Canadian eHealth Landscape

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Canadian eHealth Landscape

• Lydia Lee
• eHealth Lead, Toronto Central LHIN Chief
  Information Officer, SIMS VP CIO, University
  Health Network

April 3 2009
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Contents

• Canadian eHealth Landscape
• Provincial Strategy eHealth Ontario
• Regional Strategy LHIN eHealth
• The SIMS Partnership

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eHealth Landscape an Overview
eHealth
eHealth
eHealth

• Providers and Provider Networks
• Local Implementation

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Contents

• Canadian eHealth Landscape
• Provincial Strategy eHealth Ontario
• Regional Strategy LHIN eHealth
• The SIMS Partnership

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eHealth Ontario Clinical Priorities
Medication Management
Diabetes Management
Wait Times
Enable online prescriptions medication
history Provide decision support for physicians
ordering drugs Alert of potential adverse drug
events
Monitor patient compliance with evidence-based
interventions Alert physicians when best
practices not being followed Report on care gaps
Enable public reporting performance
management Expedite patient referrals out of
acute care where appropriate Divert ER visits to
more appropriate community care settings
ER length of stay Wait times
To Reduce
Adverse drug events Physician office
visits Hospitalizations Deaths
Blindness Heart attacks Amputations Renal
failure Deaths
To Reduce
To Reduce
Focus of ERs on urgent patients Access to
community services
To Increase
prescriptions ordered online reduction in
adverse drug events
ER length of stay Wait for post acute care
patients receiving best practice care
Measure
Measure
Measure
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eHealth Delivery Organizations in Ontario

• A number of organizations across Ontario deliver
  and support eHealth solutions
• The following table lists some major (not an
  exhaustive list) delivery organizations in
  Ontario and their number of staff delivering
  eHealth solutions
• Further research is required to identify all
  delivery organizations across the province

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Contents

• Canadian eHealth Landscape
• Provincial Strategy eHealth Ontario
• Regional Strategy LHIN eHealth
• The SIMS Partnership

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A Joint e-Health Strategy Strategic Priorities
of the Central and Toronto Central LHINs

• Improve the care process

• Improve the ability to exchange information
  across the health system

• Support patient participation in their health care

• Support implementation of provincial e-Health
  initiatives

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Contents

• Canadian eHealth Landscape
• Provincial Strategy eHealth Ontario
• Regional Strategy LHIN eHealth
• The SIMS Partnership

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The SIMS Partnership

• SIMS is the IM/IT partnership between 15 health
  care organizations in the GTA committed to
  identifying, planning, and implementing joint
  initiatives that will contribute to a coordinated
  and integrated health care delivery system
• Alignment with Federal, Provincial, and Regional
  eHealth strategies
• Health System Planning
• Market Positioning
• Strategic Architecture

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Appendix
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For More Information

• http//www.infoway-inforoute.ca/
• http//www.ehealthontario.on.ca/
• http//www.lhins.on.ca/
• http//www.simspartners.ca/

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eHealth Ontario - Objectives

• To provide eHealth services and related support
  for the effective and efficient planning,
  management and delivery of health care in Ontario
• To develop eHealth Services strategy and
  operational policy
• To protect the privacy of individuals whose
  personal information or personal health
  information is collected, transmitted, stored or
  exchanged by and through the Agency, in
  accordance with applicable law.

Source Development Corporations Act Ontario
Regulation 43/02 eHealth Ontario, Sept. 29 2008
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Local Health Integration Networks - Objectives

• to promote the integration of the local health
  system to provide appropriate, co-ordinated,
  effective and efficient health services
• to identify and plan for the health service needs
  of the local health system in accordance with
  provincial plans and priorities and to make
  recommendations to the Minister about that
  system, including capital funding needs for it
• to engage the community of persons and entities
  involved with the local health system in planning
  and setting priorities for that system, including
  establishing formal channels for community input
  and consultation
• to ensure that there are appropriate processes
  within the local health system to respond to
  concerns that people raise about the services
  that they receive
• to evaluate, monitor and report on and be
  accountable to the Minister for the performance
  of the local health system and its health
  services, including access to services and the
  utilization, co-ordination, integration and
  cost-effectiveness of services
• to participate and co-operate in the development
  by the Minister of the provincial strategic plan
  and in the development and implementation of
  provincial planning, system management and
  provincial health care priorities, programs and
  services
• (g) to develop strategies and to co-operate with
  health service providers, including academic
  health science centres, other local health
  integration networks, providers of provincial
  services and others to improve the integration of
  the provincial and local health systems and the
  co-ordination of health services

Source Local Health System Integration Act, 2006
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Local Health Integration Networks - Objectives

• to undertake and participate in joint strategies
  with other local health integration networks to
  improve patient care and access to high quality
  health services and to enhance continuity of
  health care across local health systems and
  across the province
• to disseminate information on best practices and
  to promote knowledge transfer among local health
  integration networks and health service
  providers
• to bring economic efficiencies to the delivery of
  health services and to make the health system
  more sustainable
• to allocate and provide funding to health service
  providers, in accordance with provincial
  priorities, so that they can provide health
  services and equipment
• to enter into agreements to establish performance
  standards and to ensure the achievement of
  performance standards by health service providers
  that receive funding from the network
• to ensure the effective and efficient management
  of the human, material and financial resources of
  the network and to account to the Minister for
  the use of the resources

Source Local Health System Integration Act, 2006
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Canadian eHealth Landscape

• Lydia Lee
• eHealth Lead, Toronto Central LHIN Chief
  Information Officer, SIMS VP CIO, University
  Health Network

April 3 2009