Electronic Medical Records Ecosystem Cloud Transition Investigation, Planning, and Development for Robust, Scalable and Secure Long-Term Support

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York Card Technology Inc. o/a YMS is a Markham, Ontario company that develops and manages healthcare information technology solutions, including electronic medical records (EMR) management and healthcare billing software. YMS has been assisting Ontario healthcare professionals and their administrative staff for 25+ years. The YMS billing software was built as a desktop application, and has provided consistent services for its clients, however, there is a need to improve its reliability, security, speed, and create an application that can be managed and evolved in a scalable fashion. YMS would like to investigate, test and develop a billing cloud application for greater reliability and EMR integration. The Mohawk College mHealth and eHealth Development and Innovation Centre (MEDIC) has performed digital health applied research projects since 2007, and has the software, health information, digital health data standards, iterative development, and networking experience and expertise to investigate and develop this project. MEDIC is extensively familiar with meeting rigorous health software standards; and building modern web-based solutions that are reliable and scalable. The project will ensure the YMS billing application is redeveloped with efficient workflows, a secure system, and a modular framework to enable efficient integration with their EMR and its evolution. In the Best Advice-Advanced and Meaningful Use of EMRs by The College of Family Physicians of Canada, Quality Improvement is highlighted as critical, which this project will support for YMS' EMR offerings, and its internal operations. Canada's Economic Strategy Tables report on Health and Biosciences notes the goal to increase Canada's ranking from ninth of eleven countries in the 2017 Commonwealth Fund ranking of healthcare system performance to a top five place by 2025. An important element to increasing the rank is reducing administrative time and costs and improving care delivery. This project will contribute towards those efforts by supporting the YMS EMR and improving efficiencies for its healthcare delivery clients