Lynn M' Nagle, RN PhD

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Wonder, Think, Know Using information for
transformation
Lynn M. Nagle, RN PhD Senior Nursing
Advisor Canada Health Infoway
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What Canadians expect from the health care
system

• Accurate information that moves with them
• Communication between their various health care
  providers
• Protection of their privacy
• Input into decisions
• Elimination of undue risk
• Timely access/results EKOS survey of 2,000
  Canadians, 2003
• EKOS survey of 2,500 Canadians, 2004

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The Issues to be addressed...

• Discontinuity of information across the continuum
  of care
• Transfer of care gaps
• Chronic disease management
• Aging at home
• Family caregiver support
• Collaborative practice impeded
• Redundant information capture
• Compromised safety and quality

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Infoway programs
Ten investment programs totalling 1.636 billion
Innovation and Adoption 60 million
Innovation and Adoption - 60 million
Public Health Surveillance 135 million
Telehealth100 million
Chronic Diseases
Cancer
Patient Access to Quality Care 50 million
Primary Care
Mental Health
Interoperable EHR 365 million
Laboratory Systems 170 million
Diagnostic Imaging 340 million
Registries 134 million
Drug Systems 250 million
Infostructure 32 million
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Continuity of care and information
700 hospitals 40,000
general practitioners 315,000 nurses
29,000 specialists 26,000 pharmacists
1,600 long-term care facilities
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Access to detailed data
Results and images
Client information
Medical alerts
Medication history
Encounters
Immunizations
Problem list
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Emerging Opportunities
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Information and Communication technologies
supportClinicians

• Create new standards of practice and clinical
  documentation
• Collaborative practice
• Improve decisions about care
• Improve ability to measure, assess and manage
  care
• Delivery of evidence to the point of care

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Clients Families

• Continuity of information and care
• Delivery of informational/educational support
• Remote monitoring and management of illness
• Online communities of support
• Aging at home
• Increased client-family participation in care
• Personal Health Records

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The System

• Inform health policy and new funding models
• Improved access to care
• Cost avoidance
• Increased safety for clients and nurses

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The management and processing of nursing data,
information, knowledge are done to generate or
support nursing decisions, designs, and
discoveries
Nursing Informatics
(Graves et al, 1995)