connectinggta overview - ehealth ontario · 2019-03-29 · chosen design clinician input...

ConnectingGTA Overview

October 2014

2 | Confidential—not for public distribution

ConnectingGTA… because we need to know

Please click on the

following link to

view the

ConnectingGTA Overview Video

http://vimeo.com/94206400




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ConnectingGTA is delivering a regional electronic health record


Program Steering Committee

ConnectingGTA Program Team

Participating Organizations & Clinical Systems

Clinical Working Group

Technical Working Group

Privacy & Security Working Group

FUNDERS

eHealth Ontario

Canada Health Infoway

KEY INFLUENCERS

Central Ontario Electronic Health System Council

Through collaboration, partnership and strong leadership ConnectingGTA works closely with all sectors to deliver the best solutions for its stakeholders

ConnectingGTA Governance Structure

Operational Committees

• Privacy & Security Committee

• End-User Group (TBD)

• Acute

• Community Support Services

• Complex Continuing Care

• Long Term Care

• Mental Health & Addictions

• Primary Care

• Rehabilitation


Guiding Principles to Deliver Clinical Value

Patient-centered approach - Build a comprehensive patient view, by capturing and sharing the largest volume of data needed most frequently by patients and providers (e.g. transitions from acute to community) ConnectingGTA will:

• Support continuity of care and seamless transition between providers

• Deliver clinical value to clinicians as quickly and efficiently as possible

• Utilize existing expertise and work effort

• Build a compelling value proposition for clinicians and patients


IDENTIFY & COLLECT information

(CDR)

Provide ACCESS to information

(e.g. Provider Portal)

Provide ability to

EXCHANGE information

(HIAL)

• Information to be shared seamlessly & securely

• Clinicians with point of care access

• Robust, scalable & reusable platform

• Infrastructure & services that can support or be leveraged

• Increase collaboration among clinicians & organizations

• Respect standards in terms of privacy, stewardship of information, security

The ConnectingGTA Approach & Objectives

Driven by clinicians and clinical priorities across the care continuum


ConnectingGTA Designed by Clinicians for Clinicians

175+ clinicians are directly involved in shaping the ConnectingGTA strategy and Solution

Guide centrally and execute locally

• Leveraged expertise of 15 Clinical Working Group members and 25 Clinician Champions

• Lessons learned from local, regional, provincial and national initiatives (e.g., GTA West DI-r, Resource Matching and Referral, Wait Time Information System, PRO, REACH)

• Requirements Definition

Clinician Input

• RFP Issued

Clinician Input

• Vendor(s) Solution Presented

Clinician Input

• Front-end vendor chosen

Clinician Input

• Front-end configuration, testing and design

Clinician Input

• Front & Back-end integration

Clinician Input

• Training

• Go-Live

Clinician Input

P

P

P

P

P

P


ConnectingGTA Benefits

Patients will receive improved, timely and more coordinated care Clinicians will be able to initiate more timely treatment and improve productivity and collaboration Health care organizations will be able to maximize investments and resources to improve efficiency and capacity The health care system will see improvements in system coordination, integration and capacity

Progress and Next Steps


175+ Clinicians directly involved

15 Early Adopter organizations populating the CDR

~90% of technical solution built

~57 million messages captured

~2 million patients captured*

ConnectingGTA – By the Numbers

*Patients identified using unique MRN or CHRIS numbers


Current Status and Upcoming Milestones

Nov. 30 2014

Spring 2015

LPR Begins

LPR with all Early Adopter Sites

Full Go-Live Begins

July 16 2014

P

Early Adopters (Wave 1)

Novation

Expansion (Wave 2)

Information sessions

Implementation Activities Begins

Sites Complete Readiness

Assessments

Fall/Winter 2014

Sept 2014

July 22 2014

Fall 2015

P


ConnectingGTA now live with Limited Production Release

ConnectingGTA’s Clinical Leads – Dr. Peter Rossos (l) & Dr. David Daien (r)

St. Michael’s Hospital & ConnectingGTA Program Teams

Dr. Asim Masood, William Osler Health System & ConnectingGTA Program Team Member

ConnectingGTA’s Limited Production Release allows the first clinicians to use the Solution and will provide valuable lessons learned for broader clinical rollout.

“ConnectingGTA will set a course for how treatment and prevention will be managed more effectively and safely in the province.”

