Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
ConnectingGTA Overview and Update Central East LHIN Board Meeting December 16, 2015 Melissa Chang ConnectingGTA Senior Project Manager, Change Management and Clinical Adoption Dr. Joel Kennedy, ConnectingGTA Clinical Working Group & Physician, Lakeridge Health Presentation Agenda Time 1 What is ConnectingGTA 5 min 2 Implementation – Current Status 5 min 3 Clinical Feedback & Patient Care Impact 5 min 4 Alignment to IHSP and the Central East LHIN 5 min 2 | Confidential—not for public distribution What is ConnectingGTA? “ConnectingGTA – because we need to know” Overview Video What is Connecting GTA? ConnectingGTA provides the regional electronic health record (EHR) for Central Ontario to improve the patient and clinician experience by providing point-of-care access to electronic patient information from across the care continuum. It integrates electronic patient data to provide clinicians with the data they need to make care decisions across multiple sectors including: • Hospitals, • CCACs, • Long Term Care, • Mental Health & Addictions and • Primary Care Connecting GTA includes data from across six Local Health Integration Networks: • Central, • Central East, • Central West, • Mississauga Halton, • Toronto Central, and • North Simcoe Muskoka . It is one of three initiatives (South West Ontario - cSWO, Central Ontario and Northern and Eastern Ontario - cNEO) that when fully implemented will provide the provincial EHR Connecting Ontario 4 | Confidential—not for public distribution ConnectingGTA will improve the patient and clinician experience by delivering a regional electronic health record for 6.75M individuals 6 Local Health Integration Networks 750+ Health Care Organizations 6,200 Family Physicians 6,900 Physician Specialists 49,900 Nurses Central East LHIN Participation 12 participating sites 6,800+ clinical end users Representing the following sectors: • Acute Care • Community Care • Long-Term Care • Mental Health and Addictions • Primary Care 5 | Confidential—not for public distribution ConnectingGTA Governance Structure Through collaboration, partnership and strong leadership ConnectingGTA works closely with all sectors to deliver the best solutions for its stakeholders Program Steering Committee Clinical Working Group Technical Working Group Operational Committees • Privacy & Security Committee • End-User Group (TBD) ConnectingGTA Program Team 6 | Confidential—not for public distribution FUNDERS eHealth Ontario Canada Health Infoway KEY INFLUENCERS Central Ontario Electronic Health System Council Participating Organizations & Clinical Systems Participating Central East LHIN Members: ConnectingGTA Steering Committee • Karol Eskedjian, Central East LHIN ConnectingGTA Clinical Working Group • Sandra Armstrong, CE CCAC • Dr. Ilan Fischler, Ontario Shores Mental Health Centre • Dr. Joel Kennedy, Lakeridge Health • Dr. Naresh Mohan, Rouge Valley Health System • Dr. David Rose, The Scarborough Hospital ConnectingGTA Key Milestones Mar. 2012 Early Adopter Phase Begins 2006-11 2012 2006 ConnectingGTA Steering Committee Formed May 2013 Data Population Begins 2013 Oct. 2012 Solution Procurement Completed July 2014 Limited Production Release Begins Apr. 2015 Go-Live Begins 2014 Aug. 2015 Surpassed Enrolment Target 2015 Pilot All Sites Sites 7 7 | Confidential—not for public distribution Legend: BE - Back End, FE - Front End Implementation – Current Status ConnectingGTA connects health service provider information systems as well as regional and provincial registries and repositories Priority data types Hospital Reports Early Adopters 36 100+ ~32,000 50,000+ Sites CCAC Documentation Diagnostic Imaging Reports Lab Results Medication Information* 9 | Confidential—not for public distribution Expansion Enrolled Users Data Available** Sites Enrolled Users Data Available** ~50% Acute Data ~90% Acute Data 100% CCAC Data 100% CCAC Data ~94% Lab Results 94%+ Lab Results * Indicates a regional or provincial data source to be made available in a future release ** Hospitals and CCAC data - based on IP Admissions & ED visits in Central Ontario Central East LHIN Participating Sites Working Together Early Adopter Sites (2011-2015) Sector • The Scarborough Hospital* Acute Care • Rouge Valley Health System* Acute Care • Lakeridge Health System* Acute Care • Central East Community Care Access Centre * Community Care • Bendale Acres Long-Term Care Home Long-Term Care • Seven Oaks Long-Term Care Home Long-Term Care Expansion Sites (2014 – TBD) Sector • Peterborough Regional Health Centre* Acute Care • Campbellford Memorial Hospital* Acute Care • Northumberland Hills Hospital* Acute Care • Ontario Shores Mental Health Centre Mental Health & Addiction • Brock Community Health Centre Primary Care - CHC • Taibu Community Health Centre Primary Care - CHC Total Number of Enrolled Users for Central East LHIN: 10 | Confidential—not for public distribution * Data Contributing Organizations ~ 6,822 Status of Central East LHIN Sites Progress of Central East LHIN Early Adopter Sites • All Early Adopter sites are now live with ConnectingGTA and tracking towards their sitespecific Adoption Targets Organization Enrolled Users Target Active Users Target The Scarborough Hospital 185% (2267) 295% (189) October, 2015 Rouge Valley Health System 145% (445) 165% (103) August, 2015 Lakeridge Health 105% (371) 225% (158) November, 2015 95% (589) 225% (206) June, 2015 Central East CCAC City of Toronto Long-Term Care Homes (Bendale Acres and Seven Oaks) 11 | Confidential—not for public distribution Go Live Date Go-Live underway as of October 2015 Status of Central East LHIN Sites cont. