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Page 1: eHealth - Norm Archer

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Research at McMaster

Norm ArchereHealth Technology Showcase

Burlington OntarioNovember 18, 2008

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Agenda• Introduction• The M.Sc. eHealth Program at

McMaster• eHealth Research at McMaster• eHealth Research Centres,

Institutes, and Programs Faculty of Health Sciences DeGroote School of Business Faculty of Engineering Associated Small Business

• eHealth Research Network Exchange

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eHealth is About...

Achieving better health outcomes by transforming health systems and business practices through the investment in and more comprehensive use of information and information technology

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McMaster’s M.Sc. eHealth Program• Director – Dr. Ann McKibbon (Dept. of

Clinical Epidemiology & Biostatistics)• Contact [email protected] • Collaborative multi-disciplinary program

• Health Sciences• Engineering (Computing and Software Dept.)• DeGroote School of Business

• Full time option Two years – Thesis or Course/Project

• Includes 8 month paid internship with a company, healthcare institution or government agency

• Thesis option – four courses• Course/Project option – seven courses

• Part time option• Course/Project option only, no internship

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M.Sc. eHealth Program…

• Students All take a three course core (one each from

Health Sciences, Computing and Software, and Business)

Students “specialize” in their supervisor’s field; they choose the field when applying

Full time students take an 8 month paid internship in a company, healthcare institution, or government health agency

• Now recruiting for September 2009 admission

• Application deadline is April 1, 2009• Details about the program and how to

apply online at http://mscehealth.mcmaster.ca/

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Potential Careers in eHealth

• Applied/professional – operational informatics settings:

chief information officer, nursing information officer, project manager, developer, trainer, healthcare systems integration architect, consultant

• Expert/liaison local experts, interfacing with informatics

or information technology professionals, including chief medical or nursing information officer, clinical information technology liaison

• Academic/research individuals planning to continue to doctoral

studies and careers as professors and researchers.

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eHealth Research at McMaster

• Comparison of eHealth core competencies and research across three disciplines Health Sciences Information Sciences/Computer

Science Management Sciences

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COACH Core Competencies

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Disciplinary Research in eHealth at McMaster

ManagementComputer Science

Project Management

Analysis & Evaluation

Organizational & Behavioural Mgt

Canadian Health System

Information Technology

Information Management

Health Sciences

Clinical Health Services

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eHealth Research at McMaster

• Faculty of Health Sciences• DeGroote School of Business• Faculty of Engineering

(Computing and Software)

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Institutes, and Programs

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Faculty of Health Sciences

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The COMPETE Program• “Computerization of Medical

Practices for the Enhancement of Therapeutic Effectiveness”

• A major program within the Centre for the Evaluation of Medicines

• Since 1996 the research team has completed three major phases and is currently preparing for the next phase

• www.compete-study.com• Contact: Anne Holbrook, Principal

Investigator, COMPETE [email protected]

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COMPETE…• Key Projects and Publications

EMR implementation success in real world community primary care

Transforming EHR data to research-quality information

Randomized trials of computerized decision support for patients and providers for diabetes and for vascular disease

Ensuring the quality of electronic quality-of-care measurements

Electronic data sources for post-marketing drug evaluation

Impact of automated telephone support systems on quality of diabetes care

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COMPETE…• Key Projects and Publications (continued)

Patient and providers views on health information privacy with electronic medical records

Systematic review of factors that predict success versus failure of prescribing decision support systems

Systematic review of effectiveness and harms of electronic drug interaction checking systems

Provider willingness to pay for e-health systems Ontario stakeholder views on e-prescribing Usability and ease of use of clinical decision

support for patients and providers Best methods of information communication

between clinical systems and decision support

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COMPETE…

• Currently Investigating: Clinical, technical and policy

‘readiness’ for e-prescribing in Canada Best practices in electronic signatures

and authentication for clinical practice Cost-effectiveness of large scale

electronic shared decision support for patients and providers

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Department of Family Medicine

• http://fammedmcmaster.ca/research/about

• Contact Lisa Dolovich [email protected]

Family Practice electronic health records – McMaster and Hamilton Family Health Teams

Patient-controlled electronic health records – David Chan (MyOSCAR)

Patient-centred tool for self-management of hypertension

CHAP - Cardiovascular Health Awareness Program (Online support)

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MIIRIAMDepartment of

Radiology• “Medical Imaging Informatics Research

Institute at McMaster”• http://www.fhs.mcmaster.ca/radiology/• Contact David Koff [email protected]

MIIRIAM is currently in the process of formation, and will be announced soon

The Institute is an open forum designed to organize partnerships between clinicians, starting with radiologists, who have access to clinical data, and computer scientists and engineers who are looking for access to these data and validation of their projects.

