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Sharing EHRs - The Canadian Experience

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Health Informatics New Zealand
Health Informatics New Zealand

Dr Alan Brookstone Canada Health Infoway's Clinical Sub-committee on Standards

Santé & MédecineBusiness
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The Canadian Experience Prepared by Dr. Alan Brookstone April 22, 2009 The ‘Wicked Problem’ of Whether and How to Share Electronic Health Records?
Background ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Canada – Health System Structure ,[object Object],[object Object],[object Object],[object Object]
New Zealand & Denmark ,[object Object],[object Object],[object Object]
Canada’s Approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Care Doctors’ Use of Electronic Patient Medical Records, 2006 Percent Source: 2006 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.
Infoway’s Programs Innovation and Adoption - $60 million* Public Health Surveillance $100 million Telehealth $120 million Innovation and Adoption – $60 million* Chronic Disease Primary Care Cancer Patient Safety Wait Times Mental Health Laboratory Systems $150 million Diagnostic Imaging $310 million Interoperable EHR – $175 million Infostructure – $32 million Registries $134 million Drug Systems $185 million Etc. ,[object Object],[object Object],[object Object]
eHealth Progress
Lessons Learned in Canada ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1. Challenges of Federation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2. MDERA Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MDERA (Medical Doctors Electronic Records Association) Doc Doc Doc (Entity) MDERA University Health Region Agreement Doc Data Sharing Agreement
Lessons Learned ,[object Object],[object Object],[object Object],[object Object],[object Object]
3. EMR Lessons ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4. Collision between Policy & Privacy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
5. Medical Licensing Authorities ,[object Object],[object Object],[object Object],[object Object]
6. Source of Truth ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
7. Approach to Data Sharing Increasing Risk
Examples ,[object Object],[object Object]
Observations ,[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Questions

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Sharing EHRs - The Canadian Experience

  • 1. The Canadian Experience Prepared by Dr. Alan Brookstone April 22, 2009 The ‘Wicked Problem’ of Whether and How to Share Electronic Health Records?
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  • 7. Primary Care Doctors’ Use of Electronic Patient Medical Records, 2006 Percent Source: 2006 Commonwealth Fund International Health Policy Survey of Primary Care Physicians.
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  • 13. MDERA (Medical Doctors Electronic Records Association) Doc Doc Doc (Entity) MDERA University Health Region Agreement Doc Data Sharing Agreement
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  • 19. 7. Approach to Data Sharing Increasing Risk
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