Vancouver Coastal Fall Caucus. Innovation & Information Management Services / ehealth October 22 nd, 2014 Musqueam Nation
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1 Vancouver Coastal Fall Caucus Innovation & Information Management Services / ehealth October 22 nd, 2014 Musqueam Nation
2 Discussion Overview - Agenda 1. Innovation and Information Management leadership and functions supporting collaborative partnership with our communities in the areas of ehealth, Information Technology and Information Management 2. Benefit to Communities: ehealth is a key enabler to all health and wellness initiatives IM & IT are key enablers to communities ability to further use technologies as a means of improving services IIMS: Simple. Synergistic. Strategic. 2
3 IIMS Service Overview ehealth & Information Management Services Core Infrastructure & End User Support Services Project & Risk Management Services Analytics and Applications Services IIMS: Simple. Synergistic. Strategic. 3
4 ehealth: Immediate needs and Opportunities ehealth & Information Management Services Core Infrastructure & User Support Services Project & Risk Management Services Business Intelligence & Integration Services IIMS: Simple. Synergistic. Strategic. 4
5 BC Provincial ehealth Integration First Nations Key ehealth Projects In Summary: 1. iehr - Interoperable Electronic Health Record 2. Provider Registry 3. Provincial Laboratory Information Solution 4. Pharmanet Modernization 5. Provincial Diagnostic Imaging Viewer 6. First Nations Identity Management/Client Registry 7. First Nations Health Network 8. First Nations Panorama Implementation 9. First Nations Telehealth Expansion 10. Physician EMRs/Community EMRs Standardization and Integration Roadmap 11. FNHSO access to the ehealth Viewer IIMS: Simple. Synergistic. Strategic. 5
6 FNHA s ehealth & IM/IT Strategies - Recapped 1. First Nations Identity Management/Client Registry 2. First Nations Health Network 3. First Nations Panorama 4. First Nations Telehealth Expansion 5. Physician EMRs/Community EMRs Standardization and Integration Roadmap 6. FNHSO access to the ehealth Viewer To Be Determined 6
7 Identity Management: ehealth: Components and Integration Key Identifier Data Management / Stewardship Telehealth Project cemr / EMR Panorama Public Health care services First Nations Health Network Secure and Fast Network Info. Sharing Agreements Privacy & Security Acute / Primary Health Care Provider Community Health Care Provider 7
8 Enabling access to integrated, longitudinal, patient-centric clinical information Home/community/ residential care services First Nations health care services Specialist care services Public health care services Acute care services Advance directives Consult reports Community summaries Enabling access to integrated, longitudinal, patient-centric clinical information Discharge summaries Health Link services Primary care services Immuniz ns (Panorama) Lab results (PLIS) Citizen/consumer/ patient/client Diagnostic images & reports (PDIV) Meds (Pharma- Net) Ambulance services Laboratory testing services Diagnostic imaging services Pharmacy services 8
9 Achievements to date Benefiting Communities
10 Telehealth Expansion: Year in Review Team grew from 4 to 13; engaged SMEs 39 of 45 readiness assessments completed DONNA CLINICAL 45 communities indicated readiness 23 prioritized MIKE IT LEAD DEIRDRE COORDINATION Initiated working groups STEPHEN IT Privacy & Security Framework, Evaluation Framework Equipment ordered COACH conference presentation Strategic Planning JEAN ADVISOR JEFFREY ADVISOR JULIE WORKFLOW DAVID R PRIVACY ESTHER TRAINING Key partnerships and relationships established Database for service streams MEGAN PROJECT DIRECTOR ANDREA ADVISOR DAVE N PM SEAN IMPLEMENTATION
11 Panorama Project: Year in Review 7 FNHSOs deployed Combined 26 users; providing services to ~38 FN communities with ~18,000 clients Active Deployments in Progress 20 FNHSOs with ~40 additional users; providing services to ~35 additional FN communities Panorama / Mustimuhw Data Exchange FNHSOs also using Mustimuhw are commencing CLIENT and IMMS data exchange 4 FNHSOs are actively exchanging data 4 FNHSOs are in progress to begin exchanging data
12 Provincial and Regional EMR (Acute) Profile Provincial Vancouver Island 12
13 Provincial and Regional EMR (Acute) Profile Interior North Fraser 13
14 Mustimuhw Usage Profile & Licensing Model Region Not Using cemr Securing Funding for Mustimuhw Using Mustimuhw Fraser Total Start-up Fee: $5000 Annual Fee: (users) 1 10: $1800 / user 10 +: $360 / additional user Comprehensive 3 year SLA (w/ training) Interior Northern Vancouver Coastal Vancouver Island Total
15 Primary Health Care Usage Model cemr Mustimuhw: Community and Social Services Fraser: Intrahealth emr: Acute & Primary Health Care Services Northern: MOIS Island: Med Access Interior Med Access Coastal Intrahealth Provincial Health Information Lab Results Discharge Summary Radiology Results Panorama* Primary Health Care Providers 15
16 Community & Social Services Usage Model FN Community Health / Social Services / Wellness Providers Fraser: Intrahealth cemr Mustimuhw: Community and Social Services emr: Acute & Primary Health Care Services Northern: MOIS Island: Med Access Interior Med Access Coastal Intrahealth Provincial Health Information Lab Results Discharge Summary Radiology Results Panorama* 16
17 Acute Health Services Usage Model In (RHAs) Facility Health Care Providers Regional Health Authority Clinical Information Systems (Meditech & Cerner) Fraser: Intrahealth emr: Acute & Primary Health Care Services Northern: MOIS Island: Med Access Interior Med Access Coastal Intrahealth Provincial Health Information Lab Results Discharge Summary Radiology Results Panorama* Primary Health Care Providers 17
18 Other Key Considerations: DO YOU HAVE THIS IN PLACE? Day to day support (beyond Mustimuhw) Hardware and software upgrades Knowledge development: cemr / EMR Workflow Privacy Computer literacy Analytics / reports / Analysis Additional resource requirements post initial implementation go live 18
19 Next Steps In Summary: October - November 2014 Complete Joint Project Board projects IM / IT / cemr / EMR requirements analysis (Functions and Financial) Complete licensing discussion with Cowichan Prepare a detailed budget with the recommended implementation plan(s) Implementation planning commence with communities November January 2015 Meet with PHSA, Vancouver Coastal, Island Health, Interior Health, Northern Health, Fraser Health re: Implementation Roadmap Complete Privacy and Information Sharing Agreement flow with RHAs 19
20 Key Caucus Guiding Questions : 1. What is most important to you in developing and deploying EMR/cEMR based on your needs? Are there additional EMR / cemr considerations? 2. What would you like to see us focus on in the Vancouver Coastal region in ehealth over the next 6 months, 1 year? 3. What should we focus on before Gathering Wisdom VII? 20
21 Questions & Discussion Our Contact Information Thank you Joseph Mendez, VP IIMS / CIO Park Royal South West Vancouver, BC V7T 1A2 Joseph.Mendez@fnha.ca Mobile: Jean Allbeury, ehealth Planner Park Royal South West Vancouver, BC V7T 1A2 Jean.Allbeury@fnha.ca Mobile: An electronic version of this presentation and other materials are available at: Or 21
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