2015 SIMS Conference and Innovation Challenge

Conference SponsorsWe would like to thank all our sponsors for their generosity. Through their sponsorship of

the 2015 SIMS Conference and Innovation Challenge, SIMS staff will get the opportunity to learn from their peers, broaden their industry horizons and foster a culture of innovation.

Trophy Sponsor

Gold Sponsors

Prize Sponsor

2015 SIMS Conference ProgramNovember 23, 2015 | 8:15-4:30Chestnut Conference Centre | 89 Chestnut Street, Toronto ON, M5G 1R1

8:15-9:00 AMRegistration & Breakfast9:00-9:15 AMOpening RemarksLydia Lee, SVP & CIO-UHN9:15-9:30 AMIcebreaker9:30-10:15 AMKeynote SpeakersDr. Peter Pisters, President and CEO-UHN and Dr. David Jaffray, EVP

11:50 AM-12:15 PMmyUHN Patient Portal: Tactical Technical and Operational Lessons LearnedSelina Brudnucki and Lembi Bishop

10:40-11:00 AMNetworking Break

10:15-10:40 AMUHN QIP discharge summaryAndre D’Penha, Sarah Chan and Bethany De Jong

1:15-1:40 PMChanging healthcare delivery through user-centered mHealth AppsMelanie Yeung and James Agnew

11:00-11:25 AMRedefining emergency management communication across OntarioMathew Kelsey, Andrew Tin and Lila Young

12:15-1:15 PMLunch

11:25-11:50 AMTransforming leadership: helping our clients help themselvesAhmed Silwadi, Annabelle Sumenap and Matthew Bodkin

1:40-2:40 PMInnovation Challenge Presentations2:40-3:00 PMNetworking Break3:00-3:45 PMIndustry Panel Discussion3:45-4:00 PMInnovation Challenge Awards Ceremony4:00-4:30 PMYear-in-review & closing remarks

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Conference Agenda

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Keynote Address Speakers

President and Chief Executive Officer, UHN

Dr. Peter Pisters

Prior to his role as President and CEO of UHN, Dr. Pisters was a tenured Professor of Surgery at MD Anderson. Dr. Pisters has held a number of clinical, administrative and leadership positions at MD Anderson from 1994 to 2015. His most recent executive responsibilities was the management of 6 MD Anderson centers for care across metropolitan Houston. He was also the Medical Director of the regional cancer centers, Clinical Consultant for the Center for Global Oncology (now known as MD Anderson Cancer Network), Section Chief for Sarcoma Surgery with a specialty focus in the management of sarcoma and gastrointestinal cancer patients. Dr. Pisters was with Memorial Sloan-Kettering Cancer Center from 1992 – 1994, serving as Chief Administrative Fellow in the Department of Surgical Oncology and from 1985 – 1992. He completed his internship and residency at New York University School of Medicine Center – Bellevue Hospital.

Dr. Pisters is a graduate of the University of Western Ontario’s Schulich School of Medicine and Dentistry. He holds an M.Sc. in Health Care Management from Harvard University and is a 2014-2015 Executive Fellow in the Baldrige Performance Excellence Program of the U.S. Department of Commerce National Institute of Standards and Technology agency.

Executive Vice-President of Innovation and Technology, UHN

Dr. David Jaffray

Along with his role as Executive Vice-President of Innovation and Technology of UHN, Dr. Jaffray is the Head of Radiation Physics and a Senior Scientist in the Ontario Cancer Institute. He also holds the Fidani Chair in Radiation Physics and is a principal in the STTARR Innovation Centre and Guided Therapeutics (GTx) Group of the University Health Network. He is also the Director of the recently established Institute of Health Technology Development (TECHNA).

His primary area of research, over the past 10 years, has been in the development and application of image-guided radiation therapy. Dr. Jaffray has over 200 peer-reviewed publications in the field, has given over 300 invited lectures, and holds numerous industry sponsored research grants.

