EHR as the Platform for Interoperability Introduction: Simon Hagens, Canada Health Infoway Susan Anderson, Orion Health Perry Poulsen, Manitoba ehealth Laura White, Provincial Health Services Authority Moderator: Jim Mickelson, Canada Health Infoway @infoway #partnerconf WiFi: Sheraton_Meeting Password: telushealth
Electronic Health Records Adoption and Benefits so far November 2015 Canada Health Infoway 2015
What does an EHR tell us? Patient & clinician demographics Lab results, images and clinical reports Patient alerts, e.g. allergies Medication history Immunizations Health system interactions Canada Health Infoway 2015 3
Active EHR User Growth 250,000 Clinicians report access to data from beyond their organization Notes: 1. Figures represent active users with access to two or more integrated provincial data assets (e.g., lab information system, drug information system, diagnostic imaging repository, etc.) 2. Active users have accessed the system a minimum of one time per month 3. This graph does not depict the number of users of individual data assets that are not integrated with other systems. 4. Users of point of care systems with data feeds from provincial assets are deemed to be active users of the EHR 4 Canada Health Infoway 2015
Per Capita Usage Estimated Growth Through 2015 50-200% 30-50% 5-20% AB NS MB BC SK ON QC NB NL Canada Health Infoway 2015 5
Benefits Deployment Limited benefits Early Impact on information quality Efficiencies Mediumterm Longerterm Impact on care Canada Health Infoway 2015 6
Fewer Information Gaps & Consequences Re-ordered a lab test Re-ordered a diagnostic image 2% 1% 3% 5% Connected Physicians Unconnected Physicians Patient time was wasted (eg. waiting) 5% 9% My time was wasted (eg. searching, calling, waiting) 10% 13% Forced to proceed with incomplete information 4% 13% % of all encounters for each cohort with a specific impact generated by an information gap *All results statistically significant Canada Health Infoway 2015 7
Canada Health Infoway 2015 Thank you
Manitoba s EHR Are we there yet? Perry Poulsen, CIO, Manitoba ehealth November 2015
10 echart Manitoba What we have Dispensed Medication echart Manitoba Clinical Data Repository Immunization Lab Results Stored Data echart Manitoba Clinical Viewer Diagnostic Imaging Reports ehealth Infrastructure Clinical Information Delivery echart View Other Clinical Information ADT Systems H Provincial Client Registry Local Clinical Systems Healthcare Organization
I can honestly say that echart has been one of the single most beneficial innovations to the health care of Manitobans from my perspective in the last five years. - -Tunji Fatoye, MD, CCFP, Unit Director, Kildonan Medical Centre Where we are
20.00 18.00 16.00 14.00 12.00 10.00 8.00 6.00 4.00 2.00 0.00 Adoption What we have seen Error reduction Efficiencies Unexpected value Active Users Active Users Average Logins Per Active User % Active 5,000 4,800 4,600 4,400 4,200 4,000 3,800 3,600 3,400 3,200 3,000 4,885 4,813 4,740 4,589 16.63 17.78 17.04 16.92 32.35% 33.29% 32.76% 33.04% Apr May Jun Jul
Where we are going
ALBERTA PERSPECTIVE SUSAN ANDERSON NOVEMBER 24-25, 2015
The Meaningful Use Journey Where is Alberta at Level 1 Data capture and sharing Increase implementation and adoption of EHR systems Capture structured data Level 2 Advanced clinical processes Increase exchange of health information Demonstrate care coordination across sites of care Empower patients with health information Level 3 Improved outcomes Drive use of realtime data at the point of care Use outcomesfocused clinical quality measures Utilize clinical decision support for prevention, disease management and safety 16 Page 16 2015 Orion Health group of companies THINKING SOFTWARE FOR LIFE
A Look to the Future Interoperability / Exchange - Provider exchange with other Providers - Provider exchange with other organizations and government Consumer Health IT - Patient Observations Recorded in EHR * - Enabled Self Management - Provider / Patient Communication Meaningful Use Strategic Direction Quality Measurement Driving Quality Improvement - Alignment with Broader Quality Measurement Strategies * We must integrate patient portals and LTC into our health records Dr. Chris Hobson, Canadian Healthcare Technology, September 2015 17 Page 17 2015 Orion Health group of companies THINKING SOFTWARE FOR LIFE
CareConnect: BC s ehealth Viewer Stats as of Sept 2015 Laura White, Executive Director, Clinical Information Services, IMITS Provincial Health Services Authority (PHSA), BC
ehealth Viewer - Available Data (October 2015) 20
CareConnect Systems - Deployment Health Authority CareConnect Reach - Number of Registered Users (approximate) Sept 2013 Jan 2014 Sept 2014 Feb 2015 Aug 2015 VCH & PHC 6,334 6,606 7,221 8,890 8,229 PHSA 3,428 3,583 4,605 4,813 5,266 VIHA 2,449 2,449 2,906 3,002 3,214 FHA 141 378 2,100 2,464 2,784 NHA 101 1,100 1,291 1,354 1,508 IHA 2,321 12,923 14,724 15,611 17,074 Total 14,774 27,039 32,847 36,134 38,075 Note: due to decentralized enrolment processes for CareConnect, Non-VPP figures are estimated based on IEHR-PLIS Enrolment #s. 21
ehealth Viewer - Adoption (Document Views and Active users) 22