Dr. Peter Rossos, Co-chair Clinical Working Group; Chief Medical Information Officer, University Health Network

“Today we’ve taken a first big step to repair some of the issues with integration points in our system, because information is not flowing.”

Dr. David Daien, Co-chair Clinical Working Group; Physician IT Lead Summerville Family Health Team


~50% Acute Data (e.g. discharge, DI reports, ED

reports)

~93% CCAC Data (e.g. referral details, LTCH placements)

~75% Lab Results (all modalities)

Future Data (e.g. medication,

DI, EMRs)

4 Direct

Integration (to come)

1 Single

Sign On

2 Direct to

Portal

3 Display

Portlets in Portals

Driven by clinicians and clinical priorities across the care continuum


ConnectingGTA Technical Solution

* Data as of August 27, 2014 Testing Completed

IDENTIFY & COLLECT information

Interim Registries

Interim EMPI

Interim PR

16 Sites contributing data from: Acute Care Community

Care Access Centres

Data Feed

~1 million messages sent

per week*

Clinical Data Repository

~57 million messages captured*

Provincial & Regional Clinical Repositories

OLIS

DICS ODB

Provincial Common Integration Services

Ability to EXCHANGE information

Common Services and Capabilities (Consent, Audit, Terminology, Reporting, Authentication, Notification)

GTA HIAL

Future State

ACCESS to information

Site Admin Portal

Portal Display

Portlets in Other Portals

Log in to GTA Provider Portal

Launch Provider Portal

with Single Sign On

Integrate directly to ConnectingGTA

Services (via web service)


ConnectingGTA Provider Portal

Patient Banner Patient demographics

Portlets Summary of results

Timeline Snapshot of history


Where We Are and Where We Are Going

Number of organizations to benefit

~100 HSPs

Data Available (Hospitals and CCAC data - based on IP Admissions & ED visits in GTA)

Clinical Users 30,000+ 40,000+

100% CCAC Data

~80% Acute Data

75%+ Lab Results

~93% CCAC Data

~50% Acute Data

~75% Lab Results

~20 HSPs

Strategic opportunities

Early Adopters – Wave 1 (underway)

Expansion – Wave 2 (has been engaged)

EMR integration, notifications, referrals, mobility, patient access


Share your feedback and questions with the ConnectingGTA Program Team by:

• Emailing the team at [email protected] or your respective LHIN eHealth Lead

Learn more about ConnectingGTA

• Visit our collaborative space via www.ConnectingGTA.ca where you will find the latest Program news and materials

• Subscribe to the ConnectingGTA mailing list to receive our ConnectingGTA Bulletin

How can you stay connected to ConnectingGTA?

mailto:[email protected]

http://www.connectinggta.ca/

Thank you!

Appendix


ConnectingGTA Early Adopters

Data Population Data Viewing

OLIS Population* CDR Population ConnectingGTA Viewing

• Campbellford Memorial Hospital

• Centre for Addiction and Mental Health

• Mackenzie Health

• Mount Sinai Hospital

• North York General Hospital

• Northumberland Hills Hospital

• Peterborough Regional Health

• Ross Memorial Hospital

• Rouge Valley Health System

• St. Joseph’s Hospital

• St. Michael’s Hospital

• Southlake Regional Health Centre

• Stevenson Memorial Hospital

• Sunnybrook Health Sciences Centre/St. John’s Rehab

• The Scarborough Hospital

• Toronto East General Hospital

• William Osler Health System

• Women’s College Hospital

• Central CCAC

• Central East CCAC

• Central West CCAC

• Lakeridge Health Corporation

• Mississauga Halton CCAC





• Sunnybrook Health Sciences Centre/ St. John’s Rehab


• Trillium Health Partners (Mississauga Hospital/Credit Valley Hospital)

• Toronto Central CCAC

• University Health Network


• Central CCAC

• Central East CCAC

• Central West CCAC

• Centre for Addiction & Mental Health

• City of Toronto LTCH

• Lakeridge Health Corporation

• Mississauga Halton CCAC



• Resource Matching & Referral



• Sunnybrook Health Sciences Centre/ St. John’s Rehab


• Trillium Health Partners (Mississauga Hospital/Credit Valley Hospital)

• Toronto Central CCAC

• University Health Network


* Please note: Additional sites contributing to OLIS from the Foundation Phase, includes: Grey Bruce Health Centre,

Lakeridge Health Corporation, Mississauga Hospital/Credit Valley Hospital, and University Health Network


