Healthcare - Baum Publications Ltd.
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PUBLICATIONS MAIL AGREEMENT NO. 40069270<br />
<strong>Healthcare</strong><br />
Canada’s healthcare solutions magazine<br />
Volume 4, Issue 2 March/April 2010<br />
MAPS Health Suite<br />
helps address the<br />
nurse shortage and<br />
alleviate its impact on<br />
patient care >16<br />
Electronic stethoscope<br />
with Bluetooth wireless<br />
capability introduced to<br />
Canada >22<br />
www.healthcaremagazine.ca<br />
Business<br />
analytics is<br />
key ingredient<br />
for quality<br />
healthcare
and<br />
and<br />
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Microsoft Dynamics ® CRM fits the way government works and helps your people<br />
better serve the public. It can streamline the flow of information with flexible,<br />
easy-to-use tools that help employees give the best possible service to citizens.<br />
To learn more about the efficiencies Microsoft Dynamics CRM can create for your<br />
government agency, go to microsoft.ca/dynamics/government<br />
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Web link: baumpub.com/HC1070
T:10.75 in<br />
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Roche Information Solutions:<br />
e orate the possibil ies<br />
LAB IT<br />
One company � Complete Diagnostic Solutions � Tailored Processes � Cost Savings<br />
PSM is the leading Workflow and Data Manager for laboratories with over 1,200 installations<br />
in more than 50 countries around the globe.<br />
CHECK BEFORE DISKING!<br />
YOU MUST ENSURE THAT ALL IMAGES ARE CMYK<br />
AND ABOVE 300 DPI BEFORE DISKING.<br />
cobas IT 1000 is the leading Data Management System for Hospital Point of Care Testing with over<br />
375 installations in more than 10 countries around the globe.<br />
We discover, develop, and deliver innovative diagnostic and therapeutic products and services that transform patients’ lives<br />
and bring real benefits – from early detection and prevention of diseases to diagnosis, treatment and treatment monitoring.<br />
Roche – We innovate <strong>Healthcare</strong>.<br />
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Web link: baumpub.com/HC1072
CIS<br />
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ISO 13485 Certi� ed<br />
Class 2 Medical Device<br />
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very quickly. We wanted<br />
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P & P delivered it. There<br />
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Dr. Vinod Shah, Family Physician<br />
Welland, Ontario<br />
New EMR Funding Available to Practice-Based GPs<br />
and Specialists from the OMA.<br />
P & P is excited to work with physicians interested in transitioning to a paperless practice.<br />
Our more than 25 years of expertise and excellent customer care will guide you through<br />
the funding phase and implementation of a new EMR solution.<br />
CIS is a suite of applications designed to run and enhance clinical and medical practices.<br />
At the core is an intuitive registration module, billing functionality and a powerful<br />
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Call 416 637 6540 or 800 678 6450 - Visit www.p-pdata.com<br />
Innovative N Quality Solution Provider N Product Reliability<br />
Web link: baumpub.com/HC1074
Canada’s healthcare solutions magazine<br />
<strong>Healthcare</strong><br />
www.healthcaremagazine.ca<br />
Volume 4, Issue 2<br />
March/April 2010<br />
Editor Morena Zanotto<br />
mzanotto@baumpub.com<br />
Associate Editor Lee Toop<br />
ltoop@baumpub.com<br />
Editorial Director Lawrence Buser<br />
lbuser@baumpub.com<br />
Editorial Production Assistant Natasha Kanji<br />
nkanji@baumpub.com<br />
National Sales Manager David Gilmour<br />
Phone: 604-291-9900 ext. 232<br />
dgilmour@baumpub.com<br />
Production Manager Tina Anderson<br />
production@baumpub.com<br />
Circulation Manager Robin McCabe<br />
circulation@baumpub.com<br />
Web Master Ariel Savion-Lemieux<br />
ariel@baumpub.com<br />
Internet Sales & Marketing Manager Ken Singer<br />
ksinger@baumpub.com<br />
Controller Melvin Date Chong<br />
mdatechong@baumpub.com<br />
Publisher Engelbert J. <strong>Baum</strong><br />
ebaum@baumpub.com<br />
<strong>Baum</strong> <strong>Publications</strong> <strong>Ltd</strong>.<br />
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<strong>Healthcare</strong> magazine is published six times yearly: January/<br />
February, March/April, May/June, July/August, September/<br />
October and November/December. Advertising closes at the<br />
beginning of the issue month.<br />
Subscriptions are free to key personnel across Canada at hospitals and<br />
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and management of healthcare products, supplies or services. There<br />
are two ways to subscribe: (1) complete, and mail or fax the enclosed<br />
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One year subscription rates for others: Canada $50.00 + 2.50<br />
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Copyright 2010, <strong>Baum</strong> <strong>Publications</strong> <strong>Ltd</strong>. No portion of this publication<br />
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ISSN 1916-1050. PUBLICATIONS MAIL AGREEMENT NO.<br />
40069270.<br />
Return undeliverable Canadian addresses to: Circulation Dept.,<br />
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Printed in Canada,<br />
on recycled paper, by<br />
Mitchell Press <strong>Ltd</strong>.<br />
Cert no. SW-COC-002226<br />
Medical education in Canada – a prescription for change<br />
2010 marks the hundred-year anniversary of the<br />
Flexner Report – a study of medical education<br />
in Canada and the United States. Since that<br />
time, there have been countless changes in medical<br />
practice, Canada’s healthcare system and<br />
population, and the availability of medical and<br />
pedagogical technologies. Yet there has been no<br />
comprehensive study of the Canadian system of<br />
medical education in 100 years – until now.<br />
The Association of Faculties of Medicine<br />
recently released a report titled: The Future of<br />
Medical Education in Canada (FMEC): A Collective<br />
Vision for MD Education. The report is<br />
the culmination of a 30-month project funded by<br />
Health Canada which examines medical education<br />
in the country.<br />
Ten evidence-based priority areas for change<br />
emerged from this report. The 10 recommendations<br />
are as follows:<br />
1. Address Individual and Community<br />
Needs<br />
2. Enhance Admissions Processes<br />
3. Build on the Scientifi c Basis of Medicine<br />
4. Promote Prevention and Public Health<br />
5. Address the Hidden Curriculum<br />
Features<br />
6 Children’s hospital fi nds<br />
new way to retire old<br />
system and save money<br />
10 Maximizing employee<br />
potential: Data-driven<br />
tool shows the way<br />
in this issue<br />
12 Wound care teleassistance:<br />
Unique in Canada<br />
14 Business analytics is key<br />
ingredient for quality<br />
healthcare<br />
16 MAPS Health Suite<br />
helps address the nurse<br />
shortage and alleviate its<br />
impact on patient care<br />
18 The path to business<br />
transformation<br />
6. Diversify Learning Contexts<br />
7. Value Generalism<br />
8. Advance Inter- and Intra-Professional<br />
Practice<br />
9. Adopt a Competency-Based and Flexible<br />
Approach<br />
10. Foster Medical Leadership<br />
Implementing the recommendations will<br />
signifi cantly enhance Canadian MD education,<br />
optimize health care delivery, and ultimately<br />
improve the health status of all Canadians.<br />
The physician’s educational continuum is<br />
lifelong, starting prior to medical school admission<br />
and extending through MD education,<br />
residency and fellowship training programs,<br />
and into practice (continuing medical education).<br />
This systematic review of MD education<br />
was just the fi rst step in<br />
creating a collective vision for<br />
the future of medical education<br />
in Canada. The next will be an<br />
indepth review of postgraduate<br />
medical training in Canada and,<br />
fi nally, a review of continuing<br />
medical education.<br />
20 Children’s hospital<br />
uses telemedicine<br />
technology to<br />
begin treating<br />
patients<br />
in-transit<br />
Morena Zanotto<br />
Editor<br />
Departments<br />
New Products 22<br />
eHealth 2010<br />
Show in Print 24<br />
Advertiser Website<br />
Directory 30<br />
Events Calendar 30<br />
<strong>Healthcare</strong> March/April 2010 5
health information systems<br />
Children’s hospital fi nds new way to<br />
retire old system and save money<br />
Cincinnati Children’s Hospital Medical<br />
Center, a non-profi t pediatric<br />
organization, had decided to implement<br />
a new health information system<br />
(HIS) and urgently needed a plan for retaining<br />
real-time access to the old account<br />
data prior to the expiration of its existing<br />
HIS vendor contract. At the same time, it<br />
was crucial that account billing be maintained<br />
without interruption to cash fl ow.<br />
After attempts to negotiate a favourable<br />
extension of the existing HIS contract<br />
proved unsuccessful, Cincinnati<br />
Children’s briefl y considered devising its<br />
own data storage solution, but deemed the<br />
anticipated expense and resulting burden<br />
on internal IT staff too adverse. It was at<br />
this point that Mike Taylor, vice president<br />
of Revenue Cycle Management, launched<br />
a rigorous search for a third-party vendor<br />
that would help keep the imminent HIS<br />
conversion on track and within budget.<br />
“We were approached by a number of<br />
vendors, none having what we considered<br />
to be a true ‘system solution’,” Taylor<br />
said. “Most volunteered to take over<br />
management of the legacy A/R and work<br />
it for us, so we never went beyond that in<br />
our discussions, because it was going to<br />
involve us giving them a level of access to<br />
the system we weren’t comfortable with.<br />
6 6 March/April 2010 <strong>Healthcare</strong><br />
We also had signifi cant concerns about<br />
transferring the data to them then trying to<br />
fi gure out how to pull everything back in.”<br />
Referrals, meanwhile, led Tony<br />
Helton, executive director of Hospital<br />
Billing Operations, to MediQuant Inc.,<br />
a Northeast Ohio-based developer of<br />
advanced software solutions for revenue<br />
cycle management. MediQuant presented<br />
Helton an “active archive” framework<br />
termed DataArk that would serve as a<br />
repository for old records while allowing<br />
hospital staff to continue to manage and<br />
bill active accounts.<br />
“We grew opposed to a traditional archive<br />
arrangement after realizing it would<br />
be diffi cult to extract information and that<br />
