DSQ (Dossier Sante Quebec) Installation

The Quebec government is currently rolling out the Dossier Sante Quebec.
This enables any physician to view Lab Results, Medications and Images online.

Requirements:
DSQ Visualizer Software (only for Windows and Internet Explorer)
USB Security Key

Charges for installation are reimbursable by Sogique.

Details at:  http://www.sogique.qc.ca/Accueil—PQADME.aspx

 

Installation notes for Windows Internet Exploder Explorer:

Add gouv.qc.ca to Compatibility View Settings

Add to Trusted sites.  (Tools, Internet Options, Security, Trusted Sites, Sites, Add both Formation & Production)

Make sure the Security certificates are correctly installed.  (Tools, Internet Options, Content, Certificates: Intermediate should list all 4, Trusted Root should list AC Racine, )

Add to Compatibility View does not save?
Options, General, uncheck ‘Delete browsing history on exit’

PDF documents not showing?
Make sure Acrobat Reader X or XI is installed. Some of the free readers are not compatible with the DSQ.

Internet Explorer is not the default browser?
Make a shortcut to Internet Explorer and add the URL to the properties.
“C:\Program Files\Internet Explorer\iexplore.exe” https://visualiseur.forma.dossierdesante.gouv.qc.ca/

 

December Montreal Oscar User Meeting on Tuesday Dec 10th at 19:30

The next (December) Montreal Oscar User Meeting will have a different time, location and format!

Tiny Tots Medical Centre and the Montreal Oscar User Group will be hosting an opportunity for physicians that want to learn more about charting in Oscar.
The evening session will be held at Club Tiny Tots, on Tuesday, December 10th at 19:30.
The clinic is located in Decarie Square, which is near the corner of Decarie and Jean-Talon.
6900 Décarie Suite 3550, Cote-Saint-Luc, QC H3X 2T8
http://www.clubtinytots.ca/
http://goo.gl/maps/S7pl0

The Oscar encounter screen has a lot of information and there are many ways in which it can be used.
This evening is designed to share information about various shortcuts to charting in Oscar.
We will cover eForms, templates, preventions, measurements and prescriptions.
We want to hear from you.  What you find easy and difficult.  What you like and what you think can be improved.
Hopefully, you will find ways to become more efficient Oscar users.
This meeting is primarily for physicians that use Oscar, but everyone is welcome.
Please RSVP
About Tiny Tots Medical Centre:  
Club Tiny Tots is one of the early users of Oscar in Quebec.  Tiny Tots Medical Centres are located in Montreal’s West Island and in the Decarie Square Medical Centre (6900 Decarie, Suite 3550  514-342-9911).
Established in 1985, open 365 days of the year, the team includes 10 Pediatricians, 3 Pediatric Allergists, 2 Pediatric  Respirologists, 26 Family Medicine Doctors specializing in Pediatrics, and 15 Nurses and Physician Assistants.
We have a multidisciplinary approach and have a team of Psychologists, Physiotherapists, Occupational Therapists, Dieticians, and Speech Language Pathologists. With 120,000 patient visits per year, modern facilities, and a web-based electronic medical record, we are popular not only with patients, but also as a training centre for The MUHC and CHUM, accommodating over 30 trainees per year.

We offer SAME DAY appointments for emergencies or consultation and do accept new patients for Primary Care.

Note: The Ontario Oscar User meeting is next week, Friday Nov 29th in Hamilton, Ontario.

The Agenda is here:
This a great opportunity to meet the developers in Hamilton, Ontario and have all (almost) your Oscar questions answered.

Monthly Oscar User Group Meeting

The usual monthly meeting* will be on Thursday, November 21st.

The usual location:
GMF Sante Kildare
7005 Kildare, Suite 14. Côte-Saint-Luc (QC) H4W 1C1
514-397-0777
http://goo.gl/maps/9qLno

The usual time: 12:00 to 13:00.
There will be a light lunch.

Please RSVP, so that we have an idea of how many people will be attending.
My email is earlwer@gmail.com

Agenda:

WelchAllyn interface

  • DSQ Deployment in Montreal. All physicians can have access to the DSQ (Dossier Sante Quebec). You sign-up, get a USB key for security, install the software (Windows only) and get $1,800.
  • HL7 Lab update. Yes, we’re getting closer!
  • Billing: I have done some research.  3rd party billing fees in QC range from $0.50 per patient to 1.5% of billing.  There are a number of alternatives being worked on to integrate Oscar and RAMQ billing.
  • Questions?

* Our usual date is the 3rd Thursday of the month. Add it to your calendar now.