Dr. Jaffray has won each of the major prizes in the field of the medical physics, including, the Sylvia Sorkin-Greenfield Award, The Farrington Daniels Award, and the Sylvia Fedoruk Award. In 2004, Dr. Jaffray was identified as one of Canada’s Top 40 Under 40 and was recognized by The University of Western Ontario with their Young Alumni Award in 2004.

Invited Speaker Series

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UHN QIP Discharge Summary How innovative quality improvements and collaborative work effort is driving focused organizational changeAndre D’Penha, Sarah Chan and Bethany de JongTimely completion of a Discharge Summary (DS) has always been important at UHN. Recently, partnerships with primary care have highlighted room to improve the quality and delivery of the DS. The main project objectives are therefore to improve the timeliness of completion, quality of content documented, and delivery time. But with 35,000 discharges and over 46,000 reports to be sent out each year, how does one even begin to tackle this?

To drive change with something as fundamental as the DS, the project brought clinical leadership together, created awareness of the importance of the DS and introduced additional performance indicators. With data functioning as the backbone to drive decisions and inform overall learning, the project applies a Plan – Do – Study - Act approach. Policy analysis, walkthroughs, process mapping, external scans, and innovative communication/training approaches continue to challenge the status quo and establish new ways to change behaviour and achieve targets.

Redefining Emergency Management Communications Across OntarioMathew Kelsey, Andrew Tin and Lila YoungIn the world of emergency management, coordination and communication are key pillars to fabricating an emergency operations command centre in the event of crisis. In partnership with the TC LHIN and MOHLTC, the implementation of the Emergency Management Communication Tool (EMCT) is the first system in Ontario that unites hospitals, public health units, first responders, and other health service providers by establishing a central hub for information sharing and situational awareness.

Designed on a cloud-based platform, our solution features robust task management, mass notification tools, and integrates real-time data from provincial systems such as syndromic surveillance, hospital bed availability, and environmental monitoring used for the synchronization of emergency management response plans within the healthcare system. This presentation will focus on how EMCT is transforming emergency management practices in time for the 2015 Pan Am Games and establishing a sustainable solution for the province of Ontario.

Transforming Leadership: Helping our Clients Help ThemselvesMatthew Bodkin, Ahmed Silwadi and Annabelle SumenapIn 2015, the ConnectingGTA Program Team faced an immense challenge to expand roll out to over 70 external sites across more sectors, with the same team complement that previously supported 20 early-adopter sites. Teams across SIMS face similar challenges in large and small multi-site integration projects, a trend that is increasing across the healthcare sector.

This presentation offers a candid look into these challenges and internal transformations to address them. How could the ConnectingGTA site support model be standardized and scaled to allow a team to manage more than three-fold its capacity? What changes were needed for the internal teams to sustain the increased breadth of customers and stakeholders? From applying the Situational Leadership II model to aligning team activities program-wide, learn what can be adopted by your team to transform your next healthcare delivery project.

myUHN Patient Portal: Tactical, Technical, and Operational Lessons LearnedSelina Brudnicki and Lembi BishopAt SIMS, one of our main goals is to lead innovation and technology to advance healthcare delivery. The myUHN Patient Portal will push existing project, technical, and clinical boundaries; and facilitate cultural change for clinicians, patients, and the healthcare system.

myUHN is a new web-based solution that allows UHN patients to access their personal health information. However, there is a larger roadmap to come that involves not only technical innovation and advancement, but large-scale organizational and cultural change. Key insights and conclusions surrounding tactical, technical, and operational lessons learned, including main successes and challenges will also be presented.

Changing Healthcare Delivery through User-centered mHealth appsJames Agnew and Melanie YeungThe team at the Centre for Global eHealth Innovation has been working on mobile health apps for patient self-management and remote patient monitoring for over a decade. Our focus is on the design and development of healthcare solutions for chronic diseases including diabetes, asthma, chronic heart failure, chronic obstructive pulmonary disease, chronic kidney disease and, most recently, chronic pain and arthritis. We iteratively design and test,with end users, using human factors and user-centered design methods. Semi-structured interviews and requirements gathering are formulated into user stories and design features to inform an Agile development process. Usability testing further validates and strengthens the design, ensuring a usable and engaging application. We are using cutting edge technology including the latest iOS, Android, and Web platforms to provide patients, their caregivers, and clinicians an engaging experience while managing, monitoring, and maintaining their health and quality of life.

