ConnectingGTA Overview and Update

Transcription

1 ConnectingGTA Overview and Update Central East LHIN Board Meeting December 16, 2015 Melissa Chang ConnectingGTA Senior Project Manager, Change Management and Clinical Adoption Dr. Joel Kennedy, ConnectingGTA Clinical Working Group & Physician, Lakeridge Health

2 Presentation Agenda Time 1 What is ConnectingGTA 5 min 2 Implementation Current Status 5 min 3 Clinical Feedback & Patient Care Impact 5 min 4 Alignment to IHSP and the Central East LHIN 5 min 2 Confidential not for public distribution

3 What is ConnectingGTA? ConnectingGTA because we need to know Overview Video

4 What is Connecting GTA? ConnectingGTA provides the regional electronic health record (EHR) for Central Ontario to improve the patient and clinician experience by providing point-of-care access to electronic patient information from across the care continuum. It integrates electronic patient data to provide clinicians with the data they need to make care decisions across multiple sectors including: Hospitals, CCACs, Long Term Care, Mental Health & Addictions and Primary Care Connecting GTA includes data from across six Local Health Integration Networks: Central, Central East, Central West, Mississauga Halton, Toronto Central, and North Simcoe Muskoka. It is one of three initiatives (South West Ontario - cswo, Central Ontario and Northern and Eastern Ontario - cneo) that when fully implemented will provide the provincial EHR Connecting Ontario 4 Confidential not for public distribution

5 ConnectingGTA will improve the patient and clinician experience by delivering a regional electronic health record for 6.75M individuals 6 Local Health Integration Networks 750+ Health Care Organizations 6,200 Family Physicians 6,900 Physician Specialists 49,900 Nurses Central East LHIN Participation 12 participating sites 6,800+ clinical end users Representing the following sectors: Acute Care Community Care Long-Term Care Mental Health and Addictions Primary Care 5 Confidential not for public distribution

6 ConnectingGTA Governance Structure Through collaboration, partnership and strong leadership ConnectingGTA works closely with all sectors to deliver the best solutions for its stakeholders Program Steering Committee FUNDERS ehealth Ontario Canada Health Infoway KEY INFLUENCERS Central Ontario Electronic Health System Council Clinical Working Group Technical Working Group Participating Organizations & Clinical Systems Operational Committees Privacy & Security Committee End-User Group (TBD) ConnectingGTA Program Team Participating Central East LHIN Members: ConnectingGTA Steering Committee Karol Eskedjian, Central East LHIN ConnectingGTA Clinical Working Group Sandra Armstrong, CE CCAC Dr. Ilan Fischler, Ontario Shores Mental Health Centre Dr. Joel Kennedy, Lakeridge Health Dr. Naresh Mohan, Rouge Valley Health System Dr. David Rose, The Scarborough Hospital 6 Confidential not for public distribution

7 ConnectingGTA Key Milestones Mar Early Adopter Phase Begins May 2013 Data Population Begins July 2014 Limited Production Release Begins Apr Go-Live Begins Aug Surpassed Enrolment Target ConnectingGTA Steering Committee Formed Oct Solution Procurement Completed Pilot Sites All Sites 7 Confidential not for public distribution Legend: BE - Back End, FE - Front End 7

8 Implementation Current Status

9 ConnectingGTA connects health service provider information systems as well as regional and provincial registries and repositories Priority data types Early Adopters Expansion Hospital Reports 36 Sites 100+ Sites CCAC Documentation Diagnostic Imaging Reports Lab Results Medication Information * ~32,000 Enrolled Users Data Available ** ~50% Acute Data 100% CCAC Data ~94% Lab Results 50,000+ Enrolled Users Data Available ** ~90% Acute Data 100% CCAC Data 94%+ Lab Results 9 Confidential not for public distribution * Indicates a regional or provincial data source to be made available in a future release ** Hospitals and CCAC data - based on IP Admissions & ED visits in Central Ontario

10 Central East LHIN Participating Sites Early Adopter Sites ( ) Sector The Scarborough Hospital* Rouge Valley Health System* Lakeridge Health System* Central East Community Care Access Centre * Bendale Acres Long-Term Care Home Seven Oaks Long-Term Care Home Expansion Sites (2014 TBD) Acute Care Acute Care Acute Care Community Care Long-Term Care Long-Term Care Sector Working Together Peterborough Regional Health Centre* Campbellford Memorial Hospital* Northumberland Hills Hospital* Ontario Shores Mental Health Centre Brock Community Health Centre Taibu Community Health Centre Acute Care Acute Care Acute Care Mental Health & Addiction Primary Care - CHC Primary Care - CHC Total Number of Enrolled Users for Central East LHIN: ~ 6, Confidential not for public distribution * Data Contributing Organizations

