Guest Post: Glenn Lanteigne, candidate for COACH Board of Directors

Glenn Lanteigne, CIO for the SouthWest LHIN in Ontario, offers the following commentary on why he believes is qualified to serve as a COACH board member:

 

Why do you want to join the COACH Board of Directors at this point in your career?

COACH is an organization that I have supported over the years while in progressively more senior leadership roles in both the private and public sector.   At this point in my career and as CIO of the South West LHIN, I wish to apply my broad and varied experience developing and leading high performance teams in the health informatics landscape.  I am uniquely equipped to contribute in a meaningful way by balancing and representing all of the COACH community and make a difference by leveraging my experience in and insight into the overall system of care.   Combined with my open and approachable leadership style, I am confident I will be an asset to COACH Board when it comes to addressing  current and future sector challenges – and I look forward to representing you on the Board.  

What unique skills, perspectives and contributions would you bring to the COACH Board?

Those that know me professionally as the CIO of a Crown Agency involved in the management and delivery of health care for almost 4 million Ontarians would say I bring a broad, non-partisan, system wide understanding of the health care system and the health informatics community; that I am a team builder, a leader by example and a strategist by nature. Those that know me personally would say I’m energetic, passionate and enthusiastic – about leadership, about affecting positive change, and about the industry that I work in.  I am an MBA/MHA, Honours Economics, Six Sigma Black Belt with 20 years of progressive experience that spans the health care spectrum in both the public and the private sector, including experience across: Regional care, acute care, community care, primary care and consumer care at the provincial, national and international levels. In terms of contributions, I have diverse experience in vendor/private organizations and promote the view of private – public partnerships to support health care delivery, innovation and change for the better in the eHealth community.  By way of example, I point to an engagement process I introduced called Vendor Fridays which contributes to the public and private sectors working  more closely together on eHealth solutions to healthcare issues.

 In addition to being bilingual in English and French,  I am an ex-Tank Commander (as you can imagine, there’s more than a few parallels between the battlefield and  the eHealth and healthcare informatics landscape).

 What COACH committees, task groups or activities have you volunteered on in the past 5 years and what were your most significant contributions to COACH’s work?

1. Member of CHIEF:  Canada’s Health Informatics Executive Forum
2. Member of COACH’s Pan Canadian Governance Task Group
3. Ongoing activity of addressing critical business issues, building leadership and forging relationships, enabling peer dialogue and debate and mentoring others in the COACH community
4. Provided leadership within Canada and acts as an active promoter of COACH nationally and internationally

5. Active contributor to eHealth conferences as speaker
6. Contributor to the Interoperability Showcase at the eHealth Conference

What other board appointments or relevant leadership experiences have you had in the past 5 years?

1. CIO at South West LHIN
2. Chair of the South West LHIN eHealth Steering Committee
3. Executive Lead for connecting South West Ontario (cSWO)
4. Chair of the South Western Ontario eHealth Delivery Council and Steward of the South Western Ontario eHealth Oversight Committee
5. Chair of the Erie St. Clair – South West LHIN Clinical Connect Viewer Project

Do you currently have your CPHIMS-CA credential? 

I am committed to achieving my CPHIMS-CA.

Brief biography including highlights of experience and expertise in Health Informatics

Glenn Lanteigne joined the South West LHIN as chief information officer in 2010 and is responsible for electronic and information sharing initiatives to promote, maintain and improve health care delivery throughout the region.  His first task was the creation and implementation of a shared LHIN-wide eHealth strategic plan to ensure an integrated, aligned, and community-responsive health care system; prior to joining the LHIN, Glenn was the director, healthcare at TELUS Healthcare Solutions providing overall strategic leadership for a full range of business and electronic health initiatives in regional care, acute care, community care, primary care, home care and consumer care.  Glenn’s current focus is governance reform, cost savings, and support the care reform needed to sustain healthcare delivery.  

Glenn has also held leadership roles with the Federal Government,  ECLIPSYS (now Allscripts), CLINICARE (now a QHR Technologies company) and GE Medical Systems (now GE Healthcare), TELUS Health Solutions, spoken at major eHealth conferences and is routinely quoted in health informatics publications.

What segments within our COACH community do you feel you can best represent?

Executives/ CIOs	Emerging Professionals	Telehealth	Clinicians	Vendors	IT/IM Practitioners	Academic & Research	Institutions	eHealth Orgs
X	X	X		X	X		X	X

Guest Blog – South West LHIN Consumer eHealth Innovation Session

Richard Booth is a nurse and PhD candidate with a strong interest in the use of information in the delivery of healthcare services.  Richard has a particular interest in social media and is doing what he can to educate fellow clinicians on the power of social media.

