BORN ONTARIO PROVINCIAL ROUNDS Thank you for joining our session. - - PowerPoint PPT Presentation

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BORN ONTARIO PROVINCIAL ROUNDS Thank you for joining our session. - - PowerPoint PPT Presentation

BORN ONTARIO PROVINCIAL ROUNDS Thank you for joining our session. The presentation will begin momentarily. CONTACT US: www.BORNOntario.ca info@BORNOntario.ca @BORNOntario Better Outcomes Registry & Network (BORN) Ontario 1 Health


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Thank you for joining our session. The presentation will begin momentarily.

BORN ONTARIO PROVINCIAL ROUNDS

CONTACT US: www.BORNOntario.ca info@BORNOntario.ca @BORNOntario Better Outcomes Registry & Network (BORN) Ontario

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Health Information

Registries and mHealth:

Thursday, February 19, 2015

Alicia St.Hill-Nasser, Manager of Health Informatics, BORN Ontario Katherine Atkinson, Research Coordinator, Ottawa Hospital Research Institute (OHRI)

An Opportunity to Facilitate Personalized Health Care

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Objectives

  • 1. Introduce the ImmunizeCA app that helps

families manage immunizations.

  • 2. Describe ongoing collaboration between

ImmunizeCA and BORN to facilitate the transfer of the information

  • 3. Discuss opportunities to leverage registries

and mHealth to deliver personalized care

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It’s hard to keep track

  • f my records, but I

always have my

  • iPhone. …

There are apps for everything, why not immunization?

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Version française

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Both official languages, English and French

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Real time communication

  • Banners can be changed

in real time through our backend system

  • No update required by

the user

  • Can link to external

sources of information

  • Enables communication

and dissemination of important information

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The whole family’s immunization records in one place

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14 P/T Schedules Pediatric & Adult

User entered demographic information

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  • Present complex information in a simple format
  • Ability to include both brief, plain language summaries

& more in depth information

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Distribution of Records

  • 46% of all users are residents of Ontario

(Toronto > Ottawa > Brampton > London)

  • Roughly 30% of records created in the app are

under the age of one

  • 58% of total records are under 5 years old
  • Max age 93 years old!
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Challenges with Current Practice

  • Vaccine confidence
  • Outbreaks
  • Collection of data from

children outside of the school pupils act (0-5 yo)

  • Real time surveillance of

vaccine safety, coverage and effectiveness

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PILOTING DATA EXCHANGE FROM AN APP

Leveraging the Registry…

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Imagine linking the records in the Immunize CA app to those who need it directly...

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Benefit of sharing/exchanging Immunization Data?

  • Parents are a valid source of immunization data
  • Public Health Units in Ontario are mandated to

monitor adherence to immunization schedules for children in schools and daycare centres

(Immunization of School Pupils Act & the Day Nurseries Act)

– Need to monitor and trend coverage rates and understand who in the population has been immunized, where they live and go to school

  • Prior to school-age (<5) the opportunities to

collect records are few.

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Registry Role

  • Immunization status is an important public

health issue that is gaining momentum.

  • As a child health registry we can play a role in:

– Storing and sharing immunization data among providers – Capturing adverse events – Centralizing population data related to immunizations – Identifying at-risk populations or individuals

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Vaccination Report (accessed securely via the BIS) BORN Information System

Our Solution Information Flow

Consent Report Generation

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What a parent will have to provide

Parents must consent to sharing data with their local public health unit

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Benefits to the Public Health Unit

  • Additional, novel, and persistent source of

vaccination data

  • Reduce the independent burden of parents

submitting records by phone, fax, or in-person

  • In future: direct connectivity between the

public health central repositories would be a valuable to reduce manual entry burden.

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A new Option Available?

Or use the Immunize CA app and select “Submit record to Public Health Unit”?

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Future Opportunities for Immunize CA and BORN

  • Provide this feature to other Public Health

jurisdictions in Ontario to improve record capture

  • Leveraging our BORN KideConnect work with

primary care EMRs to provide bi-directional sharing of immunization between families and providers via the app

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How mHealth could be used obtain better health outcomes?

  • Individuals and families mobilize to improve

their own health status when empowered with clear information

Imagine opportunities where women could manage their postpartum risk factors of diabetes or hypertension through mHealth applications that direct next steps or best practice

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Questions?

www.BORNOntario.ca info@BORNOntario.ca