we would lose the ability to update active<br />
records,” said Helton. “That’s when we<br />
started to take a closer look at DataArk.”<br />
For years, MediQuant president and<br />
founder Tony Paparella had observed<br />
fi rsthand how old health information<br />
systems diverted resources away from<br />
new ones, impeding the growth and<br />
improvement desired by the organization.<br />
Hardware, software and internal support<br />
costs could also escalate quickly – from<br />
hundreds of thousands to several million<br />
dollars annually for each out-of-production<br />
system. In other cases, support for the sys-<br />
tem could become inadequate or unavailable,<br />
increasing the risk of vital data loss<br />
and subsequent noncompliance with federal<br />
and state statutes that require patient<br />
data to be retained from fi ve to 28 years.<br />
While hospitals and other institutions<br />
needed to maintain receivables functions<br />
in order to wind down long-term accounts<br />
and retain real-time access to account<br />
level detail to defend audits and takebacks,<br />
keeping up obsolete legacy systems<br />
to provide these functions was overkill<br />
in Paparella’s estimation. “Like using a<br />
bulldozer to plow a garden,” he said.<br />
In response, MediQuant developed<br />
DataArk to help organizations achieve a<br />
seamless and cost-effective changeover to<br />
a new HIS or EMR.<br />
After “go-live” of Cincinnati Children’s<br />
new HIS, the old system was kept running<br />
for a transition period of six months.<br />
During this time, much, but not all, of the<br />
legacy A/R was worked down. Active and<br />
non-active accounts were then migrated<br />
into DataArk from two large databases<br />
containing records from a 500-bed hospital<br />
and from more than 500 physicians.<br />
Because the information was migrated<br />
rather than converted from the old system,<br />
the data types were kept familiar to endusers.<br />
Coupled with DataArk’s intuitive<br />
design, this meant staff needed only<br />
minimal training to learn the new software<br />
– less than one hour on average. Users<br />
could now view patient account detail on<br />
all active and archived accounts and post<br />
payments to accounts with balances being<br />
updated through DataArk.<br />
Initially complicating the transition,<br />
however, were additional interfaces that<br />
Cincinnati Children’s had built to pass<br />
data back-and-forth with outsourced service<br />
providers. This included Medical Recovery<br />
Systems Inc. (MRSI), a Cincinnatibased<br />
healthcare fi nancial staffi ng agency<br />
that had been contracted to help liquidate<br />
the legacy A/R.<br />
Continued on page 8
Enter the<br />
dimension<br />
of integrated<br />
solutions<br />
Now becoming<br />
Christie InnoMed<br />
You knew us as Christie Group. For more<br />
than half a century, we have diligently<br />
responded to the needs of Canadian<br />
hospitals and clinics. We have delivered<br />
fully integrated solutions, in-depth<br />
clinical education and 24/7 support with<br />
evergreen programs. We constantly strove<br />
for innovative approaches to evolving<br />
customer needs.<br />
Building upon these roots, our acute vision<br />
and keen awareness of how to effectively<br />
implement state-of-the art technologies,<br />
and in keeping with our evolution as a<br />
total solutions provider and integrator,<br />
our path is clear. We are entering a whole<br />
new dimension that truly reflects what we<br />
have become, the contributions that we<br />
can make and our vision of the future. We<br />
eagerly embrace these new beginnings<br />
with an exciting new corporate identity<br />
that reflects not only our change, but also<br />
our values. We are now Christie InnoMed:<br />
Solutions, Evolution, Vision.<br />
www.christieinnomed.com<br />
1-888-882-8898<br />
Web link: baumpub.com/HC1076
Continued from page 6<br />
“It was critical to get the active patient<br />
billing out of our shop and over to MRSI<br />
quickly so that our staff could focus on the<br />
future,” said Charlie Baverman, assistant<br />
vice president of Revenue Cycle Management<br />
at Cincinnati Children’s. “Beyond<br />
that, the exchange of transactional data<br />
such as payments, refunds and adjustments<br />
had to be fluid. Our answer was<br />
to combine the horsepower of the MRSI<br />
collection system with the integrated functionality<br />
of MediQuant’s archive.”<br />
According to Jim Vonderhaar, senior<br />
director of Application Services for<br />
Cincinnati Children’s, DataArk served<br />
as the “system of record” for the daily<br />
flow of notes and transactions generated<br />
between the medical centre and MRSI as<br />
well as Controlled Credit, a debt collection<br />
agency, and other vendors that provided<br />
revenue enhancement and out-of-state<br />
Medicaid services.<br />
AnyWare Group has unveiled the<br />
latest release of the ROAM Patient<br />
Portal, an access solution that is<br />
used by hospitals, provincial healthcare organizations<br />
and doctors' offices for a wide<br />
range of applications including diabetes<br />
management, stroke prevention, smoking<br />
cessation and wellness initiatives. The<br />
ROAM Patient Portal increases access to<br />
care and reduces medical costs by providing<br />
secure online tools that put the patient<br />
at the centre of care.<br />
The ROAM Patient Portal gives patients<br />
the self-management tools needed<br />
to improve wellness and chronic disease<br />
outcomes. The patient portal now features<br />
8 March/April 2010 <strong>Healthcare</strong><br />
“All of the collection work that MRSI<br />
performed was done in concert with<br />
DataArk,” said Vonderhaar. “Referral and<br />
update files were automatically passed<br />
between DataArk and the agency. We were<br />
extremely impressed by the accuracy. There<br />
were no surprises anytime we went into the<br />
system. This allowed our staff on the floor<br />
to get on with the new A/R and interface<br />
only minimally with the old system.”<br />
“If I had any doubts, it was early on<br />
when I questioned if DataArk could<br />
handle the complexity of our hospital and<br />
physician billing models,” added Helton.<br />
“For every situation we challenged Medi-<br />
Quant with, they responded with a solution.<br />
In fact, more than 80 percent of the<br />
work we did with our agencies during this<br />
time was interfaced through DataArk.”<br />
According to Taylor, by eliminating its<br />
expensive legacy system while retaining<br />
billing functions, Cincinnati Children’s<br />
yielded an estimated $800,000 savings in<br />
support fees alone for the old HIS during<br />
a toolkit that allows users to track activity,<br />
exercise, BMI, waist circumference, blood<br />
pressure and blood sugar. Patients can set<br />
goals, track progress, record and trend risk<br />
factors, access their educational materials<br />
and communicate with their healthcare<br />
team. <strong>Healthcare</strong> providers can use the<br />
toolkit to engage patients through initiatives<br />
such as wellness challenges, educational<br />
programs and online support groups.<br />
The New Brunswick Heart Centre<br />
recently launched a region-wide Atlantic<br />
Cardiovascular Health Improvement<br />
Challenge using the ROAM Patient Portal.<br />
Over 1,000 healthcare workers will be participating<br />
in a five-month-long workplace<br />
wellness initiative to see how much they<br />
can improve important health parameters<br />
such as cholesterol, weight, waist circumference<br />
and blood pressure through<br />
healthy eating habits and exercise.<br />
At least half of all consultations with<br />
family doctors and nearly three-quarters of<br />
all nights spent in hospital are attributed to<br />
its first year of operation with DataArk. He<br />
added that Cincinnati Children’s launched<br />
a new project with DataArk late last year,<br />
this time to migrate legacy anesthesia data.<br />
“I’ve talked to CFOs at other hospitals<br />
and I’ve told them, in terms of a costeffective<br />
solution to your legacy system,<br />
DataArk is the best answer you could<br />
come up with,” Taylor said. “We would<br />
have been in a pricey bind if we had been<br />
forced to extend our old system contract or<br />
develop a warehousing solution internally.<br />
Those were really the only options we had<br />
until DataArk, which presented a much<br />
better economic model for us.”<br />
MediQuant Inc.<br />
Web link: baumpub.com/HC1078<br />
Next generation of ROAM Patient Portal unveiled<br />
ROAM enables healthcare<br />
organizations of all sizes<br />
to improve treatment<br />
outcomes by delivering<br />
self management tools<br />
to patients<br />
Canadians with chronic health conditions. 1<br />
<strong>Healthcare</strong> providers can use the patient<br />
portal to proactively communicate with a<br />
large number of patients, and monitor risk<br />
factors, and offer information and training<br />
where required for their patient population.<br />
The online nature of the solution<br />
ensures access is available to all patients<br />
regardless of geography or time of day.<br />
“Recent studies by the Health Council<br />
of Canada leave little doubt that the treatment<br />
of chronic disease represents the most<br />
pressing healthcare challenge for Canadians.<br />
<strong>Healthcare</strong> providers can use the portal<br />
to interact with patients in ways that are<br />
proven to be more effective,” says Robert<br />
Lalonde, CEO of AnyWare Group. “Studies<br />
show when patients are given the tools<br />
they need to manage their health, they can<br />
improve the quality of their lives.”<br />
AnyWare Group<br />
Web link: baumpub.com/HC1079<br />
1 Health Council of Canada. (2007). Why Health Care Renewal<br />
Matters: Learning from Canadians with Chronic Health Conditions.<br />
Toronto: Health Council.
HEMOGLOBIN<br />
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continuously and immediately determine your patients’ hemoglobin levels. Delayed and intermittent<br />
hemoglobin tests requiring invasive blood draws and time-consuming laboratory analysis do not provide<br />
the same level of real-time clinical decision-making data. When used with other clinical variables, SpHb may<br />
help you assess anemic status to determine treatment and additional test options. Noninvasive hemoglobin,<br />
along with oxygen saturation, also gives you the fi rst and only technology for real-time and noninvasive<br />
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in your hospital’s patient safety and “do no harm” initiatives, call 1-888-336-0043, or go to www.masimo.com<br />
Web link: baumpub.com/HC1081<br />
© 2010 Masimo Corporation. All rights reserved.
