Infoway, Physicians

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Infoway, Physicians Primary Care

• Presentation to BCHIMPS
• Nov 06
• Bob Burns, Senior Medical Advisor

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Outline

• Why Im involved
• Infoway User Acceptance
• TkMS
• Booz Hamilton
• CMA-CHI
• Protti the 10 countries
• Commonwealth study
• Barriers opportunities
• The strategy
• Primary care linkage

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Personal Bob Burns

• MD U of A 72
• RI St. Pauls Hospital Vancouver
• Military Medicine, CFB Shilo
• Emergency Medicine, Edmonton
• CEO, AMA 88-01
• Registrar, CPSA 02-05
• Executive Medical Director, Medicine/Chronic
  Disease/Primary Care, VIHA
• Senior Medical Advisor, Canada Health Infoway

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Why Im involved

• Negotiations more than about money (AMA)
• Quality safety for patients more than licensing
  complaints (CPSA)
• Professions standing more than earning power
• IM/IT as central a tool to care provision as the
  stethoscope and as central to recovering
  professional self-worth

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Infoways Vision, Mission and Goal

• Vision
• A high-quality, sustainable and effective
  Canadian health care system supported by an
  infostructure that provides residents of Canada
  and their healthcare providers timely,
  appropriate and secure access to the right
  information when and where they enter into the
  healthcare system. Respect for privacy is
  fundamental to this vision.
• Mission
• To foster and accelerate the development and
  adoption of electronic health information systems
  with compatible standards and communications
  technologies on a pan-Canadian basis, with
  tangible benefits to Canadians. To build on
  existing initiatives and pursue collaborative
  relationships in pursuit of its mission.
• Goal
• Infoways plan is to have an interoperable
  electronic health record in place across 50
  percent of Canada (by population) by the end of
  2009

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Infoway User Acceptance

• We can only succeed in making electronic health
  records a reality if healthcare providers adopt
  the technology.Without their acceptance, our
  efforts are futile
• Richard Alvarez, Infoways President and CEO

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Strategy drivers

• TkMS (2005)
• Booz Hamilton (2005)
• CMA-CHI (2005)
• Protti (2006), Dermer (2006)
• Schoen et al, Commonwealth Fund (2006)

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End User Adoption Strategy Drivers

• Evidence for advantages of IT in office settings
• Monetary issues
• Improved throughput creates benefits
• Costs are associated with the transition
• Non-monetary issues
• Potential for improving quality of care
• Potential for reducing risk
• Potential for improving physician satisfaction
• Incentives that deal with the above are successful

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Infoways Investment Strategy

• Core Business
• We strategically invest with public sector
  partners to develop, replicate and re-use
  compatible electronic health systems, thereby
  leveraging public funds, knowledge and results
  across Canada, to build a safer, more efficient
  healthcare system.

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Infoways Investment Strategy
Investment Programs
End-user Adoption and Setting the Future Direction
Innovation Adoption - 60m
The Electronic Health Record
Interoperable EHR - 175m
Laboratory Information Systems150m
Public Health Systems100m
Diagnostic Imaging Systems280m
Drug Information Systems185m
Domain Repositories and Healthcare Applications
Telehealth 120m
Cross Program Components
Client, Provider and Location Registries - 135m
Architecture and Standards
Infostructure - 25m
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End User Adoption Strategy (revised)

• Collaboration
• Strong network of peer support
• Implementation best practices
• Influence education training

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What does this mean for doctors?

• Infoway will not
• Buy computers
• Provide with software
• Offer consulting support to help acquire or
  implement office systems
• Why not?
• Though within Infoways mission, it is beyond the
  scope of its current mandate
• Does not have enough money
• Nevertheless, Infoway actively advocates for
  funding for physician IT systems

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What is Infoway doing that will help physicians?

• Creating and approving standards for IT
• Coordinating investment in the building blocks of
  comprehensive patient care systems
• Promoting a coherent Privacy Strategy
• Advancing an End User Acceptance Strategy
• Influencing the jurisdictions to invest in end
  user adoption
• New clinician team working with physician
  organizations
• Physician advisory group
• Peer support and related infrastructure
• Value proposition and workflows for users

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How will this help physicians?

• Can invest in office IT with greater confidence
• Will accelerate evolution of products and systems
• Data privacy and governance issues will be
  systematically addressed
• Resources to help with the challenge of
  transition to electronic records
• All increasing MD automation and thereby moving
  Infoway closer to its EHR goal

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Primary care linkage

• What they all said
• Critical delivery vector
• Banking analogy

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Primary Care
Secondary/ Tertiary/ Quaternary Care
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Primary care linkage

• What they all said
• Critical delivery vector
• Banking analogy

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• If you cant go over it, around it, under it, or
  through it
• YOUD BETTER NEGOTIATE WITH IT!

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And you have been

• POSP in Alberta
• SPEED, PITO in BC ( work in regions)
• Results tipping point at hand
• Recent interactions that support (FMF, others)

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Conclusion(s)

• Many passionate advocates of IM/IT value in care
  delivery
• Much good work
• Infoway supports rather than imports
• Tipping point upon us but care re next steps
  and re expectations
• Look forward to collaboration!

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Questions?
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Thank youbburns_at_infoway-inforoute.ca