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Andrea Dutchak

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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
    • OS02.06 - Provider Registry: 15 Years of Successful Multi-Jurisdictional Collaboration (ID 30)

      Andrea Dutchak, eHealth Saskatchewan; Regina/CA

      • Abstract
      • Slides

      Purpose/Objectives: For over 15 years, multiple jurisdictions have collaborated to define, build, implement, maintain, and evolve a shared Provider Registry solution. This session will highlight this unique collaboration as an example of success. Panel members will discuss the management structure, standards process, sustainment challenges and engage in discussion with the audience on lessons learned.

      Methodology/Approach: In 2001, the Western Health Information Collaborative, WHIC (Manitoba, Saskatchewan, Alberta, and British Columbia), with BC as the lead; established requirements and design for a Jurisdictional Provider Registry. In partnership with WHIC; Canada Health Infostructure Partnerships Program; and Canada Health Infoway; Sierra Systems developed the Provider Registry System (PRS) as a standards-based repository of core provider data that can be implemented by any Canadian Jurisdiction. The solution and collaboration continues today.

      Finding/Results: History Founding the initial collaboration, BC Ministry of Health and the WHIC partners, through a series projects, produced a fit-for-purpose software solution including: -Provider data and communication standards; -Common business processes and rules; -A registry infrastructure (the PRS); and, -Multi-jurisdictional problem, change, and release management processes. As jurisdictions conducted their own implementations their experience fed back into the collaborative. Extensions refined core services; added new functionality; enhanced portability features; developed and adopted national standards (HL7v3); and created an implementation toolkit. Realizing the goal of implementation beyond WHIC, the PRS was also deployed in Quebec and Newfoundland. Currently, the Provider Registry System Collaborative (AB, SK, and NL) is responsible for product management. The group meets regularly to set priorities and maintain the product roadmap. Managing collaboration Multi-jurisdictional collaboration adds a significant overhead for projects and requires strong governance and stakeholder commitment, far beyond what is typical for in-jurisdiction projects. -Appropriate funding and cost sharing models are required -Significant effort is required to reach agreements on standards and core requirements -Ongoing development requires agreement on vision and re-investment -Realizing that benefits pay off over a longer term is key. Members were able to strike a balance resulting in a core solution, data standards, terminology, processes, and implementation guides that are shared by all implementations. Where jurisdictional variants are necessary, they are designed as replaceable plug-ins to facilitate customization. Standards contributions With a significant footprint in Canada, the collaborative is an active and influential participant in standards development. Early work by the WHIC team defined a data model and terminology for the Provider domain which eventually seeded the HL7v3 pan-Canadian standard. The partners continue their contributions in the HL7 community, jurisdictional implementer groups, and most recently towards Canadian FHIR profiles for Provider Registry.

      Conclusion/Implications/Recommendations: Multi-jurisdictional collaboration on informatics solutions is difficult, however, the benefits are significant. The PRS is an enduring success story. -The common solution fostered a community of interest around the Provider domain. -Standardization within the group seeded the pan-Canadian message sets and terminology. -Designing for portability resulted in ease of implementation with minimal need for customization. -Ongoing costs are shared and fully re-invested into the solution. In closing, we offer this ongoing, successful, collaboration and lessons learned as precedent for new multi-jurisdictional initiatives such as PrescribeIT.

      140 Character Summary: 15 years of successful multi-jurisdictional collaboration on the Provider Registry System sets a positive example for other collaborative initiatives

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