18.11.2012 Views

Healthcare - Baum Publications Ltd.

Healthcare - Baum Publications Ltd.

Healthcare - Baum Publications Ltd.

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

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 />

���������������������������<br />

�������������������<br />

�������������������������<br />

���������������<br />

����have to����������������������������������<br />

and<br />

and<br />

������������������������������������������������<br />

���������������������������������������������<br />

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 />

��������������������������������<br />

��������������������������<br />

and<br />

and<br />

�������������������������<br />

������������������<br />

�����������������������<br />

��������������������<br />

Web link: baumpub.com/HC1070


T:10.75 in<br />

DOCKET # MSF DNC F97484<br />

VERSION # FF<br />

LINKS:<br />

75020_BACKGROUND_SW300_01.tif (CMYK; 427<br />

ppi, 452 ppi)<br />

75020_Schorr_Tag_SW300_04.psd (CMYK; 960<br />

ppi, 1076 ppi)<br />

75020_Steele_Tag_SW300_04.psd (CMYK; 1203<br />

ppi, 1180 ppi)<br />

75020_Price_Tag_SW300_06.psd (CMYK; 1349<br />

ppi, 1160 ppi)<br />

75020_Desai_Tag_SW300_08.psd (CMYK; 1135<br />

ppi, 1207 ppi)<br />

75020_Mitsu_2Tag_Left_SW300_04.psd<br />

(CMYK; 1350 ppi, 1336 ppi, 1961 ppi, 1520 ppi,<br />

1222 ppi)<br />

75020_Rowe_Tag_SW300_06.psd (CMYK; 1445<br />

ppi, 1288 ppi)<br />

DYN_ZischkaErwin_V3.psd (CMYK; 506 ppi)<br />

75020_9_Health_CRM_Zare_Robert_<br />

SW300_01.psd (CMYK; 864 ppi)<br />

DYN_YasinskiArthur_V2.psd (CMYK; 780 ppi)<br />

DYN_WenzelMaira_V1.psd (CMYK; 735 ppi)<br />

DYN_DavisSara_V1.psd (CMYK; 720 ppi)<br />

Microsoft_Logo_Black.ai<br />

Because_its_everybodys_business_LOGO_<br />

LOCKUP.eps<br />

DYN_GoldbergJossef_V2.psd (CMYK; 720 ppi)<br />

DYN_ZischkaErwin_Hero_V3.psd (CMYK; 594 ppi)<br />

dyn-CRM_cmyk.ai<br />

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 />

DOCKET # MSF DNC F97484<br />

FONT DISCLAIMER:<br />

All trademarks The fonts and are related legally font software protected. included with<br />

the attached electronic mechanical are owned<br />

© 2010 Roche (“Y&R Proprietary Diagnostics Fonts”) and/or licensed<br />

Roche Diagnostics<br />

(“Y&R Licensed Fonts”) by The Young & Rubicam<br />

201, Armand-Frappier Group of Companies ULC. Blvd. They are provided to<br />

you as part of our job order for your services,<br />

Laval, Quebec, H7V 4A2<br />

and are to be used only for the execution and the<br />

www.rochediagnostics.ca<br />

completion of this job order. You are authorized to<br />

use the Y&R Proprietary Fonts in the execution of<br />

the job order provided that any and all copies of<br />

the Y&R Proprietary Fonts shall be deleted from<br />

your systems and destroyed upon completion of<br />

this job order. You warrant and represent that you<br />

have secured the necessary licenses for the use<br />

of Y&R Licensed Fonts in order to execute our job<br />

order and will abide by the terms thereof.<br />

Web link: baumpub.com/HC1072


CIS<br />

7.4.5<br />

CMS Speci� Speci� cation v3.0.<br />

ISO 13485 Certi� ed<br />

Class 2 Medical Device<br />

“Our sta� loves the new<br />

system. CIS has made their<br />

lives easier. They adapted<br />

very quickly. We wanted<br />

something easy to use, and<br />

P & P delivered it. There<br />

was minimal training and<br />

overwhelming acceptance.”<br />

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 />

scheduler. The system allows your administration to save time, reduce errors and manage<br />

appointments with unprecedented ease. See CIS in action by booking a demonstration.<br />

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 />

201 - 2323 Boundary Road<br />

Vancouver, B.C., Canada V5M 4V8<br />

Phone 604-291-9900; Fax 604-291-1906<br />

Internet: www.baumpub.com<br />

<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 />

care facilities having an interest in and responsible for the acquisition<br />

and management of healthcare products, supplies or services. There<br />

are two ways to subscribe: (1) complete, and mail or fax the enclosed<br />

subscription form; or (2) register online at www.baumpub.com.<br />

One year subscription rates for others: Canada $50.00 + 2.50<br />

GST = $52.50; U.S.A. $60; other countries $95. Single copies<br />

$6.00 + 0.30 GST = $6.30; outside Canada $7.00. All prices<br />

are in Canadian funds.<br />

<strong>Healthcare</strong> accepts no responsibility or liability for reported<br />

claims made by manufacturers and/or distributors for products<br />

or services; the views and opinions expressed are those of the<br />

authors and not necessarily those of <strong>Baum</strong> <strong>Publications</strong> <strong>Ltd</strong>.<br />

