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Case Study: CANADA EMR System

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Case Study: CANADA EMR System
George Brown College
Course: Health Informatics (T402)
Term: Winter 2014
Professor: Diane Salois-Swallow

CANADA EMR SYSTEM “BRIDGING THE
GAP”

Handed on: February 28 2014
By: Vaibhav Khanna (100925351) drvaibhavkhanna@yahoo.com Any move to introduce technology into health care radically impacts the very nature of that care. If we don 't have better understandings of the richness and complexity in the practical accomplishment of work, then we won 't be able to design effective systems that will fit in with work. Furthermore, we won 't be able to evolve work practices to take advantage of what technology can offer to support that work
-Fitzpatrick, G.
Abstract
It is a well-accepted fact that Canada lags behind in adoption
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Derivatives
Some of the key strategies that helped nations like UK, New Zealand and Denmark to achieve over 95% of EHR adoption are briefly described below:


Financial Aid: Financial aid is one of the key motivations in physicians to adopt EHR. In UK government pays for all or most of physician’s expenses. In 1990, the National Health Service for Scotland introduced financial rewards for doctors who achieved specific NHS health priority targets. In 1993, additional financial incentives were available to physicians who could demonstrate that they were proactively managing specific chronic conditions such as asthma and diabetes. Denmark has the same financial incentives program. To qualify, the physician has to use an information system that passed evaluation by a professional organization, introduce computer-based patient records within two years and provide data for health policy planning.



Early, Unidirectional and well-motivated: All three nations in consideration had an early start regarding use of IT in healthcare with almost no hesitations regarding benefits of EHR, and hence are at a well-established position adoption of EHR
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Top down Perspective:


The utmost priority for government should be creation of a national database which has an open access to all health care workers with enhanced interoperability, exchange of information



Government needs to establish policies that have more financial liberty and more rewarding to the physicians that adopt EMR



Government should be more attentive and analytic to vendors involved in development of EHR



E-visits should be encouraged and reimbursement should be available for E-visits



Trainings and refresher sessions should be conducted for physicians who have adopted EMR



Facilitate timely sharing of clinical information between health care providers in all settings, including community, hospital, long-term care facilities and home care



Vendor that develop clinical software and provide support services have to take in consideration the perspective of meaningful use to physicians and have to really develop software that are helpful. The meaningful would mean that physician could use it in following ways



Exchange of information with other providers or authorities



Sharing information or communicating with patients

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