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Francois Chevallier



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    OS25 - You've Got Mail, But No Paper! (ID 40)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track: Technical/Interoperability
    • Presentations: 1
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      OS25.03 - Health Information Standards and Results Distribution in BC – Paper Reduction (ID 126)

      Francois Chevallier, Excelleris, Lifelabs; Burnaby/CA

      • Abstract
      • Slides

      Purpose/Objectives:
      The Health Information Standards and Results Distribution Executive Steering Committee in BC has taken steps to phase out the delivery of paper based (Canada Post/Courier) clinical reports. This change reflects the Ministry of Health?s strategic priority of delivering a system of responsive and effective health care services for patients across British Columbia. Excelleris supported this important initiative as the purveyor of varied types of clinical health information for partner health authorities. In this panel presentation, Excelleris and members from two Health Authorities in BC will share their perspective and the results of this initiative.


      Methodology/Approach:
      A project based approach was used for this initiative. At its core was a formal communication & engagement strategy undertaken to support transition of providers to an electronic distribution channel. The joint team developed: 1) Detailed process flows, 2) Tracking systems for provider transitions, 3) Detailed procedures document for the joint project team, 4) Monthly status reports, 5) Weekly dashboard reports and 6) Technology enhancements. The team has continually applied lessons learned and focused on high-volume paper recipients to reduce operational costs as quickly as possible


      Finding/Results:
      In 2017, over 150,000 paper reports were being distributed to health care providers every month in the Lower Mainland of BC. By 2019, we expect that just over 6,000 paper reports per month will be distributed (as this initiative is still under way, exact number will be provided during the conference) Achieving a 95% reduction in paper reduction: * Brings more reliable, timely, and secure access to clinical reports (enabled through electronic distribution) * Enhances quality of patient care; * Is improving patient confidence that reports are protected, viewed and actioned in a timely manner * Leverages investments in technology and effective processes to maximize the use of health care dollars * Contributes to environmental objectives by protecting our forests and reducing carbon emissions.


      Conclusion/Implications/Recommendations:
      Moving from paper to electronic distribution required the cooperation of several stakeholders, as well as the coordination several work streams that had to be brought together and managed simultaneously. Although this was a technology driven project, the largest challenges faced by the working group were related to change management, process review and communication. A multi-disciplinary approach was necessary to achieve the goals. We will examine regional differences with technology adoption, discuss the main objections received by the working group, and review how those were addressed, and provide general recommendations for other provinces, health authority or hospitals who wish to engage in a similar initiative.


      140 Character Summary:
      Healthcare providers in BC switched to electronic reports distribution. This presentation highlights the results, challenges and learning

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