Note: The Ontario Oscar User meeting is next week, Friday Nov 29th in Hamilton.
The Agenda is here:
http://oscarcanada.org/agenda-ontario-user-group-meeting-29-nov-2013/view

This a great opportunity to meet the developers in Hamilton, Ontario and have all (almost) your Oscar questions answered.

Next meeting:
The December meeting will have a different date, location and format.

Tiny Tots Medical Centre and the Montreal Oscar User Group will be hosting an opportunity for physicians that want to learn more about charting in Oscar.

The evening session will be held at Club Tiny Tots, on Tuesday, December 10th at 19:30.
The clinic is located in Decarie Square, which is near the corner of Decarie and Jean-Talon.  There is lots of free parking.
6900 Décarie Suite 3550, Cote-Saint-Luc, QC H3X 2T8
http://www.clubtinytots.ca/
http://goo.gl/maps/S7pl0

The Oscar encounter screen has a lot of information and there are many ways in which it can be used.  This evening is designed to share information about various shortcuts to charting in Oscar.  We will cover eForms, templates, preventions, measurements and prescriptions.

We want to hear from you.  What you find easy and difficult.  What you like and what you think can be improved.

Hopefully, you will find ways to become more efficient Oscar users.

This meeting is primarily for physicians that use Oscar.  Family doctors and Specialists are both welcome.  If you have an interest in Oscar charting, don’t hesitate.

About Tiny Tots Medical Centre:  Club Tiny Tots is one of the early users of Oscar in Quebec.  Tiny Tots Medical Centres are located in Montreal’s West Island and in the Decarie Square Medical Centre (6900 Decarie, Suite 3550  514-342-9911).
Established in 1985, open 365 days of the year, the team includes 10 Pediatricians, 3 Pediatric Allergists, 2 Pediatric  Respirologists, 26 Family Medicine Doctors specializing in Pediatrics, and 15 Nurses and Physician Assistants.

We have a multidisciplinary approach and have a team of Psychologists, Physiotherapists, Occupational Therapists, Dieticians, and Speech Language Pathologists. With 120,000 patient visits per year, modern facilities, and a web-based electronic medical record, we are popular not only with patients, but also as a training centre for The MUHC and CHUM, accommodating over 30 trainees per year.

We offer SAME DAY appointments for emergencies or consultation and do accept new patients fro Primary Care.

 

Conversions

We do conversions.

We can convert data from virtually any format, into Oscar.

The basic conversion includes demographics and appointments.  The cost is $2000 for any format and any volume of data.

If you are using another EMR and want to convert your data, just call me or send an email (earlw at oscar-quebec.com).

I have converted data from the following EMRs: ABELMed, CareFile, DoctorDirect, HealthScreen, Hero, IntraHealth, Jonoke, MD4000, MedAccess, Medcom, Osler, P&P, Plexia, Purkinje, QuickClaim,  SoftInfo and XWave.

I have also converted data from Excel, Access, 4thDimension, CMS, Foxpro, mySQL, PDF and SQL Server.

Don’t let your data lock you into your EMR.  We can extract the data and migrate it into Oscar.

“We claim that open source licensing in health care information systems is essential to rational procurement strategy.”

This excellent article from the UK outlines how open source licensing “promotes safer, more effective health care information systems and is essential to rational procurement strategy.”

http://www.jmir.org/2011/1/e24/

Open Source, Open Standards, and Health Care Information Systems
Carl J Reynolds1, BSC(Hons) MB BS; Jeremy C Wyatt2, MB BS DM FRCP
J Med Internet Res 2011;13(1):e24

1Centre for Health Informatics and Multiprofessional Education, UCL Medical School, London, United Kingdom
2Institute for Digital Health care, International Digital Laboratory, Warwick University, Coventry, United Kingdom
Corresponding Author: Carl J Reynolds, BSC(Hons) MB BS

ABSTRACT
Recognition of the improvements in patient safety, quality of patient care, and efficiency that health care information systems have the potential to bring has led to significant investment. Globally the sale of health care information systems now represents a multibillion dollar industry. As policy makers, health care professionals, and patients, we have a responsibility to maximize the return on this investment. To this end we analyze alternative licensing and software development models, as well as the role of standards. We describe how licensing affects development. We argue for the superiority of open source licensing to promote safer, more effective health care information systems. We claim that open source licensing in health care information systems is essential to rational procurement strategy.

