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Sue Schneider



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  • OS26 - Creating Effective Health Care Platforms for the Future (ID 31)

    • Event: e-Health 2017 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical and Executive
    • Presentations: 1
    • Coordinates: 6/07/2017, 10:30 AM - 12:00 PM, Room 202AB
    • OS26.06 - Disrupting the EHR – Interoperability Planning (ID 317)

      Sue Schneider, Architecture and Standards, eHealth Ontario; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: Interoperability planning can be daunting with the many emerging and existing standards, differing systems, and clinical and patient expectations. eHealth Ontario has embarked on a journey to advance the interoperability of the province’s digital health information while considering its current state and future opportunities. This work is intended to improve the health care experience of patients and providers through the thoughtful selection, implementation, and evolution of health information standards and solutions. The early stages of adoption of the electronic health record (EHR) have increased the availability of health information, but there is more to be done to enhance the interoperability or sharing of meaningful and relevant digital health information. This presentation highlights the planning activities, practices and the plan for use in guiding Ontario’s journey to semantic interoperability.

      Methodology/Approach: The work originated with a paper defining interoperability, as well as further recommendations to advance its direction, and detailed planning to increase the sharing of meaningful health information. Engagement activities with stakeholders gathered insights and helped define short and long-term steps towards interoperability. Through thoughtful interoperability planning we have the opportunity to increase the quantity of health information available for sharing, including standardizing key content to improve the usefulness of digital health information for direct care as well as secondary use purposes. The effective selection of standards, the adoption of data sets, and the evolution of solutions that bring value to Ontario’s digital health landscape will help us evolve the EHR to improve its use and value.

      Finding/Results: Interoperability planning is a journey that will change the way we imagine and use the EHR and other digital health information in Ontario. Short- and long-term planning will help us arrive at our desired destination together and with the expected results. Shared contributions from a variety of stakeholders to this innovative planning and implementation activity will make the possible a reality. Standards alone will not achieve interoperability, and systems will evolve that require continued advancement and integration into clinical and administrative workflow. The EHR is dynamic and so is health care, and collaborative planning for digital health information is necessary to optimize the innovation, cost, and value to health and health providers.

      Conclusion/Implication/Recommendations: Interoperability, in varying degrees, will continue to be advanced by the majority of Ontario health system organizations as they continue to increase the type and volume of digital health information sharing for effective support of patients and providers. The findings of this planning initiative indicate that Ontario should influence standardization across implementations, so that it is aligned with the broader selection and adoption of standards. This minimizes Ontario-specific and local customization of data sets and clinical content, and supports innovative and disruptive approaches to advanced EHR. Support for the evolution of systems and increased use of standards will improve the ability of the health system and health system consumers to measure, monitor, and bring value to the health care experience.

      140 Character Summary: Interoperability with an EHR is about more than standards and data. Learn about the approach to interoperability planning and the road ahead for Ontario.

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