
Note: The session descriptions appear in the language that they are being presented in. Pre-Conference Workshops will NOT have simultaneous interpretation.
Remarque : Les sessions sont décrites dans la langue de leur présentation. L’interprétation simultanée n’est PAS proposée pour les ateliers pré-conférence.
Half Day – 9:00am to 12:00pm/ Ateliers demi-journée - matin – 9h - 12h
| WS 1: |
Leading effective and sustainable change in your organization: Toolkit essentials |
| WS 2: |
Review of health information system evaluation methodologies |
Half Day – 1:00pm to 4:00pm/ Ateliersdemi-journée - après-midi – 13h - 16h
| WS 3: |
Healthcare knowledge management for clinical decision support services:
Innovation in action |
| WS 4: |
Skilling the eHealth Professional: The key methods and tools of health informatics |
| WS 5: |
Clinical Systems Interconnection with the Interoperable EHR |
WS 1
Leading effective and sustainable change in your organization:
Toolkit essentials
Track: Change Management
S. Lang, Healthtech, Toronto, Canada
K. Fitzpatrick, Healthtech, Toronto, Canada
Most change efforts fail to live up to expectations. 'Non-technical' organizational factors are estimated to account for between 30 - 50% of technological innovation failures. In this interactive workshop participants will learn powerful tools and techniques to successfully lead sustainable strategic change in their organization. The session draws on research from the leading change management and leadership theorists and practitioners in the field as well as the practical experience Healthtech Consultants has gained through many successful IT implementations in healthcare facilities. The goal of the session is to increase the capacity of participants to both lead and manage organizational change.
Topics will include:
- The difference between leading and managing change and why to be successful you need to do both
- How to capitalize on your strengths to make yourself the most effective change leader possible
- The five interconnected plans that make up a successful change strategy and why training, communication and project management are not enough
- The importance of transition planning when dealing with the “people part” of change
- How to effectively manage and lead stakeholders throughout the process
- Ways to rethink change resisters and change fatigue to minimize their negative impact
- Tools and techniques for having the crucial conversations that keep any change project on track
- Identification of the most common reasons for change failure and how to avoid them.
The session will be practical, interactive and fun. Participants will also have the opportunity to work with their own change challenges through the session as they apply their learning in the creation of their own change plan.
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WS 2
Review of health information system evaluation methodologies
Track: e-health/Information Management Solutions
F. Lau, University of Victoria, School of Health Information Science, Victoria, Canada
Value to participants: Healthcare organizations across the country are deploying health information systems (HIS) with the overall aim to improve the quality of care. Questions are being raised by many as to how to demonstrate the value of these systems with the investments made. As such, there is a need for unbiased evidence of the value of HIS, and rigorous methods on how they should be deployed to reap the benefits. Decision makers need guidance on how to invest in HIS to ensure they are useful, cost-effective and sustainable over time.
Purpose: This workshop is intended to review the different evaluation methodologies that can be used to examine the implementation, use and impact of HIS in healthcare organizations. The Infoway Benefits Evaluation Framework and its suite of performance metrics will be used as the guide from which specific evaluation studies can be designed. The participants will also be introduced to the newly established eHealth Observatory from the School of Health Information Science at the University of Victoria, where its goal is to monitor the effects of HIS deployment in Canada.
Methodology: An interactive tutorial format will be used in this workshop to engage the participants to learn about the different types of HIS evaluation methodologies available and to share their own evaluation project experiences/insights with others. The tutorial will consist of three parts:
(1) Review of existing HIS evaluation methodologies;
(2) Selected case studies of HIS evaluation studies;
(3) Participatory design of a specific HIS evaluation study.
The HIS evaluation methodology review will draw on published literature that are credible and relevant. The case studies will be based on real HIS evaluation projects done in Canada. The participatory design will involve working with the participants to arrive at a specific study design to evaluate the deployment of a particular type of HIS.
Results/Outcomes: The learning outcomes for the participants are:
(1) Having a better understanding of the range of HIS evaluation methodologies available;
(2) Knowing how to design HIS evaluation studies using the HIS methodology toolkit provided;
(3) Becoming part of the virtual eHealth Observatory community involved with HIS evaluation.
Conclusions: Currently there is a momentum across Canada to deploy HIS to improve the quality of care provided. This is the ideal opportunity to conduct rigorous yet practical evaluation studies to produce the evidence that can demonstrate the value of these systems.
