Access Connect Inform Protect ehealth 2.0 aligns with key initiatives being advanced as part of Patients First Ensuring that patients can get care when and where they want it including through email, in home and community settings, and in northern, rural and remote regions of Ontario Enabling innovative integrated care that supports better outcomes and improves patient experience across the care continuum Putting the right information in the hands of patients, providers, and public health experts to keep Ontarians healthier, longer Ensuring a fiscally sustainable public health system with more efficient ways to deliver care 1
Defining ehealth 2.0 It s more than technology it focuses on giving patients and providers the right tools to strengthen health care It goes beyond ehealth Ontario it harnesses a range of provincial partners There are three principal building blocks of ehealth 2.0: ehealth Strategy 2.0 ehealth Governance 2.0 ehealth Privacy and Information Management 2.0 Ensuring that ehealth investments advance the goals of Patients First Creating the conditions to develop and advance ehealth strategy through ministry leadership in collaboration with key partners Strengthening health information privacy protection 2
ehealth Governance 2.0 Investment and Sustainment Strategy *New* Minister EHR Privacy Advisory Committee* *New* ehealth Investment and Sustainment Board Chair: DM Dr. Bob Bell Cross-Sector Alignment *New* Clinician ehealth Council Connecting Ontario Committee Community Care Committee Implementation & Execution (examples) EMR Adoption and Use econsult Connecting GTA Connecting SWO Health Links Care Coordination Tool ED Notification Hospital Report Manager Connecting NEO Integrated Assessment Record EMR Spec. & Data Sharing Health Information Access Layer Primary Care Quality Improvement *Mandated by the former Bill 78 (ephipa) 3
The ehealth Investment and Sustainment Board s mandate Provide advice and recommendations to the Minister on how ehealth can best enable health system transformation The board will advance Patients First and help drive innovation Sponsor the development of ehealth Strategy 2.0 Sponsorship means providing strong leadership while reaching out to the health sector to hear a range of perspectives Provide advice on how the ministry should fund/spend finite resources on ehealth This will be done with the benefit of a new investment management model developed through board guidance Once the renewed strategy is approved by Cabinet, the board will actively monitor its implementation and address any roadblocks Until then, the ministry will ensure that health system partners can meet their current ehealth commitments Draft for Discussion 4 4
The people Members Members attend all meetings, contributing in a decisionmaking capacity. Advisors Advisors attend all meetings, and contribute to meaningful decision-making by providing advice based on relevant sector experience and expertise. Robert Bell, Deputy Minister, MOHLTC, Chair Susan Fitzpatrick, Associate Deputy Minister, MOHLTC Lorelle Taylor, ADM, MOHLTC Cynthia Morton, CEO, eho Michael Barrett, CEO, South West LHIN and LHIN Cluster Lead Chantale LeClerc, CEO, Champlain LHIN and LHIN Cluster Lead Scott McLeod, CEO, Central West LHIN and LHIN Cluster Lead Dr. Sarah-Lynn Newbery, Family Physician, Marathon FHT and President-Elect, Ontario College of Family Physicians (Clinical Advisor Physician) Elizabeth Baker, Nurse Practitioner and Provincial Nursing Lead (Clinical Advisor Nurse) Murray Glendining, President and CEO, London Health Sciences (Health System Advisor Acute Sector) Cathy Hecimovich, CEO, Central West CCAC (Health System Advisor Community Sector) Innovation Advisor (to be the Chief Health Innovation Strategist) Patient Advisor TBD 5
HIS Renewal under ehealth Governance 2.0 Minister ehealth Investment and Sustainment Board Chair: DM Dr. Bob Bell Clinician ehealth Council Provincial Connectivity Committee Community Care Committee EMR Adoption and Use Connecting GTA Health Links Care Coordination Tool econsult Connecting SWO ED Notification Hospital Report Manager EMR Spec. & Data Sharing Primary Care Quality Improvement Connecting NEO Health Information Access Layer Integrated Assessment Record Health Links Collaboration Space 6
HIS renewal requires an advisory panel The board can establish advisory panels to consider critical, time-sensitive matters that fall outside the scope of the standing governance Widespread health system and ministry awareness No other provincial forum to address HIS renewal Poses notable risks to the health system if left unexamined - financial - delivery - policy Crucial to address through ehealth Strategy 2.0 and requires expert involvement Significant investment management considerations 7
What are the big drivers of HIS renewal? Investment Aging Technology: Some hospitals have identified end-of-life technology that needs to be replaced, creating a sense of urgency (though backed up by varying degrees of evidence) Pursuing Quality Care: Moving up the HIMSS* scale can require renewal and additional investment (e.g. for closed-loop medication management) Vendor Promises: There is a temptation to view new systems as silver bullets for existing challenges, encouraged by vendor pitches Consolidation Integration Potential: Sharing patient information is easier when hospitals deploy the same solution platform, enabling a comprehensive patient record IT Expertise: Not all hospitals have the capacity nor resourcing, especially when considering competing priorities, to support transformation projects of the size and scale of an end-to-end HIS implementation Limited Resources: Potentially, substantial economies of scale can be achieved through joint procurement Fiscal Constraints: The ministry is living within strict savings targets and this has implications for supporting further HIS investment *Healthcare Information Management Systems Society 8
Objectives of the panel Provide recommendations to Ontario s ehealth Investment and Sustainment Board regarding: Maximizing the value of current and future hospital information system investments in Ontario While also taking into account: The need for hospitals to have cost-effective systems supporting the provision of quality care; and The requirements of health system transformation, including the enhanced integration of services supported by the electronic sharing of health information Overall, the panel will maintain a focus on improving patient outcomes and value for money through collaboration and innovation 9