Invited Speaker Series Abstracts

Innovation Challenge

Team 1: PhotoID EPRLoraine Adal, Paul Arnold, Richard Greenwood, Anthony Salmon, Aimee Arena-Hernandez, Andrew GissingAt UHN, we deliver exemplary patient care through exceptional medical treatment and leading edge medical devices.   But, what if we delivered the right treatment to the wrong patient? Patient misidentification may lead to inefficient patient management, avoidable patient harm, and poor patient experience. UHN Incident Management estimates there have been 530 preventable incidents from 2013-2015 caused by patient misidentification.

We are proposing to add a photo ID to the patient’s Electronic Medical Record (EPR) as the first visual and non-intrusive patient identifier, to further prevent and reduce patient misidentification. A patient photo identifier is universal, allowing the care worker to identify a patient beyond a patients language barrier or cognitive capacity,  or work fatigue and can be used broadly during a Code Yellow (Missing patient) or Code Green (Evacuation) and a Code Orange (Mass Casualty Incident).

Innovation Challenge Abstracts

Team 2: No-Show No MoreDanyal Montazeralghaem, Jennifer Hope, Viorika Deretey, Anupa PereraIn the past year, there were ~50,000 no-show appointments across all of UHN.  Not only was patient safety reduced as a result, but it cost the organization approximately $7.5 million. Although no formal studies have been conducted at UHN, preliminary discussions indicate that patients find it difficult to reschedule their appointments.  A proposed solution is to provide patients with easy access to reschedule their appointments directly on the myUHN patient portal, or with additional support from a dedicated phone line. 

This phone line will be run by a 24/7 attendant solely responsible for coordinating these patient rescheduling requests. Not only will this solution reduce the number of missed appointments, but it will also leverage existing technology at UHN. Once implemented, it is predicted that no-show appointments will reduce by 75%, leading to increased patient safety and satisfaction, as well as a cost reduction of $5 million for UHN.

Team 3: Innovate for ChangeAhmed Nasir, Ardian Shtylla, Emily Yuen, Katie Fong, Sowmya Ravi KumarOne of the biggest problems with the healthcare system in Canada is the inability to absorb new ehealth innovations developed by entrepreneurs.  This limits our healthcare system from providing the best care possible to our patients.  Many entrepreneurs hoping to break into the healthcare industry have difficulty navigating the many layers that exist in Canadian healthcare system, including accessing patients, clinicians and admin staff to prove or validate the impact of their innovation.

Our solution is to build a multi-disciplinary team composed of various UHN personnel from the PMO, clinical subject matter experts and technical SMEs.  The purpose of this team will be to help innovators wade through the various layers that exist within UHN to connect them with the necessary clinical contacts and the UHN IT infrastructure to facilitate the creation, development and validation of more robust digital solutions. UHN benefits by gaining early access to game-changing technologies that will assist in providing a higher level of care for patients.

Team 4: CTRL + FMarianne D’souza, Nahid Lalji, Arlene Oetomo, Jonell Agyei-SakyiHospital readmissions are a significant problem in our healthcare system that result in tied up resources, additional costs and clogged emergency rooms. This leads to poor patient experience and customer service. Long Term Care Homes and Hospitals are at capacity, and elderly patients who transition into non-supportive environments while waiting for LTC homes, suffer the same problems repeatedly. This brings them back to the emergency room.The Resource Matching & Referral process (RM&R), matches patient needs to the right level of care by identifying health supporting organizations with bed availabilities. Our solution builds on the RM&R work already completed by SIMS, by including private retirement homes in the referral process within the system. By creating relationships & partnerships that enable system integration, we will ultimately help transition elderly patients to the right environment as soon as possible.

