BC Early Hearing Program: Provincial Systems Transformation
Applied Pillars: Structural Clarity | Information Integrity | Resilient Design
1. The Assessment (The Drift)
Newborn hearing data was fragmented across regional health authorities, creating significant Systemic Drift. Without a unified Architecture of Record, the program relied on manual reconciliation and could not maintain longitudinal outcome integrity across the province.
2. The Diagnosis (The Root Cause)
The perceived issue was software inconsistency; the actual failure was architectural. Legacy silos and Nomenclature Divergence prevented regional systems from communicating, creating structural blind spots that led to high rates of patient loss-to-follow-up.
3. The Architecture
(The Structural Intervention)
I authored the Feasibility and Recommendations Summary, which served as the definitive technical roadmap for the provincial "Go-Forward" strategy.
The Logic Bridge: Architected the HL7 v3–normalized Diagnostic Engine using BizTalk orchestration to establish universal clinical data legibility.
Automated Surveillance: Designed the Automated Trigger Logic framework, enabling real-time compliance tracking from the initial screening event.
Persistent Governance: Defined the security and access protocols for a centralized, web-enabled repository operating within the Provincial Network Gateway (PNG).
4. The Validation (The Integrity)
The perceived issue was software inconsistency; the actual failure was architectural. Legacy silos and Nomenclature Divergence prevented regional systems from communicating, creating structural blind spots that led to high rates of patient loss-to-follow-up.
5. Peer-Reviewed Outcome
The intervention’s impact on provincial clinical outcomes was formally recognized in Pediatrics & Child Health, validating the architectural standards and information logic that underpin the program today.