Richard and I both attended the recent Consumer eHealth Innovation Session hosted by the SouthWest LHIN.  We both actively tweeted from the event and I asked Richard if he would write down this thoughts for a guest blog post.  The remainder of this post contains Richard’s observations on the event.

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On June 30th, 2011, I had the opportunity to attend the South West LHIN’s “Consumer eHealth Innovation Session” held at The University of Western Ontario. As described in Michael’s previous blog post, the event was billed to provide a venue for attendees to see how various eHealth tools were being used to support the LHIN’s eHealth strategic plan. On the agenda were a number of companies and organizations working with the SWLHIN, including Telus, Microsoft, thehealthline, Sensory Technologies, Sykes, Patientway, OTN, and CareLink.

Unfortunately, I was not able to arrive to the session until around 10:00am which meant I missed the introduction by Glenn and presentations given by both Telus and Microsoft. I’ll touch upon some of the points from each presentation I attended and outline what I thought to be salient:

• thehealthline.ca was presented by Brian Ashby. This online portal to health information in the SWLHIN looks to be a fantastic resource – similarly, the document “Help yourself through hard times” is a booklet that organizes all the key community and social resources that may be required by individuals and their families during “hard times”. What I think makes this document invaluable is that each organization/agency listed in the booklet has a descriptor of the services offered and hours of operation. This document is freely available on the thehealthline.ca website.
• Sensory Technologies spoke about their eShift 2.0 model for homecare. In a nutshell, in an eShift delivery model, nurses work remotely and act as a delegator and knowledge broker of healthcare. Personal Support Workers (PSWs) with extra training deliver the health services to the client, in the client’s home. The PSWs and nurses are connected by way of an iPhone, and if the nurse deems further care is required, a higher skilled assessment can be authorized and delivered to the client. I believe my tweet related to this presentation summarized my feelings regarding this care delivery shift: “eShift 2.0 is a delivery model I need to examine more closely. Like it or not, this typology of care delivery is the future #swlhin.” I will be curious to see how regulators like the College of Nurses of Ontario respond to the remote monitoring of patients by nurses and unregulated healthcare providers, like that outlined in the eShift 2.0 model.
• Sykes presented next, introducing a self-management care model – CareCoach and teletriage. The presenters also listed various other services offered by Sykes, including chronic disease management, tobacco cessation services, and health education services.
• PatientWay had an engaging presentation outlining their kiosk and way finding solutions that are currently used in a number of healthcare organizations around Ontario. Their concise and succinct presentation outlined how the use of their systems had significantly reduced costs for organizations, and at times, facilitated an increase in engagement by consumers. Jay from PatientWay described to me that by engaging consumers in a meaningful and productive fashion during their healthcare interaction(s), you can sometimes reduce the anxiety and stress of the situation. I guess the old mantra of ‘an active mind is a healthy one’ rings true in this instance. By engaging consumers during their various ‘wait times’ (i.e., waiting for registration or information taking), you can potentially increase efficiency and engagement consumer in the health process.
• Laurie from Ontario Telemedicine Network (OTN) presented next, outlining the results of their pilot research examining the effectiveness of remote monitoring technologies to support the healthcare of consumers suffering from chronic illness at home. Nurses at a family health team would remotely ‘check’ the results of their assigned clients in the community and decisions regarding care were made appropriately. At the end of the four month study, Laurie stated that many of the clients wanted to keep the remote monitoring technology as they had found value in its use. Yet again, another call to engage consumers in a meaningful fashion and move away from purely paternalistic approaches of health delivery.
• Finally, CareLink provided an interesting presentation on their suite of remote monitoring technology. The range of monitoring technologies offered by CareLink to ‘wire’ a house was extremely impressive. If/Than programming could be directly fed into the smart house to enable prompts to be pushed to caregivers in the circle of care (e.g., if Grandma doesn’t open the fridge and/or her pill bottles by 0900, a message is sent to caregivers prompting of the situation). Video cameras and other sorts of surveillance systems were also offered by CareLink as a means of being able to view in real time, a loved one living at home. In other words, CareLink modifies the current suite of home security technology for use within a health/individual monitoring context. What was not touched upon in the presentation were the potential ethical and privacy issues related to this type of invasive surveillance. Although I can see the functionality of this technology for some cognitively compromised populations, it does raise some important issues regarding autonomy and dignity.