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WS 3
Healthcare knowledge management for clinical decision support services: Innovation in action
Track: Decision Support
R. Abidi, Dalhousie University, NICHE Research Group, Faculty of Computer Science,
Halifax, Canada,
H. Chen, Agfa HealthCare Inc, HE/Advanced Clinical Applications Research, Waterloo, Canada
The consolidation of EMR driven E-Health applications across Canada, largely fueled by pan-Canadian initiatives by Canada Health Infoway, has laid the foundation for developing the next-generation-i.e. 'the helper' and 'the mentor' decision support services-applications to operationalize healthcare knowledge. However, today there is a functional disconnect between healthcare knowledge and practice in our healthcare system due to lack of understanding about healthcare knowledge management. This knowing-doing gap is imposing challenges towards the pragmatic development and efficacious deployment of 'innovative' decision support tools for both practitioners and even patients. The goal of this workshop is to highlight the practices of Healthcare Knowledge Management (HKM) and to provide a practical illustration of the potential of Clinical Decision Support Services (CDSS) as an add-on to existing E-Health applications. From a HKM perspective, the workshop will discuss the techniques for the management and computerization of evidence-based and institutional healthcare knowledge-such as Clinical Practice Guidelines, Clinical Pathways/Workflows and Care Maps-to enable practitioners to:
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(i) |
Execute the relevant healthcare knowledge at the point of care; |
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(ii) |
Collect/retrieve relevant patient data; and |
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Standardize the delivery of care. |
Next, from a CDSS perspective, the workshop will illustrate the technical and functional issues concerning how to develop, deploy and assess CDSS to improve healthcare quality by incorporating best-evidence and experience in clinical decision making. We will present the continuum of CDSS through three foci:
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infra-structure – i.e. technical issues and processes to develop and deploy CDSS based on the organization's goals; |
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info-structure – i.e. operational issues and strategies to ensure the effective use and adoption of the CDSS within the clinical workflow; and |
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business – i.e. the commercial opportunities for specifying the requirements for specialized CDSS, scoping the implementation of CDSS in specific healthcare environments and integration costs with existing infra-structures. Finally, case studies and demos will be presented to illustrate the lifecycle of healthcare knowledge management via CDSS. |
This half-day workshop is intended for health administrators, managers and practitioners who are facing surging demands for the utilization of healthcare knowledge in the care process, and who are planning to incorporate decision support services for various specialized healthcare programs, both at acute and chronic clinics, in their institutions. At the conclusion of the workshop, the audience will have learned about why it’s important to systematically manage healthcare knowledge and how to apply healthcare knowledge as CDSS in their healthcare setting to improve health outcomes.
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WS 4
Skilling the eHealth Professional:
The key methods and tools of health informatics
Track: Remote Service Delivery
D.J. Covvey, University of Waterloo, Waterloo Institute for Health Informatics Research,
Waterloo, Canada
Value to participants: Many educational sessions emphasize the knowledge competencies of Health Informatics Professionals. This workshop provides an introduction to the most important skills of the applied health informatician or ehealth professional. It offers a rarely-available but important opportunity to learn cognitive, facilitative, analytic, synthetic and other techniques that are the basis for structured approaches to common challenges faced by the ehealth professional. This workshop is based on a new component of a very well-received introductory tutorial at the American Medical informatics Association conference in Washington DC in November 2008.
Purpose: To introduce, explain, illustrate through examples and exercise through participation, a set of important skills that are crucial competencies of the ehealth professional.
Methodology: This workshop presents a series of cases for consideration by participants, provides an opportunity for participants to suggest methods and tools that might be useful in addressing the issues and challenges that arise in the cases, outlines these as well as others contributed by the workshop leader and then illustrates their application.
Content: There are hundreds of methods and tools that can be in the armamentarium of the ehealth professional. This workshop will address a subset of these because of time constraints. The ones addressed have been selected for their everyday importance and will include but not be limited to: structured thinking techniques, methods of group management and facilitation, key team-building and management techniques, experiment design, and planning and business case development methods. A more complete list with sources will be provided to participants.
Results/Outcomes: After completing this workshop, the participants will be able to:
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identify methods and tools that would be productively applicable to a variety of situations, |
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apply these methods and tools to real situations, |
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engage others and share these methods and tools, |
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approach challenges in a more structured way, and |
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follow-up through continued learning to acquire other skills beyond those addressed in this workshop. |
Conclusions and recommendations: Skills must complement knowledge, experience and attitudes to fill out the competence “dance card”. Learning about these skills is a crucial first step in becoming a fully-competent ehealth professional.
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WS 5
Clinical Systems Interconnection with the Interoperable EHR
Track: TBD
Dennis Giokas, CTO, Canada Health Infoway
Ron Parker, Group Director of Architecture, Canada Health Infoway
Alvaro Mestre, Regional Director of Architecture, Canada Health Infoway
Elements of the interoperable EHR are rapidly being implemented in jurisdictions across Canada. Its value to clinicians will grow as more and more clinical systems at the point of service (e.g. Electronic Medical Record systems in a general practice setting to Clinical Information Systems in acute care settings) participate directly in the Interoperable EHR. This tutorial will feature strategies for the interconnection of these clinical systems with the interoperable EHR.
The workshop will open with a brief overview of the EHRS Blueprint and the interoperability standards that have been adopted for use on a pan-Canadian basis. The use of messaging standards for transactions and the role of structured documents within the EHR will be illustrated along with the supporting terminologies to read and write data to/from the Interoperable EHR.
Next will be a deeper dive into various refinements to the blueprint developed in the last year in consultation with jurisdiction and vendor implementation teams. These include: Clinical document sharing workflows incorporating a mix of HL7 message transactions, the HL7 Clinical Document Architecture and the IHE XDS integration profiles; EHR Index detailed architecture and the use of unique record identifiers above the HIAL. Finally, there will be a presentation and discussion on how Point of Service systems can incrementally integrate to the EHR, including the clinical value proposition of that integration to the delivery of care.
This workshop will be of interest to clinicians as end users of health IT systems, as well as buyers and vendors of point of service systems.
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