Presentation to NEACC June 11 2015 What is New & Exciting at - - PowerPoint PPT Presentation

Presentation to NEACC

June 11 2015

What is New & Exciting at HSN

NEON

• OLIS & OLIS Viewer

cNEO

• Background
• HSN and the Region’s Roles
• Next Steps

What is New & Exciting at HSN

OLIS -> Ontario Laboratories Information System Facilitates the secure, electronic exchange of laboratory tests orders and results (current and historical). Is a province-wide repository of lab data that is comprised of hospitals, community laboratories, public health laboratories and practitioners and enables the sharing of lab data across the province.

What is OLIS

Laboratory (Haematology, Chemistry, Microbiology, Blood Bank and Pathology) data into the provincial OLIS repository Solution to view results from the OLIS repository Future

• Manage Referrals to

performing laboratories

• Support Physician Office

Integration for laboratory test ordering and results

OLIS OVERVIEW

Data OLIS DC to Date(DC)

5 Area Associated hospitals Test Volume LHIN 13 – North East Ontario Network (NEON) & West Parry Sound Anson General, Bingham Memorial, Blind River, Chapleau, Engelhart & District, Espanola General, Hornpayne, Kickland & District, Lady Dunn, Lady Minto, Manitoulin, Mattawa General, Notre-Dame, Sensenbrenner, Smooth Rock Falls, St. Joseph’s General, HSN, Temiskaming, Timmins & District, West Nipissing General , West Parry Sound Health 2.07% Haem Chem Micro BBK Path LHIN 13 – Non- NEON sites North Bay Health Center, Sault Area Hospital, 0.84% LHIN 14 – North West Health Alliance (NWHA) Dryden Regional Health Centre, Geraldton District Hospital, Manitouwadge Hospital, Nipigon District Hospital, Sioux Lookout Meno-Ya-Win Health Centre, Thunder Bay Regional Health Sciences Centre 1.10% Underway Community labs CML Healthcare, Gamma-Dynacare, LifeLabs, Public Health Labs; BioTest Laboratory, Alpha Labs

Expedites access to patient lab results and history Provides for secure transfer and storage of patient information Streamlines testing and eliminates duplication of tests Digitization of results leads to reduction for potential of human error Complete and up-to-date lab test information regardless

• f where the lab tests are completed

OLIS BENEFITS

OLIS VIEWER BACKGROUND

HSN – developed solution Consultation with other Ontario Meditech hospitals Lessons learned from early initiatives: Grey-Bruce Physician - focused

• “One place to go” with seamless access

Provincial OLIS portal vs. Meditech EMR

• Same “look and feel” of provincial OLIS

portal (Required compliance to specifications)

• User friendly, intuitive and supports practice
• One-click process

Principles

• f

Design:

OLIS VIEWER BACKGROUND

OLIS VIEWER

PATIENT CONFIRMATION SCREEN

PATIENT LAB RESULTS

Initial default of last 3 months Can sort results by clicking on headers Flags tests with an abnormal result Offers two types of views

OLIS “VIEW RESULTS” REPORT

OLIS “DETAIL” REPORT

Single Session Tracking

• Over 2000 physicians, clinicians and clinical

support staff have access to OLIS

• Over 5,000 records have been accessed

To Date

Anecdotal Feedback

“This changes the way I practice. ….It makes the patient’s story real for them” “This is saving me so much time” “It is so easy!” Benefits Evaluation….. “When can we have reports…diagnostic imaging….vital signs??”

Anecdotal Feedback

Clinician Feedback

cNEO’s Focus: Connecting clinical information for Hospital, Primary and Community Care in northern and eastern Ontario; with initial emphasis on enabling clinical information flow from Hospitals to Primary and Community Care

Connecting Northern & Eastern Ontario cNEO

*eHealth Ontario is leading the integration of electronic health care systems across the province. Together with the Local Health Integration Networks (LHINs) and health service providers, eHealth Ontario is working to deliver integrated health care for Ontarians.

cNEO is one of three province-wide ehealth programs, funded by eHealth Ontario*, that will deliver electronic health record (EHR) services: cGTA

Connecting Greater Toronto Area

Led by University Health Network

(Program Delivery Partner)

cSWO

Connecting South West Ontario

Led by London Health Sciences Centre

(Program Delivery Partner)

cNEO

Connecting Northern and Eastern Ontario

Led by The Ottawa Hospital

(Program Delivery Partner)

cNEO Program

Health Service Providers Pilot Program Delivery Partner Service Delivery Partners Providing local knowledge, expertise and adoption activities

cNEO Program

Provides communication channels and vehicles to help distribute/post program information and materials, and lends support towards alleviating health service provider implementation and adoption barriers that arise.

Ministry

• f Health

and Long Term Care eHealth Ontario Program Delivery Partner cNEO Service Delivery Partners Health Service Providers Clinician Patient LHINs

Local Health Integration Network (LHIN) Role

cNEO Program

CLINICAL VIEWER DELIVERY PROJECT 2 Hospitals & 2 Community Partner Sites HOSPITAL & CCAC CONTRIBUTION 65 Hospitals & 4 Community Care Access Centres (CCAC) CLINICIAN ADOPTION (18,000+ adopters)

• f provincial

electronic health record services

Delivery Stages: Due Diligence, Execution & Adoption Pilot

First Step

Spring/Summer 2015

Next Steps

Fall 2014 to Winter 2017

cNEO Implementation Timeline

cNEO Program

The cNEO Plan

Activities Timeline in Months 1 2 3 4 5 6 7 M1 Project kick off, project reporting implemented and recurring X X X X X X X M2 Project charter and integrated project plan for assessment X M3 Define quality metrics X M4 Clinical data repository assessment X M5 Technical and connectivity assessment X M6 Hospital assessment and gap analysis X M7 Community Care Access Centre assessment and gap analysis X M8 Privacy and Security assessment X M9 Legal and agreement framework X M1 Change management X M1 1 Implementation work plan developed X M1 2 Implementation and sustainment resource plan developed X M1 3 Business case for implementation Stage 2 developed X M1 4 Agreements signed with HSPs for contribution to provincial CDR X M1 5 Final project documentation complete X

• Stage 1

– Orientation now – Assessment in Summer – Stage 2 Planning Summer/Fall cNEO Implementation Timeline

The cNEO Plan

• Complete assessments

– Scope, readiness for contribution for each site – Privacy & Security – Define solution(s) for contribution

• Confirm overall project timelines and costs
• Facilities confirm commitment to participate
• Prepare for implementation kick off

The cNEO Plan Summer Activities

• Applying cGTA implementation model

– Capacity of smaller facilities to complete assessment requirements

• New and complex project structures
• A changing environment
• Clinical value projects considerations (i.e.

POI, OLIS viewer)

• Sustainment

Challenges

Thank You

"If you can't fly then run, if you can't run then walk, if you can't walk then crawl, but whatever you do you have to keep moving forward." Martin Luther King, Jr. Questions?