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M. Chang



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    PS01 - Leveraging New Innovation Pipelines (ID 5)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Panel Session
    • Track: Executive
    • Presentations: 1
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      PS01.02 - An Innovative Model for Patient-Centred Population Health Management in Ontario (ID 555)

      M. Chang, University Health Network; Toronto/CA

      • Abstract

      M. Chang1, S. Isaacksz1, S. Goyal2, R. Wilson3; 1University Health Network, M5G 2C2 - Toronto/CA, 2University Health Network, M5G2C4 - Toronto/CA, 3Ontario Telemedicine Network, M3B0A2 - Toronto/CA

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    PS05 - Making EMR’s Work for Physicians and Patients (ID 38)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Panel Session
    • Track: Health Business Process
    • Presentations: 1
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      PS05.01 - Working with Physicians to Advance Digital Health Outside of the EMR (ID 527)

      M. Chang, University Health Network; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: Playing a critical role in the health system, the TC-LHIN (one of the 14 regions that manage local funding and healthcare initiatives in Ontario) identified primary care as a strategic focus area. Putting the clinician experience front and centre, the LHIN engaged PCPs to understand key pain points and gaps in needed tools. Feedback from PCPs indicated that many of required tools were available, however, highlighted the need to invest more efforts to drive adoption. This presentation outlines how UHN, delivery lead, worked in collaboration with key partners OntarioMD and eHealth Ontario to develop an innovative approach to increase PCP adoption of digital technologies. After initial success, this approach is now being replicated by other regions across Ontario.

      Methodology/Approach: With a clear understanding of the most pressing tool and information needs for PCPs, the project partners recognized an opportunity to bundle a set of digital tools as one service offering and to then focus on developing one onboarding experience to reduce the administrative workload and registration period. Presenters will share insights garnered in a three-phase process, including how the project was able to secure the necessary clinician input that is so critical to project success: 1) Consolidate and streamline the onboarding process This step required the project team to consolidate and streamline processes for four services from two delivery partners. 2) Engagement and adoption planning Drawing on clinician experiences and expertise, the project gathered input from the five sub-regions within TC-LHIN to guide local engagement planning and delivery. While a standardized approach was developed, the ability to customize support to address sub-region nuances was critical to success. 3) Onboarding Success of this step required significant coordination from all project partners. While partners were supportive of the overall objectives, extensive effort and commitment was required to take into consideration different organizational priorities, structures and resources.

      Finding/Results: As the start of a multi-phase program, the project was able to onboard hundreds of PCPs within a few months. Lessons learned will be used to refine the process and key success factors maintained as the approach is rolled out more broadly. The success of the project included: 1) Maintaining a focus on clinical needs first and foremost – ensured that all work actually brought clinical value. 2) Ability to customize implementation approaches – maximized the effectiveness of engagement efforts since each sub-region had different nuances and priorities. 3) Investing in a team to conduct registration activities for clinicians – helped address concerns of clinicians by supplementing with resources and decreasing administrative time.

      Conclusion/Implications/Recommendations: In conclusion, this approach has proved to be effective in addressing pressing needs for primary care. When working with different service offerings from different organizations the project has been able to improve the onboarding process in the first phase and will move into a second phase with a more ideal state. With its initial learning and experience other regions in the province are now leveraging the approach and processes to better support the thousands of primary care providers across Ontario.

      140 Character Summary: University Health Network (UHN) successfully streamlined the onboarding process for 4 healthcare services and piloted it for 300 Primary Care Providers (PCPs).

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