ConnectingGTA Overview. April 29, 2014

Transcription

1 ConnectingGTA Overview April 29, 2014

2 ConnectingGTA will improve the patient and clinician experience by delivering a regional electronic health record for 6.75M individuals 6 Local Health Integration Networks 750+ Health Care Organizations ~12,500 Physicians ~49,000 Regulated Health Professionals Includes: 6 CCACs (Central, Central East, Central West, North Simcoe Muskoka, Mississauga Halton, & Toronto Central) 2,000+ anticipated CCAC users 2 Confidential not for public distribution

3 ConnectingGTA By the Numbers 175+ Clinicians directly involved 15 Early Adopter organizations populating the CDR ~90% of technical solution built ~24 million messages captured ~2 million patients captured* *Patients identified using unique MRN or CHRIS numbers 3 Confidential not for public distribution

4 Driven by clinicians and clinical priorities across the care continuum ~50% Acute Data (e.g. discharge, DI reports, ED reports) ~93% CCAC Data (e.g. referral details, LTCH placements) ~75% Lab Results (all modalities) Future Data (e.g. medication, DI, EMRs) 1 Single Sign On 2 Direct to Portal 3 Display Portlets in Portals 4 Direct Integration (to come) 4 Confidential not for public distribution

5 ConnectingGTA Provider Portal Patient Banner Patient demographics Timeline Snapshot of history Portlets Summary of results 5 Confidential not for public distribution

6 ConnectingGTA Technical Solution ACCESS to information Portal Launch Provider Portal with Single Sign On Log in to GTA Provider Portal Display Portlets in Other Portals Integrate directly to ConnectingGTA Services (via web service) Site Admin Portal GTA HIAL Ability to EXCHANGE information Common Services and Capabilities (Consent, Audit, Terminology, Reporting, Authentication, Notification) Data Feed ~1 million messages sent per week * Provincial Common Integration Services IDENTIFY & COLLECT information 15 Sites contributing data from: Acute Care Community Care Access Centres Clinical Data Repository ~24 million messages captured * Provincial & Regional Clinical Repositories OLIS DICS ODB Interim Registries Interim PR Interim EMPI 6 Confidential not for public distribution Completed Testing Future State * Data as of Feb. 4, 2014

7 Organizations currently working with ConnectingGTA ConnectingGTA Early Adopters Central CCAC Central East CCAC Central West CCAC Centre for Addiction & Mental Health City of Toronto LTCH Lakeridge Health Corporation Mississauga Halton CCAC Mount Sinai Hospital North York General Hospital Resource Matching & Referral Rouge Valley Health System St. Michael s Hospital Sunnybrook Health Sciences Centre/ St. John s Rehab The Scarborough Hospital Trillium Health Partners (Mississauga Hospital/Credit Valley Hospital) Toronto Central CCAC University Health Network William Osler Health System OLIS Sites * Campbellford Memorial Hospital Centre for Addiction and Mental Health Mackenzie Health Mount Sinai Hospital North York General Hospital Northumberland Hills Hospital Peterborough Regional Health Ross Memorial Hospital Rouge Valley Health System St. Joseph s Hospital St. Michael s Hospital Southlake Regional Health Centre Stevenson Memorial Hospital Sunnybrook Health Sciences Centre/St. John s Rehab The Scarborough Hospital Toronto East General Hospital William Osler Health System Women s College Hospital * Please note: Additional sites contributing to OLIS from the Foundation Phase, includes: Grey Bruce Health Centre, Lakeridge Health Corporation, Mississauga Hospital/Credit Valley Hospital, and University Health Network 7 Confidential not for public distribution

8 ConnectingGTA Governance Structure Through collaboration, partnership and strong leadership ConnectingGTA will deliver the best solutions for its stakeholders Program Steering Committee FUNDERS ehealth Ontario Canada Health Infoway KEY INFLUENCERS Central Ontario Electronic Health System Council Clinical Working Group Technical Working Group ConnectingGTA Program Team Privacy & Security Working Group Participating Organizations & Clinical Systems 39 individuals representing 6 ConnectingGTA LHINs & clinical perspectives CCACs Complex Continuing Care Family Physicians Hospitals Mental Health & Addictions Nursing Pharmacy Rehabilitation 8 Confidential not for public distribution

9 ConnectingGTA Designed by Clinicians for Clinicians Requirements Definition P Clinician Input RFP Issued Vendor(s) Solution Presented P Clinician Input Front-end vendor chosen Front-end configuration, testing and design P Clinician Input Front & Back-end integration Training Go-Live P Clinician Input P Clinician Input P Clinician Input Clinician Input Guide centrally and execute locally Clinical priorities are Program priorities; clinicians engaged from start to finish Encourage/provide opportunities for multi-disciplinary discussions Alignment with provincial landscape Invest in and maintain focus on engagement and communications efforts 9 Confidential not for public distribution