11 Status of Central East LHIN Sites Progress of Central East LHIN Early Adopter Sites All Early Adopter sites are now live with ConnectingGTA and tracking towards their sitespecific Adoption Targets Organization Enrolled Users Target Active Users Target Go Live Date The Scarborough Hospital 185% (2267) 295% (189) October, 2015 Rouge Valley Health System 145% (445) 165% (103) August, 2015 Lakeridge Health 105% (371) 225% (158) November, 2015 Central East CCAC 95% (589) 225% (206) June, 2015 City of Toronto Long-Term Care Homes (Bendale Acres and Seven Oaks) Go-Live underway as of October Confidential not for public distribution

12 Status of Central East LHIN Sites cont. Progress of Central East LHIN Expansion Sites Expansion Sites selection and participation begun in Summer 2014 Site participation identified in Winter 2014 / early 2015 Sites have completed the Initiation & Preparation phase Site Readiness Assessment Technical Planning Legal Agreements Change Readiness Assessment Internal Implementation and Adoption Planning Sites are set to begin the Implementation & Adoption phase; schedule and go-live timing is currently being developed by ehealth Ontario 12 Confidential not for public distribution

13 ConnectingGTA because we need to know ConnectingGTA Clinical Testimonial Video 13 Confidential not for public distribution

14 ConnectingGTA Provider Portal - View Patient Summary View displays patient s information at a glance Navigation Bar to move between views/pages Patient Banner displays patient demographics (hover over available for more detail) Timeline to identify encounters at a glance Individual Portlets displayed at a summary level to indicate what data is available for the patient 14 Confidential not for public distribution

15 OLIS Lab Trending Flowsheet Regional lab result trending is now available in a flowsheet format, which allows clinicians to evaluate their patient s lab results at-a-glance over time Selective test results were clinically-prioritized to be included in the flowsheet 15 Confidential not for public distribution

16 Clinical Feedback & Patient Care Impact Dr. Joel Kennedy is a user of the ConnectingGTA system at Lakeridge Health and also a member of the Clinical Working Group for the Development of the ConnectingGTA System. He kindly agreed to present the clinicians view of implementation, use and how it has impacted his delivery of care. ConnectingGTA improving patient care Video

17 Alignment with the Central East LHIN - IHSP

18 Central East LHIN Health Link Communities Access RMH / HHHS request to view in Expansion CCAC sites live across all Health Link Communities Brock CHC Ontario Shores Centre for Mental Health Sciences in Expansion Lakeridge Health Live Peterborough Regional, Campbellford Memorial, Northumberland Hills in Expansion TAIBU CHC The Scarborough Hospital Live Rouge Valley Health System Live 18 Confidential not for public distribution

19 ConnectingGTA and the IHSP Access to aggregated patient record supports providers in their delivery of care Information contributed by multiple organizations and sectors provide the overall view of the patient care data Work done by initiatives such as Hospital consults and Diagnostic reports, Lab information (OLIS) and care planning will feed into ConnectingGTA Provides the opportunity to further advanced integrated systems of care 19 Confidential not for public distribution

20 Thank you! Questions?

21 Appendix

22 Clinician Experiences Improving Transitions in Care Improving Clinician Coordination "I can provide more informed and comprehensive care for my patients using ConnectingGTA, since it allows me to see visits and results from across the healthcare system. Dr. Jeremy Theal, Chief Medical Information Officer, North York General Hospital It was great I ve been stressing all week about two medications and an interaction and whether they should be given together because MedsCheck says no. When I reviewed the ConnectingGTA charts the patient had been getting the two medications together for a long time and the specialist ordered them this way. So great to be able to check that out. Nurse Practitioner, North Simcoe Muskoka CCAC Reducing Emergency Department Wait Times Reducing Duplicate Tests ConnectingGTA has proven to be an invaluable resource in the Emergency Department. It saves time and resources. We are no longer dependent on Health Records from other hospitals to send us collateral information, but have it at our fingertips. This means better and faster patient care which is important in an acute setting. Brittany Poynter, Clinical Head, Centre for Addiction & Mental Health I have so far been able to avoid one admission and several repeat tests (two patients) thanks to data from ConnectingGTA. Thanks for setting me up with it. Dr. Raphael Rush, Resident PGY1, Internal Medicine Department, Sunnybrook Health Sciences Centre 22 Confidential not for public distribution

23 Central East LHIN Clinician Feedback Our physicians do a lot of screening with our patients to rule out any medical cause for their psychosis, ConnectingGTA will help us provide a comprehensive assessment without duplicating previously completed tests at other facilities. Shannon Gallagher, Registered Nurse Rouge Valley Health System ConnectingGTA will improve patient care in the Emergency Department as I am now able to access patient information that I could not easily obtain before. Melodie Cannon, Nurse Practitioner, Rouge Valley Health System Using ConnectingGTA, I accessed test results from another hospital to determine a timely diagnosis and course of action. Dr. Naresh Mohan, Chief of Staff Rouge Valley Health System "Having access to ConnectingGTA has produced numerous benefits for the patients I've seen in the Emergency Department. One definite advantage is that I've been able to reduce my lab and diagnostic imaging utilization by having access to the patient's results from other facilities. ED Physician, The Scarborough Hospital 23 Confidential not for public distribution

