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Angela Lianos

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    OS27 - Integrating the Community Sectors (ID 43)

    • Event: e-Health 2019 Virtual Meeting
    • Type: Oral Session
    • Track: Clinical and Executive
    • Presentations: 1
    • Coordinates: 5/28/2019, 02:30 PM - 03:30 PM, Pod 6
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      OS27.03 - LTC eConnect: Supporting LTC Access to the Electronic Health Record (ID 346)

      Angela Lianos, Account Management, eHealth Ontario; Toronto/CA

      • Abstract

      Purpose/Objectives: The LTC eConnect solution leverages the provincial EHR clinical viewers, ConnectingOntario and ClinicalConnect, to provide clinicians working in Long Term Care (LTC) homes with simple, direct access to the provincial EHR from the existing secure resident record in the PointClickCare clinical information system, which is currently in use by LTCHs. This panel presentation will showcase the LTC eConnect solution that connects clinical users? patient information in a manner which supports their clinical workflow (i.e., with Single Sign-On (SSO) and Context Management (CM)). The project, went live with its first LTC site in March 2017, and is being delivered through a successful partnership between Canada Health Infoway, eHealth Ontario, PointClickCare and ThoughtWire with support from stakeholders across the sector, including the Ontario Long-Term Care Association (OLTCA), AdvantAge Ontario and LTC clinicians. This session will provide a demonstration of the solution, narrated by panel members, as well as an overview of project successes and lessons learned. LTC clinicians will explain how the LTC eConnect solution has benefited patient care and provided clinical efficiencies.

      Methodology/Approach: Designed specifically for the LTC sector, the LTC eConnect solution provides clinicians access to the ConnectingOntario ClinicalViewer or ClinicalConnect directly from their PointClickCare EMR, while maintaining patient context. The solution was developed using Agile Methodology guided by two clinical advisory panels; one for each regional viewer. The solution was rolled out to a pilot site in each of the three regions before it was available generally.

      Findings/Results: LTC eConnect has been rolled out to 73 Long-Term Care Homes in Ontario, and over 1,400 authorized users are now able to access residents? health information to support care delivery. An additional 200 homes across the province are scheduled to be using LTC eConnect by March 2019, which represents nearly half of the LTC homes in Ontario. The response from clinicians who have adopted the LTC eConnect solution has been overwhelmingly positive. Clinicians have reported: Greater access to residents? health information in real-time ? especially upon resident admission or transfer Easier access to labs, diagnostics and drug data Ease of use during medication reconciliation and access to a fulsome health profile during the patient assessment period Expanded use of information among registered staff supported by the controls put in place to access personal health information directly within the PointClickCare application Easier auditing controls for monitoring staff usage and access of the electronic health record

      Conclusion/Implications/Recommendations Implementation of the LTC eConnect initiative required stakeholder engagement from the LTC sector to ensure the digital health solution was appropriately integrated into clinician workflow. Both the complexity of the patients the LTC sector serves, as well as the diversity of the LTC clinicians themselves required unique considerations to ensure the success of the service. The development and implementation of the LTC eConnect solution was successful because it was designed around the people it serves. By putting LTC clinicians at the forefront of the project the solution could be tailored to prioritized needs of the sector.

      140 Character Summary:
      LTC eConnect: A sector specific solution created to support long-term care access to the electronic health record