Essays /

Canada Emr System Bridging The Gap Essay

Essay preview

George Brown College
Course: Health Informatics (T402)
Term: Winter 2014
Professor: Diane Salois-Swallow


Handed on: February 28 2014
By: Vaibhav Khanna (100925351)
[email protected]

Any move to introduce technology into health care radically impacts the very nature of that care. If we don't have better understandings of the richness and complexity in the practical accomplishment of work, then we won't be able to design effective systems that will fit in with work. Furthermore, we won't be able to evolve work practices to take advantage of what technology can offer to support that work -Fitzpatrick, G.

It is a well-accepted fact that Canada lags behind in adoption of EHR as compared to other developed nations like Denmark, New Zealand, and United Kingdom. It is also unfortunate to see that in this age of IT industry boom Canada is facing issues of data loss through hardcopy. Recent disappearance of records of more than 12,000 cancer patients in Ontario has raised the urgency of accelerating the country’s electronic medical records (EMR) program.

In this paper it has been attempted identify the barriers in Canadian health care system that stop the country to achieve high rates of EHR. Also I Have tried to see the positives of health care systems of the three nations and efforts that they have made to reach at the top of EHR adoption rates. In this paper a connection between how attaining high EHR helps development of a stronger, more efficient and cost effective health care system will also be appreciated.

The issue of lag can be seen as a “blessing in disguise”. Taking a page from New Zealand, UK and Denmark, Canada now has an opportunity to not only move toward high adoption rates for EHR but to move a step ahead of simple data capturing and work towards more meaningful use of this data to improve Canadian health standards. EHR adoption should not mean just translation of health data from paper to electronic form but also should be available as live data that can be referred to, modified and used for various data analysis. The aforementioned problem can be addressed in two ways:

Bottom-up perspective: In this individual doctors should try new technology and become more user friendly to EMR.

Top Down perspective: Where government and institution motivate the change through provision of various policies and infrastructure.

Also a thought on how outsourcing of PHI to a third party vendor for conversion of paper based medical history to a useful and more meaning full electrical format can be made to deal with this problem has been introduced. Denmark

Nearly all primary care physicians in Denmark have electronic health records with full clinical functionality. These are connected to national nonprofit organization called “medcom” which enables GPs to get connected to specialists, hospitals, pharmacists and laboratories. Danish national health portal was introduced in 2005, which gives patients electronic access to EHR.

Factor that supported Denmark to reach this high level of IT use include supportive policies going back to early 1990s that set national standards to facilitate interoperability of data systems, quicker payment for physicians who use EHR and financial incentives to primary care practices for phone and e-mail consultations. Also there was a public perception that physicians that do not use EHR were second rate. Physicians report that IT has increased

efficiency and improved coordination of care. Also GPs have access to hospital records of patient and whenever patient changes GP records are electronically tran...

Read more


-116 000 1 10 100 100925351 107 12 12.6 16 183 187 1980s 1990 1990s 1992 1993 1994 1998 20 2000 2005 2007 2008 2010 2011 2014 24 28 29 2m 300 50 500 58 62 75 95 abl abstract acceler accept access accomplish accord achiev acquir across actual acut ad addit address adequ administr adopt advantag aforement age ahead aid alberta alloc allow almost alreadi also amongst amount analysi analyt applic appreci approach approv area arellano aspect asthma attain attempt attent attract attribut author avail averag back background barrier base basic becam becom began begin behind benefit better beyond bill billion bless board boom bottom bottom-up bowden bradford bridg briefli broad brown budget buy bypass call canada canadian cancer captur care carri case cd cd-rom central chang chronic citizen claim classifi clear clerk climat clinic clinician close code colleg come commenc common communic communiti compar comparison complaint complet complex compon comput computer computer-bas conclus condit conduct connect consid consider consult contain continu convers convert coordin core cost could counti countri cours cover creat creation current cut d danish data databas date deal decis decision-support deeper defici deliveri demonstr denmark depart deploy deriv describ design desir deterr develop dhbs diabet diagnost dian differ digit disappear disappoint discharg diseas disguis disillus dismantl district doctor document dr [email protected] e e-health e-mail e-visit e.g earli easier easier-to-us easili effect effici effort ehr electr electron element emerg employ emr enabl encourag end engag enhanc enrol enthusiast environ establish etc evalu eventu everi evid evolv exchang expand expect expens expertis extend extens extern face facil facilit fact factor failur fall far faster fastest favor featur februari feel fewer field financi fit fitzpatrick flow follow form format forward foster found framework friend full fulli function fund furthermor g gap general georg get give given go goal good govern government gp gp2gp gpb gps grant gray greater guardian h hand hardcopi health healthcar healthlink help helpdesk henc hesit hic high histori hit hl7 home hospit host howev ib id idea identifi immun impact implement implic improv inadequ inappropri incent includ increas indic individu industri inform informat infrastructur initi input instal installation/training/maintenance institut integr intern interoper interv intranet introduc invest involv issu job johansen jump key khanna kingdom koch kuwar lab labor laboratori lack lag lambton larg leader learn less letter level liberti like limit link list live long long-term look loss lost lot m macintosh made mail make manag mandat mandatori mani mathieson mean meaning medcom medic messag method methodolog mid mid-1980s mix modifi money month motiv move multipl nation natur near necessari need nestor new nhs no.2 nonprofit note number obtain occur offer offic office-bas one onlin ontario open oper opportun order organ organiz outsourc overal overcom ownership page paper part parti particular pass patient pay payment peopl percept person perspect pharmaci pharmacist phi pho phone phos physician pictur pilot place plagu plan play point polici portal posit potenti practic practice-bas practition prescrib prescript presid prevent previous primari prioriti privaci privat proactiv problem proceed process profession professor program progress project promin protect protti provid provinc provis public purchas qualifi qualiti quarter quicker radic radiolog rais rang rate reach readi realli reason recent record redund refer referr refin refresh regard region registri regular reimburs reject relat reliabl remind remot report repositori request requir research result review reward rich robust role rom sa sabin safeti said saloi salois-swallow save scotland searchabl second secondari secretari sector secur see seen semant separ servic session set share shift short signific similar simpl singh singl small societi softwar sole solut solv sophist sourc space special specialist specif spend staf staff standard start startup steadili step stop strategi stronger structur studi subset summari supplier support swallow switch syntact system systemat t402 take target taxpay technic technolog term test thing think third thoma thought three time togeth took top toward train transfer transform transit translat tremend tri trial trust two uk uncertain understand unfortun unidirect uniqu unit unix unix-bas unreli upon urgenc usabl use user utmost vaibhav valu various vendor via view virtual visit vital vol.10 ward way well well-accept well-establish well-motiv well-test whenev wider window winter withdrawn within won worcestershir work worker world would year zealand