The radiologists are very enthusiastic and there are already a number of stakeholders within and outside McMaster, including the University of Waterloo.

A major research project on image compression funded by Canada Health Infoway is currently underway and should be completed by mid 2009

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Health Information Research Unit

• http://hiru.mcmaster.ca/hiru/Default.aspx

• Contact Brian Haynes [email protected]

• Evidence Based Medicine Improved searching and screening methods for the

enormous number of medical articles that are being published

Summaries of the best of the best articles in 150 core medical journals

Evaluation and ratings for the best articles on therapies, knowledge translation, nursing, obesity

Systematic reviews on patient adherence with medications

Reviews of computerized clinical decision support systems

Finding the best ways to get evidence from the literature to practicing clinicians

Supplying information feeds of important clinical material to websites and book projects

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School of Nursing

• Contact Ruta Valaitis [email protected]

• Completed Online health promotion site for rural youth Tailoring Online Health Promotion: A Toolkit

for Communities http://fhs.mcmaster.ca/OHPToolkit/index.html

• Underway Virtual Community of Practice for Street

Nursing http://streetnursing.mcmaster.ca/

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DeGroote School of Business

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McMaster eBusiness Research Centre

(MeRC)• http://www.merc-mcmaster.ca/• Director - Dr. Khaled Hassanein

[email protected]• Research topics include: eHealth,

identity theft, interface design, portals, online trust, mobile systems, change management, knowledge management

• Ph.D. Business Administration and M.Sc. eHealth students

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MeRC eHealth Research

• Completed Wireless PDA support for homecare nurses Usability: Scrolling versus menus on small device

screens mHealthcare initiatives for improving outpatient

adherence Consumer satisfaction with online health

information retrieval RFID applications in healthcare Business process reengineering in healthcare Coordination of donor kidney distribution

• Underway EMR system adoption in Canadian medical practice Adoption and use of personal health record systems

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Computing and Software Department Faculty of Engineering

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Software Certification Consortium

• Director Alan Wassyng [email protected]

• SCC's primary objectives: To promote the scientific understanding of

Systems containing Software (ScS) certification and the standards on which it is based.

To promote the cost-effective deployment of evidence-based ScS certification standards.

To promote public, government and industrial understanding of the concept of ScS certification and the acceptance of the need for certification standards for software related products.

• Currently forming a McMaster-based Centre for Software Certification

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Computing and Software Department

• http://www.cas.mcmaster.ca/cas/0template1.php?600

• Contact Kamran Sartipi [email protected] • Projects

Mined knowledge in clinical support systems Behaviour-based access control for distributed

healthcare environment Flexible and customizable workflow in healthcare Cross domain interoperability among related domains Agent-based decision support for personalized health

management with heterogeneous database interoperability

Collaboration with Mohawk Applied Research Centre in Health Informatics (Professor Duane Bender), on implementation of Canada Health Infoway's Electronic Health Record system (iEHR).

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Associated Small Business

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InfoClin Inc.• Karim Keshavjee, CEO [email protected]

Consulting with Canada Health Infoway on designing

• how consumers will interact with the Electronic Health Record.

• how doctors will transact more work on-line• ordering systems for referrals, appointments and

diagnostic imaging. Consulting with College of Family Physicians of

Canada• designing a Chronic Disease Surveillance Network

for Canada Consulting with the Hamilton Family Health

team• building an interface between hospital computers

and the family doctor’s electronic medical record so that medical information is available to the doctor faster and in an electronic format

Consulting with the Heart and Stroke Foundation of Ontario

• Helping them roll out their High Blood Pressure reduction strategy to doctors who use electronic medical record systems

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eHealth Research Network Exchange

• Contact Norm Archer [email protected] • Online collaborative site to encourage

interactions and communications about eHealth among Canadian academics, students, businesses, government agencies, and healthcare institutions

• Objective – to improve the rate of eHealth innovation in Canada

The site is also expected to attract considerable attention from people interested in eHealth from other countries

Accessible by the end of November – link will be announced on the MeRC Web site http://www.merc-mcmaster.ca/

Site includes announcements, news, blog, research projects, research notes, short reviews, presentations, internships and employment (links), educational program announcements and links, sponsors and links, researcher and business contact information, etc.

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Thank you for your attention.

Questions?

Norm [email protected]


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