24 ConnectingGTA Early Adopters (Wave 1) Data Population Data Viewing OLIS Population* CDR Population ConnectingGTA Viewing Campbellford Memorial Hospital Centre for Addiction and Mental Health Mackenzie Health Mount Sinai Hospital North York General Hospital Northumberland Hills Hospital Peterborough Regional Health Ross Memorial Hospital Rouge Valley Health System St. Joseph s Hospital St. Michael s Hospital Southlake Regional Health Centre Stevenson Memorial Hospital Sunnybrook Health Sciences Centre/St. John s Rehab The Scarborough Hospital Toronto East General Hospital William Osler Health System Women s College Hospital Central CCAC Central East CCAC Central West CCAC Lakeridge Health Corporation Mississauga Halton CCAC Mount Sinai Hospital North Simcoe Muskoka CCAC North York General Hospital Rouge Valley Health System St. Michael s Hospital Sunnybrook Health Sciences Centre/St. John s Rehab The Scarborough Hospital Trillium Health Partners (Mississauga Hospital/Credit Valley Hospital) Toronto Central CCAC University Health Network William Osler Health System Central CCAC Central East CCAC Central West CCAC Centre for Addiction & Mental Health City of Toronto LTCH and Services Lakeridge Health Corporation Mississauga Halton CCAC Mount Sinai Hospital North Simcoe Muskoka CCAC North York General Hospital Resource Matching & Referral Rouge Valley Health System St. Michael s Hospital Sunnybrook Health Sciences Centre/ St. John s Rehab The Scarborough Hospital Trillium Health Partners (Mississauga Hospital/Credit Valley Hospital) Toronto Central CCAC University Health Network William Osler Health System * Additional sites contributing to OLIS from the Foundation Phase, includes: Grey Bruce Health Centre, Lakeridge Health Corporation, Mississauga Hospital/Credit Valley Hospital, and University Health Network 24 Confidential not for public distribution

25 ConnectingGTA Early Adopters (Wave 1) [cont d] Data Viewing Long-Term Care Chester Village Copernicus Lodge The Rekai Centre at Wellesley Central Place The Rekai Centre at Sherbourne Place Elm Grove Living Centre Inc. Hellenic Care for Seniors, Toronto, Inc. Lakeside Long-Term Care Centre Maynard Nursing Home Mon Sheong Home for the Aged Rose of Sharon Korean Long Term Care St. Hilda's Towers Inc. Suomi-Koti/Toronto Finnish Canadian Seniors Centre Inc. The O'Neill Centre Vermont Square Long Term Care Home Primary Care Georgian Bay Family Health Team Queen Square Family Health Team West Durham Family Health Team Wise Elephant Family Health Team 25 Confidential not for public distribution

26 ConnectingGTA Expansion Sites (Wave 2) Data Population Data Viewing Acute Care Acute Care Primary Care Halton Healthcare Services Corporation Headwaters Health Care Centre Humber River Regional Hospital Mackenzie Health Markham-Stouffville Hospital Peterborough Regional Health Centre/Campbellford Memorial Hospital/Northumberland Hills Hospital Royal Victoria Hospital/ Collingwood General & Marine Hospital/Georgian Bay General Hospital Southlake Regional Health Centre/Stevenson Memorial Hospital St. Joseph s Health Centre Toronto East General Hospital Mental Health & Addiction Centre for Addiction & Mental Health Women s College Hospital Access Alliance Multicultural Community Health Centre Community Care Acclaim Health CANES Community Care Nucleus Independent Living Punjabi Community Health Services St. Demetrius Supportive Care Services Anishnawbe Health Toronto Brock Community Health Centre Davenport-Perth Neighbourhood Centre East End Community Health Centre Flemingdon Community Health Centre Planned Parenthood of Toronto Regent Park Community Health Centre Rexdale Community Health Centre South Riverdale Community Health Centre Stonegate Community Association Taibu Community Health Centre The Anne Johnston Health Station The Four Villages Community Health Centre Wellfort Community Health Centre Women s Health in Women s Hands 26 Confidential not for public distribution

27 ConnectingGTA Expansion Sites (Wave 2) [cont d] Data Viewing Long-Term Care Mental Health & Addiction Rehab/CCC Region of Peel Silverthorn Care Community Streetsville Care Community Tullamore Care Community Ukrainian Canadian Care Centre Victoria Village Woodbridge Vista Care Community Canadian Mental Health Association (Peel) Jean Tweed Treatment Centre LOFT Community Services Ontario Shores Centre for Mental Health Sciences Progress Place Sherbourne Health Centre Waypoint Centre for Mental Health Care York Support Services Network Baycrest Bridgepoint Active Healthcare Providence Healthcare Runnymede Healthcare Centre Salvation Army Toronto Grace Health Centre West Park Healthcare Centre 27 Confidential not for public distribution