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Peter Bascom

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  • OS02 - Strategic Integration: A Global Perspective (ID 1)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical and Executive
    • Presentations: 1
    • Coordinates: 6/05/2017, 04:00 PM - 05:30 PM, Room 201EF
    • OS02.04 - On the Road Again…Driving Ontario’s Connectivity Strategy into 2017 (ID 275)

      Peter Bascom, Architecture and Standards, eHealth Ontario; Suite 701/CA

      • Abstract
      • Slides

      Purpose/Objectives: Ontario’s Electronic Health Record (EHR) Connectivity Strategy was first published in July 2015 and describes how health care information will be connected to create a safe, cost-effective, provincially integrated EHR. It outlines the transition steps that will take us from where we are today to a future state where health care providers have timely and secure access to critical health care information. The strategy identifies sources of EHR information in Ontario, and describes how health care information will be connected to create an integrated EHR that provides a lifetime record of an individual's health history. Since the initial 2015 publication the eHealth landscape in Ontario has changed, provincial repositories and registries have come online, and an updated version of the strategy was required. This presentation outlines how the strategy has changed as well as lessons learned from its initial engagement and adoption.

      Methodology/Approach: The initial engagement approach for the Connectivity Strategy involved several months of internal stakeholder meetings and discussions to develop a draft that could be shared with external stakeholders. Subject matter experts and technology leaders were then engaged to validate the draft. Finally, it passed through eHealth Ontario’s governance process which provided wide internal and external reviews. Over 500 comments from 28 organizations resulted in changes to the 2015 version of the document.

      Finding/Results: Within and without the agency, the strategy is now recognized as an authoritative source of EHR information. Most use it as a reference, focusing only on sections that relate to their domain (labs, drugs, acute care, etc.). The strategy provides an excellent orientation into Ontario’s ehealth landscape for those entering the field. External engagements identified existing assets that were used in siloed domains, helping identify how they could integrate with provincial assets. Developing the strategy was an excellent tool for building relationships, opening a dialogue and setting a common language for discussions. The open and transparent approach built trust and fostered support. The initial release of the strategy highlighted the challenge of conveying a technical strategy to multiple audiences (e.g. both information technology professionals and clinicians). Supporting materials for the strategy, including clinical scenarios, use cases, an asset inventory, and integration requirement guides, were developed to aid communication to the broader audience.

      Conclusion/Implication/Recommendations: An EHR IT strategy cannot be static. To remain relevant and maintain buy-in, it needs to reflect the landscape of the day. Engagement for version 2.0 of the Connectivity Strategy started with internal product and account management teams to ensure alignment with product roadmaps and stakeholder requirements. Only after the internal engagement were external partners engaged. As new systems come online and strategies change, current state models need to be updated. Using a UML modelling tool to document provincial systems has allowed us to continuously update key dependencies and inter-relations between systems described in the strategy. Many sections that were considered ‘Evolving Needs and Emerging Technologies’ in the 2015 version, such as HL7 FHIR, have now become core to both the current and future state of connectivity in Ontario.

      140 Character Summary: Discover how changes in Ontario’s ehealth landscape and lessons learned from the 2015 publication of the EHR Connectivity Strategy have affected version 2.0.

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