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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]