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Chris Faulkner



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    OS13 - PHR Storms Across Canada (ID 19)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical and Executive
    • Presentations: 1
    • Coordinates: 6/06/2017, 01:00 PM - 02:00 PM, Room 201CD
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      OS13.02 - From Pilot to Provincial Roll-out – Implementing the Personal Health Record (ID 120)

      Chris Faulkner, Nova Scotia Dept. of Health & Wellness; Halifax/CA

      • Abstract
      • Slides

      Purpose/Objectives: A lack of connectivity and breakdowns in communication within the medical infrastructure are some of the major issues challenging the Canadian health care system. So too is a growing call from patients demanding faster access to the right services, improved outcomes and more involvement in managing their own healthcare. This presentation will show how a Canadian province is building on the success of their Personal Health Record (PHR) demonstration project and leveraging Canada Health Infoway investment to complete the implementation of a PHR solution, thereby bringing the world of e-health to all citizens within the province who want to plug in. Objectives: • Learn how an easily implemented connectivity is benefiting all stakeholders • Understand how the solution empowers and engages patients in their own healthcare • The planning and process that was required to get providers and patients to use the solution

      Methodology/Approach: The province has completed a multi-year demonstration project that introduced a Personal Health Record (PHR) solution to the provincial health care system. This project involved 30 family physicians, who invited patients in their practices to participate in the testing of this technology. Patient recruitment targets were met early in the project and enrolment numbers were much higher than anticipated. Using information learned through the demonstration phase, the project is now ready to roll out a PHR solution to the entire province. This has the potential to be a game changer for the provincial health care system, and as such, requires a thoughtful change management approach, supported by strategic communications. The change management support required to ensure smooth implementation province-wide is not only to ready the provider communities and general public to adopt the solution, but in resolving key policy issues that will be necessary to pave the way. This includes supporting the articulation of a clear vision statement by senior government leadership in support of the PHR innovation, backed by a physician compensation model for eWork. Another key enabling condition is demonstrating interoperability with practice EMRs as well as interoperability with hospital-based lab/DI information systems, and provincial assets.

      Finding/Results: In this demonstration phase, the PHR solution was implemented. Provider uptake was voluntary and the project target to recruit 30 family doctors was achieved . This group largely consisted of self-described technology innovators. Physicians were tasked with recruiting their patients to the PHR demonstration project. An overall target of 3,000 patient users was achieved early in project and was well beyond its goal by the end of the project with more than 6,000 records. The provincial roll-out is based on physicians volunteering to sign up, followed by a targeted geographic deployment strategy, where physicians will be approached and asked to participate.

      Conclusion/Implication/Recommendations: Based on what was learned the demonstration project, further supported by a growing body of literature, the PHR has the potential to strengthen the provincial primary health care system and make publicly funded health investments go further. Ultimately, the PHR will be a key force in transforming health care in the province into a truly patient-centred system.

      140 Character Summary: Connecting the circle of care utilizing technology such as the patient portal, with the person in the middle, empowers the patient to do so much more for themselves.

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