Old notices

2013: The Montreal Oscar User Group meets every month on the 3rd Thursday.
More details at: http://oscar-quebec.com/?p=59

Nov 7-9, 2013: FMF Conference in Vancouver, BC

Home

Oscar at Queens wins an award from the Association of Family Health Teams.
Award Winner – Queen’s Family Health Team
http://www.afhto.ca/wp-content/uploads/8-Award-Winner-Queens-Family-Health-Team.pdf

August 2013 Article in Can. Fam. Physician

http://www.cfp.ca/content/59/8/823.full.pdf+html

Nov 16,12: The Annual Family Medicine Forum will be held in Toronto. The OscarCanada User Society – Annual General Meeting will be held on November 16, immediately following lunch. Come to the conference, visit the Oscar McMaster booth in the Vendor Hall. The FMF registration page is http://cfpcwp.com/fmfreg/

Sep 20,12: Montreal Oscar User Group meeting. This is an open meeting for all people interested in or using Oscar. Please RSVP, as we will be providing a lunch. When you RSVP, I will give you the secret location. My cell is (514) 891-3275

Sep 13,2012 – McMaster gets $5.8 million to improve electronic health records
http://www.thespec.com/news-story/2137578-mcmaster-gets-5-8-million-to-improve-electronic-health-records/

Sep 6,12: Oscar Version 12.1 build 19 is out in .deb format.

Jul 4,12: Oscar v12 is out. v12.1 should be released at the end of July. I’m looking forward to some of the new faxing features.

May 4,12: The B.C. User Group is underway. Lots of useful information.

Feb 4,11: The ISO certification that was required by the government has now been cancelled.

Feb 4,11: Oscar across Canada. I’m collecting links now, so hopefully the map will be populated soon.

View Oscar Sites in a larger map

A new group is working on Oscar development in Quebec City. Hopefully this means that RAMQ billing will be a step closer.

The 2011 FMF (Family Medicine Forum) will be held next November 2nd to 5th in Montreal. http://fmf.cfpc.ca/English/index.html

Oscar Support Contract

After installing, training and supporting multiple Oscar sites for over 3 years, I have realized that I need to change the way I work.

I have dedicated a lot of time and energy into a great Open Source product.
I have not charged a lot for my work in the past since I was new to Oscar and was not familiar with the software and its functions.

Effective January 1st 2014 I will be charging a monthly fee for Oscar support.
The fee will be $100 per site per month, plus $50 per month for each additional full-time physician.
I’m not going to visit each site and count physicians or the hours that are worked.
If you are a sole-practitioner, the charge is only $100 per month.
If you have 3 full-time physicians, the charge would be $200 per month.
There is no charge for support staff.

This is an optional plan.
If you pay for one year in advance, the price drops by 16%. (From $1,200 to $1,000 or $2,400 to $2,000, etc. )

If you prefer not to pay for monthly support, I understand that, and will simply charge my normal hourly rate of $90.

There is no contract. The monthly fee includes the following:

Rapid response for any emergency or problem.
Monthly confirmation that the daily backup is running.
Biannual restoration of your backup on another server to ensure quick recovery (*).
One hour of training or eform programming per month which can be banked for one year.
Remote support any time (almost).
Free email and telephone support for a reasonable number of hours.

* If you would like to have your server mirrored to another server located outside your practice, I can do that. There would be a small setup charge, then the monthly cost of renting server space ‘in the cloud’. iWeb.com offers a range of Canadian (Quebec) based servers for $84 to $149 per month.This price would be reduced if multiple clinics share the same backup server.

I do not normally charge for quick calls or emails.

Special projects will be priced on a flat-rate or hourly fee, depending on the work required.

Oscar upgrades from v9 or v10 will be $500.
Oscar upgrades from v12 will be $250.
I don’t believe in performing unnecessary upgrades. The current version of Oscar is 12.1, which is very stable. Updates are being made on a regular basis. The only real reason for upgrading is to fix an existing problem or to get a new feature that you do not have.
When and if you want to upgrade, the process can be done over an evening or weekend.

The next major release of Oscar will be v14, and should be available at the end of 2014 or early 2015.

I can also help you find the best deal for computer equipment or services. My markups on hardware are very low, but honestly, unless you have specific requirements, sale prices at Future Shop, Best Buy or Bureau en Gros are usually below my cost prices.
Any server that I purchase usually includes on-site service directly from the manufacturer (HP or Lenovo).

The monthly fee is much less than what other OSPs (Oscar Service Providers) are charging.
Feel free to check the Oscar Canada web site. Most of the OSPs are listed there:
http://oscarcanada.org/support

I would prefer not to change a monthly support fee at all, but I need to be able to ensure that I am available whenever there is an emergency and able to dedicate more time to improving Oscar in Quebec.

I will continue to organize monthly Oscar User Group meetings in Montreal.
Check the www.oscar-quebec.com site for updates.

I will continue to improve a great product and to help you be better, more efficient physicians.

If you have any questions or comments, please feel free to call or email anytime.
Earl Wertheimer | oscar-quebec.com | earlwer@gmail.com | (514) 891-3275