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CareConnect. The Future is Close at Hand. Gordana Dulovic, Manager, eHealth Operations Provincial Health Services Authority (PHSA), BC. eHealth 2013. Presenter Disclosure. Speaker: Gordana Dulovic Relationships with commercial interests: Nothing to disclose.
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CareConnect The Future is Close at Hand Gordana Dulovic, Manager, eHealth Operations Provincial Health Services Authority (PHSA), BC eHealth 2013
Presenter Disclosure Speaker: Gordana Dulovic Relationships with commercial interests: Nothing to disclose
Overview of Session - CareConnect • History of CareConnect • CareConnect Today – Provincial eHealth Viewer • Clinical data contents • Who’s using it • Benefits • eHealth Operations • Governance and support model • Future plans
History of CareConnect • CareConnect began in 2004 as an integrated web-based Electronic Health Record solution for Vancouver Coastal Health • Winner of 2008 Microsoft HUG Interoperability award • In 2009, CareConnect was adopted for the province of BC as the Provincial eHealth Viewer. Provincial content added: • Lab results from Provincial Laboratory Information Systems • Provincial Diagnostic Imaging Viewer • Deployment to all BC Health Authorities (FHA, PHSA, NHA, VCHA, VIHA, IHA)
CareConnect Content CareConnect Laboratory Results & Reports Medical Imaging Studies & Reports Clinical Documents &Transcribed Reports Encounters All Health Authority Labs (Hospital) All Health Authorities Vancouver Coastal Health Authority - Acute Vancouver Coastal Health Authority All Private Labs (Community) Vancouver Coastal Health Authority - Community BC Cancer Agency BC Cancer Agency
User Deployment Trends • CareConnect (eHealth Viewer) may not add value in all health care settings • Trends are emerging showing where value is being realized
What our users have to say…. “I wish to thank you for getting BC Cancer Agency information on line. This makes an enormous difference to those of us who work in palliative care. We very much appreciate having access to this information!” “It helped me make a clinical decision regarding a patient presenting with Chest Pain, who had prior cardiac investigations at another facility.” “It makes my job easier, it prevents me from having to bother the staff at bedside to give me the information.” “Saves time and increased confidence in having most recent patient info.” “Better, more comprehensive access to my patient's health data.” “Ease of access to results is so much better.”
eHealth Operational Governance eHealth Project Board Strategic Oversight ClinicalGuidance Clinical Committees Executive, Operations and Working Group Committees CIO Council Committees: CIAC (PLIS/PDIV COC (PLIS/PDIV/Panorama) Committees: JEC (PLIS) JOC (PLIS) JPOC (Panorama) JPMWG (PLIS) PDIV Executive Steering Committee PDIV Working Group PESC (Panorama) Change Advisory Boards (CAB) Boards: iEHR CAB CareConnect CAB (TBD) PDIV CAB (TBD) Strategic Guidance Operational and Project Tactical Monitoring eHealth Projects and Operations
eHealth Operations Support Model • Support is based on a multi-partner model • Existing operational infrastructure, resources, and processes were leveraged when established MoHS eHealth Operations Health Authority Operations CIS Vendors eHealth Vendors HSSBC
Future Plans • Expansion to larger number of users in most HAs and to more clinical groups • Expansion to non-HA affiliated physicians • Increase of adoption by enhancing the solution, the content, and by and removing barriers to use • CareConnect use will be complemented by direct integration between clinical systems and eHealth data domains
CareConnect The Future is Close at Hand • Gordana Dulovic, Manager, eHealth Operations • Gordana.Dulovic@phsa.ca • Provincial Health Services Authority, BC eHealth 2013
CareConnect Access Model • Access is granted on the principle of least privilege and need to know • The provincial EHR business role is made up of a four tier access model framework Role Context • Refers to the clinical setting in which the user works. Functional Description • Refers to the user’s functional role. EHR Business Role
How CareConnect is Supporting Care • Fluid / rapid transition across continuum of care • Complex co-morbidity • Multidisciplinary teams