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 Information Registries and mHealth: An Opportunity to Facilitate Personalized Health Care Thursday, February 19, 2015 Alicia St.Hill-Nasser, Manager of Health Informatics, BORN Ontario Katherine Atkinson, Research Coordinator, Ottawa Hospital Research Institute (OHRI)
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 3
It’s hard to keep track of my records, but I always have my iPhone. … There are apps for everything, why not immunization? 4
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Version française
Both official languages, English and French
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
The whole family’s immunization records in one place
14 P/T Schedules User entered demographic information Pediatric & Adult
• Present complex information in a simple format • Ability to include both brief, plain language summaries & more in depth information
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! 16
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 17
Leveraging the Registry… PILOTING DATA EXCHANGE FROM AN APP 18
Imagine linking the records in the Immunize CA app to those who need it directly...
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. 20
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 21
Our Solution Information Flow Vaccination Report BORN (accessed securely Information via the BIS) Report Consent System Generation 22
What a parent will have to provide Parents must consent to sharing data with their local public health unit 23
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. 24
A new Option Available? Or use the Immunize CA app and select “Submit record to Public Health Unit”? 25
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 26
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 27
Questions? www.BORNOntario.ca info@BORNOntario.ca 28
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