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Innovation Challenge

Innovation Challenge RubricCategory Criteria

Impact• Importance of problem from patient, provider, and system perspectives• Solution addresses an unmet need• Anticipated benefits for target group (short and long term)• Potential reach of solution (patient population, clinical groups)

Solution• Design (functionality, features, architecture, complexity)• Application (how it will be used at UHN and beyond)• Innovation/Creativity/Originality (novel idea vs. new approach to old problem

vs. better way to do something)

Implementation• Solution feasibility (potential barriers, cost, adoption, risks)• Solution sustainability (operational considerations, complements existing UHN

assets)

Presentation • Creativity, quality, and delivery of presentation• Team’s ability to answer questions

Innovation Challenge Judges

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Senior Program Manager, CompuCom

Greg Patchell

Over his 43 years as a Sr. IT Service Executive, Greg has a proven track record for delivering customer service excellence. Prior to being assigned to UHN, Greg was responsible for Network Services at both Hamilton Health Sciences and St. Joseph’s Health Centre for 5 year. As the Senior Program Manager at University Healthcare Network, Greg is responsible for managing the team dedicated to servicing UHN, ensuring all provided managed services towers consistently exceed the highest level of customer satisfaction.

Greg holds a degree from York University, attended annual IBM Management courses, is ITIL V3 Foundations Certification as well as CompTIA Project Management.

What is the SIMS Innovation Challenge?

The SIMS Innovation Challenge is designed to encourage staff to go beyond their everyday work routine and develop healthcare IM/IT solutions to improve the patient, clinical or health-system experience. Up to six multi-disciplinary teams will present their proposed solutions at the 2015 SIMS Conference. Using a set of evaluation criteria, the judging panel will select one team to win the ‘CompuCom Innovation Challenge Trophy’.

Moderated by Jim Forbes, Sr. Director and CTO, and joined by other judges, CompuCom’s representative will rate each Innovation Challenge team on the following categories: Impact (identified unmet need, anticipated benefits), Solution (design, application, originality), Implementation (feasibility, sustainability), and Presentation (quality).

Innovation Challenge

Director of Sales, Microsoft Canada

Graham Watt

Graham Watt is the Director of Sales for Ontario’s Health Care Market for Microsoft Canada. He is responsible for working closely with Health Care clients to understand their goals and objectives and deliver solutions that provide Health Care organizations with the tools they need to deliver world-class services to patients.

Graham has a track record of taking on big challenges, dealing with complexity and ambiguity, leading change and delivering results in many diverse businesses. A skilled communicator and facilitator, Graham has had success brokering agreements and driving execution around shared vision of success across organizational lines, with partners, in the field and with headquarters organizations. Before joining Microsoft, Graham held leadership positions in sales and marketing at a number of firms including Ernst & Yonge, Amdocs, and Digital Equipment. He holds degrees in Political Science, Business and has attended Executive leadership sessions at Queens University.

Innovation Challenge Judges

Chief Medical Information Officer and Gastroenterologist, UHN

Dr. Peter Rossos

As a CMIO and staff gastroenterologist, Dr. Rossos’ priorities include alignment of clinical systems with clinicians’ workflow and productivity, as well as the impact of systems on patient safety, quality improvement, education, and clinical research.

Peter received his M.D. from the University of Toronto in 1986, where he subsequently completed his Internal Medicine, Gastroenterology training, and therapeutic endoscopy fellowship. He studied Leadership Development for Physicians in Academic Health Centers at the Harvard School of Public Health in 2004, and graduated from the Executive MBA Program at the Joseph L. Rotman School of Management as a Bregman Scholar in June, 2008. His educational contributions have been formally recognized with the W.H. Anderson Teaching Award from The Toronto Hospital in 1995-6, the University of Toronto Louis J. Cole Faculty Teaching Award for excellence in the field of gastroenterology in June, 2007, and the University Health Network/Mount Sinai Teacher of the Year Award for 2007-2008.

Team awards include the Cancer Quality Council of Ontario Annual Quality and Innovation Award for “Quality Initiatives Enabled by Whole-Slide Imaging Telepathology”, and the Canadian Society for Telehealth Technology Innovation Award for “Achieving Sustainable Growth by Combining Smartphone and Web Technologies” in 2009, and the Ontario Hospital Association, Best of International Best Practices Award for “Creating High Quality Discharge Summaries That are Integrated with the Electronic Patient Record” in 2006.