education and training<br />
Maximizing employee potential:<br />
Data-driven tool shows the way<br />
by David S. Lahey<br />
One of the most important decisions<br />
any organization can make is hiring<br />
the right people to help run it. With<br />
so much at stake it’s a wonder many employers,<br />
including those in healthcare, still rely<br />
so heavily on the traditional job interview<br />
to determine who to bring on board. The<br />
trouble with using this one single method is<br />
that it’s an inherently unscientific and subjective<br />
approach, laden with possibilities for<br />
error. Increasingly, smart organizations are<br />
moving beyond traditional hiring methods<br />
by incorporating more reliable, data-driven<br />
tools in their recruitment practices, tools<br />
such as personality assessments. This type of<br />
tool can also be used to help maximize the<br />
contribution of existing employees.<br />
Thunder Bay Regional Health Sciences<br />
Centre (TBRHSC) is a state-of-the-art acute<br />
care teaching hospital serving people living<br />
in Thunder Bay and Northwestern Ontario.<br />
It’s been using the Predictive Index (PI) personality<br />
assessment tool, available in Canada<br />
for three years through Predictive Success<br />
Corporation, for hiring, team-building and<br />
career development.<br />
Don Halpert, chief human resources officer<br />
for TBRHSC, had used PI at a previous<br />
healthcare employer and was quick to introduce<br />
it to his current organization. “We were<br />
having some challenges with our selection<br />
process for managers and wanted to improve<br />
our ability to ensure job fit,” says Halpert.<br />
“I knew from experience that PI draws out<br />
information about a candidate’s personality<br />
and likely job performance that you just<br />
can’t get through an interview; even through<br />
the rigourous committee-based interview<br />
approach that we use.” Halpert also points<br />
out the value of the test results in terms of<br />
focusing the interview. “The candidate and<br />
the search committee members get a copy of<br />
the test results prior to the interview and it’s<br />
a great discussion starter,” he says. “We can<br />
hone in on areas that need to be explored and<br />
the candidate is usually very interested in the<br />
results and welcomes further discussion.”<br />
The need for TBRHSC to hire and retain<br />
10 March/April 2010 <strong>Healthcare</strong><br />
the best people has never been more pressing.<br />
Canada’s aging population means that<br />
20 percent of its workforce will be retiring<br />
in the next five years. “PI has proven a<br />
vital tool in succession planning too,” says<br />
Halpert. “By using it with existing employees<br />
we can ensure not only that they are in<br />
jobs where they can truly shine, but that we<br />
develop them in line with future needs.”<br />
So, what exactly is “personality” and<br />
how do you test it? Personality is determined<br />
by traits which explain why an individual<br />
behaves in characteristic ways. Traits are<br />
relatively stable over time, are partly inherited<br />
and genetically determined and can be<br />
described and measured accurately. Importantly,<br />
in relation to hiring, personality traits<br />
have a direct and substantial impact on job<br />
performance. In fact, PI Worldwide research<br />
indicates that between 20 to 25 percent of<br />
an employee’s effectiveness on the job is<br />
attributable to personality.<br />
Personality assessment tools have<br />
actually been around for quite some time.<br />
Decades ago corporations used them mainly<br />
to identify the characteristics of their hardest<br />
workers to replicate them through hiring<br />
or emulation. Today’s more refined tests<br />
focus on understanding employees better<br />
and determining what motivates them. The<br />
PI measures traits such as extroversion,<br />
dominance, patience and formality by asking<br />
individuals to describe themselves both as<br />
they see themselves and as the way others<br />
see them by checking off a list of adjectives.<br />
A software program then calculates and<br />
analyses the results.<br />
Increasingly, businesses of all sizes and<br />
in all industries are recognizing personality<br />
tests as powerful people management tools.<br />
In fact, The Aberdeen Group, in a 2009<br />
study showed 61 percent of the better-managed<br />
companies were using at least one type<br />
of personality assessment, such as reference<br />
checks, intelligence tests or personality tests<br />
– and often more than three.<br />
Personality tests can also help optimize<br />
mentoring opportunities and create more<br />
effective teams. Team building is now a key<br />
area for implementing PI at TBRHSC, but<br />
one that came as rather a surprise. “Initially,<br />
our primary driver for a more objective<br />
assessment tool was hiring,” says Halpert.<br />
“But when we parlayed that into better understanding<br />
our existing employees, another<br />
set of opportunities opened up to us.”<br />
TBRHSC’s strong culture of teamwork<br />
to get things done is demonstrated by<br />
the existence of its Great Organizational<br />
Team – or GO Team. This internal consulting<br />
group works to transform good teams<br />
into great teams and uses PI to help them<br />
do this. “Each team member completes the<br />
test and results are discussed openly,” says<br />
Halpert. “It provides valuable insight into<br />
what makes each individual tick and enables<br />
better understanding within the team as to<br />
how to bring out the best in each other.”<br />
The GO Team’s work was recognized by an<br />
award for innovation at the 2008 Celebrating<br />
Innovations in Health Care Expo, in Toronto.<br />
As 2010 unfolds, the pressure remains for<br />
healthcare organizations to find new ways<br />
to make more informed staffing decisions,<br />
reduce risk and get the most from their most<br />
important asset – their people. Clearly, personality<br />
tests have a lot to offer. It’s up to the<br />
organization to consider their various applications<br />
in light of priorities. A good start is<br />
to ask “Where do we need to be in five years<br />
and how best can my people help us get<br />
there?” Then ask yourself if you can really<br />
afford not to bring the personality test along<br />
with you, as you embark on your journey.<br />
Predictive Success Corporation<br />
Web link: baumpub.com/HC1083<br />
About the Author: David<br />
S. Lahey is the president of<br />
Predictive Success Corporation(www.predictivesuccess.com),<br />
the Canadian<br />
licensee of international<br />
management consulting<br />
firm PI Worldwide. He is a<br />
guest lecturer at Ryerson<br />
and Queen’s Universities and a speaker at HR<br />
associations across Canada. He has authored<br />
two best-selling books. David has an MBA from<br />
Queen’s University.
Web link: baumpub.com/HC1085
telehealth<br />
Wound care teleassistance:<br />
Unique in Canada<br />
A<br />
new service is being launched:<br />
wound care teleassistance, also<br />
known as téléassistance en soins<br />
de plaies (TASP). With this service a nurse<br />
can use a camera to film her patient’s<br />
wound, while at the same time an expert<br />
nurse in another institution can receive<br />
the images. They can then hold an online<br />
discussion to evaluate the patient’s wound<br />
and plan treatment. TASP increases access<br />
to care, allows treatment of patients<br />
in their own communities, reduces visits<br />
to emergency centres and can prevent<br />
chronic wound complications. Because<br />
it is based both on a clinical network of<br />
specially trained nurses and standardized<br />
methods, TASP is unique in Canada.<br />
TASP is a project of the Réseau universitaire<br />
intégré de santé de Sherbrooke<br />
(RUIS), a network that covers an area that<br />
includes Estrie, part of Montérégie and<br />
Centre-du-Québec. Expert nurses from the<br />
Centre hospitalier universitaire de Sherbrooke<br />
(CHUS) were the first to provide<br />
real-time support via remote access to<br />
their colleagues from the Estrie health and<br />
social services centres (CSSS). Ten expert<br />
nurses based in different RUIS institutions<br />
will soon be able to coach other nurses<br />
located in more than 70 points of service.<br />
“Our institution was the first in Estrie<br />
to offer a virtual wound care clinic<br />
linked to the CHUS professional team.<br />
Our patients were pleasantly surprised<br />
and satisfied with the live service they<br />
received. They are happy they can stay<br />
in their community and have easy access<br />
to specialized services. In fact, this new<br />
technology will be implemented this<br />
spring in our Lambton point of service<br />
and a little later, during the year, at the<br />
St. Ludger point of service,” said Pierre<br />
Latulippe, executive director of CSSS du<br />
Granit.<br />
An expanded role for nurses<br />
The expert nurses and about 80 other<br />
nurses from RUIS’s CSSS will be special-<br />
12 March/April 2010 <strong>Healthcare</strong><br />
ly trained in the virtual clinic technology<br />
and will all adopt the same wound care<br />
methods. Two CHUS nurses developed the<br />
chronic wound care frame of reference,<br />
Aidez-moi, s’il-vous-“plaie”!, a training<br />
tool that will be used throughout the<br />
RUIS. Standardization of care involves 35<br />
hours of training and continuing education<br />
through the virtual network.<br />
“Wound care teleassistance expands the<br />
role of nurses, because the service depends<br />
on their expertise. They themselves will be<br />
able to establish a treatment plan, provide<br />
care, perform specialized techniques and<br />
monitor patients suffering from pressure<br />
ulcers, lower limb ulcers, diabetic foot<br />
ulcers and other complex chronic wounds.<br />
These activities increase their autonomy<br />
and their leeway to make decisions. This is<br />
a new way of sharing fields of professional<br />
practice,” Céline Gervais, director of nursing<br />
and the CHUS, pointed out.<br />
Wound care teleassistance was made<br />
possible thanks to a partnership with the<br />
Ministère de la Santé et des Services<br />
sociaux du Québec (MSSS) and Canada<br />
Health Infoway, which invested nearly $4<br />
million in the project. The service is supported<br />
by a massive IT structure that uses<br />
wireless technology. The sound and images<br />
are sent securely and confidentially via<br />
the MSSS’s private telecommunications<br />
network, known as the Réseau de télécommunications<br />
sociosanitaire (RTSS). This<br />
totally secure network guarantees data<br />
integrity and confidentiality.<br />
“Wound care is often complex and<br />
there are few specialized nurses in this<br />
field. The wound care teleassistance<br />
project will ensure access to state-of-theart<br />
treatment for the population within the<br />
territory of the RUIS de l’Université de<br />
Sherbrooke. It will also permit home care<br />
for patients who otherwise would have<br />
had to stay in the hospital for days, even<br />
weeks,” said Dr. Michel A. Bureau, executive<br />
director with the Direction générale<br />
des services de santé et de médecine<br />
Wound care teleassistance expands the role<br />
of nurses because the service depends on<br />
their expertise. They will be able to establish<br />
a treatment plan, provide care, perform<br />
specialized techniques and monitor patients.<br />
universitaire of the Ministère de la Santé<br />
et des Services sociaux.<br />
“Technological innovations, such as teleassistance,<br />
are bringing specialized care<br />
to patients and communities in need,” said<br />
Louise Beauchesne, executive regional<br />
director, Quebec, Canada Health Infoway.<br />
“The wound care teleassistance program<br />
in Quebec is another example of how<br />
investments in electronic health record<br />
systems is improving access to care when<br />
patients need it most.”<br />
“Telehealth is the way of the future,<br />
because it facilitates access to services,<br />
supports regional autonomy and reduces<br />
professional isolation. RUIS de<br />
l’Université de Sherbrooke is therefore<br />
extremely proud of the implementation of<br />
wound care teleassistance. All the partners<br />
spared no effort and we take our hats off<br />
to them. No doubt in the near future, other<br />
telehealth services will be rolled out in our<br />
territory, in the primary interest of the patient,”<br />
concluded Patricia Gauthier, executive<br />
director of the CHUS and president of<br />
RUIS de l’Université de Sherbrooke.<br />
RUIS de l’Université de Sherbrooke<br />
Web link: baumpub.com/HC1087
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cover story<br />
Business analytics is key<br />
ingredient for quality healthcare<br />
by Barry A. Burk<br />
Significant transformation is occurring<br />
in the healthcare system.<br />
Current economic conditions have<br />
challenged healthcare organizations to<br />
provide quality services while managing<br />
under restricted budgets and, often,<br />
reduced resources.<br />
Today, healthcare professionals are reexamining<br />
how the mountains of information<br />
at their fingertips can be better used<br />
to nurture future growth in the face of<br />
economic uncertainty. How can analytics<br />
drive quality care?<br />
Can we provide safer, more costeffective<br />
care to patients? What's the financial<br />
payoff for quicker recoveries and<br />
shorter hospital stays? What’s the right<br />
mix of services at a location that ensures<br />
optimal care? For these and many other<br />
questions, healthcare organizations need<br />
timely access to critical data about how<br />
well their institution and suppliers are<br />
performing. This data can also be used to<br />
predict performance.<br />
Business analytics, both historical and<br />
predictive, ensures that real-time health<br />
information reaches the right people, at<br />
the right time, so they can better monitor<br />
performance, detect trends, improve<br />
decisions and deliver more effective<br />
patient care.<br />
Finding opportunities<br />
In times of change, decision-makers need<br />
to understand how an organization is<br />
performing against its targets. Hospital<br />
administrators and healthcare professionals<br />
do not have the time to sift through<br />
stacks of reports to find out what’s right<br />
– or wrong.<br />
By linking individual and team<br />
performance to organizational goals, analytic<br />
capabilities can help users understand<br />
how their roles drive institutional<br />
14 March/April 2010 <strong>Healthcare</strong><br />
performance. Scorecards and dashboards,<br />
for instance, can provide managers a dynamic<br />
view of current levels of service,<br />
and what they need to do to improve<br />
delivery processes. Key decision-makers<br />
can quickly spot delivery trends, which<br />
in turn can better support critical quality<br />
initiatives.<br />
<strong>Healthcare</strong> facilities are always looking<br />
to shore up internal operations to ensure<br />
the entire organization is running at peak<br />
efficiency. This requires an in-depth understanding<br />
of how well the organization<br />
is operating relative to its historical trends<br />
and its peers.<br />
Just like when a monitor goes off announcing<br />
a rise in a patient’s blood pressure,<br />
analytics can trigger quick responses<br />
to the business side of healthcare. Rather<br />
than measuring performance in absolutes,<br />
decision-makers can use key performance<br />
indicators (KPIs) to gain a bigger picture<br />
of organizational efficiency. Rather than<br />
single-point measures, such as patients per<br />
month or costs per service line, adminis-<br />
trators can track performance relative to<br />
strategic objectives or peer groups.<br />
Making tough calls<br />
Within the current fiscal climate, healthcare<br />
organizations must make difficult<br />
decisions on allocating resources and<br />
prioritizing initiatives.<br />
Through detailed business analytics,<br />
decision-makers can assess how results<br />
change over time, in different locations<br />
and across various service categories. By<br />
drilling down to transaction-level detail,<br />
or comparing performance for a particular<br />
time period, they can spot trends to better<br />
understand resource requirements and<br />
plan accordingly.<br />
In practical terms, this level of insight<br />
makes it easier to determine which resources,<br />
initiatives, locations or services<br />
may no longer be sustainable. At the<br />
same time, it allows decision-makers to<br />
roll out new service lines, and improve<br />
productivity by streamlining workflow<br />
and eliminating inefficient processes.
