CONNECTING ONTARIO THROUGH THE CONNECTIVITY STRATEGY Peter Bascom, Chief Architect Mike Krasnay, Director of Integration and Solution Architecture
Advanced Preview! Published in the coming months Extensive consultation Future state vision Full access to entire provincial EHR, anywhere, anytime 2
Ontario s Ehealth Blueprint is the Foundation www.ehealthblueprint.com 3
What is the Electronic Health Record (EHR)? The EHR involves the exchange of electronic data identified in the Blueprint s Conceptual Information Model, for the purpose of providing care, across the continuum of care in Ontario 4
Architecture, Standards & Planning The path to the Interoperable EHR Ontario s ehealth Blueprint The What Business View Information View Systems View Standards Provides a future state, high-level view of the EHR Connectivity Strategy The How Outlines the steps to go from the current state EHR to the future state EHR Defines assets as either strategic or tactical POS Connectivity Requirements EHR Roadmap The When and Who Describes when varying components of the Blueprint will be ready and by whom Includes: Business Outcomes View, High-Level Systems and Detail-Level Systems and Program View
The Connectivity Strategy How we move toward the Blueprint s future vision Informs strategic decisions Framework for discussion Practical guidance 6
Strategic and Tactical Assets Various owners/operators of EHR assets throughout the province Strategic Assets Tactical Assets Will be published online 7
Flow of EHR Information Source Systems Provincial Repositories and Registries Delivery Channels and Enablers 8
Future State Connectivity Overview Future State EHR as defined by the Blueprint Clinicians can access all EHR information anywhere and at anytime. Patient access is also possible. cmp PIM - ehr Future State ehr Systems Primary Care Connecting SWO Connecting NEO/GTA ONE Portal Patient Prov incial EHR Integration Assets Prov - Client Prov - Prov ider Prov ider Primary Care Prov ider cswo cgta Prov ider cneo Prov ider Prov incial Prov ider Health Care Client Consent - CMTP Priv acy Audit - MCTP ClinicalConnect Viewer Terminology Management De-identification Serv ices POS Systems EMR Clinical Data Viewer ONE Portal Consumer ehealth Solution Service XDS cswo Connection Engine Agreements Subscriptions and Notifications ehealth Ontario HIAL Segment GTA HIAL Segment EHR Data Services Provincial HIAL NEO HIAL Segment SWO HIAL Segment ONEID Provincial Repositories MOHLTC Data Sources OLIS Repository Primary Care DI Reports MOH - HNS CDR MOH - CPDB MOH - RPDB MOH - CAPE/CLAIMS Prescribed CHRIS (CCAC) IAR Immunization Record Repository Analytics Repository 9
Provincial Connectivity Overview Current State Clinicians can access some EHR information through a variety of means. cmp PIM - ehr Current State Primary Care Connecting SWO Connecting GTA Connecting NEO ONE Portal cswo cgta TOH Provincial and Common Services Prov - Client Prov - EMR ClinicalConnect Viewer Clinical Data Viewer MyTOH Portal ONE Portal Consent - CMTP Privacy Audit - MCTP External Data Sources Reports Delivery System cswo Connection Engine Portlet Web Services ehealth Ontario HIAL Segment Provincial HIAL EHR Data Services Terminology Management ONEID Entitlement/Trust Relationships XDS MOH - CPDB MOH - RPDB Current State Clinical Applications Prov - User HIS TDIS IAR UHN - Patient Results Online OMD - Medical Profile Viewer Provincial Repositories cgta CDR Solution Local Client Local Registries Local Immunization Record Repository BORN Regional DI- R: GTA-West Regional DI- R: HDIRS CHRIS (CCAC) OLIS Repository DI Reports MOH - HNS CDR Local Consent Local Terminology 10
Provincial Connectivity Overview Current to Future state EHR How we get from the current to the future state cmp PIM - ehr Current State Primary Care Connecting SWO Connecting GTA Connecting NEO ONE Portal cswo cgta TOH Provincial and Common Services Prov - Client Prov - EMR ClinicalConnect Viewer Clinical Data Viewer MyTOH Portal ONE Portal Consent - CMTP Privacy Audit - MCTP External Data Sources Reports Delivery System Current State Clinical Applications cswo Connection Engine Portlet Web Services ehealth Ontario HIAL Segment Provincial HIAL EHR Data Services Terminology Management... ONEID Entitlement/Trust Relationships XDS Prov - User MOH - CPDB MOH - RPDB HIS TDIS IAR UHN - Patient Results Online OMD - Medical Profile Viewer Provincial Repositories cgta CDR Solution Local Client Local Registries Local Immunization Record Repository BORN Regional DI- R: GTA-West Regional DI- R: HDIRS CHRIS (CCAC) OLIS Repository DI Reports MOH - HNS CDR Local Consent Local Terminology 11
Transitions from Current to Future State Islands of information Connected systems, connected information Disparate Channels Streamlined Access Fragmented EHR One client, one record
EHR Integration Provincial Client Provincial One client, one record ereferral, care team
EHR Integration ONE ID Clinical Repositories Health Information Access Layer Provincial single signon Consistent EHR availability and quality Consistent privacy and security controls 14
Care Settings Integration 15
Example: Actute/Ambulatory Connectivity Future State cmp PIM - ehr Acute and Ambulatory Care Future State cswo cgta cneo Health Care Client Provincial EHR Integration Assets EHR content EHR content EHR content Hospital Reports EHR content Prov - Client Prov - EHR Data Hospital Reports ClinicalConnect Viewer EHR Data Clinical Data Viewer EHR Data cgta CDR Solution EMR EHR Data Consumer ehealth Solution Integration Consent - CMTP Privacy Audit - MCTP Terminology Management De-identification Services cswo Connection Engine CDR Hospital Reports Service Agreements XDS Subscriptions and Notifications HIS ONEID 16
Clinical Domains Integration 17
Example: Laboratory Connectivity 18
Provincial Ehealth Services Exploring: Connectivity and integration with provincial registries and repositories Leverage services for broader use 19
Evolving Needs and Emerging Opportunities mhealth and Consumer ehealth Analytics Information Flow Controls Interdependent Registries Cognitive Computing 20
Environmental Conditions for Success Acceptance of the Connectivity Strategy Effective Governance An Open Provincial EHR Platform Provincial esafety Management Health Care Client Identity Management Strategy Regulations and Agreements 21
Let s Connect Book an appointment with us today and discover how we can help you develop your ehealth solutions architecture@ehealthontario.on.ca Sign up for our newsletter (Blueprint Bulletin) and if you haven t already discovered Ontario s Ehealth Blueprint the comprehensive framework for EHR planning and delivery across the province it is now available online. Download the Blueprint and visit the microsite: www.ehealthontario.on.ca/en/architecture/blueprint www.ehealthblueprint.com 22