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Isabel Tsui



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  • OS29 - Realizing the Promise of "Big" Data (ID 34)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical and Executive
    • Presentations: 1
    • Coordinates: 6/07/2017, 10:30 AM - 12:00 PM, Room 203CD
    • OS29.03 - An In-Depth Look at Canada's Ambulatory Care Sector (ID 203)

      Isabel Tsui, CAD, CIHI; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: Health care in Canada is shifting – more care is being provided in ambulatory or outpatient settings in the hospital or community. Most jurisdictions have summary information, but there is a gap in patient-level clinical, operational, quality and utilization data that CIHI is starting to fill. CIHI's low-cost, low-burden ambulatory care data holding provides timely, comparative information for local planning and decision-making and for health system accountability and improvement. Its standardized data bridges information across sectors and the care continuum, providing one more piece to the overall health care picture by capturing clinical and operational patient level information on number of visits, population served and reasons for receiving health services. This presentation will provide information on ambulatory care activity in Canada from a system planning and management perspective based on early findings from pilot projects that are underway and taking advantage of CIHI’s ambulatory care data holding.

      Methodology/Approach: NACRS Clinic Lite, CIHI’s ambulatory care data holding, is currently being piloted in organizations across the country, ranging from outpatient clinics at large hospitals to community-based clinics. Approximately 20 clinics providing services to various patient populations have submitted high volumes of patient visit records to date. CIHI has used this data to provide information back to the data submitters and jurisdictions such as: reasons that patients are seeking treatment in outpatient clinics, type of organizations that are referring patients to outpatient care, and number of clinicians participating in a patient’s episode of care.

      Finding/Results: Findings from the first two projects participating in this new option, rehabilitation clinics and paediatric clinics, will be presented. Information is being provided to address key system planning and management issues, including: what are the sources of referral to outpatient rehab; and how much time is being spent with patients. The current state of technical infrastructure in ambulatory settings and conclusions on how digital solutions can efficiently be put in place to provide benefits will also be presented.

      Conclusion/Implication/Recommendations: In line with the shift in care into the ambulatory care sector and high volumes of activity, advances in technology are making data collection and submission for secondary purposes possible in a streamlined and efficient manner. This provides the healthcare system with insight into a sector that has not historically been mandated to report data, which facilities improved use of resources and better patient care.

      140 Character Summary: High volumes in the ambulatory care sector and advances in technology are making efficient data reporting possible. Findings from CIHI's projects will be shared.

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  • PS03 - Accelerating Information Use and Access (ID 12)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Panel Session
    • Track: Executive
    • Presentations: 1
    • Coordinates: 6/06/2017, 10:30 AM - 12:00 PM, Room 202AB
    • PS03.01 - Modernizing Secondary Use Data Flows in Canada (ID 184)

      Isabel Tsui, CAD, CIHI; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: This panel presentation will provide pan-Canadian, local/healthcare organization and vendor perspectives on reducing data collection burden for secondary use/analytics purposes. Each of the panelists will speak to projects they have undertaken to modernize data supply for secondary purposes and learnings from these. Attendees will learn how investments made in eHealth/digital technology can be leveraged to access near-real-time data for planning and management purposes and the role data standards play in this work

      Methodology/Approach: Health delivery organizations and their funders need timely, quality and affordable data. eHealth systems are integral to patient care and effective planning and health system management, and can hold the key to providing the data our healthcare system needs. CIHI’s 28 pan-Canadian health databases support many health system uses, including policy-making and health system management, and provide highly relevant information and indicators on acute and ambulatory care across Canada. CIHI has a strategy for modernizing and automating the way data flows to it from eHealth systems as a more cost-effective way to meet acute and ambulatory care data requirements and to have better data to support interoperable patient care. CIHI will describe this proactive data strategy and our recommendations on how to realize the potential benefits and minimize risk.

      Finding/Results: CIHI will present with two organizations to provide a pan-Canadian, local (e.g. a hospital) and vendor perspective on how eHealth investments impact health system use and drive long-term benefits such as cost savings, resulting in improved access to data for patient management and planning purposes. Early findings from demonstration projects with these organizations indicate that 30% of effort can be reduced via automation because of a lesser resource draw to enter/code data (over time the proportion automated should increase with corresponding savings). In concrete terms, this translates to an estimated savings of 6.6 minutes per record and a potential savings of $10 million across the country each year, not to mention the substantial value that can be gained with access to more and near real-time data. A success story demonstrating these benefits will be showcased by each panel member.

      Conclusion/Implications/Recommendations: Alternative means of sourcing data for secondary purposes is a strategy that is being examined and implemented by many countries that are reaching an advanced stage of ehealth maturity. As Canada progresses on its own ehealth journey, a number of opportunities are emerging, beyond just clinical use of digitized health data. Specifically, this data is helping to reduce data reporting burden, realize cost savings, and improve access to data that facilitates system planning and management decisions while patients are still being cared for within a hospital rather than after discharge.

      140 Character Summary: A pan-Canadian, hospital and vendor perspective on how eHealth investments can lead to cost savings and improved access to data for secondary purposes.

      Only Active Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login or select "Add to Cart" and proceed to checkout.