To keep expenses in check, healthcare<br />
providers need to effectively manage the<br />
workforce on every shift. Understanding<br />
the service requirements at each location<br />
and time of day, and ensuring the proper<br />
balance of clinicians and support personnel<br />
is essential to providing high-quality<br />
and cost-effi cient patient care.<br />
Business analytics helps healthcare<br />
organizations identify and mitigate the<br />
potential for unforeseen shifts in volumes,<br />
resources, contracts and quality<br />
measures; it can also identify areas where<br />
cash may be unnecessarily tied up in<br />
working capital, freeing up resources for<br />
more productive deployment.<br />
A foundation for growth<br />
While healthcare organizations cut<br />
costs, improve effi ciencies and reallocate<br />
resources, they must also plan for<br />
future growth.<br />
This requires a commitment to swap<br />
out ineffi cient processes in favour of<br />
new models capable of driving ongoing<br />
performance. Rather than annual planning,<br />
for instance, they might consider adopting<br />
shorter planning cycles focused on<br />
specifi c tactics and initiatives. By enabling<br />
“on-the-fl y,” continuous planning, business<br />
analytics can position an organization to<br />
achieve higher performance in both good<br />
times and bad. With real-time visibility<br />
into up-to-date data, decision-makers can<br />
create rolling forecasts that take into account<br />
a broad range of future scenarios.<br />
Using predictive analysis, managers<br />
can develop action plans for variable future<br />
outcomes, making the organization<br />
more agile and responsive to unforeseen<br />
circumstances. For instance, hospitals<br />
can better manage pandemics or poten-<br />
CSA – MAKING STANDARDS WORK FOR PEOPLE AND BUSINESS<br />
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tial crises by analyzing past situations<br />
and outcomes.<br />
Optimal patient care<br />
Providing quality patient care in a<br />
sustainable, affordable system depends<br />
on visionary leadership. But choosing<br />
the right strategy is easier when key<br />
decision-makers have access to valuable<br />
information insights that paint a complete<br />
and accurate picture of organizational<br />
performance.<br />
Business analytics empowers users<br />
to transform raw data into new intelligence.<br />
It can help healthcare organizations<br />
make crucial decisions, which<br />
ultimately ensures that they'll continue<br />
to provide high-quality care to the communities<br />
they serve.<br />
IBM Canada<br />
Web link: baumpub.com/HC1091<br />
Standards & So Much More<br />
Standards Application Tools Education & Training<br />
Standards-Based Training that helps protect<br />
Patients and Workers in the <strong>Healthcare</strong> system<br />
CSA works in collaboration with key stakeholders in the<br />
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support healthcare facilities and providers to provide<br />
safe, reliable healthcare.<br />
<strong>Healthcare</strong> March/April 2010 15
software solutions<br />
MAPS Health Suite helps address the nurse<br />
shortage and alleviate its impact on patient care<br />
The shortage of registered nurses<br />
is a growing problem in healthcare<br />
organizations which affects<br />
patient care and safety. Interbit Data now<br />
offers a solution that addresses the nurse<br />
shortage. The MAPS Health Suite, a<br />
workforce scheduling and optimization<br />
software application, makes the best use<br />
of available staff by placing the right<br />
number and type of skills required on a<br />
unit at the right time.<br />
Offered in partnership with Allocate<br />
Software, a recognized leader in scheduling,<br />
MAPS Health Suite automates the<br />
time-consuming task of staff scheduling<br />
and resource allocation, saving hours of<br />
time that can be devoted to delivering quality<br />
patient care. By offering highly efficient<br />
workforce management capabilities with<br />
advanced scheduling functionality, MAPS<br />
Health Suite helps healthcare organizations<br />
to lower labour costs, improve nurse retention<br />
and increase patient satisfaction.<br />
“With nurses as a scarce but critical<br />
resource, optimizing staff scheduling has<br />
become a necessary operational requirement<br />
to ensure high quality patient care<br />
and satisfactory patient outcomes,”<br />
said Arthur Young, president of Interbit<br />
Data. “By replacing inefficient, manual<br />
workforce scheduling processes with<br />
a powerful automated tool, healthcare<br />
organizations can make more efficient<br />
and effective use of their nursing staff and<br />
their workforce in general.”<br />
According to Julie Halliday, director<br />
of nursing at North Middlesex University<br />
Hospital, NHS Foundation Trust, “Not<br />
only is the MAPS Health Suite solution<br />
16 March/April 2010 <strong>Healthcare</strong><br />
proven in other hospitals in our organization,<br />
but our nursing staff is positive about<br />
working with it. MAPS improves staff<br />
satisfaction and allows more time caring<br />
for patients. For the organization as a<br />
whole, it ensures more efficient use of our<br />
nursing resources.”<br />
“With MAPS Health Suite, our staff<br />
can gain by having fair shift allocations<br />
and we can ensure the staff with<br />
the relevant skills and competencies are<br />
deployed,” said Pat Hackett, director of<br />
adults and community division, South Birmingham<br />
Community Health. “We use our<br />
qualified resources wisely while improving<br />
patient satisfaction.”<br />
The shortage of registered nurses is felt<br />
globally and is expected to worsen over<br />
the next decade as nurses retire, healthcare<br />
demands rise with the aging baby<br />
boomer population and the number of<br />
yearly nursing school graduates is unable<br />
(left) The<br />
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process MAPS<br />
Health Suite<br />
encompasses.<br />
(above) An<br />
overview<br />
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Health Suite<br />
capabilities.<br />
to keep pace with the demand for new<br />
nurses. In Canada, a nationwide shortage<br />
of 78,000 nurses is expected by the Canadian<br />
Nurses Association within the next<br />
three years, and the country is expected<br />
to reach a critical nurse shortage level by<br />
2016. The nurse shortage is a situation<br />
that is being experienced globally with the<br />
U.S. nurse shortage is expected to reach<br />
260,000 by 2025.<br />
While government, education and<br />
healthcare industry initiatives are in<br />
place to address the nurse shortage and<br />
reverse the trend of nurses leaving the<br />
field and declining enrollment in nursing<br />
schools, MAPS Health Suite can provide<br />
an interim solution to this already critical<br />
situation and help healthcare organizations<br />
with returning the quality of patient<br />
care and outcomes to optimal levels.<br />
Interbit Data<br />
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data analytics<br />
The path to business transformation<br />
by Dr. Kunalsen Sawant<br />
With healthcare spending<br />
projected to top $4 trillion by<br />
2017, providers are experiencing<br />
intense pressure to control costs,<br />
improve patient satisfaction, and increase<br />
quality of care – all at the same time.<br />
This daunting challenge means that many<br />
executives are reevaluating their existing<br />
IT infrastructure and looking for ways to<br />
optimize their competitive position and<br />
maximize performance through data analytics.<br />
It is this journey, the foundation of<br />
which is built upon harnessing data assets<br />
that will lead to business transformation in<br />
the healthcare field.<br />
Data analytics in the healthcare<br />
industry<br />
Simply stated, data analytics is the<br />
process of managing data – collecting,<br />
cleaning, indexing and organizing – in a<br />
way that generates meaningful information<br />
to guide the decision making process.<br />
<strong>Healthcare</strong> providers amass an enormous<br />
amount of data in the process of delivering<br />
care. For that reason, healthcare<br />
organizations are uniquely positioned to<br />
gain valuable insight through a holistic<br />
approach to data analytics.<br />
Unfortunately, very few providers<br />
have successfully incorporated systemwide<br />
analytics into daily operations and<br />
have, therefore, failed to capitalize on its<br />
full potential. Instead, data analytics has<br />
been limited to systems around revenue<br />
cycle and financial management. Moving<br />
forward, providers need to<br />
18 March/April 2010 <strong>Healthcare</strong><br />
seamlessly integrate key data elements<br />
from both revenue and clinical systems<br />
for maximum impact. Once data analytics<br />
is embedded into daily operations, the<br />
technology will significantly reduce the<br />
time required to accurately analyze information,<br />
address potential problems, and<br />
identify opportunities for improvement.<br />
Through automated alerts, dashboards,<br />
and role-specific portals, users will be able<br />
to look across the organization and derive<br />
important insight from data as it is being<br />
accumulated. The result is the transformation<br />
of healthcare information technology<br />
from a reactive and compliance reporting<br />
model to a more proactive and predictive<br />
reporting approach.<br />
Key drivers of change<br />
The growing interest in data analytics is<br />
fueled, foremost, by the pressing business<br />
needs of healthcare providers. They need<br />
data analytics to help bridge the gap created<br />
by the perennial “do more with less”<br />
directive they face every day. Another push<br />
for data analytics comes from federal and<br />
state regulatory agencies and their initiatives<br />
to improve quality of care, ensure<br />
patient safety and increase the role of<br />
pay for performance programs. Further<br />
contributing to the interest in data analytics<br />
is the Health Information Technology<br />
for Economic and Clinical Health Act, or<br />
HITECH Act, which came about through<br />
the American Recovery and Reinvestment<br />
Act of 2009 (aka the Stimulus Bill). This<br />
legislation included<br />
$19.2 billion targeted for increased use of<br />
electronic health records (EHR) by physicians<br />
and hospitals.<br />
The long-term value of IT investments<br />
was recently confirmed in a study of 98<br />
acute hospitals in Florida. The research<br />
discovered that the use of IT applications<br />
delivered on the number one priority of all<br />
healthcare providers: to provide the best<br />
possible quality of care with exceptional<br />
patient safety. The study demonstrated<br />
that greater adoption of strategic information<br />
systems was significantly related<br />
to the greatest number of patient safety<br />
outcomes. “Negative outcomes are more<br />
preventable when clinicians have access<br />
to up-to-date patient information, standardized<br />
order sets, and evidenced-based<br />
guidelines. Hospitals with sophisticated<br />
and integrated information systems are<br />
able to ensure that clinicians receive critical<br />
clinical information at the point of care<br />
and assist physicians in adhering to proven<br />
clinical guidelines” (Hospital Adoption of<br />
IT and Improved Patient Safety: A Study<br />
of 98 Hospitals in Florida. Journal Of<br />
<strong>Healthcare</strong> Management, December 2007,<br />
Nir Menachemi, Charles Saunders, Askar<br />
Chukmaitov, Michael C. Matthews and<br />
Robert G. Brooks).
