18. SOA Between Organizations Management Technical Governance & Policy Services Management Privacy Security Compliance Verification Standards Definition
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Notes de l'éditeur
It is a pleasure to be here and speaking to you today. Thanks also to the BC Government’s CIO office and the conference sponsors for making this session possible Louise and I will speak to you today about how BC Health, through the eHealth BC program, is moving toward the electronic health record and electronic service delivery. However, in today’s presentation you will not hear how we are enabling health service delivery directly to BC Citizens. That is not to say that electronic access by citizens to their health information is not important. It most certainly is. But, we must take stepping stones toward enabling this access. As we all know, health service delivery is primarily interpersonal. You visit your doctor, you walk in to a clinic or emergency department, you visit a public health office or a lab. We are not at the point (and should we ever be?) where you consult a GP computer who then refers you to another specialist computer. Therefore, a first priority is enabling providers at the point of care by improving the availability of integrated, comprehensive and accurate health information. What does enabling providers require? It requires an integrated, person centric view of health information. This is the electronic health record. In today’s world, health information is typically retained in islands: in the doctor’s office, in acute hospital information systems, in the pharmacy. We are all familiar with repeated questions about our demographics, our medical history, our family history. These questions are a direct outcome of the fragmented world of health information There is heavy reliance on the individual to provide integration. We must integrate these information islands. And make this integrated view available to providers in a way that meets individual’s needs for security and privacy. Another significant pressure driving health toward electronic services is the need for efficiency: There are too many redundant or duplicate tests, there is too much paper, we make sub optimal decisions, we do not have the information to conduct all the strategic analysis we would like BC Health now consumes approximately 40% of the provincial budget. When I started in the health business, this was figure was 25%. We must find ways to manage the cost of health. Much of the focus in the last two decades has been on improving the efficiency of health administration. We must now shift to improving clinical efficiency This presentation outlines the approach being taken by BC Health to address these challenges
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