presented by: dissecting a successful public-private collaboration - moving beyond “the clenched...
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Dissecting a successful Dissecting a successful public-private collaborationpublic-private collaboration
- - moving beyond “the clenched fistmoving beyond “the clenched fist”
May, 2003
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AgendaAgenda
setting the scene public/private collaboration – a case
study lessons learned
“You cannot shake hands with a clenched fist”- Indira Gandhi
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Setting the scene – the Alberta Setting the scene – the Alberta environmentenvironment
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Significant developments on the Significant developments on the provincial health IM/IT sceneprovincial health IM/IT scene
report of the Premier’s Advisory Council on Health (Mazankowski Report) key recommendations re: IT
invest in technology and establish an electronic health record develop and implement an EHR for Albertans, starting with an
electronic health card provide long-term provincial funding to support development and
implementation of information technology and information technology systems
set province-wide standards for information technology
EHR strategy and architecture approved January 2003
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Work underwayWork underway
Alberta Wellnet basic infrastructure (gateway, security, etc.) in place EHR “version 1” to be rolled out province-wide by Mar 31/04 (PIN, PPHI, lab
test results reporting) lab results reporting under way
regional health authorities standardization of non-urban RHA systems through common procurement “EHR” initiatives in major regions (intra-regional) physician “connectivity” initiatives underway in selected regions
POSP putting IT infrastructure into physicians’ offices over 1,600 participating physicians (out of estimated population of 5,200)
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Public/private collaboration…Public/private collaboration…a case studya case study
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What did you find to talk about?What did you find to talk about?
POSP updating physician office system
requirements EMR/EHR integration change management diagnostic imaging report standard and on…
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vendor input critical needed an organized and fair way to work
with the vendor community transparency and follow through key
….we put the task of devising a vendor engagement strategy and managing the consultation in the hands of the vendors
Updating the POS requirementsUpdating the POS requirements
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EMR/EHR integrationEMR/EHR integration
tight timelines for EHR roll-out EHR strategy formulated based on “assumed” capacity
of physician office system vendors POSP charged with task of determining “technology
risk” POSP/CHITTA worked together to consult with vendor
community report back to Ministry “cc” to the vendors and ongoing updates
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Change managementChange management
new model for delivery of services to physician offices…POSP as general contractor
services complementary to vendor activities benefits vendors by supporting successful
implementations
communication the biggest hurdle
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Diagnostic imaging report standardDiagnostic imaging report standard
EHR-related project to support electronic storage and transmission of DI text reports in using a standardized report
first task to develop standardized report must be “implementable” in the near term…
without major costs/development time input from RIS and POS vendors critical
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And the conversation continues…And the conversation continues…
VCUR dependencies VCUR conformance testing EMR/EHR integration team
multi-stakeholder project team
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Lessons learned…Lessons learned…
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Strategies that work…Strategies that work…
need consistent collaboration channels don’t allow “go arounds”
real time engagement vs. “consultation” vendors need to be at the table and participate in
the evolving conversation
working together ≠ figuring it out in isolation, then “sharing” with vendors
facilitation required especially at the early stages
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Strategies that work…Strategies that work…
follow-through is critical don’t let stereotypes taint the interaction don’t confuse the way you treat people with the
nature of the business relationship partnership? contractual relationship? consultation?
don’t expect a vendor to act like the owner of the initiative…their primary focus is their own bottom line
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Respect the position grantedRespect the position granted
be realistic in your expectations be organized learn to speak with one voice ensure representatives represent the industry
view, and not their own commercial interests focus on the “big picture”
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Remember…Remember…
the fundamental goal is to raise the bar on the playing field
it will not happen overnight you won’t win each and every battle, nor
should you expect to
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And…And…
this has been done successfully in other industries
given the current focus on eHealth, the timing has never been better for our industry
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Ultimately…Ultimately…
successful public-private collaboration unlocks the power of two complementary partners
partners need to work together to step up to the challenge of deploying a comprehensive country-wide EHR
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Contact information
Mary Gibson, CA
Dave Wattling, CMC, I.S.P.