1 northern ontario e-health information and communication technology tactical plan october 25, 2007
TRANSCRIPT
1
Northern Ontario e-Health Information and Communication Technology Tactical
Plan
October 25, 2007
2
The most comprehensive e-Health ICT Blueprint in Ontario, covering the continuum of healthcare
service providers
Phase 1 – 52 organizations participated All hospitals (including acute mental health and regional
cancer programs 9 Community Care Access Centres 6 Community Health Centres The Group Health Association
Phase 2 - 400 community health organizations addictions, children’s treatment, community support
service providers, independent health facilities, long term care homes, mental health, public health
200 community pharmacists 43 nurse practitioners 28 family health teams 1,100 physicians Volunteers Chronic disease and patient management programs
3
Strategic Framework
Information and Communication technology supports the processes of quality healthcare provision, access to health information, improvement of consumer outcomes, and the most effective use of available resources across Northern
Ontario, through collaboration and sharing informationamongst providers and with consumers
Northern Ontario ICT Vision
Northern Ontario e-Health ICT Goals
Improve consumer access to health information to support informed decision making Improve communication among service providers Improve care delivery Improve service delivery management Enable information integration and communication among stakeholders and sectors Commit to research, education and knowledge transfer Maximize available funding Ensure a planned and coordinated approach to eHealth and ICT in Northern Ontario
4
Northern Ontario e-Health ICT Strategies
1. Establish the Electronic Record within individual organizations
2. Establish capability to share information among electronic records to facilitate information
integration
3. Use technologies to promote service provider communication
4. Use technologies to support consumers to achieve improved health outcomes
5. Build on existing provincial initiatives – WTIS/EMPI, OTN, PACS, OLIS
6. Develop system-wide decision support capability, facilitating evidence-based decisions
7. Support work effectiveness
8. Support research and education
9. Develop technical and support infrastructure and utilize new technologies to match
requirements
10. Maximize available resources
5
Tactical Plan Project Prioritization Criteria
Aligned with stakeholder priorities Aligned with provincial strategies Support LHIN priority areas for change Foundation to other projects Core projects Promotes communication and sharing of information Addresses a significant risk, e.g. patient safety
Mandated by the province Builds on/leverages successful projects “Doability” “Affordability” Funding availability Promoting positive outcomes for clients Common “denominator” project Promotes continuity of care
e-Health ICT Implementation Road Map
Includes provincially-mandated projects Covers four years Each project described in presentation Prerequisites and dependencies are
complex
6
Strategies and Priority Projects
Sharing and Collaboration of Health Information
Content Collaboration Standards & Interoperability
#6System-wide
Decision SupportCapability
#2Information Sharing andIntegration
#3ServiceProvider
Communication
#4Information
toConsumers
#5Build on
ProvincialInitiatives
#7SupportWork
Effectiveness
#8Support
Research andEducation
#1ElectronicContent
#9Infrastructure
#10Maximize
Resources
Str
ateg
ies
Pri
ori
ty P
roje
cts
#1Project
ManagementOffice
#2Technical
Infra-structure& Support
#13Administrative
Systems
#6Access toTelehealth
#5 LeverageProvincial
EMPI
#12OLIS
Alignment
#11PNOPP
#16Expand ODB
Viewer
#15Consumer
Portal
#3 SSHA
Connectivity
#4Securee-mail
#8e-Referrals
#7ClinicalProvider
Portal
#14Directory
of Services
#10ElectronicRecords
#9e-Physician
Strategy
Vis
ion
7
Regional ICT Infrastructure, Support, Integration
2007/08 2008/09 2009/10 2010/11 2011/12
Project Management Office
Integration Framework,Architecture, Standards
SSHA Connectivity/ONE Mail
Leverage Provincial EMPI
Access to Telehealth
Clinical Provider Portal/Clinical Viewer
e-Referrals
e-Physician
EHR Content
Administrative Systems
PNOPP
Expand ODB Viewer AccessPriority 1
Priority 2/3
Legend
Directory of Services
Consumer Portal
OLIS Alignment
8
Governance Principles
Includes all stakeholders from across the continuum of care; Supports expeditious planning and implementation of the Blueprint directions; Has a structure and process for communication and input from the stakeholders; Advocates for and supports a change management and adoption/ uptake program to
support the implementation of the e-Health ICT Blueprint; Leverages current strengths, structures and experience in Northern Ontario; Promotes an integrated approach in Northern Ontario, while respecting the unique
circumstances of communities and service providers; Supports LHIN accountability agreement for e-Health; and Is proactive in supporting adoption of innovative technologies that are of benefit to health
information management in Northern Ontario
9
Governance (Structure and Membership)
NW LHINNW LHIN
NE LHINNE LHIN
NE e-Health Lead
NE LHINICT Advisory(incl.non-LHIN funded orgs. )
NE e-Health Lead
NE LHINICT Advisory(incl.non-LHIN funded orgs. )
AdditionalContinuum of Care
Members
AdditionalContinuum of Care
Members
NW e-Health Lead
NW LHINICT Advisory(incl. non-LHIN funded orgs. )
NW e-Health Lead
NW LHINICT Advisory(incl. non-LHIN funded orgs. )
NE PMONE PMO
NW PMONW PMO
ONe-Health Membership:•28 members: • Including 8 positions from each ICT Advisory, including e-Health leads• NE and NW equally represented• Not sector-based representation – maintain focus on the information of the client/patient holistically
Working Groups
2 e-Health Leads
2 LTC
2 CCAC
2 Community Support Services
2 Community Mental Health 2 Addictions
2 Acute Care
2 CHC francophone /aboriginal)
1 Public Health
1 Pharmacy
1 IHF
1 CTC
2 Physicians
2 Small Hospitals
1 Nurse Practitioner
3 Acute Care
Ex-Officio:
1 FNIHB
1 NOSM
1 SSHA
1 FedNor
1 CHI
1 e-Health
1 OTN
10
Governance (Overview and Rules of Engagement)
PNOPP
DOS
E-Physician
Clinical Provider Portal(Clinical Viewer)/EHR
Regional ICT
Privacy
Advocacy and Communication
• Each member is part of a task force/ working group/subcommittee
• Pan Northern Board as Service Delivery oversight
• LHIN to purchase services not deliver
• Would cover Help Desk, bundle of services for physicians, etc.
• Accountability would be covered through SLA within LHIN
Working Groups
NW LHINNW LHIN
NE LHINNE LHIN
NE e-Health Lead
NE LHINICT Advisory(incl non-LHIN funded orgs. )
NE e-Health Lead
NE LHINICT Advisory(incl non-LHIN funded orgs. )
AdditionalContinuum of Care
Members
AdditionalContinuum of Care
Members
NW e-Health Lead
NW LHINICT Advisory(incl non-LHIN funded orgs. )
NW e-Health Lead
NW LHINICT Advisory(incl non-LHIN funded orgs. )
NE PMONE PMO
NW PMONW PMO