Top challenges<br />
The information technology highway, however, is not without<br />
bumps, detours and lots of challenges. According to a<br />
recent Accenture study of 250 executives (Business Analytics,<br />
December 11, 2008), two-thirds of large U.S. companies<br />
believe they need to improve analytical capabilities, and<br />
72 percent said they are currently working to increase their<br />
company’s business analytics usage. Yet, many cite numerous<br />
institutional challenges to reforming processes across an<br />
entire company. For healthcare providers, the number one<br />
challenge is fear of cost. After all, traditional solutions were<br />
often front loaded with high capital requirements and tremendous<br />
demands placed upon human resources. Basically,<br />
they cost too much money and took too much time.<br />
Other challenges arise from the multidisciplinary environment<br />
in which most healthcare providers function. Data<br />
analytics will have different meanings and different implications<br />
for every department and every layer of the organization.<br />
It is also difficult, but not impossible, to achieve<br />
consensus on important items like key performance indicators<br />
and clinical metrics when no two doctors agree on these<br />
measures. Plus, healthcare is a people-intensive industry and<br />
success with any technology will ultimately depend upon<br />
the people and their commitment to change. Finally, with<br />
healthcare reform, EMR and a myriad of regulatory compliance<br />
initiatives already on the radar, who would choose to<br />
tackle another project?<br />
Best practices lead to success<br />
It is essential for organizations to approach data analytic<br />
solutions with a broad, system-wide view. At the same time,<br />
it is mission critical to have measurable analytics at the<br />
earliest possible time, no longer than six to eight months.<br />
Consequently, it is important to keep the initial scope small<br />
and insist on deliverables in a short timeframe. One way to<br />
accomplish this task is by using a platform and architecture<br />
that are both flexible and fully scalable. Ideally, the framework<br />
will retrieve key data elements from existing systems<br />
such as financial, administrative and clinical. Then, the data<br />
can be consolidated, processed and managed in a central<br />
depository for all analytical applications. Finally, the data is<br />
fed back to key users through localized reporting that equips<br />
them with the analysis needed to take action. Ultimately, the<br />
action steps implemented will deem the project a success or<br />
failure. Without a plan to maintain continuous improvement,<br />
data analytics cannot deliver results.<br />
The journey starts now<br />
The path towards successful business transformation starts<br />
with unlocking the intelligence trapped in the myriad of<br />
disparate applications used across organizations and using that data<br />
to the providers’ advantage. Ideally, the right system will enable<br />
healthcare providers to understand the past, monitor the present, and<br />
analyze trends to improve the future. That means, providers will be<br />
better equipped to respond to change, increase revenue, optimize<br />
operational performance, become more regulatory compliant and<br />
generate greater patient satisfaction. As such, developing a comprehensive<br />
information system and infrastructure is no longer an<br />
option. It’s absolutely mandatory and must be pursued as an ongoing<br />
journey, not a destination.<br />
Syntel, Inc.<br />
Web link: baumpub.com/HC1098<br />
About the Author: Kunalsen Sawant, MBBS, MHA leads the <strong>Healthcare</strong><br />
Provider Practice for Syntel, a global IT services company that<br />
offers a modular suite of analytics frameworks designed to harness<br />
data assets from existing provider systems to drive performance<br />
improvement. For more information visit www.syntelinc.com.<br />
Web link: baumpub.com/HC1099<br />
<strong>Healthcare</strong> March/April 2010 19
telemedicine<br />
Children’s hospital uses telemedicine<br />
to begin treating patients in-transit<br />
Cincinnati Children’s Hospital<br />
Medical Center (CCHMC) is nationally<br />
recognized as a leader in<br />
pediatric health care, with a reputation<br />
for excellence in patient care, research<br />
and medical education. CCHMC’s faculty<br />
and staff of healthcare professionals<br />
and researchers specialize in pioneering<br />
breakthrough treatments, providing<br />
family-centred, innovative care and<br />
advanced treatment for their pediatric<br />
patients. Critically ill infants and children<br />
are transported to CCHMC from<br />
regional and rural hospitals and clinics<br />
to receive expert treatment from the<br />
renowned physicians and clinical service<br />
specialists at CCHMC’s state-of-the-art<br />
medical facilities.<br />
The hospital’s motto is “Change the<br />
Outcome.” In keeping with their cutting<br />
edge philosophy, one way they are<br />
improving clinical outcomes today is by<br />
utilizing the latest in mobile telemedicine<br />
to help pediatric patients in transit to<br />
CCHMC facilities. Telemedicine enables<br />
physicians to connect directly with<br />
patients in remote locations. Mobile telemedicine<br />
takes it one step further, linking<br />
patients and critical care transport teams<br />
in traveling ambulances directly with the<br />
doctors at the hospital.<br />
Dr. Hamilton Schwartz is a Board<br />
Certified Emergency Room Pediatric<br />
Practitioner. He is also the medical director<br />
of Statline, a division of the CCHMC<br />
Emergency Department that serves as<br />
the hospital’s interface with Emergency<br />
Medical Service providers and ambulance<br />
transport teams. Before mobile telemedicine,<br />
he was frequently frustrated by the<br />
challenges of directing critical care teams<br />
transporting sick and injured children to<br />
the CCHMC emergency room, intensive<br />
care or specialty care facilities.<br />
“In the past, we had to rely on verbal<br />
descriptions over the phone from the<br />
20 March/April 2010 <strong>Healthcare</strong><br />
teams, and it can be very difficult to communicate<br />
the nuances of a physical situation<br />
or condition in words,” explained<br />
Dr. Schwartz. “For example, in pediatrics,<br />
it’s critical to see the patient’s skin colour.<br />
Different shades of grey coloration can<br />
mean not enough blood flow, or different<br />
shades of blue can denote the severity<br />
of oxygen deprivation. But describing<br />
shades of colours precisely is hard, leaving<br />
room for interpretation. It’s much<br />
easier and faster to diagnose when you<br />
can see for yourself.”<br />
The solution: Transport AV<br />
mobile telemedicine<br />
Dr. Schwartz wanted his critical care<br />
transport teams to be able to provide top<br />
quality care from the moment of pick-up<br />
until the patient is physically in the same<br />
room with the doctor. He chose telemedicine<br />
system pioneer GlobalMedia to<br />
implement an in-transit mobile telemedicine<br />
solution.<br />
The GlobalMedia Transport AV telemedicine<br />
system combines the Total-<br />
Exam examination camera, a handheld<br />
high-resolution video camera about the<br />
size of a dry erase marker, and a digital<br />
stethoscope, microphone and headset<br />
all connected via the Internet from the<br />
ambulance to CCHMC. Transport teams<br />
use the TotalExam examination camera to<br />
send real time live video and freeze-frame<br />
images of the patient to the doctors back<br />
at CCHMC.<br />
The TotalExam camera is lightweight<br />
and easy to use even in the cramped space<br />
of an ambulance. It lets the transport<br />
teams send whole body images and zoom<br />
in for close-up images of a patient’s skin,<br />
throat, eyes or wounds, burns, rashes and<br />
real time systemic reactions to in-transit<br />
treatments. The stethoscope allows the<br />
doctor to hear heartbeat and respiration<br />
firsthand. Headphones and microphone<br />
keep transport teams in constant communication<br />
with the doctors while keeping<br />
their hands free to minister to patients.<br />
The Transport AV system attaches to<br />
the stretcher in the ambulance, so it not<br />
only allows direct contact between doctors<br />
and patients while in transit, but the<br />
system can travel with the patient all the<br />
way into the hospital ER or examination<br />
room. This gives doctors uninterrupted<br />
contact with the patient, enabling continuous<br />
monitoring and critical care delivery.<br />
“With mobile telemedicine we can<br />
now interact with the ambulance crews to<br />
customize critical care for each individual<br />
patient from the minute the patient is<br />
transferred into their care,” commented<br />
Dr. Schwartz. “We can immediately diagnose<br />
and begin critical care treatment,<br />
and we can monitor the patient’s condition<br />
and reactions to treatment throughout<br />
the transport.”<br />
Knowing exactly what the patient’s<br />
condition is at all times not only improves<br />
care during transport, but also provides<br />
vital information to the teams back at<br />
CCHMC so they can prepare the ER or<br />
appropriate treatment room or facility to<br />
ensure that the right equipment, specialists<br />
and medications are ready to go the<br />
instant the patient arrives.<br />
More efficient critical care, less<br />
trauma for families and safer<br />
ambulance rides<br />
The Transport AV system also enables<br />
doctors at CCHMC to quickly determine<br />
if a child en route is sicker than originally<br />
thought, or not as sick as he might<br />
have appeared at first. This offers several<br />
benefits to the hospital and also to the<br />
patients and families.<br />
For sicker children, mobile telemedicine<br />
enables the doctors waiting at<br />
CCHMC to adapt treatment immediately<br />
on the fly to address the situation instead
technology<br />
of having to wait until the patient<br />
arrives and can be examined. In<br />
other situations, especially if the<br />
patient’s condition isn’t dire, the<br />
doctor may determine that the<br />
patient can bypass the emergency<br />
room entirely. In many cases, the<br />
doctor can even process admission<br />
paperwork while the child is still in<br />
transit, so a hospital room is ready<br />
and waiting when the patient is<br />
brought in.<br />
This spares the patient, and the<br />
