electronic access to information benefits patient care in saskatchewan kevin kidney, project...
TRANSCRIPT
Electronic Access to Information Benefits Patient Care in Saskatchewan
Kevin Kidney, Project Director EHR, eHealth SaskatchewanMichael 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, Solvera Solutions– 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
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.
What is the “eHR Viewer”
eHR Viewer: Background• eHealth Saskatchewan/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 RoleOrion 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 assetsPatient 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 ViewerThe 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”
− Diagnostic images− Clinical encounters− Integration with hospital systems in
context− Patient Portal− Remaining Health Regions & Canadian Blood
Services Labs
Evolution of eHR Viewer Future
2013
2012
2011
2010
2009
- Provincial Standard Lab message- SDCL & Sunrise Labs
− Pharmaceutical profile (PIP)− Drug Allergies & Contraindications (PIP)− Sun Country, Mamawetan, Saskatoon
BloodBank Labs
− Immunization information− Discharge Summaries− Clinical Document Repository− Chronic Disease Management Data− Clinical Observation Repository− Prince Albert Parkland & Prairie North Labs
- Direct Lab Distribution to EMR’s- Regina Qu’Appelle & Saskatoon 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
eHR - Architecture
Clinical Data in the eHR Viewer
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)
eHR Viewer Users
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
Faster diagnosis
Better treatment decisions
Less time waiting for information
Reduced duplicate
laboratory testing
Reduced duplicate
medication treatment
Supporting patient
confidentiality
Actively involve patients
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 CraigProject Director, EHR Vice PresidenteHealth Saskatchewan Orion HealthOffice: 306.337.5510 Office: Mobile: 306.591.2654 Mobile:E-mail: [email protected] E-mail: [email protected]