WIXLIB

COMOH EMR WORKING GROUP

Presentation ObjectivesAt the end of the session members should have:1. An understanding of ConnectingOntario solution including:1. Key benefits2. Health Information available3. The roadmap for future enhancements2. An understanding of key benefits of ConnectingOntario for health service providersand Ontarians receiving healthcare3. An understanding of the sites involved in ConnectingOntario4.An overview of implementation process allowing to continue successful onboardingand increasing adoption.2

CONNECTING ONTARIO OVERVIEW

Overview of ConnectingOntarioEnhancing care for 13.6 M Ontarians by providing health care providers with clinicalinformation in a secure and accessible format ConnectingOntario is an eHealth Ontario initiative that enables the delivery of theprovincial electronic health record (EHR). Connecting Ontario allows participating healthcare organizations to contribute and view provincial patient health care information in asafe and secure manner Regardless of where care is delivered, health care providers will have timely access topatient health care information to support care decisions Connecting Ontario provides the platform to access the CDR, but can also provide the gateway to otherprovincial assets such as OLIS and DI CSContributing data to theAccessing data through a Viewerprovincial Clinical Data Repository(CDR)(e.g. ConnectingOntario Viewer,ClinicalConnect) Three regional hubs (cGTA, cNEO, cSWO) are involved in ConnectingOntario; some sitesare contributing data, viewing data or bothWhen fully implemented, ConnectingOntario will benefit patients and health care providers across Ontario.4

ConnectingOntario benefitsPatient, providers and organizations can realize the following benefits throughelectronic access to provincial level patient dataPatientProviderImproves the patient experience by:Enables faster and more informedclinical decision-making by: Enabling faster care decisions Decreasing the need for patientsto repeat their healthinformation Reducing the need for duplicatetesting and procedures Enhancing communication andcollaborationOrganizationIncreases organizationalefficiencies by: Decreased time spent chasinginformation Enabling faster care decisions Enabling faster, more informeddecisions Improving resource allocation asproviders’ and support staff’stime is freed from administrativetasks Enhancing communication andcollaboration Reducing redundancies Decreasing administrative costs5

Health Information currently availableProvincial CDR contains:Acute CarePatient DemographicsDischarge SummariesAllergy InformationInfection Control InformationMedication ProfileVisit / Encounter DetailsMental Health AssessmentsCardiovascular ReportsConsultation ReportsDI ReportsED ReportsNeurophysiology ReportsRespiratory ReportsOR ReportsCCACe.g. long term care home details, service details, client risk and assessmentsAcute Care CCACConsent directives and override rulesOntario Laboratory Information System (OLIS)6

Connecting Ontario – Functionality RoadmapFiscal 15/16Fiscal 16/17Fiscal 17/18Q1Q2Q3Q4Q1Q2Q3Q4Q1Q2Apr-Jun/16Jul-Sep/16Oct- Mar/18Apr-Jun/18Jul-Sep/18Provincial FederatedAccess and Single Sign onDI Images throughProvincial ViewerProvincial Client and Provider RegistriesintegratedDHDR Data integrated to viewerProvincial Client and Provider RegistriesintegratedImmunization Records integrated.7

DEMO

Progress To Date - ConnectingOntarioAs of May 2016cNEO - TOH1CCAC is contributing data to the provincial CDR2 Champlain hospitals are in the ConformanceTesting Phase63 additional hospitals and 3 CCACs are engagedto contribute data to the provincial CDRcSWO - LHSC5 hospital sites in the ESC LHIN arecontributing data to the provincial CDR12 additional hospitals in SW, WW and ESCLHINs and 4 CCACs are engaged to contributeCentral - Sunnybrook25 hospitals and 6 CCACs are populatingprovincial CDRtheOver 42,000 clinicians are registered to accessConnectingOntario ViewerOver 40,000 clinicians are registered to accessRegional Clinical Viewer, ClinicalConnectTM9

ConnectingOntario Adoption StatusMay 19, 2016ImplementationNote: Internal and external stakeholders from all regions arebeing engaged for the purposes of developing the processfor populating this section of the dashboard. A plan will beput in place in the near term and information presentedherein will represent all regions.Key Trends and Insights:Impacts/Risks:AdoptionRecommendations:1 cGTA sites viewing forecast was based on June 2015 forecast;some sites have been staggered and some are no longer participating. This number is based on early adopter sites and does not include expansion wave.have an account, have been trained and have the ability to access the asset. cGTA reports registered user numbers on a weekly basis; cSWO reports registered user numbers on a monthly basis.3 Up until Nov 2015, cGTA has been reporting 'User Access (To date)' as 'Active Users' as they were still in the early onboarding period.4The final Active User numbers for cSWO (both 1x/mnth and 3x/qtr) and cGTA (3x/qtr) for May'16 will be available in early June'16. 5This number is the Active Users number for May 1 -18'16 only.*For cGTA and cNEO, Registered Users and Active Users refers to the number of users accessing provincial CDR through the Provincial Viewer. For cSWO, it denotes the number of users accessing Clinical Connect Viewer .2 Registered Users are users that

