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From Scaling the Preventive Assessment Tool to a Holistic Personalized Preventive Plan
Matvey Kipershtein1, Abbas Zavar1,2
1Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Studies in Health Technology and Informatics
|February 13, 2026
Summary
Canada
Area of Science:
- Digital Health
- Health Informatics
- Preventive Medicine
Background:
- Canada's healthcare system faces challenges in adopting preventive and precision medicine due to data silos and misaligned incentives.
- Workflow burdens hinder the integration of new health technologies and data-driven approaches.
Purpose of the Study:
- To align divergent priorities and inform the design of a Preventive Assessment Tool (PAT) for Canadian healthcare.
- To identify key requirements and implementation barriers for advancing connected, preventive care.
Main Methods:
- Multi-sector key informant interviews were conducted to gather insights.
- An adapted House of Quality method was applied to analyze and prioritize requirements.
- A stakeholder-validated architecture was developed to address identified challenges.
Main Results:
- Six leading requirements were identified: interoperability, customization, workflow automation, predictive analytics, AI-enabled management, and sustainable revenue.
- Key implementation barriers include digital health regulations, demonstrating payer value, and patient outreach costs.
- A regulatory-aware, flexible architecture was proposed to embed preventive assessments into EMR workflows.
Conclusions:
- The proposed architecture addresses interoperability and regulatory hurdles, enabling seamless data exchange and reducing clinician burden.
- This scalable solution supports personalized interventions and advances connected, preventive care across Canada.
- By transforming barriers into enablers, the PAT design facilitates innovation in healthcare delivery.
Keywords:
Digital health architectureHouse of QualityInteroperabilityPrecision medicinePreventive medicineStakeholder analysisMore Related Videos
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