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    PS01 - Architecting Jurisdictional Ecosystem (ID 10)

    • 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 201CD
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      PS01.01 - Canada's eHealth Secret: Northwest Territories Networked Health Ecosystem (ID 230)

      Geoff Rabbie, Sierra Systems; Edmonton/CA

      • Abstract
      • Slides

      Purpose/Objectives: The objectives of the presentation are to (3 - listed to align with 3 elements of panel): o Describe the principles of Networked Health by examining the Northwest Territories enterprise interoperable eHealth system (Big-thinking). o Illustrate the approach to implementation and system governance that contributed to the success of the project (Strategy) o Illustrate the approach and benefits realization of jurisdiction-wide analytics enabled by the Networked Health Ecosystem (Analytics). These objectives are of significant relevance to jurisdictions struggling with system design, interoperability, governance and/or enterprise analytics

      Methodology/Approach: Unlike most jurisdictions in Canada the Northwest Territories has quietly taken a federated patient-centric approach to the design and deployment of its eHealth system. The strategic framework, Networked Health, is based on the foundational element of a patient-centric chart shared across all outpatient services and locations. The Northwest Territories boasts 42,000 people in 33 communities in an area twice the size of France. By the end of 2016 80% of the population will be served on a single charting system shared by almost all services and locations across the spectrum of care, including the first fully digital nursing stations in Canada. By the end of 2017 it is planned to have 100% of the population on the system. The implementation of a territorial Networked Health ecosystem has been a remarkable journey that is now bearing significant benefits, specifically: · Digital remote community support · Networked Home Care support · Federated eReferral / eConsultation · Federated analytics and clinical decision support · Economies of scale in deployment and support · Accountable health governance and clinical care · Staff satisfaction

      Finding/Results: Early findings demonstrate: · Improved quality of remote community support (specifically time to care, continuity of care, provider satisfaction, efficiency of service, equity of care). · Improved Home Care support (specifically continuity of care, provider satisfaction, efficiency of service, equity of care) · Improved patient outcomes with analytics and clinical decision support (safety of care, appropriate care, provider satisfaction, efficiency of service, equity of care) · Nascent means of instituting enterprise appropriate care and limiting unwarranted care. · Demonstrable economies of scale with federated solution (single solution decreases cost of application licenses, training, support, hardware). · End-user (administration and staff) approval.

      Conclusion/Implications/Recommendations: The Northwest Territories enterprise patient-centric digital charting solution has proven to be a significant success, with users across disciplines and locations requesting to be implemented on the system (demand is outstripping program implementation capacity). This project has become the foundational element of the strategic plan of the Territorial Health & Social Services Authority to implement a Distributed Health Home model of service, and to drive appropriate and limit unwarranted care. Once application deployment is complete in 2017, the program will refocus on maturity of system use, leveraging early successes with interdisciplinary communication, and centrally managed but distributed remote support, enterprise analytics and clinical decision support across all communities. Further this model of eHealth design offers economies of scale in terms of application cost, operations and management (application support, technical support), analytics, ever-greening, and data management.

      140 Character Summary: Canada’s best kept eHealth secret is the successful deployment by the Northwest Territories of a single charting system for all health services in the jurisdiction.

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