Northern Ontario e-Health Information and Communication Technology Tactical Plan October 25, 2007

1. Northern Ontario e-Health Information and Communication Technology Tactical PlanOctober 25, 2007

2. Phase 1 – 52 organizations participated All hospitals (including acute mental health and regional cancer programs 9 Community Care Access Centres 6 Community Health Centres The Group Health Association Phase 2 - 400 community health organizations addictions, children’s treatment, community support service providers, independent health facilities, long term care homes, mental health, public health 200 community pharmacists 43 nurse practitioners 28 family health teams 1,100 physicians Volunteers Chronic disease and patient management programs The most comprehensive e-Health ICT Blueprint in Ontario, covering the continuum of healthcare service providers

3. Strategic Framework • Improve consumer access to health information to support informed decision making • Improve communication among service providers • Improve care delivery • Improve service delivery management • Enable information integration and communication among stakeholders and sectors • Commit to research, education and knowledge transfer • Maximize available funding • Ensure a planned and coordinated approach to eHealth and ICT in Northern Ontario Northern Ontario ICT Vision Information and Communication technology supports the processes of quality healthcare provision, access to health information, improvement of consumer outcomes, and the most effective use of available resources across Northern Ontario, through collaboration and sharing information amongst providers and with consumers Northern Ontario e-Health ICT Goals

4. Northern Ontario e-Health ICT Strategies • Establish the Electronic Record within individual organizations • Establish capability to share information among electronic records to facilitate information integration • Use technologies to promote service provider communication • Use technologies to support consumers to achieve improved health outcomes • Build on existing provincial initiatives – WTIS/EMPI, OTN, PACS, OLIS • Develop system-wide decision support capability, facilitating evidence-based decisions • Support work effectiveness • Support research and education • Develop technical and support infrastructure and utilize new technologies to match requirements • Maximize available resources

5. Tactical Plan Project Prioritization Criteria • Aligned with stakeholder priorities • Aligned with provincial strategies • Support LHIN priority areas for change • Foundation to other projects • Core projects • Promotes communication and • sharing of information • Addresses a significant risk, e.g. patient safety • Mandated by the province • Builds on/leverages successful projects • “Doability” • “Affordability” • Funding availability • Promoting positive outcomes for clients • Common “denominator” project • Promotes continuity of care e-Health ICT Implementation Road Map • Includes provincially-mandated projects • Covers four years • Each project described in presentation • Prerequisites and dependencies are complex

6. Strategies and Priority Projects Sharing and Collaboration of Health Information Vision Content Collaboration Standards & Interoperability #1 Electronic Content #2 Information Sharing and Integration #3 Service Provider Communication #4 Information to Consumers #5 Build on Provincial Initiatives #6 System-wide Decision Support Capability #7 Support Work Effectiveness #8 Support Research and Education #9 Infrastructure #10 Maximize Resources Strategies #10 Electronic Records #3 SSHA Connectivity #15 Consumer Portal #5 Leverage Provincial EMPI #13 Administrative Systems #1 Project Management Office #4 Secure e-mail #6 Access to Telehealth #2 Technical Infra- structure & Support #7 Clinical Provider Portal #11 PNOPP Priority Projects #8 e-Referrals #12 OLIS Alignment #9 e-Physician Strategy #16 Expand ODB Viewer #14 Directory of Services

7. 2007/08 2008/09 2009/10 2010/11 2011/12 Project Management Office Integration Framework, Architecture, Standards Regional ICT Infrastructure, Support, Integration SSHA Connectivity/ONE Mail Leverage Provincial EMPI Access to Telehealth Clinical Provider Portal/Clinical Viewer e-Referrals e-Physician EHR Content Administrative Systems PNOPP Legend ExpandODBViewer Access Priority 1 Directory of Services Priority2/3 ConsumerPortal OLISAlignment

8. Governance Principles • Includes all stakeholders from across the continuum of care; • Supports expeditious planning and implementation of the Blueprint directions; • Has a structure and process for communication and input from the stakeholders; • Advocates for and supports a change management and adoption/ uptake program to support the implementation of the e-Health ICT Blueprint; • Leverages current strengths, structures and experience in Northern Ontario; • Promotes an integrated approach in Northern Ontario, while respecting the unique circumstances of communities and service providers; • Supports LHIN accountability agreement for e-Health; and • Is proactive in supporting adoption of innovative technologies that are of benefit to health information management in Northern Ontario

9. Governance (Structure and Membership) NE LHIN NE e-Health Lead NE LHIN ICT Advisory (incl.non-LHIN funded orgs. ) ON-eHealth Additional Continuum of Care Members NW e-Health Lead NW LHIN ICT Advisory (incl. non-LHIN funded orgs. ) NW LHIN • ONe-Health Membership: • 28 members: • Including 8 positions • from each ICT Advisory, • including e-Health leads • NE and NW equally • represented • Not sector-based • representation – maintain • focus on the information of • the client/patient holistically Working Groups Joint PMO NE PMO NW PMO

10. Governance (Overview and Rules of Engagement) NE LHIN NE e-Health Lead NE LHIN ICT Advisory (incl non-LHIN funded orgs. ) Additional Continuum of Care Members NW e-Health Lead NW LHIN ICT Advisory (incl non-LHIN funded orgs. ) NW LHIN ON-eHealth Working Groups • Each member is part of a task force/ working group/subcommittee • Pan Northern Board as Service Delivery oversight • LHIN to purchase services not deliver • Would cover Help Desk, bundle of services for physicians, etc. • Accountability would be • covered through SLA within LHIN Regional ICT E-Physician Privacy PNOPP DOS Advocacy and Communication Clinical Provider Portal (Clinical Viewer)/EHR Joint PMO NE PMO NW PMO