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

York Card Technology Inc. （YMS）是安大略省Markham的一家公司，开发和管理医疗保健信息技术解决方案，包括电子医疗记录（EMR）管理和医疗保健计费软件。25年来，YMS一直在协助安大略省医疗保健专业人员及其行政人员。YMS计费软件是作为桌面应用程序构建的，并为其客户提供了一致的服务，但是，需要提高其可靠性、安全性、速度，并创建一个可以以可扩展的方式管理和发展的应用程序。YMS希望调查、测试和开发一个计费云应用程序，以提高可靠性和EMR集成。莫霍克学院移动健康和电子健康发展与创新中心（MEDIC）自2007年以来一直在开展数字健康应用研究项目，并拥有调查和开发该项目的软件、健康信息、数字健康数据标准、迭代开发以及网络经验和专业知识。MEDIC广泛熟悉满足严格的健康软件标准；构建可靠、可扩展的现代网络解决方案。该项目将确保使用高效的工作流程、安全的系统和模块化框架重新开发YMS计费应用程序，以实现与EMR及其演进的有效集成。在加拿大家庭医生学院的最佳建议-电子病历的先进和有意义的使用中，质量改进被强调为关键，该项目将支持YMS的电子病历产品及其内部操作。加拿大关于健康和生物科学的经济战略表报告指出，加拿大的目标是到2025年将加拿大的排名从2017年英联邦基金医疗系统绩效排名中的11个国家中的第9位提高到前5位。提高排名的一个重要因素是减少行政时间和成本，改善护理服务。该项目将通过支持YMS EMR和提高其医疗保健服务客户的效率，为这些工作做出贡献

York Card Technology Inc. o/a YMS is a Markham, Ontario company that develops and manages healthcareinformation technology solutions, including electronic medical records (EMR) management and healthcarebilling 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 itsclients, however, there is a need to improve its reliability, security, speed, and create an application that can bemanaged and evolved in a scalable fashion. YMS would like to investigate, test and develop a billing cloudapplication for greater reliability and EMR integration. The Mohawk College mHealth and eHealthDevelopment and Innovation Centre (MEDIC) has performed digital health applied research projects since2007, and has the software, health information, digital health data standards, iterative development, andnetworking experience and expertise to investigate and develop this project. MEDIC is extensively familiarwith meeting rigorous health software standards; and building modern web-based solutions that are reliable andscalable. The project will ensure the YMS billing application is redeveloped with efficient workflows, a securesystem, 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 itsinternal operations. Canada's Economic Strategy Tables report on Health and Biosciences notes the goal toincrease Canada's ranking from ninth of eleven countries in the 2017 Commonwealth Fund ranking ofhealthcare system performance to a top five place by 2025. An important element to increasing the rank isreducing administrative time and costs and improving care delivery. This project will contribute towards thoseefforts by supporting the YMS EMR and improving efficiencies for its healthcare delivery clients