Partnering for eHealth Innovation

1
Partnering for e-Health Innovation

• Laurie Hicks, VP, Client Relationship Management
• Forging Ahead, Evidence to Innovation
• March 7, 2008

2
We expect to use IT

• Banking
• Shopping
• Travel

• What about health care?

3
In health care, you would expect

• To be discharged from hospital when you are well
  enough not waiting for paper work to be
  completed

4
In health care, you would expect

• Rural patients would not have to travel 800 km
  for a 10-minute medical appointment

5
You would expect, but

• Today thats not always the case

• We will change that with e-Health

6
What is e-Health?

• Use of information technology to get patient
  information to health care providers more
  quickly, securely and reliably so they can make
  better care decisions

7
SSHA - Ontarios Health Care IT Partner

• Help health care share information electronically
  beyond one or a limited number of professionals/
  organizations
• Build on existing systems to expand information
  sharing possibilities
• Enabling force behind provincial IT
  infrastructure delivering e-Health solutions
• Secure, reliable patient information sharing
  network between 150,000 providers at 24,000 sites

8
e-Health Success
Ontario Network for e-Health ONE
9
SSHAs Partners in e-Health Innovation

• Community care
• Continuing care
• Long-term care
• Doctors
• Hospitals
• Pharmacists
• Laboratories
• Public Health Units
• Ministry of Health and Long-Term Care programs

10
Accomplishments Health Care

• 600,000 queries in 2007 about patients of the
  Ontario Drug Benefit and Trillium Drug Program to
  have their prescription history accessed in
  hospital emergency departments
• 200,000 assessments annually managed
  electronically by Community Care Access Centre
  (CCAC) case workers for home care patients who
  may need to move to long-term care facility
• 130,000 mothers and newborns have their needs
  coordinated each year by public health nurses
• 36,000 patient-physician video conferences
  conducted in 2007, enabling doctors and their
  patients to communicate faster and more
  efficiently

11
SSHA Product Deployment
12
SSHA and Continuing Care

• ONE Network
• 100 of CCACs connected
• 45 of continuing care, LTC and community care
  organizations connected
• ONE Mail/ONE Pages
• Long-term care facilities
• Local Canadian Mental Health Agencies
• Local Alzheimer Societies
• Home Care agencies

• Benefits
• Quicker, more efficient patient hand offs
• Reduction of paper records and re-entries
• Decrease duplication of tests, histories

13
SSHA and Continuing Care ONE Hosting

• CCACs Resident Assessment Instrument Home Care
  
• CCAC workers evaluate need and priority for
  placement into LTC facilities
• 17,000 home care patients assessed every month
• Since 2005
• CCACs financial/administrative functions
• Payroll, human resources, scheduling, finance and
  statistics

14
SSHA and Continuing Care

• Continuing Care eReferral
• Every year, each CCAC has average 500,000 inbound
  referrals creating 2.5 million outbound referrals
• Phase 1 Pilot eReferrals from Scarborough
  Hospital to CCAC done
• Phase 2 Expand eReferrals to initial group of
  mental health and community agencies done
• Phase 3 Wider deployment to more organizations
  (e.g. home care) in planning

15
Innovating to Create the Electronic Health
Record
16
Innovating to Create the EHR

• Enterprise Master Patient Index (EMPI)
• Patient identifier records from 70 hospitals
• EMPI allows patient identifier records to be
  linked
• Will expand to all hospitals and other sources
• Initially implemented to support Wait Times Info
  System
• Intended to evolve for other applications

17
Innovating to Create the EHR

• Lab tests constitute 3 billion/year program 200
  million tests
• Ontario Laboratory Information System
• Automate ordering and access to results
• Rollout
• Trillium, Lakeridge, Grey Bruce Health Services
  and Gamma-Dynacare in production (not yet for
  clinical use) 2007
• University Health Network, CML and LifeLabs
  (formerly MDS) early 2008
• Eventually all doctors, hospitals, LTC
  facilities, etc.

18
Innovating to Create the EHR

• Expansion of Drug Profile Viewer
• 185 hospital emergency departments use it to
  access patient Ontario Drug Benefit information
• 600,000 queries in 2007
• Current expansion (pharmacies, in-patient,
  ambulatory)
• 15 hospitals to date
• 15 more by March 31, 2008
• Eventual rollout beyond hospitals

19
Innovating to Create the EHR

• Panorama
• Upgrade of current Public Health infectious
  disease and outbreak management system
• Early recognition of highly infectious disease
  spread or pandemic
• Tracking by health care providers
• Modules
• Immunization Management
• Vaccine Ordering and Distribution
• Communicable Disease/Outbreak Management
• Alerting
• Surveillance Analytics

20
Future E-Health Innovations Needed

• Adoption
• Education on Privacy and Security
• Integration
• Consent management
• Patient access

21
Find Out More About SSHA

• Visit www.ssha.on.ca recent additions
• Product Catalogue
• Product security descriptions
• Refreshed Privacy and Security section
• Includes Privacy Impact Assessments and policies
• How We Help Health Care section
• Whats New section

22
Questions?

• Sign up for our e-Newsletter atwww.ssha.on.ca