Will Chronic Diseases Overwhelm my Medical Practice?
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1 Will Chronic Diseases Overwhelm my Medical Practice? Symposium on Medical Organization and Computing Solutions Friday January 21, 2011 LOEWS HOtel Vogue Montréal S INSCRIRE TO REGISTER Tél. Tel.: : ou or Courriel amq21janvier@amq.ca : Facebook : :
2 Information and Communications Technologies Computerizing a dysfunctional process will not make it functional Many physicians would like to be able to access information through a computerized system. What are the needs they want to respond to? And in what kind of clinical environment do they want to work? Computing solution suppliers in the information and communications technology (ICT) sector (EMR, EHR, PHR, telehealth, CPOE, Decision Support, etc.) all have proposals involving their own products. But are they simply computerized versions of an already existing process for example, the digitization of paper files or can they make it possible to do things in a new way, such as by offering groups of patients community-based interdisciplinary and individualized intervention plans? Both possibilities are available on the market. The Two Solitudes Are suppliers aware of the clinical processes to be digitized and do they understand how the health network operates now and how it will in the future? No doubt, but they could be more attuned to physicians needs. Do physicians have an overview of the optimal operation of the health network over the next ten years and an idea of the kind of information environment that should be set up in consequence? Some may, but they are probably the minority in Québec. The Québec Medical Association suggests bringing these two solitudes closer together. 2
3 Thinking Things Through The Québec Medical Association wishes to initiate a process of reflection aimed at: validating its view of the health needs that must be met over the next ten years; proposing an optimal organizational approach for medical practice in medical institutions or clinics; encouraging approaches to health care and services with maximal added value for patients and their loved ones; enabling patients and their loved ones to take charge of their own care; adapting and sharing information about the most appropriate ICTs to help reach these objectives. Objectives The January 21, 2011 symposium will be the first in a series of activities geared toward achieving the objectives. We hope to reach the following results by the end of the day: Emergence of a common view of the prevailing situation in the health system and how it will change over the next ten years; Identification of the information and communication needs of physicians, other health professionals, patients and their loved ones, to be shared with TIC business representatives. Who Should Attend? Medical leaders involved in establishing optimal approaches in their practice environment; Medical leaders involved in the computerization of their organization; Physicians who are thinking about or at the point of making decisions about computerizing their organization; Clinical leaders other than physicians involved in the same areas; Decision-makers from the MSSS, health agencies and the CSSS; Leaders in the information and communications technologies industry. 3
4 rogram 7:30 a.m. Reception and registration 8:30 a.m. Welcoming address Dr. Jean-François Lajoie QMA President 8:40 a.m. The Canadian Medical Association s Health Information Technology (HIT) Strategy William Pascal Chief Technology Officer 8:50 a.m. Three consecutive keynote speeches 1 The Health and Welfare Commissioner s Report: Behind the Scenes Robert Salois Health and Welfare Commissioner The Health and Welfare Commissioner provides an overview of the performance of the health and social services system, in particular that of health care and services related to chronic disease. The Commissioner based his conclusions on an imposing body of information gleaned from monitoring activities, investigations, recent scientific research findings and diverse viewpoints, not all of which made it into the report. The Commissioner will provide us with a behind-the-scenes look at some fascinating and previously unpublished data on medical activity in Québec that points to the need for profound changes in our way of doing things. 9:25 a.m. 2 Cleveland Clinic Health Systems Dr. Rami Boutros Director of Clinical Systems The Cleveland Clinic is a 1200-bed university hospital rated as one of the top ten hospitals in the world. One of the factors of excellence that makes the Cleveland Clinic stand out is the integration of information technologies into all clinical tasks and programs. Rami Boutros, MD, MBA, is Cleveland Clinic s Director of Clinical Systems, MyChart Medical Director and Interim Managing Director of ecleveland Clinic. As Director of Clinical Systems, he is responsible for optimizing systems, including EPIC (Cleveland Clinic s electronic medical record system), to achieve the highest standards of safety, quality, experience and efficiency. He works closely with the medical staff, nursing and information technology to align clinical systems priorities with the strategic goals of Cleveland Clinic. 4
5 rogram 10:30 a.m. Break 10:50 a.m. 3 The British Columbia Experience Dr Garey Mazowita Member, Providence Health Care Executive Committee Clinical Professor, University of British Columbia Faculty of Medicine In British Columbia, chronic disease management involves many health professionals and administrators from every sector of the health system, who share a common vision and work closely together on a number of initiatives. They support health service delivery to people living with chronic diseases and assist them in developing self-management and monitoring strategies. In a 2001 survey, B.C. physicians identified the following diseases as priorities for chronic disease management development: Diabetes Hypertension Congestive heart failure Asthma Chronic lung disease Depression Renal failure Liver disease Rheumatoid and osteoarthritis Dementia Our speaker will tell us how the medical community in B.C. has risen to the challenge of managing chronic disease and the crucial role played by information technologies. 12:00 p.m. Lunch 1:30 p.m. Will Chronic Diseases Overwhelm My Practice? Three conditions that will enable me to continue practicing cuttingedge medicine Facilitator: Dr. Jean-Frédéric Lévesque Given the changing face of medical practice, physicians must be innovative and creative to deal with the new challenges on the horizon. We have identified three winning conditions. Each will be briefly presented. Afterward, participants will be asked to split up into workshops to identify two or three courses of action that will fulfill each of these conditions. 5
6 rogramme 13:45 p.m. Workshops Condition 1 : Establish a new model of medical practice adapted to the public s needs Facilitator: Dr. Gerry Bédard GMF Lavaltrie-Lanoraie Condition 2 : Learn to manage change Facilitator: Louise Beaudoin Organizational psychologist, partner Société Pierre-Boucher Condition 3 : Earn the trust of the 21 st century patient: understand their needs and expectations and make them partners Facilitator: François Décarie CEO Substance Recherche 2:45 p.m. Break 3:15 p.m. Plenary session Facilitator: Dr. Jean-Frédéric Lévesque One by one, each of the workshop facilitators will present the courses of action identified. Afterward, participants will have time to exchange ideas about synchronizing the needs and objectives of the medical community with the solutions proposed by leaders in the information and communications technologies industry. 4:15 p.m. Launch of the call for candidates for the fact-finding and observation mission to Cleveland and Vancouver. All the details will be available at the Symposium. 4:30 p.m. Closing address Claudette Duclos QMA Executive Director 4:45 p.m. Networking reception 6
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