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ASPIRATION
Delivering/developing digital innovations that improve access to quality care (state of the art EMRs, patient-facing apps, virtual care).
TOOLS & PROCESSES
Get ready/optimize use Province-wide EPIC:
- Coordinated roll out
- Aim to be leaders/super users of EPIC or similar common health record solutions
- End-to-end testing/imaging management
- Patient safety alerts and decision support
- Harness rapid access to data & analytics
- Apply the infrastructure for pragmatic RCTs
Develop a centralized repository of digital solutions and advocate these be patient-centric & decolonized
- Apps for scheduling & appointment
- Patient education
- E-Consultations & Telehealth
Ensure existing and new solutions better meet the needs of our Indigenous populations
METRICS
Digital solutions scorecard (3 questions)
ASPIRATION
Contributing and advocating for solving the current/coming human resource crisis.聽
TOOLS & PROCESSES
Advocacy training workshops for trainees & Faculty
Bolster advocacy to accelerate training of health care professionals & extenders
Physician Extender programs to mitigate effects of crisis on trainees/Faculty
METRICS
# of DOM member led advocacy initiatives aimed at solving the consequences of health human resources crisis
ASPIRATION
Rendering state of the art diagnostics and therapeutics accessible to all Quebecers.
TOOLS & PROCESSES
Annual surveys of physicians to identify "therapeutic & diagnostic" access gaps
- Choose priority gaps
- Identify advocacy champion & support their campaigns
METRICS
# of DOM member led advocacy initiatives per year focused on addressing gaps in access to therapeutics and diagnostics
2024 - Year 1 Report
- JGH Connected Health Record continues to evolve and grow with expected full implementation in the next year
- EPIC expected to come to the MUHC in 2026
- Several digital tools are already in place, with at least 14 submitted tools reported
- Web-based tool for deprescribing PIMs (rheumatology); EMR reporting of ADEs (Vanessa鈥檚 Law); automated stops for SGLTis to prevent euglycemic DKA; alerts for ANA ordering; automated dialysis checklists (and other dialysis EMR initiatives); pleural catheter order sets;
- Virtual care: JGH Hospital at home; TPN hospital at home; de-labelling penicillin allergy in the North;
- Patient facing apps: EczemaQ; MedSafer
- Adams Centre
- Digital Solutions Scorecard survey conducted across three sites to assess current tools and gaps
- Piloting/developing advocacy training workshop
- Increasing number of nurse practitioners
- Advocating at the level of the ministry
- AI scribes being piloted
- JGH Hospital at home program
- MGH Day hospital
- SMH 360 geriatrics program in the ER
- 7 initiatives identified through the survey
- Areas of impact include:
- Reducing euglycemic DKA
- GI and rheum collect PROs
- Multiple medical obstetrics initiatives (including reproductive outcomes for SLE patients)
- Special clinics and/or services: bone health for transplant patients; incremental dialysis; anticoagulation stewardship
- James Bay disaster preparedness for Cree patients (dialysis/forest fires)
- Improving access to outpatient echocardiography
- Personalized care for rheum patients
- Multiple phase 4 comparative effectiveness trials ongoing in infectious diseases
- Over 20 formal initiatives submitted through the survey; estimates suggest closer to 30 ongoing projects
2025
Currently collecting 2025 metrics. More to come.