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Carol Mulder



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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
    • PS02.01 - Data Stewardship and Primary and Community Care Transformation Partnerships (ID 351)

      Carol Mulder, The Association of Family Health Teams of Ontario (AFHTO); Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: In Ontario as elsewhere, the drive to build digital health capacity – specifically, enabling the flow of patient data through electronic medical records (EMRs) and related tools - originates from the need (at system and practice levels) to monitor its effectiveness at providing quality care for the population. In a complex health care environment, large-scale solutions sometimes require smaller scale precedents: demonstrations by key system actors on how to take responsibility for population health data.

      Methodology/Approach: This proposed panel will showcase examples of data stewardship from three provincial organizations. Panel members will discuss best practices, share lessons learned from their experience, and consider future directions for data stewardship in the context of health system transformation. Discussion will centre on activities and instruments of data stewardship, addressing these areas: · *Data quality: Currently in a physician-led proof-of-concept phase, we describe a dashboard project that allows physicians to view their EMR data and benchmark against a standard set of indicators, as the foundation for practice-specific projects to improve their data quality in real time. This was created in partnership with three provincial organizations to support accountability thinking in the new provincial transformation agenda. · Quality improvement: We will describe a program that, leveraging a set of resources including hands-on support at practice sites, helps physicians identify and remedy EMR data quality issues within their practice. This converts policy thinking into action. Collaboration is key and linked to provincial domains for quality measurement in primary care. · Connectivity*: We will describe tandem applications, a health report delivery solution and electronic notifications, which are industry leaders in connectivity and enable a primary care providers’ EMRs to receive patient hospital discharge reports. Other projects are in development to connect family practices to specialists and to existing provincial data assets (a lab information system). We further support connectivity through delivery of provincial EMR specifications. All of these are poised to pivot physician action and behaviours in improved practice efficiency and effectiveness.

      Finding/Results: This is not a research-based abstract, but rather highlights a collaborative process across multiple system level leadership agencies and associations toward a common goal of transformation and improved care.

      Conclusion/Implications/Recommendations: The most tenacious challenges facing the health system require an approach that draws on deep system knowledge and collaborative approaches, like those represented in this panel. Partnerships to secure data quality and flow are the route to achieving improvements across the spectrum – from practice-level patient outcomes, to regional connectivity, all the way to population health measurement. We envision that initiatives like those described in this panel could enable not only system performance accountability but also applied population health research efforts.

      140 Character Summary: Panel on health data stewardship initiatives, presenting experiences with scalable projects for data quality and connectivity in Ontario.

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