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ADVANCES IN INFORMATION TECHNOLOGY AND COMMUNICATION IN HEALTH Studies in Health Technology and Informatics This book series was started in 1990 to promote research conducted under the auspices of the EC programmes’ Advanced Informatics in Medicine (AIM) and Biomedical and Health Research (BHR) bioengineering branch. A driving aspect of international health informatics is that telecommunication technology, rehabilitative technology, intelligent home technology and many other components are moving together and form one integrated world of information and communication media. The complete series has been accepted in Medline. Volumes from 2005 onwards are available online. Series Editors: Dr. O. Bodenreider, Dr. J.P. Christensen, Prof. G. de Moor, Prof. A. Famili, Dr. U. Fors, Prof. A. Hasman, Prof. E.J.S. Hovenga, Prof. L. Hunter, Dr. I. Iakovidis, Dr. Z. Kolitsi, Mr. O. Le Dour, Dr. A. Lymberis, Prof. J. Mantas, Prof. M.A. Musen, Prof. P.F. Niederer, Prof. A. Pedotti, Prof. O. Rienhoff, Prof. F.H. Roger France, Dr. N. Rossing, Prof. N. Saranummi, Dr. E.R. Siegel and Dr. P. Wilson Volume 143 Recently published in this series Vol. 142. J.D. Westwood, S.W. Westwood, R.S. Haluck, H.M. Hoffman, G.T. Mogel, R. Phillips, R.A. Robb and K.G. Vosburgh (Eds.), Medicine Meets Virtual Reality 17 – NextMed: Design for/the Well Being Vol. 141. E. De Clercq et al. (Eds.), Collaborative Patient Centred eHealth – Proceedings of the HIT@HealthCare 2008 joint event: 25th MIC Congress, 3rd International Congress Sixi, Special ISV-NVKVV Event, 8th Belgian eHealth Symposium Vol. 140. P.H. Dangerfield (Ed.), Research into Spinal Deformities 6 Vol. 139. A. ten Teije, S. Miksch and P. Lucas (Eds.), Computer-based Medical Guidelines and Protocols: A Primer and Current Trends Vol. 138. T. Solomonides et al. (Eds.), Global Healthgrid: e-Science Meets Biomedical Informatics – Proceedings of HealthGrid 2008 Vol. 137. L. Bos, B. Blobel, A. Marsh and D. Carroll (Eds.), Medical and Care Compunetics 5 Vol. 136. S.K. Andersen, G.O. Klein, S. Schulz, J. Aarts and M.C. Mazzoleni (Eds.), eHealth Beyond the Horizon – Get IT There – Proceedings of MIE2008 – The XXIst International Congress of the European Federation for Medical Informatics Vol. 135. T.B. Grivas (Ed.), The Conservative Scoliosis Treatment – 1st SOSORT Instructional Course Lectures Book Vol. 134. B. Blobel, P. Pharow and M. Nerlich (Eds.), eHealth: Combining Health Telematics, Telemedicine, Biomedical Engineering and Bioinformatics to the Edge – Global Experts Summit Textbook ISSN 0926-9630 Advances in Information Technology and Communication in Health Edited by James G. McDaniel School of Health Information Science, University of Victoria, Victoria, BC, Canada Amsterdam • Berlin • Tokyo • Washington, DC © 2009 ITCH 2009 Steering Committee and IOS Press. All rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without prior written permission from the publisher. ISBN 978-1-58603-979-0 Library of Congress Control Number: 2008944039 Publisher IOS Press BV Nieuwe Hemweg 6B 1013 BG Amsterdam Netherlands fax: +31 20 687 0019 e-mail: [email protected] Distributor in the UK and Ireland Distributor in the USA and Canada Gazelle Books Services Ltd. IOS Press, Inc. White Cross Mills 4502 Rachael Manor Drive Hightown Fairfax, VA 22032 Lancaster LA1 4XS USA United Kingdom fax: +1 703 323 3668 fax: +44 1524 63232 e-mail: [email protected] e-mail: [email protected] LEGAL NOTICE The publisher is not responsible for the use which might be made of the following information. PRINTED IN THE NETHERLANDS Advances in Information Technology and Communication in Health v J.G. McDaniel (Ed.) IOS Press, 2009 © 2009 ITCH 2009 Steering Committee and IOS Press. All rights reserved. Preface In March 1986, a Canadian colloquium with an international flavor was convened to discuss the impact of information technology on community health. It was sponsored by the School of Health Information Science at the University of Victoria and the Brit- ish Columbia Ministry of Health. Notable speakers were Salah Mandil, the Director of Information Systems Service at the World Health Organization, and Stan Dubas, the Deputy Minister of Health for British Columbia. This small, successful gathering was the predecessor of the Information Technology in Community Health (ITCH) confer- ences that followed in 1987, 1988, 1990, 1992, 1994, 1996, 1998 and 2000. In 2007, after a brief hiatus, the conference was held again but this time it had ex- panded its scope. It was known as Information Technology and Communications in Health (ITCH) 2007; with the same acronym but with a different meaning as demanded by its international appeal and wider choice of subject areas. The