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E. Keller



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    OS06 - Partnership in Care and Outcomes (ID 2)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical Delivery
    • Presentations: 1
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      OS06.01 - Show Me My Data! Physicians Demonstrate Value of EMR Dashboard (ID 584)

      E. Keller, OMD; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: This Panel discussion will: • Provide a dialogue around opportunities and challenges of a real-time physician EMR Dashboard • Provide a quick demo of the tool by a physician user and how it helps care for their patients • Discuss technology that will transform how physicians use their EMRs to deliver patient care • Discuss how the EMR Dashboard was experienced by physician practices; highlighting formal Benefit Evaluation findings • Discuss as a panel: • Challenges around data sharing and trust for physicians • Considerations in choosing in clinical indicators for primary care physician use • Cross-collaboration and applicability to other jurisdictions

      Methodology/Approach: The panel will discuss a provincial EMR dashboard that was demonstrated with 500 physician users that: • provides immediate clinical value to physicians, through real-time visual representation of EMR data using widely-recognized, primary care indicators; • provides the ability to drill down to patient-level data for each indicator enabling physicians to take immediate proactive steps to improve patient care; • helps physicians standardize their data entry to improve the quality of patient data in their EMR; • allows physicians to trend and compare their indicator metrics with other physicians using the Dashboard; • would scale provincially to all physicians using a certified EMR, and is easily expanded with new and evolving data quality, practice and clinical indicators. A discussion of stakeholder partnerships will highlight the benefits of collaborative engagements and value add to participating physicians and clinics An open discussion on the key findings, benefits, and recommendations of a provincial EMR Dashboard initiative that changes how physicians and clinics can proactively manage patient care, improve EMR data, and support clinical reporting.

      Finding/Results: Collaboration with provincial indicator framework representatives, EMR vendors, and clinicians resulted in overall positive findings from the EMR Dashboard initiative. The panel will discuss these findings/results to share learnings and provide a network for similar cross-collaboration. The Dashboard resulted in the development of indicators under the categories of chronic disease, preventive care, and care bonus management. • 75% of participating physicians recognized value in the dashboard through improved patient outcomes and identifying patients of interest, supporting practice needs and data quality improvements, access to real-time data and patient lists that are actionable. • 80% of physicians used the electronic opt-in feature to share metrics with the program lead and other participating physicians to access the trend/compare functionality. Phase 2 of the Dashboard initiative will be used to build on these findings.

      Conclusion/Implications/Recommendations: Using the EMR Dashboard, many participating physicians across various practice types realized the benefits in quality improvement and clinical outcomes. Partnering and collaborating with stakeholders is paramount to delivering a tool that physicians see value in using. The ability to trend and compare metrics is a key driver to quality improvement efforts. Physicians realize that change management resources would help their efforts to improve data quality and support improvements to patient care. An indicator governance structure is essential to manage the ongoing enhancement and development of provincial indicators available in the EMR Dashboard.

      140 Character Summary: Dashboard indicators on chronic disease management and preventive care support clinical need and improved patient care

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    OS30 - Enabling High Value Analytics (ID 44)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical Delivery
    • Presentations: 1
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      OS30.03 - The Impact of Leveraging Analytics to Drive Adoption and Engagement (ID 582)

      E. Keller, OMD; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: Three organizations are working together to support the implementation of a province-wide service to provide clinicians with faster and better access to specialists via eConsult. The complex, multi-faceted initiative involves technology implementation and evaluation, business process design and the establishment of a program governance framework. This oral presentation will showcase the important role that analytics has played in the successful adoption of this provincial digital health service, and in driving effective engagement with the initiative’s stakeholders. Presenters will highlight key elements of the analytical framework (methodology, tools), and share lessons learned which can be leveraged for other digital health initiatives.

      Methodology/Approach: Dashboards were developed to support project team members, field staff and key stakeholders through an evolutionary journey that focused on clinician recruitment, target setting, adoption and process optimization. Since launching as an Excel pivot table-based solution offering static single-view content, the dashboards have evolved to adopt a dynamic, multi-view format that aligns with the changing needs of stakeholders and evolving priorities of the provincial initiative.

      Finding/Results: The dashboards provide key stakeholders and project staff with the ability to analyze, drill down and observe patterns in different geographic areas, to develop individualized change management and practice improvement plans for clinicians participating in the initiative. The dashboard provides timely access to stakeholder-specific research and reporting and on important topics including: • Usage patterns: Analysis of past eConsult usage data, and the ability to sort users into various adoption categories. • User interviews: Based on adoption categories, users are identified and interviewed to build user and practice profiles. • Registration processes: Leveraging the usage pattern analysis, populations of inactive users can be identified. When engaged, these populations often cite registration delays as a cause for their low/non-existent usage patterns. • Targeted recruitment: Monitoring the flow of eConsults helps partners to identify specialty-based priorities for service recruitment. The ability to quickly view analytics in the dashboards has allowed field teams to localize and target their change management and adoption strategies, increasing efficiency and outcomes. Timely access to region-specific data has provided regional partners with the information they need to become effective champions for the provincial initiative. In turn, regional partner resources have provided invaluable insight and engagement opportunities for the initiative’s field staff to consider while recruitment and adoption activities continue. Aided by the dashboard-driven analytics, the provincial initiative has successfully recruited 10,500+ primary care providers, and 550+ specialists spanning 100+ specialties, resulting in more than 56,000 eConsults sent since the initiative’s launch in January 2015.

      Conclusion/Implications/Recommendations: The data provided by these dashboards has enabled eConsult service partners to tailor adoption approaches, and has helped foster a collaborative approach to deployment. Decisions are made based on usage data, and the opportunity to aggregate eConsult data with data on other digital health initiatives has provided a deeper understanding of primary care providers’ needs and usage patterns. Through analytics, this initiative has been able to monitor progress, dynamically course correct, increase user adoption, and measure success.

      140 Character Summary: A provincial eConsult initiative is demonstrating how analytics can effectively support localized change, planning and adoption strategies.

      Only Active Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login or select "Add to Cart" and proceed to checkout.