family, the stress of the ER and<br />
long waits for treatment. It also<br />
saves the hospital manpower and<br />
frees ER staff and equipment to focus<br />
on more critical emergencies.<br />
“One surprise benefit we didn’t<br />
expect was safer ambulance rides,”<br />
added Dr. Schwartz. “Speeding<br />
ambulances are at huge risk<br />
for accidents. With our mobile<br />
telemedicine system, doctors can<br />
now quickly determine how critical<br />
a patient’s condition is as soon<br />
as the transport team picks up. If<br />
the situation isn’t life threatening,<br />
the ambulance can slow down to<br />
significantly decrease the chance<br />
of accident.”<br />
GlobalMedia’s Transport AV<br />
mobile telemedicine solution is<br />
breaking new ground in critical<br />
care delivery. Dr. Schwartz and<br />
his critical care transport teams<br />
have fully integrated this mobile<br />
telemedicine technology into their<br />
life-saving care for critically ill<br />
children. Mobile telemedicine is<br />
now helping them to positively<br />
“Change the Outcome” every day.<br />
GlobalMedia<br />
Web link: baumpub.com/HC10101<br />
Transport AV is a<br />
stretcher-mounted<br />
telemedicine<br />
system designed<br />
to link emergency<br />
responders to<br />
physicians at the<br />
clinic or hospital<br />
where the patient is<br />
being transported. It<br />
has audio and video<br />
connections, and lets<br />
the remote doctor<br />
treat the patient in<br />
the ambulance.<br />
<strong>Healthcare</strong> March/April 2010 21
new products<br />
First electronic stethoscope with Bluetooth<br />
wireless capability introduced to Canada<br />
Taking the stethoscope into the 21st<br />
century, 3M Canada introduced the<br />
3M Littmann Electronic Stethoscope<br />
Model 3200 (LESM 3200), a<br />
next-generation auscultation device<br />
featuring Bluetooth technology that<br />
wirelessly transfers heart, lung and<br />
other body sounds to a computer<br />
for further analysis.<br />
“For almost 50<br />
years, the Littmann<br />
brand has been<br />
synonymous with<br />
quality and innovation<br />
in stethoscopes,”<br />
said Tim Brown,<br />
general manager, 3M<br />
Canada Health Care.<br />
“The introduction of<br />
the Littmann Electronic<br />
Stethoscope Model 3200 signals a new<br />
age in stethoscope technology that will<br />
help enhance clinicians’ natural abilities,<br />
and enable healthcare providers to<br />
confirm diagnoses and gather a second<br />
opinion from colleagues much easier.”<br />
As the first Bluetooth-enabled electronic<br />
stethoscope, the LESM 3200<br />
allows users to transmit sounds in<br />
real-time to their personal computers.<br />
22 March/April 2010 <strong>Healthcare</strong><br />
The company partnered<br />
with Connecticutbased<br />
Zargis Medical<br />
to develop two companion<br />
diagnosis-supporting software<br />
packages exclusively<br />
for the LESM 3200.<br />
Zargis StethAssist software<br />
is included with the stethoscope<br />
and allows clinicians to<br />
record, playback and view<br />
body sounds for comparison<br />
to future auscultations, and<br />
send recordings and patient<br />
notes to colleagues for second<br />
opinions. Users can upgrade<br />
to Zargis Cardioscan, recently<br />
cleared for sale in Canada by Health<br />
Canada, which helps detect and classify<br />
diastolic or systolic murmurs.<br />
Named Popular Science’s 2009 “Innovation<br />
of the Year,” the 3M Littmann<br />
Electronic Stethoscope Model 3200<br />
with Zargis Cardioscan software is<br />
designed for all-day use. This comfortable,<br />
durable device has flexible tubing<br />
for healthcare providers and a non-chill<br />
diaphragm that patients appreciate.<br />
3M Canada<br />
Web link: baumpub.com/HC10103<br />
Wireless environmental-monitoring solutions<br />
Integrated Monitoring Solutions (IMS) is<br />
a leading provider of real-time wireless<br />
environmental-monitoring solutions that<br />
are used by hospitals and health service<br />
providers to ensure the optimal storage<br />
conditions of their pharmaceuticals, food<br />
and laboratory specimens, throughout an<br />
entire facility.<br />
IMS solutions provide real-time and<br />
historical information that allows clients<br />
to optimize the environmental conditions<br />
to which their temperature sensitive<br />
products are exposed, and to minimize<br />
loss. In addition, real-time alerts,<br />
available through text message devices,<br />
enable our clients to identify and respond<br />
to temperature problems as they arise.<br />
IMS is pleased to announce that in<br />
addition to recently being selected by<br />
HealthPro as its sole source for pharmaceutical<br />
temperature monitoring solutions,<br />
that it has also integrated a complete<br />
line of WiFi sensor devices into its<br />
systems that allows facilities to leverage<br />
their existing WiFi infrastructure investments,<br />
as part of an IMS solution.<br />
IMS solutions provide a real payback,<br />
and on-going savings, through a<br />
Advanced deep brain<br />
stimulation therapy<br />
Medtronic has launched<br />
Activa RC (Rechargeable<br />
Cell) and Activa<br />
PC (Primary Cell)<br />
neurostimulators,<br />
innovative deep brain<br />
stimulation therapy to<br />
help patients with neurodegenerative<br />
disorders to control their symptoms.<br />
The first Canadian implantation of the new<br />
device took place at the Queen Elizabeth<br />
II Health Sciences Centre in Halifax, Nova<br />
Scotia by Dr. Ivar Mendez, Head of the<br />
Division of Neurosurgery, and his team.<br />
Activa RC and Activa PC are the next<br />
generation devices added to Medtronic’s<br />
DBS therapy portfolio. The Activa RC and<br />
Activa PC offer innovative new programming<br />
tools, smaller size neurostimulators<br />
and a rechargeable neurostimulator lasting<br />
up to nine years between battery replacement<br />
surgery. The new patient programmer<br />
will enable patients the freedom to choose<br />
different programs to suit their diverse<br />
activities. Patients will also benefit from<br />
greater comfort because the new devices are<br />
up to 50 percent smaller in size than previous<br />
versions.<br />
Medtronic of Canada <strong>Ltd</strong>.<br />
Web link: baumpub.com/HC10104<br />
reduction in loss, and improved product<br />
safety and quality.<br />
Integrated Monitoring Solutions<br />
Web link: baumpub.com/HC10105
Conference: May 11-13, 2010 • Expo: May 12-13, 2010<br />
Sands Expo and Conference Center • Las Vegas, NV<br />
ONE SHOW...ALL YOUR BUSINESS SOLUTIONS<br />
Medtrade Spring provides hundreds of exhibitors, thousands of products and the best networking<br />
opportunities in the HME/DME industry. Homecare works for patients...Medtrade Spring works for you.<br />
• CUTTING-EDGE educational workshops and pre-conference workshops many of which will offer you CEU’s<br />
• DYNAMIC exposition featuring the latest products and services from the industries top companies<br />
• VIBRANT networking opportunities designed to help you connect and learn from your peers<br />
Use registration code: ENEWS<br />
Sign up for free expo at medtrade.com<br />
Offer ends May 10, 2010.<br />
With support from<br />
Produced by: Nielsen Business Media,<br />
a part of the Nielsen Company<br />
Web link: baumpub.com/HC10107<br />
BETTER OUTCOME<br />
HOMECARE<br />
WORKS!<br />
PATIENT PREFERRED<br />
COST EFFECTIVE<br />
The Offi cial Magazine of Medtrade<br />
<strong>Healthcare</strong> March/April 2010 23
Achieving efficiency: Integrating technology and<br />
document management<br />
MED2020 Health Care Software Inc. is celebrating<br />
its 20th Anniversary in 2010, a testament<br />
to its success in the health care industry<br />
and to the fact that for many Canadian health<br />
care organizations nationwide, MED2020 has<br />
become the vendor of choice for comprehensive<br />
health information management solutions.<br />
Such a proven track record demonstrates that MED2020 understands the pain<br />
points inherent in the operations and workflow of a hospital facility. One of the biggest<br />
health care challenges currently is the significant time spent on chart management<br />
activities such as searching for, retrieving, transporting and filing documents.<br />
Many health care facilities struggle with the labour-intensive and time consuming<br />
processes needed to manage paper health records, usually at the expense of<br />
direct patient care. Process costs are a huge drain on budget and the storage space<br />
required for paper records is stretched to capacity.<br />
The MED2020 Digital Archiving Solution (MDAS) is a document management<br />
system designed to directly address these health care challenges by allowing<br />
facilities to access patient health information electronically. Paper charts are<br />
scanned into digital format and automatically indexed and organized before being<br />
permanently stored. MED2020’s MDAS solution is comprehensive and affordable<br />
and offers great flexibility, being available both as a stand-alone application and an<br />
integrated product, either with WinRecs or with a third party vendor system.<br />
MED2020 Health Care Software Inc. / Booth 919<br />
Web link: baumpub.com/HC10109<br />
Christie celebrates its 55th year in business<br />
with exciting news<br />
Ever wondered how things would be<br />
if all your cardiac modalities images<br />
and information could all be<br />
hosted in a single database and cardiac<br />
PACS, working all together in perfect<br />
harmony? How easier your work<br />
would flow with Web-based viewing<br />
and reporting, efficient, effective<br />
and seamless third party integrations,<br />
enterprise-wide distribution, semi-automated and perfectly tailored reports to your<br />
liking? Come see Synapse ProSolv Cardiovascular system, live at the Christie Group<br />
booth at this year’s eHealth 2010 meeting in Vancouver, B.C.<br />
In addition, they will demonstrate all the advantages of a true vendor- and<br />
hardware-neutral system, combined with Christie’s unsurpassed customer support.<br />
Christie Group is a system integrator, delivering all the added benefits of making<br />
applications and system communicate together, with a single objective: bringing<br />
data, automatically, where they are needed, when they are needed, for faster results<br />
and improved outcomes.<br />
Christie Group / Booth 920<br />
Web link: baumpub.com/HC10111<br />
24 March/April 2010 <strong>Healthcare</strong><br />
Show in Print<br />
Wireless networks and<br />
