This document presents a vision for using health information in Canada to improve health outcomes. It discusses how health data can be used for clinical program management, health system management, public health, and research. The vision is to optimize the collection and use of health information to support decision-making across these areas. Realizing this vision will require developing a roadmap through consultation to address issues around data collection, availability, use, and supporting infrastructure.

1. Better Information
for Improved Health:
A Vision for Canada
Overview Presentation
The Data Effect Conference
October 19, 2012 – Toronto
Jean-Marie Berthelot
Canadian Institute for Health
Information

2. Health system use of
information
(or HSU) refers to the use of health
information to improve the health of
Canadians through a better health
system.
Be/er
Informa4on
for
Improved
Health:
A
Vision
for
Canada
November
5,
2012
2

3. Categories of Use
Be%er
healthcare
and
improved
health
for
Canadians
Health
System
Use
Care
to
the
Clinical
Program
Health
System
Public
Health
Research
Pa?ent
Management
Management
Use
of
data
to
Use
of
data
to
Use
of
data
to
Use
of
data
to
Use
of
data
for
provide
direct
improve
front-­‐ improve
the
understand
the
health
research
care
to
the
line
health
care
effec4veness
health
of
the
pa4ent
programs
and
and
efficiency
of
public
and
for
services
the
health
care
public
health
system
ac4vi4es
Note:
Health
informa4on
is
also
used
to
support
other
uses
of
informa4on
as
permi/ed
by
law,
such
as
ensuring
food
safety
and
complying
with
regulatory
and
medical
cer4fica4on
requirements.
Be/er
Informa4on
for
Improved
Health:
A
Vision
for
Canada
November
5,
2012
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4. Examples of Use
Clinical
Program
> Using
hospital
admission
and
discharge
data
to
improve
clinical
Management
management
and
discharge
protocols.
> Using
drug
data
to
target
improvements
in
hospital
care
and
pa4ent
safety.
Health
System
> Using
data
to
assist
provincial/territorial
ministries
in
the
Management
management
of
health
expenditures.
> Using
health
human
resource
data
to
inform
planning
and
policy
development.
Public
Health
> Using
health
and
demographic
data
to
develop
targeted
immuniza4on
campaigns.
> Using
data
to
detect
influenza
and
poten4al
outbreaks
on
a
real-­‐
4me
basis.
Research
> Using
data
to
improve
pa4ents’
experience
through
the
con4nuum
of
care.
> Using
historical
data
on
popula4on-­‐wide
pandemics
to
simulate
and
model
possible
future
pandemics.
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Informa4on
for
Improved
Health:
A
Vision
for
Canada
November
5,
2012
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5. The Stage is Set
• The digital age is creating new opportunities
• Information and knowledge are key for
informed decision-making
• Technology allows for more and better data to
be collected and transformed into knowledge
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Informa4on
for
Improved
Health:
A
Vision
for
Canada
November
5,
2012
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6. The Value
• Improved
access
• Higher
quality
care
Pa4ent
• Enhanced
pa4ent
safety
Resul4ng
in
• Be/er
clinical
outcomes
a
be%er
• Improved
client
sa4sfac4on
Clinicians
• Enhanced
efficiencies
performing
health
• Be/er
health
outcomes
system
Health
• Improved
system
efficiencies
System
• Improved
resource
alloca4on
and
u4liza4on
Be/er
Informa4on
for
Improved
Health:
A
Vision
for
Canada
November
5,
2012
6

7. Recognition of the Importance
• Federal and provincial governments are
spending billions of dollars on health
information technology
• Canada Health Infoway was created to foster
and accelerate the development and adoption of
electronic health record (EHR) and electronic
medical record (EMR) systems
• The Conference of Deputy Ministers of Health
(CDM) have recognized the importance of using
information from EHR systems to support all
levels of decision-making
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Informa4on
for
Improved
Health:
A
Vision
for
Canada
November
5,
2012
7

8. A Joint Effort
Infoway and CIHI are jointly working to promote,
facilitate and incorporate the use of health
information in health system decision-making (or
HSU – health system use) into on-going
transformation and investment activities taking
place across the country
Be/er
Informa4on
for
Improved
Health:
A
Vision
for
Canada
November
5,
2012
8

9. Shared
Vision:
Be%er
Informa?on
for
Improved
Health
Use
of
health
informa4on
supports
decision-­‐making
Data
is
Collected:
Appropriate
data
is
captured
as
part
of
or
related
to
an
interac5on
with
the
health
system;
data
is
Capacity
structured
and
coded
in
a
standardized
way.
The
people,
processes
and
tools
Data
is
Available:
Data
is
accurate,
reliable,
5mely,
available,
are
in
place
to
comparable
and
accessible.
appropriately
collect
and
use
health
informa5on.
Data
is
Used:
Informa5on
is
responsibly
used
to
support
care,
to
improve
performance
and
advance
the
policy
agenda.
Infrastructure:
The
policy,
governance
and
technology
infrastructure
are
in
place
to
support
and
enable
the
collec5on
and
use
of
health
informa5on.
Be/er
Informa4on
for
Improved
Health:
A
Vision
for
Canada
November
5,
2012
9

10. Case Studies
• Data on senior's health in Nova Scotia led to equitable
allocation at the provincial level of more than $70
million in new long-term care beds
• Quality indicator reviews led to a decrease in the use of
anti-anxiety and hypnotic drugs in nursing homes
from 25% to 10% in 18 months (Health region in
Saskatchewan)
• Quality indicator reviews led to a shift in care approaches
resulting in a 20% decrease in restraint use in long-
term care facilities across the Saskatoon Health
Region and specifically a 40% decrease in one particular
facility (Pleasant View Care Home, Saskatchewan)
Be/er
Informa4on
for
Improved
Health:
A
Vision
for
Canada
November
5,
2012
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11. Implications
The vision is not only
Op/miza/on
about creating something
new – it is about
optimizing what is being
developed or is in place
Be/er
Informa4on
for
Improved
Health:
A
Vision
for
Canada
November
5,
2012
11

12. Making the Vision a Reality
• Document the vision
• Undertake consultation
• Develop a roadmap
Be/er
Informa4on
for
Improved
Health:
A
Vision
for
Canada
November
5,
2012
12

13. Questions?
Please contact:
Jean-Marie Berthelot
Vice-President, Programs
Canadian Institute for Health Information
jberthelot@cihi.ca
Be/er
Informa4on
for
Improved
Health:
A
Vision
for
Canada
November
5,
2012
13