <ul><li>Karim Keshavjee, CEO [email_address] </li></ul><ul><ul><li>Consulting with Canada Health Infoway on designing </li></ul></ul><ul><ul><ul><li>how consumers will interact with the Electronic Health Record. </li></ul></ul></ul><ul><ul><ul><li>how doctors will transact more work on-line </li></ul></ul></ul><ul><ul><ul><li>ordering systems for referrals, appointments and diagnostic imaging. </li></ul></ul></ul><ul><ul><li>Consulting with College of Family Physicians of Canada </li></ul></ul><ul><ul><ul><li>designing a Chronic Disease Surveillance Network for Canada </li></ul></ul></ul><ul><ul><li>Consulting with the Hamilton Family Health team </li></ul></ul><ul><ul><ul><li>building an interface between hospital computers and the family doctor’s electronic medical record so that medical information is available to the doctor faster and in an electronic format </li></ul></ul></ul><ul><ul><li>Consulting with the Heart and Stroke Foundation of Ontario </li></ul></ul><ul><ul><ul><li>Helping them roll out their High Blood Pressure reduction strategy to doctors who use electronic medical record systems </li></ul></ul></ul>
  29. 29. eHealth Research Network Exchange <ul><li>Contact Norm Archer [email_address] </li></ul><ul><li>Online collaborative site to encourage interactions and communications about eHealth among Canadian academics, students, businesses, government agencies, and healthcare institutions </li></ul><ul><li>Objective – to improve the rate of eHealth innovation in Canada </li></ul><ul><ul><li>The site is also expected to attract considerable attention from people interested in eHealth from other countries </li></ul></ul><ul><ul><li>Accessible by the end of November – link will be announced on the MeRC Web site http://www.merc-mcmaster.ca/ </li></ul></ul><ul><ul><li>Site includes announcements, news, blog, research projects, research notes, short reviews, presentations, internships and employment (links), educational program announcements and links, sponsors and links, researcher and business contact information, etc. </li></ul></ul>
  30. 30. Thank you for your attention. Questions? Norm Archer [email_address]

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