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Lorelle Taylor



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    OS03 - Realignment in Health Care (ID 2)

    • 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 202AB
      • Abstract
      • Slides

      Purpose/Objectives: Under the Patients First: Action Plan for Health Care, Ontario has made a commitment to put people and patients at the centre of the health care system. As the Ministry of Health and Long-Term Care (ministry) develops a renewed digital health strategy, Hospital Information System (HIS) Renewal is a fundamental focus area. A critical mass of hospitals is replacing or upgrading their HIS or will do so in the near future, which provides an opportunity to examine ways to maximize the value and impact of public investments in these information systems.

      Methodology/Approach: Given the current state of HIS investments, which were made independently to create hospital-specific value, the next generation of HIS investments will require a partnership model to increase value in an environment of fiscal constraint. Under the ministry’s efforts to establish new digital health governance, a HIS Renewal Advisory Panel was created with the objectives of maximizing the value of current and future HIS investments, and improving patient outcomes and value for money through collaboration and innovation. The panel is comprised of ministry staff, clinicians, and executives from hospitals and local health integration networks. The panel used traditional procurement methodology to assess financial impacts and engaged in sector outreach to develop recommendations.

      Finding/Results: Through rigorous analysis, broad collaboration, and consensus building, the panel finalized short-term recommendations in four strategic pillars: partnering, clinical adoption and outcomes, procurement, and financing. The panel’s key recommendation was that hospitals should form HIS clusters based on previous partnerships to support patients through the use of a shared HIS, typically under a lead hospital, in order to maximize the value of current and future HIS investments. To support implementation, the panel recommended that the ministry create resources for HIS renewal, such as leveraging networks of health care professions to create a HIS Community of Practice that supports acquisition, implementation, and optimization of HIS systems and evidence-based standardization of clinical practices within hospitals. Furthermore, the panel recommended that the ministry should seek appropriate policy approvals to enable hospitals to join existing peer HIS installations, where supported by a strong clinical and financial business case. Moving forward, the Panel will develop cost standards for hospital accounting and coding to allow for more accurate projections of HIS-related expenses, and in turn support the effectiveness of ministry funding models.

      Conclusion/Implication/Recommendations: In the second phase of HIS renewal, the panel will focus on defining a path for HIS clusters to coalesce into a select number of mature hubs that provide cost-effective, secure services. Ontario’s 157 hospitals will begin to form approximately 15 clusters for HIS service delivery over the next five years based on value-based assessments. The Panel will develop a provincial strategy that fosters the capacity of high-performing hubs to ensure a sustainable, long-term approach to managing HIS investments. The ultimate goal is to transform the currently fragmented HIS environment into a platform for a high-performing, patient-centred health care system.

      140 Character Summary: Renewing hospital information systems would maximize value and enable a high-performing patient-centred health care system

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