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Beverly Knight



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    EP04 - The Tango: Standards & Innovative Health Outcomes (ID 44)

    • Event: e-Health 2017 Virtual Meeting
    • Type: e-Poster
    • Track: Clinical and Executive
    • Presentations: 1
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      EP04.04 - Improving Surveillance of Communicable Disease in Canada (ID 295)

      Beverly Knight, Canada Health Infoway; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: The capture and management of unsolicited Lab Test Results is needed to manage Public Health Surveillance of Communicable Diseases. Automated exchange between labs and public health agencies is not yet in place in all jurisdictions. This session will demonstrate how Public health resources led by Infoway have developed the data needed to automate management of communicable diseases.

      Methodology/Approach: Identify a jurisdiction who would lead the work Establish an open, group based community platform available for clinicians, ehealth representatives, vendors, developers, and others interested in working collaboratively. Develop a model to identify the required data elements and drive the values required. Leverage previous work Adapt the approach as knowledge evolves and as resources and participants are available. Publish the content so other jurisdictions could leverage the work.

      Finding/Results: Manitoba agreed to lead the development of 3 data sets based on the previously developed Communicable Disease data set. These data sets were intended to be used by those working in public health information systems to capture required data consistently and correctly to enable the management of communicable disease cases and outbreak management from both a jurisdictional perspective and a national perspective. Interested stakeholders were solicited to participate in the development including Public Health Agency of Canada, IBM, the Canadian National Microbiology Lab, and other jurisdictional lab and public health stakeholders interested in this work. Infoway established a space on InfoCentral for the stakeholders to come together to connect with experts, host meetings, and collaborate in the development of the data sets. The following data sets were developed: Causative/Etiologic agent Disease Presentation Disease Staging

      Conclusion/Implication/Recommendations: During the development of the data sets it was clear that a lack of clinical practice standards made it challenging to agree on the model and the data. Public health is an area where jurisdictions have different regulations making it also challenging for Public Health Agency of Canada and others who need to use the point of care data in communicable disease surveillance do use the data for national surveillance. It was challenging to “harmonize” the data to suit most stakeholder needs. And in the end there was a very valuable outcome agreed to by all who participated. Manitoba recognized and appreciated the other stakeholder input to make the data sets as “future proofed” as possible as Panorama evolves. The data sets are being used regularly to assist surveillance clerks in interpreting complex lab results to consistently and correctly input the data in the Manitoba Panorama system. This has resulted in better management of communicable disease in Manitoba.

      140 Character Summary: This session will provide an approach and lessons learned that public health and other stakeholders can leverage in their ehealth projects.

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    OS17 - Sharing Clinical Information: Successes and Challenges (ID 23)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical
    • Presentations: 1
    • Coordinates: 6/06/2017, 01:00 PM - 02:00 PM, Room 203AB
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      OS17.01 - Solving the Drug Terminology Challenges to Enable e-Prescribing in Canada (ID 338)

      Beverly Knight, Canada Health Infoway; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: This session will describe the current challenges with the lack of a common terminology in Canada to meet the e-prescribing business needs and identify how Infoway and Health Canada have partnered to begin to solve these challenges. Currently all systems do not speak the same language as demonstrated in the diagram below. <img alt="erx.png" annotation="" id="image://43" src="https://cpaper.ctimeetingtech.com/deliver_media_imagick.php?congress=ehealth2017&auth_hash=e190fc98c647450f198e43f9644c333104fd158c&id=43&width=350&height=350&download=0" title="erx.png" />

      Methodology/Approach: In the session I will provide the details of the approach which included: Exploration of options to find a pragmatic solution that would work in Canada within tight timelines. An expert panel was convened to develop editorial guidelines The development and testing of the Non-Proprietary Therapeutic Product Data set (NTP-CA Data set) co-led by Health Canada and Canada Health Infoway The NTP-CA Data set will be “machine generated” then subject to a curation review prior to being published Public comment and review periods to allow broader input and feedback

      Finding/Results: Infoway has initiated a work plan with Health Canada to develop and publish the NTP-CA Data set This will include new codes and descriptions with a mapping to the associated DINs This work is necessary to move forward with safe electronic prescribing and other medication e-services Early findings/results are only available at abstract time however we anticipate completion of the first publication of the NTP-CA Data set by April 2017.

      Conclusion/Implication/Recommendations: While socializing this work we learn that stakeholder interest is very high. This work contributes to the benefits for e-prescribing by: Allowing prescribers to unambiguously identify the drug they wish to prescribe in an e-prescription Making it easier for dispensing systems to provide safe product selection Other benefits include Medication Profile / Medication Reconciliation Hospitals using multiple systems that need to exchange drug information (e.g. supporting Medication Reconciliation modules) Medication Surveillance / Healthcare Analytics

      140 Character Summary: Canadians will finally have easy access to drug terminology that solves their e-prescribing needs and beyond, and all published by one authoritative source.

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    OS18 - Evolving Standards (ID 24)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Not Rated
    • Presentations: 1
    • Coordinates: 6/06/2017, 01:00 PM - 02:00 PM, Room 203CD
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      OS18.04 - Filling the Terminology Expertise Gap in Canada (ID 279)

      Beverly Knight, Canada Health Infoway; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: A business need exists in the Canadian health care sector to address the current gap of trained and experienced human resources in the use of clinical terminologies, including SNOMED CT and LOINC, to support the implementation and maintenance of e-health solutions. CHIMA and assistance from Infoway will identify how this gap will be addressed by a Canadian Terminology Standards Certification process.

      Methodology/Approach: Human resource sector studies, survey data, and a Canadian advisory group were used to confirm the business need. A business case to create the Terminology Standards Certification was developed. A multi-stakeholder committee led by CHIMA and Infoway representatives identified key components required.

      Finding/Results: Human resource sector studies, survey data, and a Canadian advisory group validated that a business need exists in the Canadian health care sector to address the current gap of trained and experienced human resources in the use of clinical terminologies, including SNOMED CT and LOINC, to support the implementation and maintenance of e-health solutions. The use of clinical terminology across the country has been growing as part of the increased investments in health information technologies. In the context of this increased use of e-health solutions using clinical terminology, new and evolving human resource role requirements to support eHealth are emerging. Key stakeholders identified the development of a clinical terminology professional certification in Canada as a priority to help address this resource gap. A business case to create a Terminology Standards Certification was approved by senior representatives from Canada Health Infoway and the CHIMA Board of Directors. Regenstrief Institute and the International Health Terminology Standards Development Organization confirmed support in working towards launching a clinical terminology professional certification in Canada. Support and commitment from the Canadian academic community was also received. A multi-stakeholder committee led by CHIMA and Infoway representatives completed the following work: Development of three (3) Terminology standards (TS) role descriptions (e.g., the development of key TS roles that are required in the current eHealth workplace) Development of a Canadian TS competency framework Creation of learning content items to support curriculum development

      Conclusion/Implication/Recommendations: Stakeholder input to the certification process has not yet been completed. Based on significant international interest, this work has been brought to ISO TC 215 to ultimately make this become an international product. Further input and feedback and a process to keep the material relevant is required and currently underway.

      140 Character Summary: The role descriptions and Canadian competency framework will be introduced and a discussion on the learning content items will take place in this session.

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