conference in 2007 was an unmatched success and now, as 2009 approaches, we prepare for an even more eventful convention, which encourages experts to demonstrate and share their experi- ences and knowledge. The theme for the ITCH 2009 conference is “Revolutionizing Health Care with Informatics: From Research to Practice.” The Organizing Committee feels honoured to promote this event and, thereby, to contribute to the advancement of informatics in health and health care. Many people have volunteered their time and financial sponsorship; we sincerely thank them. We wish, however, to give specific recognition to those who are serving on the Steering Committee and the Scientific Program Committee. James G. McDaniel, Editor School of Health Information Science University of Victoria, Victoria, British Columbia, Canada December 15, 2008 ITCH 2009 Steering Committee Co-chairs Andre Kushniruk and Steven Huesing Program Chairs Jim McDaniel and Paul Fisher Student Poster and Practitioner Poster Coordinator John Bartle-Clar Workshop Coordinator Colin Partridge Promotion and Business Coordinator Leslie Wood Exhibitor Coordinator Al Schyf Sponsor Coordinator Jill Strachan Proceedings Editor Jim McDaniel Technical Coordinator John Bartle-Clar Members-at-large Elizabeth Borycki, Nancy Gault, Paul Clarke vi ITCH 2009 Scientific Program Committee James Anderson Purdue University, USA Eric Eisenstein Duke University Medical Center, USA Paul Fisher Federal University of Rio Grande do Sul, Brazil Reinhold Haux Technical University of Braunschweig, Germany Marilynne Hebert University of Calgary, Canada June Kaminsky Canadian Nursing Informatics Association, Canada Craig Kuziemsky University of Ottawa, Canada Jim McDaniel University of Victoria, Canada Lynn Nagle University of Toronto, Canada Christian Nøhr Aalborg University, Denmark Stefan Pantazi Conestoga College, Canada Grace Paterson Dalhousie University, Canada Yuri Quintana St. Jude Children’s Research Hospital, USA Jacob Scharcanski Federal University of Rio Grande do Sul, Brazil Jan Talmon Maastricht University, Netherlands Robyn Tamblyn McGill University, Canada Jens Weber University of Victoria, Canada vii Contents Preface v James G. McDaniel Section 1. Decision Support, Artificial Intelligence and Modelling A Morphological Approach for the Fovea Location in Color Fundus Images 3 Daniel Welfer, Jacob Scharcanski and Diane Ruschel Marinho Integrating Evidence-Based Interventions into Client Care Plans 9 Diane Doran, Jennifer Carryer, Jane Paterson, Paula Goering, Lynn Nagle, Andre Kushniruk, Irmajean Bajnok, Carrie Clark and Rani Srivastava Anemia Analyzer: Algorithm and Reflex Testing in Clinical Practice Leading to Efficiency and Cost Savings 14 Samir M. Haq Process Data: A Means to Measure Operational Performance and Implement Advanced Analytical Models 17 Pablo Santibañez, Vincent S. Chow, John French, Martin L. Puterman and Scott Tyldesley Benefits and Challenges of Health Information Systems for Operations Research: An Illustrative Example to Improve Surgical Scheduling 24 Vincent S. Chow, Wenhai Huang and Martin L. Puterman Toward Automatic Detection and Prevention of Adverse Drug Events 30 Nicolas Leroy, Emmanuel Chazard, Régis Beuscart, Marie Catherine Beuscart-Zephir and the PSIP Consortium Modeling Knowledge Resource Selection in Expert Librarian Search 36 David R. Kaufman, Maryam Mehryar, Herbert Chase, Peter Hung, Marina Chilov, Stephen B. Johnson and Eneida Mendonca Analysis of Acuity Trends Using Resource Intensity Weights via the CIHI Portal 42 Liesje Sarnecki and Lisa Gordon Section 2. Educational Initiatives and Professional Development The University of Victoria Interdisciplinary Electronic Health Record Educational Portal 49 Elizabeth M. Borycki, Andre W. Kushniruk, Ron Joe, Brian Armstrong, Tony Otto, Kendall Ho, Howard Silverman, Jeannine Moreau and Noreen Frisch Integrating Point-of-Care Technology into the Midwifery Curricula 55 Rachel Smith and Joanne Gray viii Incorporation of Medical Informatics and Information Technology as Core Components of Undergraduate Medical Education – Time for Change! 62 Anthony Otto and Andre Kushniruk The Engineering 4 Health Challenge – An Interdisciplinary and Intercultural Initiative to Foster Student Engagement in B.C. and Improve Health Care for Children in Under-Serviced Communities 68 Morgan Price and Jens H. Weber-Jahnke An Innovative Learning Experience for Entry to eHealth Careers 73 Shirley Fenton and H. Dominic Covvey Section 3. Electronic Health Records Information Management Framework; A Model for Clinical Departments 81 Reza Shahpori, Alan de los Angeles and Kevin Laupland Clinical Support in Primary and Ambulatory Care: Canadian Lessons to Be Learned from the UK Patient Summary Care Record