The Innovative Ideas Workshop occurred after lunch – we were tasked with answering three brief questions related to how the technologies/ideas presented over the morning could be used to assist healthcare of individuals. The 30 minute task led to some interesting (and at times divided) discussions in the small breakout groups. This eventually fed into a large group feedback session led by Glenn who asked all groups to report their findings. In sum, these were the salient ideas I captured and tweeted during the discussion:

• LTC patients, and repatriating to the home is ‘doable’, but should be looked at closer as it is currently a difficult and cumbersome process
• We need to examine the 5 percent of the population who are the highest users of the health system. Engage and utilize eHealth in these areas appropriately improve care and reduce inefficiency.
• Need to refocus on the consumer; vendors need to work together to achieve this.
• Homecare is “imminently important”
• Business drivers from healthcare are currently missing – we need to use the data that the government currently has to help build a better business case
• Accountability – need more discussion on this topic, from all angles, including patients, clinicians, consumers, vendors, government, etc.

Upon closing, Glenn stated that he hopes to hold another event in six months time. The unfortunate lack of tweeting from the event was a bit of a surprise – the smartphone penetration in the room was 100% (we did a show of hands). At future events, I hope participants utilize twitter in a bit more functional and consistent manner. Similarly, I believe future events would benefit from having ‘consumer groups’ in attendance. There were a number of specific consumer groups mentioned and highlighted during the workshop (e.g., homecare, ALS, diabetes, mental health, long-term care, etc.). It would be interesting (and probably dynamic) to have these stakeholder groups present during the presentations and discussion. Finally, I was disappointed at the number of clinicians in attendance. At one point during the morning, a show of hands was requested for “practicing clinicians”. I counted only five or six out of the audience of well over 50. Although the reasons for the lack of clinician attendance is probably extremely multidimensional (e.g., workload, scheduling, potential lack of interest, etc.), it does warrant further reflection.

Overall, I was extremely impressed with the workshop. This was the first event that I’ve been to with eHealth vendors which felt collaborative, rather than competitive. Equally, it was one of the few instances where talk of ‘technology’ generally took a backseat to the ‘client’ and ‘health’. Normally at eHealth events, the discussion is extremely techno-medical-centric. This Consumer eHealth Innovation Session was a breath of fresh-air.

Richard Booth, RN, MScN

Social Media Panel at HIMSS Ontario AGM

It was an offer simply to compelling to refuse.  In my day job I was approached by HIMSS Ontario to sponsor their annual general meeting.  In return for this sponsorship I was given the opportunity to moderate a panel discussion on social media.  Given my company’s current efforts to encourage use of social media by healthcare organizations AND my personal involvement in various social media activities, I jumped at the opportunity.

The HIMSS Ontario AGM takes place next week on June 23rd, 2011 at the Royal Woodbine Golf Club; check out details here.   Four panelists will discuss “The impact of social media on health and healthcare”.    The panelists are:

• Richard Booth, a doctoral candidate at the University of Western Ontario and a fellow social media advocate
• Karim Keshavjee, MD, and CEO, Infoclin.
• James Williams, a privacy consultant
• Glenn Lanteigne, CIO, SouthWest LHIN

This panel offers a diverse perspective on social media and I look forward to a stimulating discussion.  Colleen Young, #hcsmca founder and expert community manager, has agreed to tweet from the event.

Anyone thinking about how to use social media in their healthcare organization should consider attending this event.  If you read this blog and decide to attend, please make sure that you introduce yourself.  I really enjoy meeting readers. For those of you who cannot attend the event, I encourage you to send your questions for the panel to either Colleen or me in advance of the event or even during the event.

Mike

Vendor Engagement at the SouthWest LHIN

A few weeks ago I had a chance to chat with Glenn Lanteigne, the new CIO for the SouthWest LHIN.  I have known Glenn for several years and welcomed the opportunity to hear about how he was settling into his new role.

During our conversation Glenn told me about what I think is a novel and very useful initiative.   Each Friday, Glenn is hosting a vendor session during which vendors who have schedule an appointment get to meet with him and his staff.  These sessions provide an opportunity for Glenn to keep the vendor community informed about his plans and priorities and to learn about what the vendors have to offer.  By offering vendors the opportunity to meet with him individually, Glenn hopes to encourage more of dialog than is typically possible in larger vendor information sessions.

I also note that Glenn is putting his foot in the social media waters by tweeting.  I do hope that he will also consider starting a blog in the near future.  I’d be very interested to read about the experiences of a new CIO and see the LHIN through his eyes as the “new kid” on the block.

Mike