10 Supporting Privacy & Security Needs Privacy and Security efforts support clinician workflow and improve the patient experience while mitigating privacy and security risks Policies could be leveraged as foundation for ehealth Ontario s provincial policies Requirements built in to Solution design and architecture to support a shared electronic system Privacy framework complies with PHIPA and supports MOHLTC policies to become regulation Steering Committee Privacy & Security Committee Privacy & Security Working Group ConnectingGTA Governance Structure for Privacy & Security Central Ontario Electronic Health System Council ConnectingGTA Privacy & Security Team 10 Confidential not for public distribution

11 Where We Are and Where We Are Going Data Available (Hospitals and CCAC data - based on IP Admissions & ED visits in GTA) Early Adopters ~50% Acute Data ~93% CCAC Data ~75% Lab Results Expansion ~80% Acute Data 100% CCAC Data 75%+ Lab Results Clinical Users 30, ,000+ Number of organizations to benefit ~20 HSPs ~75 HSPs Increased focus on providing view-access to community organizations 11 Confidential not for public distribution

12 Thank you!

13 Guiding Principles to Deliver Clinical Value Patient-centered approach - Build a comprehensive patient view, by capturing and sharing the largest volume of data needed most frequently by patients and providers (e.g. transitions from acute to community) ConnectingGTA will: Support continuity of care and seamless transition between providers Deliver clinical value to clinicians as quickly and efficiently as possible Utilize existing expertise and work effort Build a compelling value proposition for clinicians and patients 13 Confidential not for public distribution

14 Early Clinician Feedback This is excellent. I love the timeline and I can see how useful it will be for patients who use the health system frequently. Dr. Ed Etchells, Physician, Sunnybrook Health Sciences Centre The look and feel is really good. It s clean and easy to use. This will go a long way in terms of adoption. Dr. Stephen McLaren, Family Physician, Markham Family Health Team This is so good. It s really great to see how all the information will be displayed. We have LTC homes along the 401 corridor so we receive information from a lot of different hospitals. This is going to make a huge difference to us. Dion John, Nurse Manager, City of Toronto Long- Term Care Homes 14 Confidential not for public distribution

15 OLIS data now available broadly across the GTA The availability of these reports saved us tremendous amounts of time and prevented repeat tests...clinical information is more easily available to help inform patient care. Dr. Mark Cheung, Staff Physician and Medical Biochemist, Sunnybrook Health Sciences Centre My colleagues have only been using OLIS data for a few weeks and are finding the lab data to be of great value while providing patient care. Dr. Michael Freeman, Director of Medical Informatics, St. Michael s Hospital. our patients will receive more efficient and coordinated care because of the OLIS Viewing project. Lina Ranieri, Project Manager, Credit Valley Hospital 15 Confidential not for public distribution

16 ConnectingGTA Year in Review Adoption 175+ Clinicians directly involved Clinician Champions previewed solution to support LPR Kicked-off Benefits Evaluation work stream and engaged stakeholders to help prioritize key indicators Sites submitted initial user estimates to reach ~34,000 end users Implementation 15 Early Adopter organizations populating the CDR since May 2013 Early Adopter sites have connected to the ConnectingGTA Provider Portal and completed ConnectingGTA federation and access validation Early Adopter Sites confirmed acceptance and compliance of the ConnectingGTA Privacy & Security policies ~90% of standards-based technical solution built and connections established with provincial assets (OLIS) Solution Delivery ~24 million messages captured in the CDR Established end-to-end Portal connections with the HIAL and the associated Provider and Client registries in our development environment 16 Confidential not for public distribution

17 ConnectingGTA Year in Review (cont.) Privacy & Security Created Privacy & Security policies; leveraged as foundation for ehealth Ontario s provincial policies Privacy & Security Committee established Published LPR Privacy & Security Manual and tools for HICs Built in privacy & security business requirements in the design and architecture of the solution to support a shared electronic system Developed a privacy management framework that ensures compliance with PHIPA and supports MOHLTC policies to become regulation Strategic Work Packages ~2.15 million patients captured Planning underway with MOHLTC to integrate with the Ontario Drug Benefit database Established connection and feed to Hospital Report Manager Completed Wave 2 (Expansion) site selection and initiated planning 17 Confidential not for public distribution

18 Progress Towards Go-Live Where we are now P P P Jan-Apr 2013 Clinical Solution Workshops May 2013 CDR Live Jan CWG Portal Preview Base Provider Portal Complete Overall Solution & OLIS Testing Complete Summer 2014 TBD LPR Rollout TBD Full Clinical Rollout 18 Confidential not for public distribution