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T. Alexander



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    OS05 - Accessing Connected Data - Front Line (ID 4)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical Delivery
    • Presentations: 1
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      OS05.04 - Recommendations to Inform the Provincial Primary Care Data Sharing Strategy (ID 498)

      T. Alexander, eHealth Centre of Excellence; Waterloo/CA

      • Abstract
      • Slides

      Purpose/Objectives: The connecting South West Ontario Program’s Primary Care Data Sharing Proof of Concept (PCDS POC) project, funded by eHealth Ontario, is enabling a sub-set of primary care electronic medical record (EMR) data to be shared as part of Ontario’s integrated electronic health record (EHR). The project is being led by the eHealth Centre of Excellence, on behalf of cSWO. The POC is being conducted with four FHTs in southwest Ontario and has two EMR vendors participating (OSCAR and Telus Health, using Practice Solutions Suite). PCDS will explore the feasibility, challenges and value of sharing patient data from primary care practices.The project will help to identify the processes, integration requirements and data standards required for primary care data sharing to demonstrate clinical and/or organizational value. The POC will inform the broader Provincial primary care data sharing strategy.

      Methodology/Approach: The project involves four Family Health Teams in south west Ontario that will contribute a sub-set of their EMR data to a provincial repository at eHealth Ontario, to then be securely accessed by other authorized healthcare providers within the circle of care through the cSWO Regional Clinical Viewer, ClinicalConnect™. The data contributed by Family Health Teams will be shared with a small, targeted number of viewing sites within their respective catchment areas. These targeted organizations include local hospitals, the Home and Community Care organization (formerly CCAC) and local Health Links. The POC will run for 6 months during which lessons learned and recommendations will be developed to help inform the provincial primary care data sharing strategy. Recommendations will include the data set, data quality improvement, the respective system requirements (data capture and data access), the technology and standards (including integration requirements), implementation and adoption and benefits realization.

      Finding/Results: By Spring 2018, the project will have developed recommendations to help inform the provincial primary care data sharing strategy, this will be undertaken in collaboration with key stakeholders, including the MOHTLC, eHealth Ontario and OntarioMD. The panel discussion will focus on these lessons learned and recommendations and answer key questions: - Do we have the right data set? - What are technology and standards to be used for the provincial strategy? - How can we improve data quality? How do we support primary care practices with tools/templates? - Are the required privacy and security controls in place? How do we support sites to move towards this? - What are the benefits of sharing the data? How are the clinicians using the data? - How do we move toward provincial scalability?

      Conclusion/Implications/Recommendations: The PCDS POC highlights the value of, and challenges associated with primary care data sharing. Outcomes of the POC will help inform the provincial primary care data sharing strategy. The panel will highlight the lessons learned, key challenges, key benefits and key recommendations from the POC. The panel will also look at challenges for provincial scalability. This multi-stakeholder initiative is a priority project for the Province of Ontario and the south west Ontario region. The panel will reflect stakeholders offering varying perspectives and insights on lessons learned.

      140 Character Summary: Outcomes from the connecting South West Ontario (cSWO) Primary Care Data Sharing Proof of Concept to help inform the provincial primary care data sharing strategy.

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    RF06 - Getting It Done: Bringing It All Together (ID 51)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Rapid Fire Session
    • Track: Clinical Delivery
    • Presentations: 1
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      RF06.02 - One Stop Shop for Digital Health Solutions in Primary Care (ID 538)

      T. Alexander, eHealth Centre of Excellence; Waterloo/CA

      • Abstract
      • Slides

      Purpose/Objectives: Attendees will learn about challenges and rewards of the eHealth Centre of Excellence (eCE) approach to supporting primary care providers (PCPs) with the adoption and use of digital health technologies. The approach merges organizational engagement strategies and change management methods to support PCPs in their strategic selection of tools that support care delivery.

      Methodology/Approach: The eCE has grown their efforts to enhance the quality of patient care across several digital health programs. Current programs include System Coordinated Access (SCA) eReferral, Quality Based Improvements in Care (QBIC) which develops best practice electronic medical record (EMR) based tools, eConsult, virtual visits and more. The eCE is also Delivery Partner for the connecting South West Ontario (cSWO) Program offering the cSWO Regional Clinical Viewer, ClinicalConnect™, and Health Report Manager (HRM), deployed in collaboration with OntarioMD. Within this varied work the eCE provides a collaborative process, a “one-stop shop”, to PCPs. Clinicians are supported to make decisions and customize their adoption of solutions. The central idea at the eCE is to work with clinicians to understand challenging elements in their practice and to enable best fit solutions to produce clinical value for patients. To get to agreement the eCE uses a set of strategies that includes: 1. Engaging in deep relationships with primary care providers developed over time to learn about delivery model requirements and clinical workflow; 2. A change management framework designed to support the unique requirements of the primary care environment, developed iteratively with input from PCPs across the region; 3. Development and communication of benefits realization cases providing evidence of the clinical and system value created during adoption; and 4. Internal use of client relationship tools to track and optimize stakeholder engagement activities as well as developing adoption targets based on the knowledge of practice.

      Finding/Results: Even though the eCE has a refined method and strategy, the key finding in our work lies in the dedication to working through tensions and complexities. Our focus on enabling PCPs and pursuit of their informed choice of a solution that best enables their work requires acknowledgement that engagements change directions and our people need to adjust and avoid collisions.

      Conclusion/Implications/Recommendations: Managing within a regional, centralized service organization that supports the PCP adoption and meaningful use of digital health solutions involves patience, communication and skill. The rewards for remaining focused on enabling clinicians to produce value are: appropriate information accessed by PCPs to produce clinical value for patients and improved efficiencies for the system as a whole.

      140 Character Summary: The eHealth Centre of Excellence provides a one-stop shop of digital health tool solutions and supports for PCPs across the Waterloo Wellington LHIN.

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