RFID driving workflow<br />
improvements in healthcare<br />
Studies show that nurses spend between 20<br />
and 30 percent of their day looking for people,<br />
information or equipment. Hospitals can<br />
deploy radio frequency identification (RFID)<br />
technology in their portable equipment, allowing<br />
hospital staff to quickly pinpoint the<br />
nearest ready device and get it to a patient<br />
immediately.<br />
Keeping track of inventory is important<br />
for hospitals. Many types of medication have<br />
a very short shelf-life and can spoil almost<br />
immediately if they aren’t kept at the right<br />
temperature. An RFID tag can help hospitals<br />
monitor temperatures and save valuable<br />
medications by alerting staff members to a<br />
potential problem in a mobile refrigerator, determining<br />
the location of the unit and allowing<br />
staff to quickly move the medication.<br />
RFID tags are also being used to improve<br />
the general safety in a hospital. An example<br />
of this would be an RFID chip attached to a<br />
patient’s bracelet. If a “wandering” patient<br />
leaves the premises, an alert would be sent to<br />
hospital staff where they can respond accordingly.<br />
RFID tags can also be used to prevent<br />
baby abductions, also known as a Code Pink,<br />
by placing an RFID tag on a baby’s bracelet.<br />
If a child goes into an area they shouldn’t be<br />
in at a certain time, a Code Pink alert will be<br />
sent to hospital staff. Cameras connected to a<br />
hospital’s security system can capture highresolution<br />
video at the point of alert and send<br />
it to the nearest security personnel via PDA or<br />
IP phone.<br />
Location-based technology combining<br />
wireless and RFID can make the connections<br />
between people, information and equipment<br />
more seamless and allow nurses and<br />
other healthcare professionals to perform<br />
their jobs more efficiently. Eventually RFID<br />
capable technology will be rolled out not only<br />
throughout hospitals, but into the community,<br />
emergency vehicles and even the home, allowing<br />
healthcare providers to shift the point<br />
of care closer to the patient.<br />
CISCO Systems Canada / Booth 603<br />
Web link: baumpub.com/HC10112
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Web link: baumpub.com/HC10114
Onsight ‘Virtual Care Facility’<br />
Librestream, manufacturer of the Onsight<br />
mobile collaboration system for the healthcare<br />
industry, is pleased to announce that<br />
it will feature a ‘Virtual Care Facility’ in<br />
Booth 602.<br />
Librestream will offer<br />
three demonstrations<br />
of live patient consults<br />
featuring the Onsight<br />
wireless device and its<br />
companion Onsight<br />
Expert desktop software.<br />
Librestream will demonstrate<br />
the efficacy and improved outcomes<br />
in Telehomecare, Virtual ER, and Remote<br />
Facility collaboration with reduced patient<br />
wait times, higher productivity of providers<br />
and improved patient efficiencies.<br />
26 March/April 2010 <strong>Healthcare</strong><br />
The appointment schedule will include<br />
a virtual consult demonstration of<br />
a: homecare worker & patient and remote<br />
nurse clinician; ER patient consult with an<br />
emergency room doctor<br />
and offsite specialist;<br />
and patient consult in a<br />
remote nursing station<br />
with an offsite medical<br />
practitioner.<br />
Librestream’s Onsight<br />
is a versatile wireless<br />
telemedicine system that<br />
streams live audio and video images of a<br />
patient’s condition to a clinical provider at<br />
a remotely situated computer.<br />
Librestream / Booth 602<br />
Web link: baumpub.com/HC10116<br />
The largest independent healthcare management<br />
consulting firm in North America<br />
<strong>Healthcare</strong> management consulting firm Beacon Partners will be featuring among other<br />
things their Systems Optimization services. Without system optimization it is easy for important<br />
workflows at healthcare organizations to fall by the wayside.<br />
Beacon Partners’ System Optimization Methodology applies the five key elements of the<br />
Beacon Process (Vision, Change Management, Workflow Integration, Communication and<br />
Measurement). Their structured methodology ensures that assessments are conducted in a<br />
well-managed, consistent approach regarding planning, organizing, directing and controlling<br />
the necessary facets for successful system optimization. Before recommending changes, their<br />
team will assess and evaluate the existing infrastructure and work with clients to develop an<br />
optimization plan.<br />
Beacon Partners is recognized industry-wide as the largest independent healthcare management<br />
consulting firm in North America. Beacon Partners is uniquely qualified to help organizations<br />
navigate the challenges of this new era in the healthcare community and optimize<br />
their potential to deliver the highest possible level of patient care.<br />
Beacon Partners / Booth 914<br />
Web link: baumpub.com/HC10117<br />
IBM builds smart hospital of the future<br />
Wireless communications and emerging<br />
technologies are changing the face<br />
of healthcare in Canada. IBM has a<br />
number of software, hardware and<br />
services that integrate with hospital<br />
infrastructure ensuring that medical<br />
professionals can do what they do best –<br />
treat patients.<br />
• IBM works with Vocera wireless<br />
communication devices – lightweight,<br />
wearable badges similar to the devices<br />
seen on StarTrek – to provide physicians<br />
and nurses instant communication with<br />
other staff members. Implemented by<br />
IBM in hospitals throughout the country,<br />
this wireless solution can improve the<br />
efficiency and responsiveness of medical<br />
professionals on the front lines.<br />
• By using IBM health analytic solutions<br />
to convert data into intelligence,<br />
Show in Print<br />
Technology solutions<br />
for the healthcare<br />
industry<br />
Purkinje is a Canadian leader in<br />
the development and delivery<br />
of technology solutions for the<br />
healthcare industry. With a strength<br />
that stems from over 30 years of<br />
experience, its solutions are relied<br />
on by 21,000 healthcare providers<br />
and users in family medicine<br />
groups, community health centres,<br />
hospitals and the Department of<br />
National Defense.<br />
Purkinje’s EMR, including Clinical,<br />
Management, Departmental,<br />
Interoperability, Pharmacy, Homecare<br />
and Telehealth solutions is a<br />
completely integrated, powerful,<br />
sophisticated and intuitive solution.<br />
It helps increase efficiency and<br />
reduce the risk of medical errors,<br />
while offering “best practices” decision<br />
support. The Purkinje health<br />
solutions are three-dimensional and<br />
are adapted to the clients’ needs.<br />
The entire Purkinje team is committed<br />
to continuous, courteous, and<br />
effective implementation service.<br />
Purkinje is also dedicated to the<br />
protection of its clients’ investment<br />
in the long term and is consequently<br />
constantly improving and adapting<br />
its health solutions in response to<br />
the rapid changes in the healthcare<br />
industry.<br />
Purkinje / Booths 301, 400<br />
Web link: baumpub.com/HC10118<br />
hospitals and healthcare facilities can<br />
improve system performance, create<br />
measurements and improve outcomes.<br />
• Patient Care Stations implemented<br />
by IBM, will enable patients to self-register<br />
and provide triage information to<br />
nurses through a kiosk, increasing nursing<br />
efficiency and reducing wait times.<br />
IBM / Booths 701, 703, 800, 802<br />
Web link: baumpub.com/HC10119
Save the date!<br />
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Exhibits<br />
Isabella Wai<br />
416.205.1354<br />
iwai@oha.com<br />
Sponsorship & Advertising<br />
Sushma Mahboobani<br />
416.205.1585<br />
smahboobani@oha.com<br />
Registration & General Inquiries<br />
Mary Romero<br />
416.205.1434<br />
mromero@oha.com<br />
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Come to HealthAchieve2010, one of<br />
North America’s largest health care<br />
conferences and exhibitions, for three great<br />
days of inspiring ideas and innovation.<br />
Network along with over 9,000 attendees<br />
from across the entire health care<br />
industry – and be inspired by our impressive<br />
list of keynote speakers.<br />
Save the date for �����������������.<br />
Register now for this year’s event and<br />
take advantage of the 2010 Early Bird Rate.<br />
Visit ���������������������.<br />
Web link: baumpub.com/HC10121
Healthanywhere delivers<br />
astounding clinical outcomes<br />
Healthanywhere is a leading eHealth and mHealth<br />
solutions provider for self-monitoring and healthcare<br />
professional-monitoring.<br />
Re-ACT (Remote Access to Care Technology)<br />
is a joint program between Healthanywhere, We<br />
Care Home Health Services and the North Simcoe<br />
Muskoka Community Care Access Centre funded<br />
by the Ontario Ministry of Health and Long Term<br />
Care through the Aging at Home Strategy.<br />
Within the Re-ACT program, Healthanywhere<br />
technology is placed in the homes of approximately 100 chronically ill<br />
seniors. The seniors monitor their biometrics through Healthanywhere<br />
wireless medical peripherals (blood pressure, blood oxygen, pulse, blood<br />
glucose and weight) and We Care Home Health Services Registered<br />
Nurses monitor the seniors remotely through a secure web portal. Some<br />
of the overwhelmingly positive clinical outcomes are revealed in this<br />
quote from a LHIN report:<br />
“The Re-ACT program, administered through We Care Home Health<br />
Services, provides telehealth home care for chronic disease clients<br />
through the region with a focus on early intervention. With a nurse to<br />
client ratio of 1:100 – of the 98 clients surveyed in Q1, outcomes include<br />
a 50 events reduction in events/incidences resulting in Emergency Room<br />
visits, while falls have decreased by 85 percent. Ninety-eight percent of<br />
clients were maintained in the community; in fact two clients removed<br />
their name from the LTC Waitlist because they believed that with their<br />
new knowledge and confidence in managing their disease made them<br />
feel safe and secure at home.” (Re-ACT Quarterly Report, January 2010)<br />
Healthanywhere Inc. / Booth 1014<br />
Web link: baumpub.com/HC10123<br />
