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    OS11 - The Value of Moving to Digital...Realizing the Benefits (ID 18)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track: Technical/Interoperability
    • Presentations: 1
    • Coordinates: 5/27/2019, 04:30 PM - 05:30 PM, Pod 7
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      OS11.04 - Evaluation of an EMR-Integrated Innovation for Best-Practice Care (ID 177)

      Jonathan Thomas, Peninsula Family Health Team; Lion's Head/CA

      • Abstract
      • Slides

      Purpose/Objectives:
      1. Learn about an innovative EMR-integrated technology solution's evaluation for enhancing delivery of patient-centred best practice care for up to 14 concurrent vascular chronic diseases and risk factors while reducing redundancies and increasing efficiencies in e-documentation. 2. Explore the usability of the solution that will expand the health care team?s capacity and help providers within the team work to their full scope of practice. 3. Augment your understanding of barriers and strategies for spreading health technology innovations beyond one clinical practice. Caring for patients who are often complex with multiple concurrent vascular diseases and risk factors presents many challenges. Multiple changing clinical practice guidelines that are not well-integrated into EMRs or workflows further compound the challenge. One innovative solution has been developed to meet these challenges. It is a secure, cloud-based, EMR-integrated evidence-based guidelines-aligned patient-care tool that supports the care of patients who have any combination of one or more of 14 common vascular conditions or risk factors. It is built on a scalable, standards-based architecture that permits future inclusion of additional chronic conditions. The Peninsula Family Health Team (FHT) partnered with the Software Developer and with eHealth Centre for Excellence, Centre for Effective Practice, CorHealth Ontario, Women?s College Hospital Institute for Health System Solutions and Virtual Care, and the Stroke Network of Southeastern Ontario to pursue an evaluation of the solution in an 18-month project.


      Methodology/Approach:
      A collaborative implementation plan included: ú A protocol and data analysis plan to measure the implementation and impact of the solution; ú Recruitment of 50+ health care providers across Ontario; ú Engagement of additional EMR vendors; ú A privacy impact analysis; A sustainability plan including reporting, monitoring, linking of quality improvement support, and guideline knowledge translation. The mixed methods evaluation, following the RE-AIM framework, examines the implementation of the solution in primary care clinics and its effectiveness for enhancing management of vascular patients. The analysis will inform widespread adoption and sustainability.


      Finding/Results:
      Early clinical validation was performed by Peninsula FHT, which has the solution fully integrated into their OSCAR EMR. Users said the tool: ?helped solve a clinically hard problem? and ?added more support for allied health to assess and manage patients.? The primary care physician lead at the FHT noted, ?improved workflow efficiencies with potential to increase roster size through the enablement of more health care professionals working to their full scope of practice with redistribution of the work to the most appropriate care provider.? The project team is piloting the use of this innovative health technology solution and aiming to support early adopter evaluation among primary care providers across Ontario.


      Conclusion/Implications/Recommendations:
      The project team is implementing and evaluating the impact of the solution in real life practices. A number of measures are being observed, including wait times to see providers and proportions of eligible patients who have self-management plans in place. The analysis will inform widespread adoption and sustainability.


      140 Character Summary:
      Findings will augment understanding of processes for clinically meaningful e-health technologies in clinical settings and impact on workflow & patient outcomes.

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