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Electronic Access to Information Benefits Patient Care in Saskatchewan. Kevin Kidney, Project Director EHR , eHealth Saskatchewan Michael Craig, Vice President, Orion Health. Presenter Disclosure. Faculty: Kevin Kidney - eHealth Saskatchewan
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Electronic Access to Information Benefits Patient Care in Saskatchewan Kevin Kidney, Project Director EHR, eHealth Saskatchewan Michael Craig, Vice President, Orion Health
Presenter Disclosure • Faculty: Kevin Kidney - eHealth Saskatchewan Michael Craig - Orion Health • Relationships with commercial interests: • Kevin Kidney - Project Management Consultant, SolveraSolutions • Michael Craig – Vice President, Orion Health
Agenda • What is the “eHR Viewer” • eHR Viewer Background • EHRs in Saskatchewan • Initial eHR Assets • Goals • Evolution of eHR Viewer • Clinical Data in the eHR Viewer • Benefits • Lessons Learned
What is the “eHR Viewer” A secure website developed for Saskatchewan health care providers that provides access to patient profiles regardless of where they present for care or where they live in the province.
eHR Viewer: Background • eHealthSaskatchewan/Orion Health Collaboration • Project aligns with the province’s overall interoperable EHR strategy - integrates Orion Health’s Clinical Portal Saskatchewan applications. • Integration - multi-vendor, cross-collaborative team of Project Managers, Healthcare SME’s, Technical Leads and Implementation Consultants. • Canada Health Infoway as a funding partner
Orion Health’s Role Orion Health worked in conjunction with eHealth Saskatchewan to provide: • Subject matter expertise; • requirements validation; • product installation; • Integration services; • Product configuration; • testing; and • deployment services Today, eHealth Saskatchewan and Orion Health continue to work together in delivering new clinical features and functionality
Initial eHR assets Patient data in Saskatchewan is created/stored in various systems. For example: • Laboratory Information Systems • Pharmacy Information System • Saskatchewan Immunization Management System (SIMS) • Radiology Information System (RIS) and Picture Archiving and Communications System (PACS) • Hospital Systems (Sunrise Clinical Manager) • Physician Electronic Medical Record (EMR) systems • Transcription Systems
Goals in building the eHR Viewer • The SK EHR vision is “Simply stated… getting the right information, to the right individual, at the right time, in the right place!” to: • Improve quality of patient care through informed decision making, • Improve the patient experience through the coordination of service delivery, • Improve overall efficiency and sustainability of the health sector, • Inform management decision-making and provide the necessary information base, • Support planning, outcome measurement, accountability and research.
Goals of the Project Team • Provide value to the patients, clinicians/health care providers • Align with health system priorities • Continue to leverage the supporting infrastructure for the EHR • Continue to evolve the EHR infostructure • Continue to Add Value – make it “do-able”
Evolution of eHR Viewer • Diagnostic images • Clinical encounters • Integration with hospital systems in context • Patient Portal • Remaining Health Regions & Canadian Blood Services Labs Future 2013 2012 2011 2010 2009 • Immunization information • Discharge Summaries • Clinical Document Repository • Chronic Disease Management Data • Clinical Observation Repository • Prince Albert Parkland & Prairie North Labs • Pharmaceutical profile (PIP) • Drug Allergies & Contraindications (PIP) • Sun Country, Mamawetan, Saskatoon BloodBank Labs • eHR Viewer (IDM, patient demographics & Lab Results, Privacy services) • Integration w/ Shared Client Index • Saskatchewan Lab Results Repository(SLRR) • Five Hills & Kelsey Trail Labs • Provincial Standard Lab message • SDCL & Sunrise Labs • Direct Lab Distribution to EMR’s • Regina Qu’Appelle & Saskatoon Labs
Clinical Data in the eHR Viewer • Demographic information to uniquely identify a patient
Clinical Data in the eHR Viewer • Laboratory Test Results
Clinical Data in the eHR Viewer • Dispensed Medications
Clinical Data in the eHR Viewer • Known Medication Allergies and Intolerances
Clinical Data in the eHR Viewer • Immunizations
Clinical Data in the eHR Viewer • Transcribed Clinical Reports – Discharge Summaries
Clinical Data in the eHR Viewer • Chronic Disease Management indicators
Who uses the eHR Viewer • The eHR Viewer is currently in many health care settings: • Community Pharmacies • Walk-in Clinics • Specialist Clinics • Family Practice Clinics • Saskatchewan Cancer Agency • Saskatchewan Institute of Applied Science and Technology (SIAST) Campus Health Center • Wascana Rehabilitation Center • Regional Health Authority Laboratory Medicine Medical Staff (Pathologists, Hematopathologists, Medical Biochemists and Medical Microbiologists)
Benefits • Fewer duplicate tests and quicker access to information • Access to over 90% of all lab results. • Lab Results Repository has more than 30 million lab test results, (60,000/day). • History of previous testing • Integration to Pharmacy Information Program repository provides access to over 105 million prescriptions (43,000/day). • Ease of use and implementation - Intuitive user interface • Highly scalable and able to integrate with other health systems and data domains. • As eHR Viewer is rolled out across the province, clinical data will be available anywhere a patient seeks medical care in province
Facilitates the sharing of patient centric information across the continuum of care
A more accurate & timely picture of the patient Less time waiting for information Better treatment decisions Faster diagnosis
Reduced duplicate laboratory testing Reduced duplicate medication treatment Activelyinvolve patients Supporting patient confidentiality
Lessons Learned • Rigorous project planning and execution • Strong project governance structure (agile decision-making) • Steering Committee • Clinical Consultation • Privacy and data governance • Build the right team – “One Team” approach • Never under estimate the time for each project phase • Do-able value added releases
Lessons Learned • Ensure supporting business process readiness • Streamline the on boarding process: • Online User Self Registration • Online Acceptance of User Agreements • Online training and self-directed tools and supports • Online User account management (Password resets) • Document, Document, Document • Test, Test, Test • Keep an eye on performance • Pilot with providers – “limited production roll-out”
A few more testimonials… “The eHR Viewer is the best lab information source I have seen…the interface is intuitive. I can quickly log on from anywhere; it is easy to find patients; and best of all, even if a patient's tests were done in another health region, the results are still immediately available.“ Dr. Milo Fink – Saskatchewan Physician “Since I began using the eHR Viewer I have been able to impact patient care in a positive way each and every day.” Kimberly Sentes – Saskatchewan Pharmacist
Questions For more information: Kevin Kidney Mike Craig Project Director, EHR Vice President eHealth Saskatchewan Orion Health Office: 306.337.5510 Office: Mobile: 306.591.2654 Mobile: E-mail: kevin.kidney@eHealthsask.ca E-mail: firstname.lastname@example.org