Outline:

-> intro and find out what they want to get out of this seminar

• why EMR
• what's available out there
• what about cost
• how to go about getting the right one for my need
• voice dictation vs hand recognition
• what are the College's requirements for electronic record keeping
• paperless vs paper
• connecting to labs or hospitals
• electronic prescribing
• security and confidentiality

-> benefits of EMR in Primary Care (ref Nicola Shaw's book "Computerization and going Paperless in Canadian Primary Care"

Benefits of EMR in Primary Care - work in small groups; show cumulative results online in worksheet 1

• Quality of care benefits
• Cost of care benefits
• Communication benefits
• Analysis benefits
• Others

Choosing a clinical system - key questions:

• establish your requirements and needs
• ask for a demonstration and quotation
• maintenance and support
• know the limitations
• future upgrades and enhancements

Going paperless

• information sources, uses and destinations
• data recording
• data quality
• data reporting
• problems with being paperless

-> choosing a system - including a survey of the current "certified" systems in Ontario (http://www.ontariomdtsp.ca/certifiedProducts.html)

-> a glimpse of the future (ref Canada Health Infoway Blueprint http://knowledge.infoway-inforoute.ca/CHIPortal/EHRSearch/EHRS+Blueprint/)

-> a word about Open Source EMR (well, maybe 10-15 min of it!) and OSCAR intro for those who have never seen it before

-> show a typical day at the paperless office - old record (scanned) vs electronic)

-> Going paperless - emphasis on workflow, storage, security and privacy issues

-> case studies - small group practice, multi-site/oncall, demo of OB, pediatric care, prevention, decision support, chronic disease management

-> Q&A