e-Health Conference 2009 - Québec
e-Health 2009: Leadership in Action - Quebec City, Quebec

CIHI / ICIS - COACH - Event Hosts
Quebec City - e-Health 2009 Conference - Leadership in Action

Topics for Submission

Access and New Models of Care

Topics in these tracks will address issues including:

  1. Challenges of Chronic Disease Management
  2. Decision support systems enhancing clinical care delivery
  3. Using Patient portals, PHRs and EHRs to support access to care
  4. Surveillance and adverse event monitoring systems

Tracks:

1. e-health/Information Management Solutions

Chronic disease management is emerging as a focal issue across the country. Shifting demographics and improved longevity for those with chronic illness is beginning to place significant burden on the health care system. Increasingly, jurisdictions are looking to mechanisms and technology solutions to support and sustain individuals with chronic illness in the community and at home. Further, e-health/information management technologies are also rapidly evolving to afford citizens access to their health information EHR (e.g., portals) and health professionals, as well as the capacity to contribute to and manage their own personal health record (PHR).

In this track, we invite submissions that address innovative technologies in the management of chronic disease. Topics may include the following:

  • Describe your experience with the deployment and evaluation of chronic disease management eHealth solutions. What was the target population(s)? What has been the outcome thus far?
  • Identification of eHealth solutions that have been utilized with or without success (e.g., patient portal) What was your experience? What worked or did not? Why or why not?
  • How has the use of a portal or PHR or EHR access changed your business processes in the delivery of clinical care?
  • Describe experiences with the development and deployment of solutions to support epidemic and adverse event surveillance.
  • What are the gaps and/or barriers to integrating citizen access and use of chronic disease management systems (e.g., portals, PHRs) within the community to other sectors?

2. Remote Service Delivery

There has been continuous growth in the delivery of telehealth, telehomecare and telemedicine services. Thousands of Canadians benefit daily from having access to clinical specialists in urban centres without having to travel long distances from rural and remote regions of the country. Clinical monitoring, consultations, and post-hospital follow-up care has been effectively enabled by the deployment of networking technologies. Additionally, healthcare providers in remote communities are deriving benefit from access to continuing education sessions being broadcast over the same networks. 

For this track, we invite submissions that address the experience of remote service delivery. Potential topics may include the following:

  • Describe an innovative approach to the delivery of care to remote communities through the use of technology? How are you measuring the quality and success of the service being provided? Does it have applicability for other services/populations?
  • Are remotely delivered services integrated with the care being provided by others in the community or others in regional, urban or specialty care settings?
  • What challenges and/or barriers remain to have the clinical data and information which result from these services, integrated with other health sectors?

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Balancing Workforce and Technology

Topics in these tracks will address issues including:

  1. Integration of health information at all levels
  2. Understanding the limits and challenges of e-health/information management solutions

Tracks:

1. Change Management

Although there has been greater adoption of e-health/information management solutions, how can we assure that there is a “tipping point” sooner than later that takes us well beyond the “early adopters”? What are the factors that will influence an acceleration of e-health/information management solution uptake across all care sectors and all professional providers? Is it even possible to accelerate adoption? What are the barriers that still need to be addressed to realize a wholly integrated health information vision?

For this track, we invite submissions that demonstrate strategies that have effectively driven and achieved change related to eHealth solutions within jurisdictions, sectors, organizations, or specific provider groups.  Potential topics include:

  • What change management structures and strategies did you use and what were the outcomes? How to address the integration of EHR functions with the workflow of clinicians?
  • What are the key processes requiring redesign to secure successful integration?
  • What new change management strategies have been or need to be deployed to “reach out” to achieve better use of the EHR?
  • Have you used a novel or creative combination of change management perspectives to guide your eHealth initiatives?
  • How are you measuring the effectiveness of your change management efforts?
  • Have you achieved EHR success that has yet to be paralleled by other providers in your sector?

2. Decision Support

There is a growing awareness among users of e-health (e.g. EHR/EMR, etc.) solutions, that provincially, nationally and internationally there is tremendous value to be derived from the data and information being captured by these systems. Decisions about individual and population health issues will be better informed and directed by these rich repositories of clinical information including the efficacy of treatment regimes and factors which optimize outcomes. Further, the capacity to measure quality and performance by providers and across sectors at the “system” level has the potential to inform health policy and funding directions. However, the realization of these benefits necessitates the consistent adoption of clinical data standards and/or code sets and the use of common definitions within clinical information systems.

For this track, we invite submissions, which demonstrate the utilization of various e-health solutions and their information outputs to support decision-making at any level in the health system. Potential topics include:

  • What types of decisions or monitoring are being successfully supported, and how has this been achieved?
  • What lessons have been learned thus far; what are the implications at a jurisdictional or pan-Canadian level?
  • What are considerations in the adoption of clinical data standards?
  • Are there any key gaps (standards etc.) requiring more leadership or coordination at a jurisdictional or pan-Canadian level?

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Innovation and Sustainability

Topics in these tracks will address issues including:

  1. Risk Management Strategies
  2. Addressing new and innovation concepts in privacy and security

Tracks:

1. Leading Large Initiatives

The emergence of large scale, regional and cross-sectoral e-health/information management applications has presented challenges associated with, but not limited to, security infrastructure, privacy obligations, standards compliance and the deployment of robust processes for the authorization and authentication of persons accessing health information. In addition, there is a need for effective processes and strategies to effectively manage the potential risks associated with large scale implementations, as many of them may unwittingly expose sensitive health information to unauthorized personnel.

For this track, we invite submissions that address these challenges. Potential topics include:

  • Privacy legislation – pending or actual changes to jurisdictional legislation and implications of same
  • Security solutions – innovative approaches to identity management within the context of large scale implementations
  • Professional Confidentiality and Trust – the identification of new ethical and legal obligations related to the exchange of health information beyond single provider organizations
  • Risk Management – strategies and processes being utilized to identify and mitigate risks during project planning, implementation, and for the long term management of EHR applications
  • Strong and innovative examples of clearly acknowledged success in the planning, design, implementation and deployment of large scale, regional, cross-sectoral or jurisdiction-wide EHR related applications.  What makes your large initiative truly the best of the best?

2. School of Hard Knocks

The implementation of e-health solutions has presented providers and organizations with unprecedented challenges in the attainment of ultimate success. While many jurisdictions, organizations, and providers have been successful in this work, examples of difficult or failed implementations also abound and warrant equal attention. Lessons learned from failed projects are seldom profiled or discussed with others; yet these experiences often offer the best insights for those embarking on similar initiatives. The scarcity of evidence and best practices suggests that their creation will only evolve with the knowledge of both what does and does not work given certain conditions.

For this track, we invite submissions that address, highlight and even celebrate those difficulties and outright failures that have ultimately led to greater project success and that share lessons learned so that others can avoid the same pitfalls when implementing their own e-health initiatives. These submissions may be well suited to round-table discussions.

Potential topics include:

  • Focus on the technology rather than the processes being supported.
  • The significance of senior level commitment and support from initiation to completion.
  • Technology rather than clinically driven initiatives
  • eHealth solutions not effectively integrated with clinical processes but viewed as a burden and added workload
  • Engagement and buy-in from all stakeholders is absent or weak
  • Lack of sufficient project funding and assurances for long term sustainability

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