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EMISSupporting Information-based Decision-making in Montréal’s Healthcare System
Community Data Canada Roundtable March 9, 2011, Toronto
Carl DrouinDirection de santé publiqueAgence de la santé et des services sociaux de Montréal
Direction de santé publique
Presentation outline
Context in which EMIS was created Key principles guiding our strategy in
public health data dissemination Demo of EMIS Website
Content and structureTools
Concluding remarks
Organizational context of EMIS
Ministry of health and social services
18 regional ‘’agencies’’
Public health division
12 local Health and Social Services Centres (CSSS) in Montreal
Plan and provide services according to population health needs
Data-related responsibilities
Medical service providers Municipalities and boroughs Community organizations Schools and school boards Etc.
Local networks
Track the health status of Montrealers (surveillance)
Inform the population and decision makers about health and its determinants
Manage and provide information on the health care system (services delivered, resources, performance, etc.)
INFO ON THE HEALTH SYSTEM
+
INFO ON PEOPLE’S HEALTH
=
SUPPORT PLANNING IN HEALTH
Advantages of EMIS Organizational perspective
A single platform using same tools and technologies More integration in data collection Uniformity in data treatment Less duplication in production and dissemination processes Development and maintenance supported by a larger group with
complementary skills (IT, GIS, analytical expertise related to Service programs and PH data)
User’s perspective A single reference on health data in Montreal (with same structure,
interactive Web-based tools and analytical publications) Same data can be used for different purposes Participate in Website development and validation of further
improvements
Provide settings to enhance data-driven decision-making
Key principles
Go local when possible Diversify products Standardize analytical products and tools Develop products and Website with
partners and data users Integrate within a larger Web strategy
(design, technology)
Provide local data Census geography (CTs and DAs) Health administrative units
CSSS, CLSS, voisinages By health institutions (e.g. hospitals) Sometimes adapted to other geographies
(school boards) More and more of our PH publications are
done in series of 12 (CSSS) Working on a local survey program
Different products for diversified users
More meaningful information
• = more efforts• = more users?• = used for
• decision- making?
Partnerships
Partners Roles
Local health centres(through Data Users’ Committee and working groups)
Express needs, validate proposals; test applications; promote use of data
Information providers within the organization(mainly PH subdivisions)
Provide surveillance data within their field of expertise; use available technologies and products
Communications department Web strategy; support information process; advise on best practices
Computer department Advise on technological orientations; support development
Agency’s corporate Website
EMIS
Public health director’s Website
Regional portal
Zone forprofessionals
Zone forphysicians
Agency’s Website redevelopment
Other health data
Websites
Local Websites
Concluding remarksChallenges to be met
Allow the time required to increase the value of the data Keep a large amount of data and information up-to-date
Continuous feeding of those involved in surveillance Support data utilization among local and community
partners Work on structural (e.g. menus) and technological (e.g.
indicators module instead of Excel and PDF files) improvements
Key message Such type of Website requires to be part of a larger
information system (i.e. data – qualified HR – tools – standardized processes)