SPPH Special Grand Rounds with Dr. Noni MacDonald - December 5, 2012
December 5, 2012, 4:00pm
Michael Smith Laboratories, Room 102
2185 East Mall, UBC Vancouver
The Belize experience: Impact of integrated patient-centred Health Information Systems on health outcomes.
Belize deployed the world’s first country-wide fully integrated encounter-centric health information system, with eight embedded disease management protocols, in 2007 for $4 (CDN)/citizen. Uptake of this e-health system, mortality pre- and post- BHIS deployment and public healthcare expenditures over the past decade were evaluated. The BHIS captured over 90% healthcare encounters by Year 1, 95% by Year 2. Mortality analyses revealed a significant decrease for the eight BHIS protocol disease domains (versus an increase or little change in three domains without protocols). The maternal mortality dropped such that Belize reached the Millennium Development Goal four years in advance of the goal date, and is likely to be the only MesoAmerican country able to achieve this goal. Deaths associated with hypertension also dropped by over 50%. Health care expenditures have leveled off and slightly declined since deployment of the BHIS. Thus, for modest investment, BHIS was well accepted nationwide and following deployment, mortality in the eight BHIS protocol disease domains declined significantly and expenditures on public healthcare stabilized.
Dr. Noni MacDonald is a Professor of Paediatrics and of Computer Science at Dalhousie University, with a clinical appointment in Paediatric Infectious Diseases at the IWK Health Centre in Halifax Canada. She is a former Dean of Medicine at Dalhousie University: the first woman in Canada to be a Dean of Medicine. Her current major areas of interest are vaccines, especially vaccine safety, mitigating pain with vaccines, and vaccines and policy; MicroResearch, building capacity in community focused research in developing countries (www.microresearch.ca); and in the application of health information systems in developing countries to improve health outcomes. She has published over 300 papers, is the founding Editor in Chief of Paediatrics and Child Health - one of the most-read Canadian specialty journals and a former Editor in Chief of CMAJ (Canadian Medical Association Journal). She is an elected fellow of Canadian Academy of Health Sciences and serves on many professional organization, federal government and international advisory committees. Dr. MacDonald has long been recognized in Canada, as an advocate for children and youth health and as a leader in paediatric infectious disease.
A reception will follow the presentation. It will take place at the School of Population and Public Health, 2206 East Mall, Vancouver, BC.
Posted:Nov. 7, 2012, 9:27 a.m.