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Partner, Borden Ladner Gervais LLPJeffrey Graham is one of Canada’s leading biotech and pharmaceutical regulatory counsel. He is a partner in the Toronto office of Borden Ladner Gervais LLP and the leader of the firm’s national biotech and pharmaceutical group. He was also the Chair and President of Bioscience Education Canada and a director of BioFinance Canada. He has been recognized in the Canadian Legal Lexpert Directory (Biotechnology) and by LMG Life Sciences as a leader in life sciences law.

Mr. Graham received B.Comm. and B.L.C./L.L.B. degrees from McGill University and graduate degrees in international law from Cambridge University and Columbia University. He is a member of the Bars of the District of Columbia and Ontario.

Jeffrey Graham

Senior Manager IoT, Rogers Communications

Ignacio Paz

Industry Panel DiscussionHow do you foresee the healthcare IM/IT industry changing in the next decade?

Industry Panellists

Partner, Borden Ladner Gervais LLP

Mark Fecenko

Mark Fecenko is National Director of our IT Industry Focus Group and a corporate commercial lawyer with a comprehensive technology law practice encompassing the breadth of corporate commercial matters. He has extensive experience in providing pragmatic counsel on competitive procurement, outsourcing and technology matters, including in the information technology, biotechnology and life sciences practice sectors. He also has extensive experience acting for clients in the broader public sector, including in the healthcare and electrical utility sectors.

Mark is rated by Canada’s Best Lawyers, Lexpert, Canada Law Day, Mondaq and others for his expertise in these areas. Mark was the only lawyer in Canada ranked in the information technology area by the global ratings service, Lexology for its prestigious Client Choice Award in 2013 for his superlative client service. Mark has completed his Black Belt designation in Lean Six Sigma.

Canadian Account Executive, QuadraMed

Gillian Price

As an accomplished leader in the Health Care field, Ms Price brings over 30 years of extensive leadership experience, core competencies and transferable skill sets, to the Information Management / Information Technology industry. She has implementation the operation of systems applications including the development of an integrated information management model, framework including the implementation of information system core elements. She has conducted 27 operational healthcare organizational reviews across Canada on behalf of healthcare organizations and establishments including the Ministry of Health and Long Term Care.

Gillian’s past roles include Chief Information Officer at a community based teaching hospital, Lead Planner for the Eastern Ontario Regional Cancer Program –the Champlain LHIN. She was also the CEO / President of Stratus Healthcare Consulting Group.

Health Industry Lead, Microsoft Canada

Peter Jones

Peter Jones is the Healthcare Industry Lead for Microsoft Canada. Microsoft is a technology leader focused on business and productivity software tools. Microsoft recently announced a Canadian Data Centre that will bring cloud based offerings to the Canadian market and help address the data sovereignty challenges facing healthcare organizations today.

Peter leads the healthcare business in Canada with a focus on developing the strategy and vision for the Canadian marketplace. Peter joined Microsoft Canada in October 1999. He brings 25+ years’ experience in the information technology industry with the last 8+ years focused on helping modernize the Canadian healthcare system through better Digital health. He has a proven track record in sales, strategic planning and business management. He is actively involved in a number Health Informatics groups like COACH, CHIEF, and is an active ITAC Health board member.

Senior Program Manager, CompuCom

Greg Patchell

Over his 43 years as a Sr. IT Service Executive, Greg has a proven track record for delivering customer service excellence. Prior to being assigned to UHN, Greg was responsible for Network Services at both Hamilton Health Sciences and St. Joseph’s Health Centre for 5 year. As the Senior Program Manager at University Healthcare Network, Greg is responsible for managing the team dedicated to servicing UHN, ensuring all provided managed services towers consistently exceed the highest level of customer satisfaction.

Greg holds a degree from York University, attended annual IBM Management courses, is ITIL V3 Foundations Certification as well as CompTIA Project Management. 8

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