The key cripplers of health care are:

1. Fragmented Patient chart

Possible solutions:

• single cloud-based chart that is owned by the patient protected by the government

• information uploaded by a certified care provider (or they don't get paid)

• Maintained by a patient navigator who organizes information

• linked to self-care directions and

• tele-support clinicians

2. Disparate and rapidly changing medical treatments of variable support with evidence

Why can't we integrate all guidance into one set of current recommendations so that when you put your information into the patient's EMR, guidance pops up and you follow that.

Not only will that lead to consistency, you are essentially entering a patient into a clinical trial of sorts as this data can be reviewed later.

3. CME

• Fragmented, disparate, inconsistent.

• Make it a paid part of our salary making it mandatory, and consistent

4. Telemedicine

Create a Provincial or State or Regional Virtual hospital that Offers 24/7, Full hospital e-consultant services.

a. Tier one, e-Consultants support acute care issues.They help you decide regardless of where you are working the management and connect with a regional hospital bed registry so you can move your patient from your ED to a hospital with beds.

b. Tier two, e-Consultants who support in-patient rounds virtually in rural/remote settings with hospitalists. For example, an Internist could support and monitor a regional virtual ward and do rounds with in-house hospitalists on patients across the region.

C. Tier three would be the equivalent of an outpatient clinic, done virtually.

A STRONGERR website using Social Media tools will be created to determine if social media can be used to accelerate health care transformation to create a unified delivery system.

Website will be up by Dec 2022. Results April 2023.

To be determined.