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Dean Jin

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  • OS17 - Sharing Clinical Information: Successes and Challenges (ID 23)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical
    • Presentations: 1
    • Coordinates: 6/06/2017, 01:00 PM - 02:00 PM, Room 203AB
    • OS17.04 - LTC eConnect: Advancing Clinical Interoperability in Ontario’s LTC Sector  (ID 167)

      Dean Jin, Ontario Long Term Care Association, Ontario Long Term Care Association; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: The purpose of the Long Term Care (LTC) eConnect Project is to enable clinical interoperability between LTC clinical information systems and Ontario’s Electronic Health Record (EHR). 20,000 clinical users will have seamless access to EHR data so they can improve the quality and timeliness of care for some of the province’s most vulnerable residents. Ontario’s Long Term Care sector includes 630 Long Term Care homes providing care for approximately 100,000 residents with approximately 60,000 clinical and non-clinical staff at a cost of almost $4B per year. Specific objectives include: · Connecting up to 520 of the 630 LTC Homes to at least one of the two provincial EHR clinical viewers (ClinicalConnect in the Southwest Region, ConnectingOntario ClinicalViewer in the Northern and Eastern Region (NER) and Greater Toronto Area (GTA)); · Enabling at least 20,000 clinical users in these homes to have seamless (i.e., single sign on and patient context), privacy-enhanced access to resident EHR information: laboratory results, diagnostic imaging reports, discharge summaries, and hospital and community care reports; · Ensuring appropriate legal agreements, including privacy and security due diligence are completed, support integration and user authorization; and · Undertaking a detailed Benefits Evaluation to support the sector-wide expansion and on-going sustainability for the solution.

      Methodology/Approach: The project sponsor is the Ontario Long Term Care Association (OLTCA) working in collaboration with the Ontario Association of Homes and Services for Seniors (OANHSS), Ontario Long Term Care Clinicians (OLTCC), eHealth Ontario, and many delivery partners. The project integrates long term care homes with EHR assets managed by eHealth Ontario, using PointClickCare’s Electronic Medical Record (EMR) using ThoughtWire’s Ambient integration technology. There are two main phases: 1) View Integration within PointClickCare to ClinicalConnect 2) View Integration within PointClickCare to ConnectingOntario Clinical Viewer Both phases follow an agile development process over five, two-week sprint cycles, guided by a Clinical Advisory Committee of front-line users who ensure that the solution is easy to use and meets their clinical requirements as well as legislative and business requirements. Clinical users require a ONE ID credential – the provincial standard for accessing provincial EHR Services. The project team works closely with eHealth Ontario and other partners to streamline and manage the legal agreement processes and implementation activities needed to authorize, train, and support clinical users. Following each development phase, a rolling wave deployment process used to on-board LTC homes to ensure staff are trained to effectively use the EHR services.

      Finding/Results: At time of submission the project is in the Phase 1 development stage. Rollout in February 2017 and by June 2017 preliminary results: design, development and deployment results for the first group of Long Term Care homes and clinical users in the Southwest Region.

      Conclusion/Implication/Recommendations: The project presents an innovative approach to integrating clinical users with provincial EHR services using middleware integration technology to streamline the integration approach, enhance privacy and security controls, improve quality and timeliness of care, and provide an efficient user experience. This is an approach that others can leverage to accelerate EHR interoperability and deployment efforts elsewhere.

      140 Character Summary: An innovative LTC sector based approach using single sign on and context management to support advanced clinical workflows and future value-added capabilities.

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