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Better Information for Improved Health: A Vision for Canada Overview Presentation
The Data Effect Conference October 19, 2012 – Toronto
Jean-Marie Berthelot Canadian Institute for Health
Information
Health system use of information
(or HSU) refers to the use of health information to improve the health of Canadians through a better health
system.
2 November 5, 2012 Be/er Informa4on for Improved Health: A Vision for Canada
Categories of Use Be%er healthcare and improved health for Canadians
Use of data to understand the health of the public and for public health ac4vi4es
Public Health
Use of data for health research
Research
Use of data to improve front-‐line health care programs and
services
Clinical Program Management
Use of data to improve the effec4veness
and efficiency of the health care
system
Health System Management
Note: Health informa4on is also used to support other uses of informa4on as permi/ed by law, such as ensuring food safety and complying with regulatory and medical cer4fica4on requirements.
Use of data to provide direct care to the pa4ent
Care to the Pa?ent
Health System Use
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Examples of Use Clinical Program Management
> Using hospital admission and discharge data to improve clinical management and discharge protocols.
> Using drug data to target improvements in hospital care and pa4ent safety.
Health System Management
> Using data to assist provincial/territorial ministries in the management of health expenditures.
> Using health human resource data to inform planning and policy development.
Public Health > Using health and demographic data to develop targeted immuniza4on campaigns.
> Using data to detect influenza and poten4al outbreaks on a real-‐4me basis.
Research > Using data to improve pa4ents’ experience through the con4nuum of care.
> Using historical data on popula4on-‐wide pandemics to simulate and model possible future pandemics.
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The Stage is Set • The digital age is creating new opportunities
• Information and knowledge are key for informed decision-making
• Technology allows for more and better data to be collected and transformed into knowledge
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The Value
• Improved access • Higher quality care • Enhanced pa4ent safety Pa4ent
• Be/er clinical outcomes • Improved client sa4sfac4on • Enhanced efficiencies Clinicians
• Be/er health outcomes • Improved system efficiencies • Improved resource alloca4on and u4liza4on
Health System
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Resul4ng in a be%er performing health system
Recognition of the Importance • Federal and provincial governments are
spending billions of dollars on health information technology
• Canada Health Infoway was created to foster and accelerate the development and adoption of electronic health record (EHR) and electronic medical record (EMR) systems
• The Conference of Deputy Ministers of Health (CDM) have recognized the importance of using information from EHR systems to support all levels of decision-making
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A Joint Effort Infoway and CIHI are jointly working to promote, facilitate and incorporate the use of health information in health system decision-making (or HSU – health system use) into on-going transformation and investment activities taking place across the country
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Shared Vision: Be%er Informa?on for Improved Health
Capacity
The people, processes and tools
are in place to appropriately collect
and use health informa5on.
Infrastructure: The policy, governance and technology infrastructure are in place to support and enable the collec5on and use of health informa5on.
Data is Collected: Appropriate data is captured as part of or related to an interac5on with the health system; data is structured and coded in a standardized way.
Data is Available: Data is accurate, reliable, 5mely, available, comparable and accessible.
Data is Used: Informa5on is responsibly used to support care, to improve performance and advance the policy agenda.
Use of health informa4on supports decision-‐making
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Case Studies
• Data on senior's health in Nova Scotia led to equitable allocation at the provincial level of more than $70 million in new long-term care beds
• Quality indicator reviews led to a decrease in the use of anti-anxiety and hypnotic drugs in nursing homes from 25% to 10% in 18 months (Health region in Saskatchewan)
• Quality indicator reviews led to a shift in care approaches resulting in a 20% decrease in restraint use in long-term care facilities across the Saskatoon Health Region and specifically a 40% decrease in one particular facility (Pleasant View Care Home, Saskatchewan)
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Implications The vision is not only about creating something new – it is about optimizing what is being developed or is in place
Op/
miza/
on
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Making the Vision a Reality
• Document the vision
• Undertake consultation
• Develop a roadmap
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Questions?
Please contact:
Jean-Marie Berthelot
Vice-President, Programs Canadian Institute for Health Information
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