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15 years of eHealth in Canada: Observations on the challenge of balancing Innovation and Central Coordination Will Falk @willfalk, @PwCHealth
Consulting
22 April 2015
PwC
22 April 2015
Canada Health Infoway was started at the beginning of the millennium. At a time when the PC was dominant and there was minimal existing digital infrastructure
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Successful organization and governance of eHealth - International trends and lessons to be learnt • Torsten Håkansta & Will Falk
Section 1 – 15 years of eHealth in Canada: Observations on the challenge of balancing Innovation and Central Coordination
• Created in 2001
• $2.1 billion in federal funding
• Independent, not-for-profit corporation
• Accountable to 14 federal/provincial/territorial governments
Mission:Fostering and accelerating 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. Infoway will build on existing initiatives and pursue collaborative relationships
in pursuit of its mission.
PwC
22 April 2015
Canada Health Infoway started over a decade ago…
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Successful organization and governance of eHealth - International trends and lessons to be learnt • Torsten Håkansta & Will Falk
Section 1 – 15 years of eHealth in Canada: Observations on the challenge of balancing Innovation and Central Coordination
PwC
22 April 2015
• Common architecture including privacy and security
• Infoway Standards Collaborative:
• Standards development
• Architecture and standards freely available
Standards and Interoperability EHR Blueprint: https://www.infoway-inforoute.ca/en/component/edocman/resources/technical-documents/391-ehrs-blueprint-v2-full
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Successful organization and governance of eHealth - International trends and lessons to be learnt • Torsten Håkansta & Will Falk
Section 1 – 15 years of eHealth in Canada: Observations on the challenge of balancing Innovation and Central Coordination
PwC
22 April 2015
The first decade saw a build out of core systems… Good success in most areas; mixed results in drug systems
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Successful organization and governance of eHealth - International trends and lessons to be learnt • Torsten Håkansta & Will Falk
Section 1 – 15 years of eHealth in Canada: Observations on the challenge of balancing Innovation and Central Coordination
PwC
22 April 2015
Physician desktops were added by provinces first and then nationally in 2010…
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Successful organization and governance of eHealth - International trends and lessons to be learnt • Torsten Håkansta & Will Falk
Section 1 – 15 years of eHealth in Canada: Observations on the challenge of balancing Innovation and Central Coordination
PwC
22 April 2015
Interoperability Challenges
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Successful organization and governance of eHealth - International trends and lessons to be learnt • Torsten Håkansta & Will Falk
Section 1 – 15 years of eHealth in Canada: Observations on the challenge of balancing Innovation and Central Coordination
700+
36,000
315,000
29,000
26,000
2,500
hospitals
general practitioners
nurses
specialists
pharmacists
long-term care facilities
HomecareEmergency
Services
Pharmacy
Laboratory
DiagnosticHospital Emergency
Specialist Clinic
Clinic
(for more information see also accelerating clinical interoperability: https://www.youtube.com/watch?v=vutjMHmvTC4 )
PwC
22 April 2015
HIAL – Enables Regional Interoperability
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Successful organization and governance of eHealth - International trends and lessons to be learnt • Torsten Håkansta & Will Falk
Section 1 – 15 years of eHealth in Canada: Observations on the challenge of balancing Innovation and Central Coordination
PwC
22 April 2015
Benefits Evaluation
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Successful organization and governance of eHealth - International trends and lessons to be learnt • Torsten Håkansta & Will Falk
Section 1 – 15 years of eHealth in Canada: Observations on the challenge of balancing Innovation and Central Coordination
Use• Use Behavior/Pattern• Self Reported Use• Intention to Use
User Satisfaction• Competency• User Satisfaction• Ease of Use
NET BENEFITS
Quality• Patient safety• Appropriateness/effectiveness• Health outcomes
Access• Ability of patients/providers to
access services• Patient and caregiver• Participation
Productivity• Efficiency• Care coordination• Net cost
System quality• Functionality• Performance• Security
Information quality• Content• Availability
Service quality• Responsiveness
PwC
22 April 2015
As the Digital Health industry has grown, there has been a struggle to find a balance between central planning and allowing innovation to flourish…
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Successful organization and governance of eHealth - International trends and lessons to be learnt • Torsten Håkansta & Will Falk
Section 1 – 15 years of eHealth in Canada: Observations on the challenge of balancing Innovation and Central Coordination
Central
Control Innovation Central
Control
Innovation
PwC
22 April 2015
Infoway has responded with Innovation Programs and by using @Infoway
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Successful organization and governance of eHealth - International trends and lessons to be learnt • Torsten Håkansta & Will Falk
Section 1 – 15 years of eHealth in Canada: Observations on the challenge of balancing Innovation and Central Coordination
PwC
22 April 2015
Infoway’s Path Forward to 2019
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Successful organization and governance of eHealth - International trends and lessons to be learnt • Torsten Håkansta & Will Falk
Section 1 – 15 years of eHealth in Canada: Observations on the challenge of balancing Innovation and Central Coordination
PwC
22 April 2015
1. In 2001 it was all PC’s. Smartphones (2007), then Tablets (2010) and now Wearables (2012) are growing fast. Watch (2015) is coming
2. Re-Focusing on “Frequent Flyers” and chronic disease management
3. The challenge of improving core hospital systems
4. The rise of “off the grid” data systems
5. New players entering healthcare: The Rise of New Health Entrants
6. Virtual Care: mHealth and the Quantified Self
eHealth landscape rapidly is evolving – Six things to consider
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Successful organization and governance of eHealth - International trends and lessons to be learnt • Torsten Håkansta & Will Falk
Section 1 – 15 years of eHealth in Canada: Observations on the challenge of balancing Innovation and Central Coordination
PwC
22 April 2015
Will Falk
Managing Partner, Health Industries
416.317.9232
Twitter: @willfalk
Thank you!
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Successful organization and governance of eHealth - International trends and lessons to be learnt • Torsten Håkansta & Will Falk
Section 1 – 15 years of eHealth in Canada: Observations on the challenge of balancing Innovation and Central Coordination
