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Ian Digby



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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)

      Ian Digby, Guelph General Hospital; Guelph/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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