Hospital Information Systems A Common Vision for Central East LHIN. Presentation to the Board of Directors February 26, 2014

Transcription

1 Hospital Information Systems A Common Vision for Central East LHIN Presentation to the Board of Directors February 26, 2014

2 Hospital Information Systems Regional Integrated Health care Systems Objectives of Hospital Information System Improvements Cluster Environment EMRAM Annual Trends Costs of IT in Hospitals Current and Future Hospital IM/IT Challenges Local Environment Current State 2

3 Regional Integrated Health Care Systems 3

4 Objective for HIS Improvements Hospitals are looking to technology to support improved delivery of care: Align with and supportive of Excellent Care for All Enable a patient centred healthcare approach Support delivery of regional specialty services Support standardized, integrated inter-lhin shared clinical services Enhance care through effective / streamlined clinical info exchange Benefits for Patient Care One shared, comprehensive patient hospital record Ability for hospitals to share patient information amongst themselves and with physician offices, home care and long term care Streamlined patient referrals for tertiary care and regional programs Safer, higher quality patient care Benefits for Government Advance the LHIN agenda for integration, standardization and consolidation Demonstrated evidence of governments commitment to raising the bar on patient care toward the single Electronic Health Record (EHR) Only funding enhancements to patient care, building on the commitments of hospitals and LHINs 4

5 Cluster Environment In the Central Ontario Cluster (Central West, Mississauga Halton, Toronto, Toronto Central, North Simcoe Muskoka, and Central East) are a large number of hospitals looking to make significant changes to the HIS systems in the next months. Central Ontario Hospitals HIS Current State Summary System Version RFP in 12 mos.? Meditech 5x Yes = 8 No = 7 Meditech 6x No = 2 Anzer 2 Yes = 2 Medi Patient 1 Yes = 1 McKesson Star v14 Yes = 3 Cerner 1 No = 1 Central Ontario Hospitals EMRAM Score Summary EMRAM Score 6x 3 4x/5x 5 3x or lower 16 # Hospitals Of 16 Hospitals with 3x or lower; 13 are looking to procurement within the next months. TOTALS Yes = 13 NO = 12 of 24 5

6 EMRAM Annual Trends 5 6

7 EMRAM Annual Trends 5 7

8 Cost of IT in Hospitals: As automation is increased, the cost of the build and sustainability increases 8

9 Hospital IM/IT Challenges 1. Hospitals are competing in IM/IT; IT continuing to build silos Status Quo financially inefficient (costs multiplied by 9) 2. Hospitals still own their IT: data centres, staff, vendor relations and budgets utilized accordingly BUT now must connect and give up their data to larger provincial initiatives (Health Links, CGTA, OLIS etc.); Costs increased by connectivity builds / multiple interfaces 3. Data Centres and IT infrastructure are in the same centres that would be shut down if crisis occurred (not able staff or get into in a SARS / Code situation) High Risk to Business Continuity; accident waiting to happen 4. Hospitals costs and utilization are increasing leaving less to spend on IT but requiring large amounts to upgrade (i.e. Disaster recovery, CIS upgrade) Do not have the required sustainability funds to meet future demands 9

10 Having similar systems does not guarantee an integrated health care system 10

11 Having dis-similar systems does not mean that you can not have an integrated health care system 11

12 Information exchange in real time among all service providers including community and primary care 12

13 Hospital Information Systems 13

14 Hospital Information Systems 14

15 9 Separate Instances of Hospital Information Systems 15

16 4 Separate Instances across 9 Hospitals 16

17 LHIN Perspective: Population Health Management & Regional Integrated Health Care Systems 17

18 Regional Integrated Health Care Systems 18

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20 Recommendations to the Board 1. Recommend for Hospitals to participate in short term work to determine the value proposition for a common Central East LHIN Hospital vision and roadmap that will determine the opportunities and efficiencies for shared services in the hospital sector 2. The Vision would align needs of hospitals, LHIN, Central Ontario Cluster and Province to develop: IM/IT shared services Principles to connect to each other Begin consolidation of back office systems 3. Central East LHIN will fund (with ehealth Cluster funding) and participate in the development of a vision and roadmap for HIS/CISs over the next 3 to six months in the Central East LHIN. 20

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22 MOTION 22

23 Hospital Information Systems Shared Opportunities Objective for HIS Improvements The OHA EMRAM Model is the Hospital IT Guide to Success - the score notes the use of automation to support care delivery

24 Provincial Environment NEON: 22 northern hospitals consolidated systems beginning in 2009 onto single Meditech platform CW, MH: Hospitals working toward consolidation since Financially prohibitive all at once, proceeding with projects over time to bring organizations together (i.e. programs, applications, back office, SSW) South East: 5 of 7 hospitals collaborating to go to joint procurement to upgrades to CIS/HIS systems (working towards full participation). Central LHIN: 3 Hospitals working toward joint procurement in 2014 (Southlake, Mackenzie and Stevenson). Northern Alliance: 11 hospitals under 1 CIO to develop plans for hospital collaboration and consolidation. Regional Shared Services (South West) hosts 8 organizations on London Health Sciences (Cerner) and is connected to two other hubs. Working to include the Erie St. Clair LHIN onto the system. 24