Copyright 2010, <strong>Baum</strong> <strong>Publications</strong> <strong>Ltd</strong>. No portion of this publication<br />

may be reproduced without permission of the publishers.<br />

ISSN 1916-1050. PUBLICATIONS MAIL AGREEMENT NO.<br />

40069270.<br />

Return undeliverable Canadian addresses to: Circulation Dept.,<br />

201 - 2323 Boundary Rd., Vancouver, B.C. V5M 4V8; Email:<br />

circulation@baumpub.com.<br />

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 />

Noninvasive > Continuous > Immediate<br />

THE FIRST AND ONLY TECHNOLOGY FOR NONINVASIVE<br />

AND REAL-TIME HEMOGLOBIN MONITORING<br />

With Masimo’s breakthrough total hemoglobin monitoring technology (SpHb ® ), you can noninvasively,<br />

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 />

oxygen content (SpOC) monitoring, giving you a more complete indication of your patients’ oxygenation<br />

status. SpHb and SpOC are part of the upgradable Masimo Rainbow ® SET technology platform that includes<br />

carboxyhemoglobin (SpCO ® ), methemoglobin (SpMet ® ), and PVI in addition to the gold standard<br />

measure-through motion and low perfusion SpO2 and pulse rate measurements of Masimo SET ® .<br />

To fi nd out more about how noninvasive total hemoglobin monitoring with the Masimo Rainbow SET platform can help<br />

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


MDAS BENEFITS<br />

• Affordable<br />

• Increased efficiencies<br />

• Streamlined operations<br />

• Enhanced security<br />

and Audit Trail features<br />

• Reduced storage costs<br />

• Flexible - stand-alone or<br />

integrated<br />

• High quality image resolution<br />

• Faster access to information<br />

• Timely direct patient care<br />

• Scalable<br />

The MED2020<br />

Digital Archiving<br />

Solution (MDAS)<br />

Web link: baumpub.com/HC1089<br />

Let’s Get Digital<br />

Significant time in health care today is spent on chart<br />

management activities such as searching for,<br />

retrieving, transporting and filing documents.<br />

Many health care facilities struggle with the labourintensive<br />

and time consuming processes needed to<br />

manage paper health records, usually at the<br />

expense of direct patient care.<br />

Process costs are a huge drain on budget and the<br />

storage space required for paper records is stretched<br />

to capacity. Important decisions may also be<br />

delayed.<br />

The MED2020 Digital Archiving Solution (MDAS)<br />

is designed to directly address these health care<br />

challenges by allowing facilities to access patient<br />

health information in an electronic format. Paper<br />

charts are scanned into digital format, automatically<br />

indexed and organized before being permanently<br />

stored.<br />

Flexible, comprehensive and affordable, contact<br />

MED2020 today for more information about MDAS or<br />

to arrange a demonstration.<br />

2025 Lanthier Drive, Ottawa, ON K4A 3V3<br />

Toll-Free: 1-800-461-2020<br />

Email: sales@med2020.ca<br />

www.med2020.ca


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 />

Web link: baumpub.com/HC1092<br />

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 />

healthcare sector to develop training solutions in key areas<br />

such as infection control and medical devices; helping<br />

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 />

workforce<br />

scheduling/<br />

management<br />

process MAPS<br />

Health Suite<br />

encompasses.<br />

(above) An<br />

overview<br />

of MAPS<br />

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 />

Web link: baumpub.com/HC1094


YOU SPEND YOUR LIFE<br />

TREATING OTHERS WITH<br />

CARE CARE AND COMPASSION.<br />

Have you checked how well your uniform supplier treats you?<br />

Does it offer:<br />

A 100% no-questions-asked guarantee? �<br />

One of Canada’s most comprehensive collections of<br />

customizable scrubs and lab coats? �<br />

Ordering and fulfi llment around your processes, not its own? �<br />

Proprietary custom embroidery and embellishment? �<br />

Free shipping and 380 stores for pickup? �<br />

A direct relationship with Mark’s, home of Canada’s<br />

most innovative work footwear and apparel? �<br />

Check out the Imagewear difference.<br />

Call 1-877-861-7108.<br />

Web link: baumpub.com/HC1096


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


���������������������<br />

���������������������������<br />

�������������<br />

��������������������������<br />

����������������������<br />

�� ��������������������������������������������������<br />

�� �������������������������������������������<br />

�� �����������������������������������<br />

�� �������������������������������������������<br />

����������������<br />

���������������<br />

�������������<br />

�����������������������������<br />

���������������<br />

����������������<br />

�����������������������������<br />

�������������������<br />

�� ��������������������������<br />

�� ������������������������������������<br />

�� �����������������������������<br />

�� ��������������������������������<br />

�� ����������������������<br />

�� �����������������������<br />

�� �����������������������������������<br />

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 />

����������������������<br />

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 />

����<br />

�����������������<br />

�������������������<br />

���������������������������<br />

�������������������������������<br />

������������������������<br />

�������������<br />

��������������<br />

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

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!