EHR as the Platform for Interoperability

Transcription

1 EHR as the Platform for Interoperability Introduction: Simon Hagens, Canada Health Infoway Susan Anderson, Orion Health Perry Poulsen, Manitoba ehealth Laura White, Provincial Health Services Authority Moderator: Jim Mickelson, Canada Health #partnerconf WiFi: Sheraton_Meeting Password: telushealth

2 Electronic Health Records Adoption and Benefits so far November 2015 Canada Health Infoway 2015

3 What does an EHR tell us? Patient & clinician demographics Lab results, images and clinical reports Patient alerts, e.g. allergies Medication history Immunizations Health system interactions Canada Health Infoway

4 Active EHR User Growth 250,000 Clinicians report access to data from beyond their organization Notes: 1. Figures represent active users with access to two or more integrated provincial data assets (e.g., lab information system, drug information system, diagnostic imaging repository, etc.) 2. Active users have accessed the system a minimum of one time per month 3. This graph does not depict the number of users of individual data assets that are not integrated with other systems. 4. Users of point of care systems with data feeds from provincial assets are deemed to be active users of the EHR 4 Canada Health Infoway 2015

5 Per Capita Usage Estimated Growth Through % 30-50% 5-20% AB NS MB BC SK ON QC NB NL Canada Health Infoway

6 Benefits Deployment Limited benefits Early Impact on information quality Efficiencies Mediumterm Longerterm Impact on care Canada Health Infoway

7 Fewer Information Gaps & Consequences Re-ordered a lab test Re-ordered a diagnostic image 2% 1% 3% 5% Connected Physicians Unconnected Physicians Patient time was wasted (eg. waiting) 5% 9% My time was wasted (eg. searching, calling, waiting) 10% 13% Forced to proceed with incomplete information 4% 13% % of all encounters for each cohort with a specific impact generated by an information gap *All results statistically significant Canada Health Infoway

8 Canada Health Infoway 2015 Thank you

9 Manitoba s EHR Are we there yet? Perry Poulsen, CIO, Manitoba ehealth November 2015

10 10 echart Manitoba What we have Dispensed Medication echart Manitoba Clinical Data Repository Immunization Lab Results Stored Data echart Manitoba Clinical Viewer Diagnostic Imaging Reports ehealth Infrastructure Clinical Information Delivery echart View Other Clinical Information ADT Systems H Provincial Client Registry Local Clinical Systems Healthcare Organization

11 I can honestly say that echart has been one of the single most beneficial innovations to the health care of Manitobans from my perspective in the last five years. - -Tunji Fatoye, MD, CCFP, Unit Director, Kildonan Medical Centre Where we are

12 Adoption What we have seen Error reduction Efficiencies Unexpected value Active Users Active Users Average Logins Per Active User % Active 5,000 4,800 4,600 4,400 4,200 4,000 3,800 3,600 3,400 3,200 3,000 4,885 4,813 4,740 4, % 33.29% 32.76% 33.04% Apr May Jun Jul

13 Where we are going

14 ALBERTA PERSPECTIVE SUSAN ANDERSON NOVEMBER 24-25, 2015

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16 The Meaningful Use Journey Where is Alberta at Level 1 Data capture and sharing Increase implementation and adoption of EHR systems Capture structured data Level 2 Advanced clinical processes Increase exchange of health information Demonstrate care coordination across sites of care Empower patients with health information Level 3 Improved outcomes Drive use of realtime data at the point of care Use outcomesfocused clinical quality measures Utilize clinical decision support for prevention, disease management and safety 16 Page Orion Health group of companies THINKING SOFTWARE FOR LIFE

17 A Look to the Future Interoperability / Exchange - Provider exchange with other Providers - Provider exchange with other organizations and government Consumer Health IT - Patient Observations Recorded in EHR * - Enabled Self Management - Provider / Patient Communication Meaningful Use Strategic Direction Quality Measurement Driving Quality Improvement - Alignment with Broader Quality Measurement Strategies * We must integrate patient portals and LTC into our health records Dr. Chris Hobson, Canadian Healthcare Technology, September Page Orion Health group of companies THINKING SOFTWARE FOR LIFE

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19 CareConnect: BC s ehealth Viewer Stats as of Sept 2015 Laura White, Executive Director, Clinical Information Services, IMITS Provincial Health Services Authority (PHSA), BC

20 ehealth Viewer - Available Data (October 2015) 20

21 CareConnect Systems - Deployment Health Authority CareConnect Reach - Number of Registered Users (approximate) Sept 2013 Jan 2014 Sept 2014 Feb 2015 Aug 2015 VCH & PHC 6,334 6,606 7,221 8,890 8,229 PHSA 3,428 3,583 4,605 4,813 5,266 VIHA 2,449 2,449 2,906 3,002 3,214 FHA ,100 2,464 2,784 NHA 101 1,100 1,291 1,354 1,508 IHA 2,321 12,923 14,724 15,611 17,074 Total 14,774 27,039 32,847 36,134 38,075 Note: due to decentralized enrolment processes for CareConnect, Non-VPP figures are estimated based on IEHR-PLIS Enrolment #s. 21

22 ehealth Viewer - Adoption (Document Views and Active users) 22