EMR and ehr Together for patients and providers. ehealth Conference October 3-4, 2014

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1 EMR and ehr Together for patients and providers ehealth Conference October 3-4, 2014

2 DISCLOSURES: Commercial Interests NONE Susan Antosh is CEO of ehealth Saskatchewan

3 Vision: Empowering Patients, Enabling Care Mission: Getting Patient Information to Healthcare Team

4 Patient-Centered Collaborative and Integrated Care Community Care Center Clinic Homecare Emergency Services Pharmacy Specialist Clinic Laboratory Hospital Emergency Diagnostic

5 Across Organizations and Care Settings Community Care Center Clinic Homecare Emergency Services Pharmacy Specialist Clinic Laboratory Hospital Emergency Diagnostic

6 Purposeful + Integrated + Consistent View Community Care Center Clinic Homecare Emergency Services Pharmacy Specialist Clinic Integrated view of Client - Patient Laboratory Hospital Emergency Diagnostic

7 Point of service systems Patient Registration (all rurals, SCA in progress) Laboratory (all rurals, SDCL) RIS/PACS (all RHAs) Pharmacy (all rural) Primary Health Care (all RHAs) Panorama (all RHAs) SCM (rural RHAs, Sktn/RQHR licensing & maint) Mental Health Surgery (all RHAs) Integration with EHR (all health care providers and RHAs/SCA)

8 Citizen Advisory Panel

9 Citizen Advisory Panel Outcomes: Very engaged group; interested in digital health Connected with 600 members of the public to share learning and collect feedback Contributed greatly to initial prioritization of Patient Viewer capabilities Keen interest in continued engagement in ehealth activities

10 What is the ehr? a secure and private lifetime record of an individual s key health history and care. The EHR is NOT one system. It IS a group of systems which together securely store the health information of an individual. Diagnostic imaging reports are scheduled to be added to the EHR Viewer in October. This will complete the requirements of the provincial electronic health record as defined by Canada Health Infoway.

11 What is the ehr? There are nearly 3,000 health care providers with access to the ehr Viewer including physicians, nurse practitioners, pharmacists and others. Work continues to increase that number. The EHR Viewer provides health care professionals with access to 90% of the lab results in the province, 100% of medications dispensed outside of the hospitals, immunization histories, and clinical visits.

12 What is the ehr? It also includes tools for the support and management of chronic diseases like diabetes and coronary artery disease. Access to the EHR Viewer is easy, secure and available anytime from computers, laptops and ipads. Early feedback has been extremely positive. Provincial view of key clinical patient information

13 Core Electronic Health Record (EHR) Components and Level of Completion

14 Components of EHR currently part of Ehealth s plan

15 EHR Progress Update ( ) Many of the hospital systems that feed the Electronic Health Record (EHR) data banks are in place in larger centers throughout the province (tertiary and regional) The key components of the EHR are in place: o Client/Patient Registry/Health Provider Registry o Immunization o Pharmacy Data Bank (PIP) o Diagnostic Imaging Data Bank (PACS) o Laboratory Results Data Bank o Telehealth o COMING DIAGNOSTIC IMAGES

16 What s in the ehr Viewer? Laboratory Results Medications Diagnostic Images Chronic Disease Management Discharge Summaries Clinical Encounters

17 ehr Viewer % 50% 56% Sep 13 Oct 13 Nov 13 Dec 13 Jan 14 Feb 14 Mar 14 Apr 14 May 14 Total Users Phys Clinic Percentage Active Users 0

18 Information transmitted using EHS services Information Used by Providers via EHS Services 3,000,000 2,500,000 2,000,000 1,500,000 1,000, ,000 Owner: Denise Junek Date: Apr 2, 2014 Results to EMR Results to SCM PIP dispenses only MI EHR Viewer

19 EMR Statistics

20 Lab Results Sent Directly to EMRs >1,120 physicians receiving lab results into their EMR Systems o >818 EMR and 302 PHC o >237 Clinics and 15 PHC sites 52.0 million Laboratory Test results in SLRR o >98% of the lab results in Saskatchewan (11 sources) o 99.69% matching with SCI and accessible in the Viewer o 107 total lab remediation errors from 1,565,062 o August ,155 results routed to an EMR

21 EMRs and EHR Are complementary EHRs give a provincial wide view Help to retrieve patient level information The EMR is a real time view of medication history

22 Lab Results in Data Bank 50,000,000 45,000,000 40,000,000 # of Lab Results 35,000,000 30,000,000 25,000,000 20,000,000 15,000,000 10,000,000 5,000,000 0 May 13 Jun 13 Jul 13 Aug 13 Sep 13 Oct 13 Nov 13 Dec 13 Jan 14 Feb 14 Mar 14 Apr 14 May 14

23 Total Number of Medical Imaging Studies 5,800,000 5,600,000 5,400,000 5,200,000 5,000,000 4,800,000 4,600,000 4,400,000 4,200,000 4,000,000 3,800,000 May 13 Jun 13 Jul 13 Aug 13 Sep 13 Oct 13 Nov 13 Dec 13 Jan 14 Feb 14 Mar 14 Apr 14 May 14

24 Community Dispensed Drugs in Data Bank # of Dispensed Drugs (millions) Total Dispensed Drugs (Jan/14) million

25 Where to from here? Basic EHR in place by fall 2014 Seeking Funding for Launch in Context 100% of data for basic EHR for entire health system completed by March 31, 2017, assuming regional readiness Patient portal in place by the July 2015 (pilot) Like any business, will need to continue: o Ensure currency of software o Maintain highly available and sustainable infrastructure o Enhance current products o Add new functionality/capability

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