Data Population Data Viewing

Acute Care Community Care Community Health Centres

• Halton Healthcare Services Corporation

• Headwaters Health Care Centre

• Humber River Regional Hospital

• Mackenzie Health

• Markham-Stouffville Hospital

• Peterborough Regional Health Centre

• Royal Victoria Hospital

• Southlake Regional Health Centre

• St. Joseph’s Health Centre

• Toronto East General Hospital

• Acclaim Health

• CANES Community Care

• Carefirst Seniors and Community Services Association

• March of Dimes Canada

• Nucleus Independent Living

• Punjabi Community Health Services

• St. Demetrius Supportive Care Services

• Access Alliance – Multicultural Community Health Centre

• Anishnawbe Health Toronto

• Bramalea Community Health Centre

• Brock Community Health Centre

• Davenport-Perth Neighbourhood Centre

• East End Community Health Centre

• Flemingdon Community Health Centre

• Port Hope Community Health Centre

• Regent Park Community Health Centre

• Rexdale Community Health Centre

• South Riverdale Community Health Centre

• Stonegate Community Association

• Taibu Community Health Centre

• The Anne Johnston Health Station

• The Four Villages Community Health Centre

• Unison Health & Community Services

• Women’s Health in Women’s Hands

Community Access Centres

• North Simcoe Muskoka CCAC

ConnectingGTA Expansion Sites


ConnectingGTA Expansion Sites (cont’d)

Data Viewing

Long-Term Care Mental Health & Addiction Primary Care

• Hawthorne Place Care Centre

• King Nursing Home

• Leisureworld Caregiving Center - Tullamore

• Leisureworld Caregiving Center - Vaughan

• Leisureworld Streetsville

• North Simcoe Muskoka Palliative Care Network

• Parkview Home

• Region of Peel

• Southlake Residential Care Village

• Specialty Care Mississauga Rd.

• The Willows Estate Nursing Home

• Ukrainian Canadian Care Centre

• Victoria Village

• Breakaway Addictions Services

• Community Resource Connection of Toronto

• Friends & Advocates Peel

• Jean Tweed Treatment Centre

• LOFT Community Services

• Ontario Shores Centre for Mental Health Sciences

• Progress Place

• Reconnect Mental Health Services

• Sherbourne Health Centre

• Waypoint Centre for Mental Health Care

• York Support Services Network

• Barrie and Community Family Health Team

• CANES Family Health Team

• Planned Parenthood of Toronto

• Queen Square Family Health Team

• South Georgian Bay Family Health Team

• West Durham Family Health Organization

• Wise Elephant Family Health Team

Rehab/CCC

• Baycrest

• Bridgepoint Active Healthcare

• Providence Healthcare

• Runnymede

• Toronto Grace

• West Park


Contributing data

Deferred to be populated at a later date

Not contributing

• Consent directives captured historically by all contributing sites

• Lab Data: OLIS

Patie

nt

Dem

og

rap

hic

s

Vis

its/

En

cou

nte

r

Deta

ils

Em

erg

en

cy

Dep

artm

en

t R

ep

orts

Con

su

ltatio

n

Rep

orts

Dis

ch

arg

e

Su

mm

arie

s

Card

iovascu

lar

Rep

orts

Neu

rop

hysio

log

y

Rep

orts

Resp

irato

ry

Rep

orts

Dia

gn

ostic

s

Im

ag

ing

Rep

orts

Med

icatio

n

Profile

Alle

rg

y

In

form

atio

n

In

fectio

n C

on

trol

In

form

atio

n

Credit Valley Hospital Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Dec 2013

Oct 2013

Oct 2013

Lakeridge Health Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013

Mississauga Hospital Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Dec 2013

