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e-Health Conference 2013: Accelerating Change

Breaking Down Barriers to Health Information Exchange: How Clinical Leadership is Shaping ConnectingGTA . e-Health Conference 2013: Accelerating Change. May 27, 2013, 3.30 p.m. Presented by:

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e-Health Conference 2013: Accelerating Change

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  1. Breaking Down Barriers to Health Information Exchange: How Clinical Leadership is Shaping ConnectingGTA e-Health Conference2013: Accelerating Change May 27, 2013, 3.30 p.m. Presented by: Dr. David Daien, Co-Chair, Clinical Working Group; Physician IT Lead and Vice-Chair, Summerville Family Health Team Dr. Peter Rossos, Co-Chair, Clinical Working Group; Chief Medical Information Officer, University Health Network

  2. Presenter Disclosure • Presenters: • Dr. David Daien, Co-Chair, Clinical Working Group; Physician IT Lead and Vice-Chair, Summerville Family Health Team • Dr. Peter Rossos, Co-Chair, Clinical Working Group; Chief Medical Information Officer, University Health Network • Relationships with commercial interests: • Nothing to disclose

  3. 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 • 6,267 Family Physicians • 6,930 Physician Specialists • 49,905Nurses • All sectors of care: • Acute Care • Community Support Services • Complex Continuing Care • Long Term Care • Mental Health & Addictions • Primary Care • Rehabilitation

  4. Regional referral patterns require addressing diverse clinical needs across all sectors of care 35,000+ patient transfers a year 150+ clinicians directly involved to date 20,000 target in first rollout

  5. How Clinicians are Shaping ConnectingGTA • Organizing for Clinicians • ConnectingGTA’s Clinical Engagement Approach & Model Working with Clinicians

  6. Engagethe right people at the right level & time

  7. FUNDERS: eHealth Ontario, Canada Health Infoway Program Steering Committee Place clinicians in leadership roles clinical co-chairs Clinical Working Group Technical Working Group Privacy & Security Working Group Establish a clear governance model & processes ConnectingGTA Program Team Participating Organizations & Clinical Systems

  8. Enlist clinicians from start to finish

  9. Patient-centredapproach Create & commit to guiding principles Support continuity of care Be transparent about unknowns & limitations Deliver clinical value quickly Allocate funding for work effort Leverage expertise & experience Build a compelling value proposition

  10. Exchange ideas to deliver clinical value

  11. Priority data types Workflow 1 Single Sign-On Hospital Reports Input must be clinically relevant 2 Log in directly to Portal CCAC Documentation Diagnostic Imaging Reports Use input in a meaningful way 3 Via Other Portals Drug Information 4 Direct Integration Lab Results

  12. Envisage solution from the clinical perspective

  13. Our Ongoing Commitment to Clinician Involvement • Clinician Input • Clinician Input • Requirements Definition • Vendor Selected • Front & Back-end integration • Front-end configuration, testing & design • Training • Go-Live • Clinician Input • Clinician Input

  14. Involving Clinicians in System Design Issues & concerns escalated as needed to appropriate working groups • Input from clinical body on requirements • Hold design sessions on modules • Usability testing on modules • Clinical Working Group Validation • Solution Finalized Iterative solution changes 16 Clinical Working Group members 20 Clinical Solution Team members & Clinician Champions 23 Clinicians supporting validation 40 Usability Testers (no prior project involvement)

  15. Embed adoption locally

  16. Guide Adoption Centrally, Execute Locally Leverage localbest practices & expertise Provide options to encourage participation Seek feedback and be flexible with support • Program Team & Clinical Working Group • Site Project Manager & Clinician Champions • End User • Provide customizable tools & materials • Customize materials for local activities

  17. DO NOT REINVENT THE WHEEL • Organizing for Clinicians • ConnectingGTA’s Clinical Engagement Approach & Model • ESTABLISH EXPECTATIONS & PROCESSES with the Program team • ANTICIPATE DELAYS & turn them into opportunities Working with Clinicians • Organizing for Clinicians • DO NOT UNDERESTIMATE the work effort • TAILOR COMMUNICATIONS for clinicians

  18. ENGAGE the right people at the right level & time • Organizing for Clinicians • ConnectingGTA’s Clinical Engagement Approach & Model • EMBED adoption activities locally • ENLIST clinicians from start to finish Working with Clinicians • Working with Clinicians • ENVISAGE solution from the clinical perspective • EXCHANGE ideas to deliver clinical value

  19. Thank You! Questions? • For more information • please email ConnectingGTA@uhn.ca or • visit ConnectingGTA at: www.ehealthontario.ca

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