I'm a physician who has been practicing in Manitoba for ~ 10 years both in hospital and community settings. I have been pretty frustrated with the state of the available healthcare information systems in my province and have recently moved past the expectation that somebody will eventually be on their way to fix it. I have seen the development of effective clinician resources move at a snails pace (that's being generous) and I feel like I don't see anyone really taking the initiative to move on it. It seems evident to me that very few of the vendors have clinicians directing their development and it feels like it's harming the quality of patient care as well as physician wellness. Records are incomplete, difficult to keep up to date, use esoteric and/or outdated standards/language, none of the systems speak to each other, and most of the patient data ends up getting sent as a pdf which defeats the purpose and power these systems are supposed to bring us. I have to use clunky annotation tools on facsimiles of paper prescriptions sent by our pharmacies, clicking the page sometimes dozens of times to refill a single prescription. Lab results come to me again as faxed pdfs with data that is variably available to the EMR (some results get populated into the lab module, some don't) and the EMR does a piss poor job of trending or showing reliable results in a usable way. Bugs in the infant weight / length module list an infant who is actually FTT (<10% centile) as an error and plots them as >99% centile. These things (among others) are making me tear my hair out. I am actively learning computer programming with the intent to build my own EMR because I can't actually believe how incredibly poor these systems are. Am I alone here? Why is the system so broken? Other clinicians I talk to seem just resigned to working within a broken system and finding their own workarounds, sometimes at the cost of their own sanity or work/life balance. Is anyone on here having a similar experience? I'm looking for some partners to help figure out what solutions there may be. Is this even the right place to have these discussions? I'd appreciate some insight if anyone has any. Hope everyone is staying well!

Canada Health Infoway has introduced a new Central Intake process in Jira to receive, track, and manage requests for changes across specifications. This process ensures requests are handled consistently, reviewed transparently, and escalated appropriately when changes are significant or have cross-specification impacts.

During balloting

Complete the ballot spreadsheet and submit it to specifications@infoway-inforoute.ca

Outside of balloting

If you have Jira access:

1. Log in to Jira

2. Select the Central Intake project

3. Complete the required fields under the Default tab and submit the ticket

If you do not have Jira access, email your request to specifications@infoway-inforoute.ca. Emails sent to this inbox will automatically create a ticket in the Central Intake queue.

For more information on submitting feedback through Jira, please review this InfoScribe page.

Canada Health Infoway has introduced a new Central Intake process in Jira to receive, track, and manage requests for changes across specifications. This process ensures requests are handled consistently, reviewed transparently, and escalated appropriately when changes are significant or have cross-specification impacts.

During balloting

Complete the ballot spreadsheet and submit it to specifications@infoway-inforoute.ca

Outside of balloting

If you have Jira access:

1. Log in to Jira

2. Select the Central Intake project

3. Complete the required fields under the Default tab and submit the ticket

If you do not have Jira access, email your request to specifications@infoway-inforoute.ca. Emails sent to this inbox will automatically create a ticket in the Central Intake queue.

For more information on submitting feedback through Jira, please review this InfoScribe page.

Canada Health Infoway has introduced a new Central Intake process in Jira to receive, track, and manage requests for changes across specifications. This process ensures requests are handled consistently, reviewed transparently, and escalated appropriately when changes are significant or have cross-specification impacts.

 During balloting

Complete the ballot spreadsheet and submit it to specifications@infoway-inforoute.ca

Outside of balloting

If you have Jira access:

1. Log in to Jira

2. Select the Central Intake project

3. Complete the required fields under the Default tab and submit the ticket

 If you do not have Jira access, email your request to specifications@infoway-inforoute.ca. Emails sent to this inbox will automatically create a ticket in the Central Intake queue.

For more information on submitting feedback through Jira, please review this InfoScribe page.

 Thank you for your ongoing participation!

 Ritu

We are pleased to announce the release of PS-CA v2.3.0 TI-Ballot.

This release includes updates addressing critical items identified during the previous ballot cycle.

There is no formal review period for this TI-Ballot. However, feedback may continue to be submitted through JIRA using the Central Intake Project. For instructions on submitting feedback, please refer to the Pan-Canadian Interoperability Specifications Feedback guidance.

Thank you for your continued participation and feedback as we continue to evolve the Pan-Canadian Patient Summary.

As an update, we anticipate that our next SDOH Working Group meeting with occur in Oct, with the same cadence of 2nd Wed of every month, therefore landing on Wed Oct 14th at 1 - 2 pm ET. I will review the Zoom meeting schedule and will send out a post related to registering for this cycle's meetings in advance.

Enjoy summer's end!

thanks,

Jen and Brooke