Welcome, Introductions & Agenda Overview
0900 - 0910

Dr. Peter Rossos, Chief Medical Informatics Officer, University Health Network and Chair, COACH CCF &
Ms. Eithne Reichert, President, RWI Informatics Inc., and Vice-Chair, COACH CCF

CCF Keynote Presentation: "IBM Watson, Analytics and the Digital Future"
Paul Sulkers, Ontario Industry Executive - IBM Canada Health Industry
0910 - 1000

Moderator: Ms. Eithne Reichert, Vice-Chair, CCF Advisory Committee

Advanced analytics and mobile technologies are re-shaping our ability to derive new insights and shift from retrospective to predictive analytics. In parallel, we have harnessed the ability to understand natural language via IBM Watson. IBM has made significant inroads with Watson to rapidly assess thousands of clinical articles, summarize a patient's clinical record - both structured and non-structured clinical notes - with a goal to support treatment options, diagnostic decisions and research. Paul's presentation will review progress to date and the path forward.

Networking Break
1000 - 1020

Morning Plenary: "Clinical Decision Support (CDS) - Views from Abroad & Here in Canada"
1020 - 1200

This session will feature presentations from leading clinicians in the public and private sector, focusing on the place and progress of clinical decision support in contemporary health information systems, and also providing an outlook on how CDS systems are likely to evolve in the future.

Moderator: Dr. Peter Rossos, Chair, CCF Advisory Committee

Ontario Medical Association's Insights4Care Program
Dr. Darren Larsen, Chief Medical Information Officer, Ontario Medical Association and OntarioMD

Electronic Medical Records in the community physician’s office are estimated to hold over 80% of all the healthcare information known on any individual patient. As these records mature, the data within them is a massive untapped resource which, with the appropriate analytical tools, can be tapped and used to vastly improve patient care at the bedside, provide insight into their health at a population level, and can then be aggregated for secondary use in effective health system planning. The Ontario Medical Association is taking a leadership role in advancing a suite of technology and change management services called Insights4Care which will allow providers to effectively participate in new system level priorities, quality improvement/accountability initiatives and the care of high priority patients. I4C is being built by physicians for physicians. The program is poised to raise the bar in the meaningful use of EMR data, ultimately resulting in a healthier patient population and a more sustainable health care system for all Ontarians.

Towards Probabilistic Decision Support in Clinical Practice
Dr. David Buckeridge, Associate Professor, McGill University

Drug prescribing alerts traditionally identify potential interactions (e.g., drug-drug, drug-age, drug-disease) and the alerts are implemented as rules that fire when potential interactions are detected. In clinical practice, however, many of these alerts lack clear relevance and clinicians frequently override the alerts. An alternative approach to decision support is to use the large amount of time-varying data available in the EMR to build probabilistic decision support models that link prescribing and other factors directly to outcomes of clinical relevance. In this presentation, I will describe work to develop, implement, and evaluate an approach to probabilistic decision support for preventing fall-related injuries in older adults.

Algorithmic Mapping of Clinical Pathways – Does It Work and How Will It Develop in the Future?
Dr. Charles Young, Chief Medical Officer, Capita Healthcare Decisions

Clinical decision support systems vary significantly in their approach to facilitating clinical decision making. The spectrum of approaches range in complexity from systems which are in effect online text books, to much more complex artificial intelligence based solutions. In this context, the mapping of clinical pathways is an area of particular importance – one that can directly affect clinical outcomes and the quality user experience. Dr. Young will explore some of the key distinctions between the various approaches to facilitating clinical decision making, and focus on taking an algorithmic approach to clinical pathway mapping.

Networking Luncheon
1200 - 1300

Afternoon Plenary: "Perspectives on Contemporary mHealth in Canada"
1300 - 1420

Across Canada, mobile Health ("mHealth") is accelerating both in terms of the numbers of apps and solutions available, as well as in the approaches to entrepreneurship and innovation. mHealth is make real impacts in personal health as well as mainstream care delivery. Hear leading perspectives on current and emerging trends from UHN, Telus and Mohawk on what mHealth in Canada looks like today!

Moderator: Ian Hodder, Manager, Provincial eHealth Clinician Adoption, Newfoundland & Labrador Centre for Health Information

UHN Mobilty Pilot Dr. Peter Rossos, Mr. Jim Forbes, CTO, University Health Network & Mr. Geoff Hallford, Pilot Project Director, University Health Network

Some see Mobile Device Management as the solution but at UHN we realized that it is only part of the solution to a much bigger problem…Information is mobile and how do we prepare to deal with the mobility of information? Can we provide clinicians and staff with a toolset that not only meets IT requirements for security but also provides them with a set of tools (i.e., applications) that simplify their need to access information while improving overall security?

Focus reset: Adopting a "first mile" mindset to empowering healthcare consumers"
David Thomas, Vice-President, Telus Health

Over the past twenty-five years, Canada’s healthcare players have all invested in important efforts to improve the efficiency of our health system. Quality initiatives, downsizing, and cost cutting, as well as improvements to provider productivity and technology solutions that enable information sharing across the care continuum have made a mark in the delivery of healthcare. But it’s not enough. Timely access to affordable healthcare continues to plague the nation. It’s time to change the channel and look at the problem with a disruptive view. Up until now, the focus has been on equipping healthcare providers. What about patients, the healthcare consumer? While the healthcare consumer is often thought of as the “last mile” for health system connectivity, today’s brave new mobile, cloud-fuelled and social digital landscape suggests that we are really at the very beginning of true healthcare transformation. Adopting a “first mile” consumer orientation puts a priority on extending quality healthcare beyond hospital walls and into the community. Ian will explore the coalescing disruptive technologies, and the social forces, that both enable and hinder a consumer first-mile approach to delivering health care in a less costly, and more convenient location – the patient’s home.

mHealth: The Promise and the Progress
Dr. Duane Bender, Applied Research Program, Mohawk College

mHealth solutions today and soon to come are the focus of applied research and academic study when it comes to informing perspectives on the possibilities, realities as well as challenges and opportunities that are either now being experienced or are anticipated for mHealth’s greater acceptance. Dr. Bender's presentation will examine these studies with a special focus on wrt clinical professional practice in the mid-to-long term.

Networking Break
1420 - 1440

Closing Town Hall: "Do Digital Health Solutions Facilitate or Hinder Clinicians' Professional Practice?"
1440 - 1600

Do digital health solutions facilitate or hinder clinicians' professional practice? What works and what doesn't? Hear the views of a select panel of eminent clinicians and leaders in health informatics and then take part to share your own experiences, voice your opinions and present your ideas, as the CCF focuses on how eHealth solutions challenge and/or benefit the practice of clinicians when it comes to chart review, continuing education, ongoing licensure and other important aspects of clinical practice.

Moderator: Dr. Pat Ceresia, Chief Privacy Officer & Managing Director eHealth, Canadian Medical Protective Association

Panelists:

• Dr. Charles Young, Chief Medical Officer, Capita Healthcare Decisions
• Dr. Louise Schaper, CEO, Health Informatics Society of Australia
• Ms. Marie Rocchi, Pharmacist, University of Toronto and Resource Lead at Association of Faculties of Pharmacy of Canada
• Dr. Allen Ausford, Family Physician, Meadowlark Health Centre

Thank You & Closing Remarks | Dr. Peter Rossos & Ms. Eithne Reichert
1600