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K. Nielsen

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  • OS05 - Accessing Connected Data - Front Line (ID 4)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical Delivery
    • Presentations: 1
    • OS05.03 - Demonstrating a Single Cross-Continuum EHR on Vancouver Island (ID 425)

      K. Nielsen, IHealth, Island Health; Victoria/CA

      • Abstract
      • Slides

      Purpose/Objectives: Island Health’s IHealth initiative seeks to advance the region towards its vision of One Person, One Record, One Plan for Health and Care in order to provide tangible benefits to quality, safety, experience and continuity of care. Following an initial activation of advanced EHR functionality in an acute setting in 2016, the second major phase of the initiative will demonstrate a complete cross-continuum EHR in the northern part of Vancouver Island by Spring 2018.

      Methodology/Approach: Leveraging a single instance of Cerner Millennium, the project utilized rapid phases of iterative design and configuration to consolidate primary care, community health services, residential care, acute and emergency services onto a single, advanced EHR. The project intentionally started with the design, configuration and activation of primary care sites, choosing to follow shortly thereafter with community, acute and residential care. Focusing on a rural area that has strong care model integration and overlapping clinical roles, provided a means to best demonstrate the value of a single record strategy.

      Finding/Results: At time of writing, the project was in the midst of initial activations with primary care teams and was actively designing the community components. As such, key results are still emerging. Key findings to date suggest that: The iterative design and configuration process provided a meaningful way for end users to be engaged in the project and positively influence and own the change Leading with primary care helped orient teams to design longitudinal, whole-person workflows and support the configuration of Cerner Millennium across the continuum A single system for rural areas, where individuals often play multiple roles across multiple venues of care, provides a stronger value proposition than separate systems with interoperability Starting in a rural area helped support direct engagement with all end users and supported more active ownership of the vision and strategy

      Conclusion/Implications/Recommendations: More robust recommendations will emerge as the project progresses, but early indications are that this first demonstration will provide a strong foundation for subsequent deployments of a single, cross-continuum EHR – especially in rural or highly integrated teams, complementing much of the parallel work on team-based care and interoperability. Presenters will focus on the immediate benefits of this first demonstration and provide key recommendations for other regions seeking to extend and reconfigure existing systems to broader care venues.

      140 Character Summary: Demonstrating a single EHR across primary, community, acute, residential and ambulatory care to provide benefits to quality, safety, experience and continuity

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