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K. Mallory



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    OS08 - Patients as True Partners in Care (ID 12)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Oral Session
    • Track: Executive
    • Presentations: 1
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      OS08.03 - Mustimuhw Citizen Health Portal – National Expansion Project (ID 242)

      K. Mallory, Mallory Consulting Ltd.; Victoria/CA

      • Abstract
      • Slides

      Purpose/Objectives: The successful completion of an Infoway-supported consumer health demonstration project and strong benefits evaluation results have led to the expansion of the Mustimuhw Citizen Health Portal. Cowichan Tribes has engaged with First Nations in multiple regions across Canada to support the adoption and use of nationally consistent digital health tools. These tools, designed by First Nations for First Nations, support citizen access to health records and citizen integration into the holistic clinical and wellness workflows typically delivered in on-reserve health centres. Our presentation will describe how the successful Closing the Circle of Care Demonstration Project has inspired a targeted implementation and adoption model that is now being extended to others. The Mustimuhw Citizen Health Portal National Expansion Project is a significant opportunity for First Nations to advance their digital health capacity and enable their community members with electronic access to their health records. The National Expansion Project has the potential to support First Nations providers and citizens to benefit from consumer health technologies and take a leadership role in enabling health information continuity across the circle of care.

      Methodology/Approach: The Citizen Health Portal uses an Infoway-Certified PHR platform that enables patients to submit and access personal health information. Leveraging the successful implementation processes developed during the demonstration project, the project team is now engaging with other First Nations across Canada to extend the use of the Citizen Health Portal digital health solution and support the establishment of a practical and sustainable national model. The combined use of the proven Mustimuhw community EMR (cEMR) and the Citizen Health Portal establishes a digital health presence in on-reserve health centres, enables patient access and creates an interoperability platform to support information sharing and workflow integration with local, regional and provincial healthcare partners.

      Finding/Results: To date, response and willingness to adopt both the cEMR and the Citizen Health Portal is strong – by both providers and citizens. However, and not surprisingly, engagement and change management activities require both creativity and effort, particularly in light of the capacity challenges many on-reserve health centres deal with. As adoption proceeds, refinements are constantly being applied to the implementation model based on our many lessons learned. These lessons will be of interest to others seeking to enable consumer health models for their target patient and provider groups.

      Conclusion/Implications/Recommendations: Early results indicate that a PHR solution is a viable and beneficial consumer health tool within First Nations communities. Use of a PHR can address longstanding issues and challenges that previously have impeded patient access to health services and provider access to important patient data – particular challenges in First Nations communities. Given that there are many similar health care requirements across First Nations communities in Canada, and many similarities in the challenges posed to effective information sharing between First Nations and their health care partners, a recommendation can be made to continue to extend the cEMR and the Citizen Health Portal to other First Nations within Canada wishing to adopt and use these tools.

      140 Character Summary: The Mustimuhw Citizen Health Portal provides an opportunity for First Nations to benefit from digital health and consumer health tools.

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    OS26 - Expanding the Spread and Scope of Care (ID 48)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical Delivery
    • Presentations: 1
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      OS26.03 - A Digital Health Roadmap for First Nations in Ontario (ID 243)

      K. Mallory, Mallory Consulting Ltd.; Victoria/CA

      • Abstract
      • Slides

      Purpose/Objectives: Years ago, the First Nations Panorama Deployment in Ontario (FNPDiO) project was started between Chiefs of Ontario, FNIHB Ontario Region and the Ontario Ministry of Health and Long-Term Care to support First Nations use of the Panorama Public Health Surveillance System. Time has passed and eHealth strategies and systems have changed. However, the need for effective on-reserve health information management tools and processes remains, including a strong requirement to interoperate with provincial providers, systems and data. The FNPDiO project has been renamed the First Nations Health Information Management in Ontario Project (FNHIMiO) and has had a tremendously successful year identifying, testing and validating practical digital health tools and processes with Initial Subscriber First Nations (Garden River First Nation, Oneida Nation of the Thames, KO Tribal Council, Constance Lake First Nation, Nipissing First Nation and Couchiching First Nation). At the request of Health Canada, a “Roadmap” has been developed to describe how the successful results of the project could be extended to other First Nations across the Ontario Region. This presentation describes that 3-year First Nations Digital Health Roadmap.

      Methodology/Approach: With guidance from the Initial Subscribers, FNHIMiO has developed tools and processes to support: On-reserve health centre health information management needs and priorities assessment Enhancements to privacy and security process and controls Implementation of local data systems (community EMR / EMR) Community member (patient) access to health records and electronic communication with health care providers Data exchange with Ontario’s Digital Health Immunization Repository (Panorama) Access to ConnectingOntario clinical EHR viewers These tools and processes have been tested, refined and successfully adopted by the project’s Initial Subscribers and a Roadmap has been developed to guide an extension of this digital health model to other First Nations in Ontario.

      Finding/Results: The FNHIMiO Initial Subscribers continue to refine and optimize the Roadmap tools and processes, and guide further implementation activities. Ongoing work is also underway with provincial agencies to improve integration with provincial digital health assets and strengthen patient-centric clinical workflows. Due to the success of the project’s work, other First Nations in Ontario are requesting information and/or support from the Initial Subscribers and the project team, and are being assisted to follow the Roadmap to the best of the project’s ability.

      Conclusion/Implications/Recommendations: The First Nations eHealth environment is complicated. However, experience has demonstrated that with patience, perseverance, partnerships and a focus on practical clinical requirements, progress can be made. The FNHIMiO Digital Health Roadmap represents a standardized, provincially-integrated solution that recognizes and support the specific needs of on-reserve health centres and the communities they serve. Our recommendation is for other regions to consider the Roadmap approach for supporting the digital health needs of First Nations communities.

      140 Character Summary: A practical path for advancing First Nation eHealth capacity can be found through the FNHIMiO Digital Health Roadmap.

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