The Community Health Information Network

1
The Community Health Information
Network Abigail Dancey Community Care
Access Centre of Waterloo Region CANARIE
Workshop Showing Results Sharing
Knowledge Toronto, Ontario November 4, 2004
2
Integration in Health Care

• Integration a key component to federal/provincial
  health mandates
• Organizational boundaries, different systems
  were barriers
• The CHIN is a secure technological solution that
  bridges the gap

3
Objectives

• About CCACWR
• Understand the CHIN system
• Understand information transfer
• Achievements
• Future developments

4
Community Care Access Centres

• 42 CCACs across Ontario
• Coordinate delivery of community based health
  care and placement services
• CCAC of Waterloo Region
• 41 M operating budget
• 100 funded by MOHLTC
• 19 300 clients served in 2003/04

5
CHINs Core Value Proposition

• CHIN links existing systems and provides
  information to users in ways not available
  through existing information systems
• AND
• CHIN streamlines work by reducing duplication
  within the information exchange process

6
The History

• 1995 CHIN concept conceived and evolved
• Group of committed health care providers in the
  Waterloo Region
• 1999 First pilot project
• 2001 e-Billing module
• Contracted service providers
• Electronic transmission of billing files
• Reduced invoice payment turnaround time - 21 days
  to 3 days

7
What CHIN is and is not

• CHIN is
• Individual focused
• Shares client health information between
  organizations
• Provides access to longitudinal client health
  information from multiple sources
• Accessible at all points of care in a timely
  manner

• CHIN is not
• Organization focused
• An operational system i.e, client information
  system
• A single physical data repository
• An information highway like SSHA but an
  application that runs on it

Adapted from Alberta Health and Wellness
Building an EHR
8
CHIN Architecture
9
Transportation of Information

• Three main methods to transfer information
• Pull reports
• Electronic forms (smart forms)
• Secure e-mail

10
Long Term Care Wait List Report
LTC Employee
Marshall Lisa

Marshall Lisa
11
RAI-HC Assessment Results
12
Partnerships with Service Providers
13
CHIN E-Mail
14
CHIN Security Features
15
CHIN Now

• 4 communities
• 58 organizations
• 268 users
• 3600 messages exchanged weekly

16
CHIN Future

• CHIN module for communicable disease outbreak

• CCACWR
• Region of Waterloo Public Health Unit
• Cambridge Memorial Hospital / Grand River
  Hospital / St. Marys Hospital
• 23 Long-term Care Facilities (in future planning
  phase)

17
Conclusion

• CHIN uses existing technology to connect health
  care teams
• CHINs efficiencies allow increased focus on
  clients
• CHIN provides enhanced security along its
  communication channel

18
The Community Health Information
Network Abigail Dancey Community Care
Access Centre of Waterloo Region CANARIE
Workshop Showing Results Sharing
Knowledge Toronto, Ontario November 4, 2004