1. PRESENTED BY: Dissecting a successful public-private collaboration - moving beyond “the clenched fist Dissecting a successful public-private collaboration - moving beyond “the clenched fist” May, 2003

2. PRESENTED BY: Agenda  setting the scene  public/private collaboration – a case study  lessons learned “You cannot shake hands with a clenched fist” - Indira Gandhi

3. PRESENTED BY: Setting the scene – the Alberta environment

4. PRESENTED BY: Significant developments on the provincial 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

5. PRESENTED BY: Work 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)

6. PRESENTED BY: Public/private collaboration… a case study

7. PRESENTED BY: What did you find to talk about?  POSP  updating physician office system requirements  EMR/EHR integration  change management  diagnostic imaging report standard  and on…

8. PRESENTED BY:  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 requirements

9. PRESENTED BY: EMR/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

10. PRESENTED BY: Change 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

11. PRESENTED BY: Diagnostic 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

12. PRESENTED BY: And the conversation continues…  VCUR dependencies  VCUR conformance testing  EMR/EHR integration team  multi-stakeholder project team

13. PRESENTED BY: Lessons learned…

14. PRESENTED BY: 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

15. PRESENTED BY: 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

16. PRESENTED BY: Respect 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”

17. PRESENTED BY: 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

18. PRESENTED BY: And…  this has been done successfully in other industries  given the current focus on eHealth, the timing has never been better for our industry

19. PRESENTED BY: 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

20. PRESENTED BY: Contact information Mary Gibson, CA marygibson@shaw.ca Dave Wattling, CMC, I.S.P. dave.wattling@courtyard-group.com