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Mohamed Alarakhia



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  • OS09 - Optimizing Clinical Processes Using Telehealth (ID 9)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical
    • Presentations: 1
    • Coordinates: 6/05/2017, 04:00 PM - 05:30 PM, Room 206AB
    • OS09.04 - Be Inspired by Easily Achieved Enhanced Use of the EMR! (ID 257)

      Mohamed Alarakhia, eHealth Centre of Excellence; Kitchener/CA

      • Abstract
      • Slides

      Purpose/Objectives: 1. Attendees will learn how to use EMR tools with built in clinical decision support to facilitate chronic disease prevention and management. 2. Attendees will increase awareness of enhanced use of the EMR to identify patients with chronic conditions. 3. Attendees will learn about the impact of having change management support in place to help increase the uptake of technology, including telehealth, and other clinical process improvements.

      Methodology/Approach: Since January 2016, the Centre for Family Medicine FHT eHealth Centre of Excellence has been leading project QBIC (Quality Based Improvements in Care) 2.0. As an extension of the work that was completed in the initial phase of Project QBIC, three inter-related work streams are providing eHealth coaching sessions to help support clinicians with optimizing their EMR use, adopting telehealth and improving clinical processes aimed at improving access. These sessions promote and support: · Best practice in chronic disease prevention and management through the use of standardized tools. The QBIC team has partnered with various organizations and specialists on the development of EMR tools for CHF, COPD, Chronic Kidney Disease, Chronic Pain, Diabetes and Depression. · The integration of telehealth technologies into clinical practice. · Process improvements to enhance clinic workflow and access to primary care clinicians. The eHealth coaching sessions are also an opportunity to obtain input on EMR tools, build capacity, and identify champions. Finally, the team will evaluate the benefits and report on the impact of these services on patient care.

      Finding/Results: To date, the QBIC team has engaged 240 primary care clinicians from 17 primary care organizations in Waterloo Wellington. Change management and IT support was provided to clinicians and has resulted in better identification of patients in the EMR, improved office efficiencies, the elimination of unnecessary notifications, and more effective use of the EMR. Initial results from activities on telehealth and improving primary care access are expected March 2017.

      Conclusion/Implication/Recommendations: After clinicians were encouraged to document chronic diseases in a structured way and with support from an eHealth coach, 240 primary care clinicians in 17 primary care organizations improved their data quality, enhanced their chronic disease prevention and management and information management.

      140 Character Summary: Project QBIC is improving the quality and optimizing the value of EMRs and other technology by providing support for clinicians through eHealth coaching sessions.

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  • PS02 - Data Sharing: Thinking Beyond Acute Care (ID 11)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Panel Session
    • Track: Clinical and Executive
    • Presentations: 1
    • Coordinates: 6/06/2017, 10:30 AM - 12:00 PM, Room 201EF
    • PS02.02 - Primary Care Data Sharing Proof of Concept: Enhancing the EHR (ID 301)

      Mohamed Alarakhia, eHealth Centre of Excellence; Kitchener/CA

      • Abstract
      • Slides

      Purpose/Objectives: Primary care data has been identified as an urgent priority in Ontario for the fulfillment of a longitudinal integrated Electronic Health Record (EHR). There is recognition amongst stakeholders that a more comprehensive patient record, that includes primary care data, will help to enhance care delivery by ensuring providers in the patient’s circle of care have more timely information to inform and support their care decisions. The connecting South West Ontario Program (cSWO), funded by eHealth Ontario, is one of three “connecting” programs across the province, working together to deliver electronic health records for every patient. The cSWO Program identified at its outset that a key component of achieving a fully integrated EHR is the inclusion of and the ability to, share primary care data. cSWO’s Primary Care Data Sharing (PCDS) project is being led by the eHealth Centre of Excellence and is enabling a sub-set of clinician-identified primary care data to be shared as part of Ontario’s integrated EHR. PCDS will help optimize meaningful clinical and organizational use of the integrated EHR by incorporating a new and valuable data set.

      Methodology/Approach: The PCDS project involves conducting a Proof of Concept (POC) involving up to four Primary Care Teams in south west Ontario that will contribute a sub-set of their EMR data to a provincial repository at eHealth Ontario, to be securely accessed by other authorized healthcare providers within the circle of care through the cSWO Regional Clinical Viewer, ClinicalConnect™. PCDS will explore the feasibility, challenges and value of sharing patient data from primary care practices. The project will help to identify the processes, integration requirements and data standards that need to be in place for primary care data sharing to demonstrate clinical and/or organizational value. The POC will also inform the broader Provincial primary care data sharing strategy.

      Finding/Results: The panel discussion will focus on PCDS project approach, outcomes and key activities contributing to successful adoption: · Clinically-Driven Data Set: One that will provide value to providers and inform their care decisions. · Data Quality Improvements: Data that is relevant, available in real time and consistently collected provides more value for data sharing and primary care practice-specific analysis. · Data Set Alignment: Exploring synergies and aligning data sets across provincial projects, where clinically relevant and feasible. · Benefits Evaluation: Developing and imbedding a benefits realization strategy at the outset to ensure the clinical value of sharing primary care data can be appropriately measured and adequately assessed.

      Conclusion/Implications/Recommendations: The panel will highlight the approach taken to ensure a clinically relevant data set is developed; that data quality is appropriate for sharing; and mechanisms are in place to assess the clinical value being realized by those accessing the data. The panel will also highlight the challenges to primary care data sharing and mitigation strategies applied. The multi-stakeholder initiative is a priority project for the Province of Ontario and the south west Ontario region. The panel will reflect stakeholders offering varying perspectives and insights on lessons learned, including primary care sites involved in the initiative.

      140 Character Summary: The PCDS Project in Ontario is exploring the value, challenges and feasibility of sharing patient data from primary care practices as part of the EHR.

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