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Sarah Hutchison



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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
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      OS03.04 - You Can’t Do it Alone: Leveraging Partnerships in eHealth (ID 328)

      Sarah Hutchison, OntarioMD; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: This panel brings together diverse health care organizations that are collaborating to reach physicians with their ehealth solutions. Hear why and how partnerships were formed, how they are governed, and how they are achieving their ehealth objectives.

      Methodology/Approach: Each panel member will provide their perspective using examples of ehealth initiatives that required partnering with an organization that is the ehealth delivery partner for primary care. These examples will demonstrate how their respective sectors within health care (acute care, community care, primary care, long-term care, mental health, community support services) have come together and need to keep working together to make ehealth the interconnected system it was meant to be and work to align to provincial and regional health priorities.

      Finding/Results: Every organization with ehealth initiatives needs physician participation or will soon need it. The ability to share patient information between the various health sectors and physicians is the holy grail of ehealth and is being realized through partnerships that, for example, have enabled the success of a provincial report management solution that is now of interest to other health care sectors. Critical success factors for partnership were effective agreements that allowed for “skin in the game” for the partners in addition to accountability of the delivery partner. This is demonstrated by the agreements with individual hospitals, specialty clinics, and end users of the report solution. The proven success of the initiative led to partnerships beyond acute care to deliver more reports to physicians – eNotifications, to support provincial community care initiatives; telehomecare reports with the provincial telemedicine agency to support home care. More organizations are seeing the value of a potential partnership to leverage the report solution to deliver their information to physicians – cancer care, long-term care, and mental health, to name a few. The provincial ehealth delivery partner is also collaborating with other organizations that are willing to partner for delivery services, on connecting physicians to the provincial electronic health record containing information from hospital and community organizations, the agency implementing the provincial laboratory information system, among others that require deployment to physician practices. The certified electronic medical records (EMRs) used by community-based family physicians contains a treasure trove of patient information. It is estimated that 80% of patient information is collected in primary care practices. Partnerships have also formed between a provincial ehealth delivery partner and provincial organizations responsible for health quality that need data from physicians’ EMRs for health system planning and quality improvement initiatives and with regional organizations that need change management expertise with physicians to ensure the success of their initiatives.

      Conclusion/Implications/Recommendations: Partnerships are crucial to the success of ehealth initiatives in the current landscape of limited financial resources, limited change management capability and the need for primary care data to effect health system transformation. Without the trusted relationship and advisory role between a provincial delivery partner and physicians, other provincial and regional bodies have no way to deploy their ehealth initiatives to a critical mass and sustain their use.

      140 Character Summary: Leveraging partnerships is necessary for physician adoption and use of ehealth technologies and for getting them to provide EMR data.

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