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EMR Use Use of electronic medical records in primary care is more than twice what it was in 2009 Heart Attack Mortality The rate of in-hospital deaths following a heart attack is falling steadily, reflecting broad-based improvements in cardiac care Smoking Rates Scope of Practice Changes Scope of practice expansions in all provinces mean that pharmacists can increasingly adapt/manage prescriptions Gastroenteritis Hospitalizations Hospitalizations for rotavirus-related acute gastroenteritis in children have fallen significantly since a vaccination program was introduced in 2011 Smoking rates are at the lowest level since measurement began Progress is Possible H Source: http://www.longwoods.com/content/25031

5 Examples of Recent Change in Health and Healthcare

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EMR UseUse of electronic medical records in primary care is

more than twice what it was in 2009

Heart Attack MortalityThe rate of in-hospital deaths

following a heart attack is falling steadily, reflecting

broad-based improvements in cardiac care

Smoking Rates

Scope of Practice ChangesScope of practice expansions

in all provinces mean that pharmacists can increasingly adapt/manage prescriptions

Gastroenteritis HospitalizationsHospitalizations for rotavirus-related acute gastroenteritis in children have

fallen significantly since a vaccination program was introduced in 2011

Smoking rates are at the lowest level since

measurement began

Progress is Possible

H

Source:http://www.longwoods.com/content/25031

Source:https://www.pharmacists.ca/cpha-ca/assets/File/cpha-on-the-issues/ScopeofPracticeinCanada_DEC2016.pdf

Hospitalizationsforoverallacutegastroenteritisper10,000children<24monthsofage,August1,2005-March31,2013:Ontario,Canada

Source:WilsonSE,RosellaLC,WangJ,LeSaux N,CrowcroftNS,etal.(2016)Population-LevelImpactofOntario’sInfantRotavirusImmunizationProgram:EvidenceofDirectandIndirectEffects.PLOSONE11(5):e0154340.doi:10.1371/journal.pone.0154340http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0154340

TrendinEMRUseinPrimaryCare,Canada,2009to2015

Source:CommonwealthFundInternationalHealthPolicySurvey,asreportedbyCIHIandCIHRathttps://www.cihi.ca/sites/default/files/document/2015-cmwf-chartpackenrev-web.pptx

SmokingPrevalenceinCanada,Aged15+,1965-2013

Source:ReidJL,Harnmond D,Rynard VL,Burkhalter R.TobaccoUseinCanada:PatternsandTrends,2075Edition.Waterloo,ON:PropelCentreforPopulationHealthImpact,UniversityofWaterloo.

30-DayAcuteMyocardialInfarctionIn-HospitalMortality(%)

Source:https://yourhealthsystem.cihi.ca/epub/SearchServletNotes:1.Ratesarebasedonthreeyearsofpooleddata.Thereferenceyearreflectsthemid-pointofathree-yearperiod.2.Asof2011,Quebecdataisincludedintheindicatorcalculation.Asaresultofthischange,cautionshouldbeusedwhencomparingrateswiththoseofpreviousyears.