Oct 2013

Oct 2013

Mount Sinai Hospital Aug 2014

Aug 2014

Aug 2014

Aug 2014

Aug 2014

Aug 2014

Aug 2014

North York General Hospital

Sep 2013

Sep 2013

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Sep 2013

Oct 2013

Sep 2013

Sep 2013

Sep 2013

Rouge Valley Health System

Nov 2013

Nov 2013

June 2014

June 2014

June 2014

June 2014

Jul 2014

June 2014

Aug 2014

Nov 2013

June 2014

St. Michael’s Hospital June 2013

June 2013

Aug 2013

June 2013

June 2013

June 2013

Aug 2013

Aug 2013

Aug 2013

Sep 2013

Aug 2013

Sunnybrook Health Sciences Centre

Jan 2014

Jan 2014

Jan 2014

Jan 2014

Jan 2014

Jan 2014

Jan 2014

Jan 2014

Jul 2014

The Scarborough Hospital

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Oct 2013

University Health Network

Oct 2013

Oct 2013

Nov 2013

Nov 2013

Nov 2013

Nov 2013

Nov 2013

Oct 2013

Oct 2013

Oct 2013

William Osler Health System

Sep 2013

Sep 2013

Sep 2013

Sep 2013

Sep 2013

Sep 2013

Sep 2013

Sep 2013

Oct 2013

Sep 2013

Acute Clinical Information Available via ConnectingGTA

Legend


Patie

nt

Dem

og

rap

hic

s

Vis

its/

En

cou

nte

r

Deta

ils

Refe

rral D

eta

ils

Servic

e D

eta

ils

Med

ical

Eq

uip

men

t

LTC

H P

lacem

en

t D

eta

ils

Assessm

en

ts

Clie

nt R

isk

Safe

ty I

ssu

es/

In

form

atio

n

Central CCAC Nov 2013

Nov 2013

Nov 2013

Nov 2013

Nov 2013

Nov 2013

Nov 2013

Nov 2013

Nov 2013

Central East CCAC Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013 Oct

2013

Central West CCAC Sep 2013

Sep 2013

Sep 2013

Sep 2013

Sep 2013

Sep 2013

Sep 2013

Sep 2013

Sep 2013

Mississauga Halton CCAC

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Toronto Central CCAC Nov 2013

Nov 2013

Nov 2013

Nov 2013

Nov 2013

Nov 2013

Nov 2013

Nov 2013

Nov 2013

Contributing data

CCAC Clinical Information Available via ConnectingGTA

Legend


Hem

ato

log

y

Bio

ch

em

istr

y

Mic

rob

iolo

gy

Blo

od

Ban

k

Path

olo

gy

Campbellford Memorial

Hospital

Mar 2014

Mar 2014

May 2014

May 2014

Centre for Addiction &

Mental Health

Credit Valley Hospital Mar 2013

Mar 2013

Sep 2013

Sep 2013

Sep 2013

Mackenzie Health Mar 2013

Mar 2013

May 2013

Aug 2013

Jul 2013

Mount Sinai Hospital Nov 2013

Nov 2013

Nov 2013

Nov 2013

Jul 2014

North York General

Hospital

Apr 2013

Nov 2011

Jun 2013

Apr 2013

Jun 2013

Northumberland Hills

Hospital

Mar 2014

Mar 2014

May 2014

Peterborough Regional

Health

Mar 2014

Mar 2014

May 2014

Ross Memorial Hospital Nov 2013

Nov 2013

May 2014

Feb 2014

Feb 2014

Rouge Valley Health

System

Oct 2013

Oct 2013

May 2014

Dec 2013

Jun 2014

Hem

ato

log

y

Bio

ch

em

istr

y

Mic

rob

iolo

gy

Blo

od

Ban

k

Path

olo

gy

St. Joseph’s Health

Centre

Oct 2013

Oct 2013

Oct 2013

Oct 2013

Jan 2014

St. Michael’s Hospital Oct

2011 Oct

2011 Feb

2014 May 2013

Apr 2012

Southlake Regional

Health Centre

Oct 2011

Oct 2011

Jun 2013

Oct 2011

Apr 2012

Stevenson Memorial

Hospital

Sep 2013

Sep 2013

Nov 2013

Sep 2013

Sep 2013

Sunnybrook Health

Sciences Centre

Apr 2013

Oct 2011

Jul 2014

Oct 2013

Jul 2013

The Scarborough

Hospital

Nov 2013

Nov 2013

May 2014

Nov 2013

Mar 2014

Toronto East General Jan

2014 Jan

2014 Dec 2012

Aug 2013

Dec 2013

William Osler Health

System

Jul 2013

Jul 2013

Oct 2013

Jul 2013

Oct 2013

Women’s College

Hospital

Oct 2013

Oct 2013

Jul 2014

Oct 2013

Dec 2013

Legend Contributing

data In

progress

OLIS Information Available via ConnectingGTA

* The data in the tables only reflect the OLIS Population sites managed by ConnectingGTA

connectinggta overview - ehealth ontario · 2019-03-29 · chosen design clinician input...

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