HL7 conversion of Word solves hospital discharge to GP communications challenge<br />
GPs continually seek methods for getting<br />
accurate and timely data on their patients.<br />
Hospital CIOs are almost always looking<br />
for methods to reduce their overwhelming<br />
list of priorities.<br />
There are a myriad of reasons as to<br />
why GPs cannot easily get data in an<br />
automated manner from hospitals, and<br />
are relegated to scanning documents into<br />
their EMR’s. A hospital’s critical path<br />
and patient privacy considerations are<br />
often cited.<br />
Surprisingly few information systems<br />
priorities make everyone happy all of the<br />
time. MDI Solutions, based in Toronto,<br />
Ontario, has enabled one that suits all<br />
concerned by converting Discharge<br />
28 March/April 2010 <strong>Healthcare</strong><br />
Documents in Microsoft Word to HL7. It<br />
is a breakthrough in converting a hospital’s<br />
presentational style documents to<br />
machine readable formats that are then in<br />
due course available to downstream GP<br />
Practice Applications.<br />
MDI Solutions developed this solution<br />
(in collaboration with Sunquest Informa-<br />
Show in Print<br />
Leading the charge in Web 2.0<br />
Telemedicine<br />
AMD Global<br />
Telemedicine, Inc.<br />
announced that<br />
its Aggregated<br />
Network Services<br />
(AGNES) Medical<br />
Gateway application<br />
is leading the charge in Web 2.0 telemedicine.<br />
As telemedicine technology continues to advance,<br />
access to Web 2.0 applications like AGNES assists the<br />
medical community in meeting their increasing role of<br />
providing health care “at any time, in any place.”<br />
Telemedicine technology, until now, has exclusively<br />
used videoconferencing equipment to enable doctors<br />
to see and hear patient diagnostic information generated<br />
by telemedical instruments. A Web 2.0 based<br />
medical gateway provides an alternative that can bring<br />
telemedicine users together in a more dynamic and<br />
interactive way.<br />
AMD’s AGNES Medical Gateway is a telemedicine<br />
device aggregation appliance responsible for gathering<br />
and distributing patient medical information in<br />
real time and independent of any video conferencing<br />
system network. AGNES runs under Windows with<br />
specialized medical device drivers and customized web<br />
services capable of secure, real time streaming. Data<br />
can be rendered via Microsoft Silverlight or Adobe Air.<br />
AMD Global Telemedicine / Booth 417<br />
Web link: baumpub.com/HC10124<br />
tion Systems) for Derby Trust in the UK<br />
and the 80 Physician practices it serves.<br />
The integration was achieved by automating<br />
the conversion of Derby’s existing<br />
Word output to HL7, and then to Kettering<br />
XML for upload to the GP systems.<br />
The Discharge Letter is now usable by<br />
any downstream application such as Lab<br />
systems and GP Practice applications.<br />
Along with Laboratory and other test<br />
results, Discharge Letters provide an<br />
immediate benefit to the GP with a list of<br />
pharmaceuticals that were issued to the<br />
patient upon release, including dates and<br />
patient instructions.<br />
MDI Solutions / Booth 402<br />
Web link: baumpub.com/HC10125
42<br />
Web link: baumpub.com/HC10127<br />
1969 - 2010<br />
Nov. 17 - 20, 2010<br />
2010<br />
1-888-378-7208<br />
1-866-880-1121
Pragmatic action plan to improve efficiency and<br />
ready datacentres for the future<br />
As government and healthcare leaders<br />
invest billions of dollars in healthcare<br />
information technologies (IT) to improve<br />
the accessibility, affordability and quality<br />
of healthcare for their citizens, hospital<br />
datacentres may not be ready for the<br />
demand that more patients and digital<br />
information will create, according to a<br />
survey of hospital IT executives at small<br />
and medium hospitals conducted by the<br />
HIMSS Analytics, sponsored by Dell.<br />
The HIMSS Analytics survey asked<br />
hospital IT executives to assess the readiness<br />
of their hospital datacentres to support<br />
new information demands as reform<br />
initiatives such as electronic medical<br />
records (EMRs) and digital imaging<br />
become more pervasive. Results suggest<br />
that there will be challenges associated<br />
with scaling small and medium hospital<br />
datacentres to meet these demands and to<br />
supporting efficiently technology at the<br />
point-of-care – the number one strategic<br />
priority of hospital senior IT executives<br />
in nearly every country.<br />
The <strong>Healthcare</strong> Enterprise Survey revealed<br />
that hospital IT executives at small<br />
and medium-sized hospitals believe that<br />
EMRs, Health Information Exchanges,<br />
advertiser website directory<br />
31 Beacon Partners ...................................................www.beaconpartners.ca<br />
7 Christie InnoMed ................................................www.christieinnomed.com<br />
32 Cisco Systems, Inc. ....................... www.cisco.com/ca/connectedhealthcare<br />
15 CSA ......................................................................................www.csa.ca<br />
25 e-Health 2010 .............................................. www.e-healthconference.com<br />
19 Engineering Hemisphere ..................................... www.hemisphere-eng.com<br />
27 Health Achieve 2010 ............................................. www.healthachieve.com<br />
17 Imagewear .................................................................. www.imagewear.ca<br />
9 Masimo ........................................................................ www.masimo.com<br />
11 MDI Solutions ........................................................ www.mdisolutions.com<br />
13 MED2020 Health Care Software Inc. ..............................www.med2020.ca<br />
29 MEDICA 2010 ..................................................................www.medica.de<br />
23 Medtrade 2010 ......................................................... www.medtrade.com<br />
2 Microsoft Dynamics CRM ............... www.microsoft.ca/dynamics/government<br />
4 P&P Data Systems Inc. .................................................. www.p-pdata.com<br />
3 Roche Diagnostics ...............................................www.rochediagnostics.ca<br />
30 March/April 2010 <strong>Healthcare</strong><br />
capacity for storing digital images, needs<br />
of affiliated physicians and business<br />
intelligence will increase demand on their<br />
datacentres by an average of 20 to 50<br />
percent over the next two years.<br />
While many small and medium hospitals<br />
anticipate they will spend more on IT<br />
next year, they also describe datacentre<br />
challenges that Dell believes will make<br />
it difficult for them to efficiently manage<br />
new information demands. These<br />
challenges include a lack of standards,<br />
security, extended server refresh cycles<br />
and complexity created by a large number<br />
of servers and vendors and limited use of<br />
virtualization.<br />
Now is the time for small and medium<br />
hospitals to prepare their datacentres to<br />
handle strategic reform and healthcare<br />
priorities and for government leaders to<br />
consider the significant contribution these<br />
hospitals can make to an information<br />
infrastructure that streamlines administration,<br />
improves diagnosis and decisionmaking<br />
at the point-of-care and coordination<br />
and quality of patient care across the<br />
healthcare system.<br />
Dell Inc. / Booth 500<br />
Web link: baumpub.com/HC10129<br />
Show in Print<br />
<strong>Healthcare</strong> IT/IM<br />
consulting services<br />
Healthtech Consultants has been advancing<br />
the quality of patient care through the use of<br />
technology for over 27 years. Healthtech’s consultants<br />
know healthcare and are able to deliver<br />
innovative and sustainable results specific to<br />
the needs of their healthcare clients. Healthtech<br />
provides a wide range of healthcare IT/IM<br />
consulting services under four major service<br />
lines: Strategic Planning, Clinical Consulting,<br />
PACS and Infrastructure and Systems Project<br />
Management. Whether the client project is<br />
departmental, facility-wide, regional or jurisdictional,<br />
Healthtech Consultants consistently<br />
delivers results on-time and on-budget.<br />
Healthtech Consultants / Booth 423<br />
Web link: baumpub.com/HC10130<br />
events calendar<br />
May 12-13 – Medtrade Spring 2010. Las<br />
Vegas, NV; Sands Expo and Convention<br />
Centre. www.medtrade.com<br />
May 30 - June 2 – e-Health 2010: From<br />
Investment to Impact. Vancouver, BC;<br />
Vancouver Convention Centre. www.ehealthconference.com<br />
June 10-12 – 2010 CHIMA (Canadian<br />
Health Information Management<br />
Association) Annual Conference & General<br />
Meeting. Halifax, NS; Delta Halifax. www.<br />
echima.ca/annual-conference<br />
June 27-29 – Spring 2010 Applied Health<br />
Informatics Bootcamp. Waterloo, ON;<br />
University of Waterloo. http://hi.uwaterloo.<br />
ca/hi/bootcamp.htm<br />
July 20-21 – M-TECH Exposition & Conference.<br />
New York City, NY; Jacob K. Javits<br />
Convention Center. www.mtechexpo.com<br />
September 26-29 – 2010 AHIMA Convention<br />
and Exhibit. Orlando, FL; Gaylord<br />
Palms Hotel & Convention Center. www.<br />
ahima.org/events/convention/<br />
October 4-6 – it<strong>Healthcare</strong> Canada<br />
Conference & Exhibition. Toronto, ON; International<br />
Centre. www.it<strong>Healthcare</strong>.ca<br />
November 8-10 – HealthAchieve2010.<br />
Toronto, ON; Metro Toronto Convention<br />
Centre. www.ohahealthachieve.com<br />
November 17-20 – MEdICA 2010.<br />
Düsseldorf, Germany; Düsseldorf Trade<br />
Fair Centre. www.medica-tradefair.com
©2010 Beacon Partners, Inc.<br />
Today’s I.T. decisions<br />
will determine your<br />
organization’s<br />
future…<br />
How’s that for<br />
pressure?<br />
Now more than ever, your I.T. strategy must ensure the integration of your clinical<br />
direction with your people, processes and technologies—or your current success will be<br />
short-lived. Beacon Partners can help you create and manage a strategy that’s right for<br />
today and tomorrow, readying your organization for anything that comes<br />
your way. For access to the latest thinking on this and other healthcare<br />
topics, visit www.BeaconPartners.TV today. 1-800-4BEACON x7419 www.beaconpartners.ca<br />
Web link: baumpub.com/HC10131
Web link: baumpub.com/HC10133