Participating Health Service ProvidersAs of May 2016HospitalsHumber River-Urgent Care SiteSinai Health System-Mount Sinai HospitalHumber River-Wilson SiteSt. Michael's HospitalLakeridge Health-BowmanvilleSunnybrook-Orthopaedic and Arthritic SiteLakeridge Health-OshawaSunnybrook- Sunnybrook Health SciencesLakeridge Health-Port PerryTrillium Health Partners-Credit ValleyLakeridge Health-WhitbyTrillium Health Partners-MississaugaNYGH-BransonTrillium Health Partners-QueenswayNYGH-General SiteUHN-Princess MargaretRVHS-Ajax and Pickering Health CentreUHN-Toronto GeneralRVHS-Centenary Health CentreUHN-Toronto Rehabilitation InstituteScarborough Hospital-BirchmountWOHS-BramptonScarborough Hospital-General CampusWOHS-EtobicokeCentre for Addiction and Mental HealthWOHS-PeelMarkham Stouffville HospitalCharlotte Eleanor Englhart Hospital ofBluewater HealthLeamington District Memorial HospitalBluewater Health, SarniaChatham Kent Health AllianceChatham Kent Health Alliance, Sydenham Campus11

Participating Health Service ProvidersAs of May 2016Long Term CareVermont SquareChester VillageCity of Toronto LTCH Bendale AcresCity of Toronto LTCH Carefree LodgeCity of Toronto LTCH Castleview Wychwood TowersCity of Toronto LTCH Cummer LodgeCity of Toronto LTCH Fudger HouseCity of Toronto LTCH Kipling AcresCity of Toronto LTCH Lakeshore LodgeCity of Toronto LTCH Seven OaksCity of Toronto LTCH True Davidson AcresCity of Toronto LTCH Wesburn ManorDrs. Paul and John Rekai SherbourneDrs. Paul and John Rekai WellesleyElm Grove Living CentreHellenic HomeLakeside Long-term Care HomeMaynard Nursing HomeMon Sheong Home for the AgedO’Neill CentreRegional Municipality of Peel-Tall Pines LTCCRegional Municipality of Peel-Tall Pines Senior Services DivisionRose of SharonSt. Hilda’sSuomi-KotiCCACPrimary CareCCAC-CentralCCAC-Central EastCCAC-Central WestCCAC-Mississauga HaltonCCAC-North Simcoe MuskokaCCAC-Toronto CentralCCAC-South EastWest Durham FHTWise Elephant FHTTaddle Creek FHTQueen Square FHTGeorgian Bay FHTPublic HealthRegion of Peel12

Key phases in the data viewing timelineWhile the exact duration is determined by each Health Service Provider (HSP), in general it willtake a minimum of 6 months for sites to prepare for end-user access to the viewerMonth 1Month 6eHealth Ontario conducts weekly Project Status Checkpoint meetings with both the Program Delivery Partners and Service Delivery PartnersLegal Agreement ExecutionReview, sign and return agreementsPrivacy and SecurityReview policies and standards, complete self assessment, plan remediationEngagePlanImplementProject KickOffProject planEnd-user access toviewer(ONEID/Federation)Ongoingmonitoring andsupportTrainingEvaluation/PostGO LIVE SurveyClinical workflowanalysisAssessreadinessPost Go-Live & AdoptionIntegrate viewer toclinical iedProject planFuture state clinicalworkflowsLegal agreementsTechnicalconnectivity toviewerTransition tooperationsGo Live checklistData viewing beginsPerform closeout13

Roles & responsibilitiesEach role has its own set of responsibilities but one person can fulfill many rolesRoleResponsibilityExecutive Sponsor Provides executive support for project including verifying adoption target, identifiesrelevant leadership forums to support clinical adoption activities and participates inclinical adoption activities as requiredPerson with Authority to sign Senior executive with signing authorityProject Manager Participates in site readiness assessment and roll out planning. Manages and monitorsday to day project activities; resolves issues and escalates to management as required.Develops communication plan and updates generic communication tools with sitespecific content. Works in collaboration to provide data on adoption metrics as well asadministering evaluation tools, i.e. the client feedback surveyClinician Champion A recognized leader with strong clinical leadership and informatics background; leadsadoption by participating in site readiness assessment, roll out planning, training andgo-live planning; reviews and verifies adoption targets; presents internally on project;hosts and participates in clinical adoption activities to prepare site for viewer use andend-user trainingPrivacy Officer Ensures appropriate privacy procedures are implemented and appropriate training forstaff is in place14

Roles & responsibilities (continued)Each role has its own set of responsibilities but one person can fulfill many rolesRoleResponsibilityInformation Security Officer Leads the implementation of the EHR Security Policies within their organization,completes applicable assessment tools prior to onboarding Ensures ongoing compliance and acts as main point of contact for information securityrelated mattersCommunications Support Develops and distributes project-related communications based on templates providedTrainer(s)* Develops training plan, participates in train the trainer sessions, customizes/managesselected training products, delivers/reports on trainingLRA/HIS Registration Agent Ensures participants are registered/enrolled appropriately to access viewerSupport Desk Staff Provide initial supportEnd User Participants Attend training, adopt change, provide feedbackIntegration Specialist(s)** Develops the connection between the HIS and the viewer that enables single sign on andpatient context sharingNetwork Specialist** Enables technical connectivity to the Viewer* If e-learning is the training methods chosen, a trainer may not be required, however someone must still track and report on training**Required for Federation/SSO access method but not ONE ID15

Questions, thoughts and next steps Public Health Units consider the use of ConnectingOntario in their currentpractice16

Maynard Nursing Home . Mon Sheong Home for the Aged . O'Neill Centre . Regional Municipality of Peel -Tall Pines LTCC . . CCAC-Central East . CCAC-Central West . CCAC-Mississauga Halton . CCAC-North Simcoe Muskoka . CCAC-Toronto Central . CCAC-South East . Go Live checklist . Data viewing begins . Perform closeout . Key phases in the data .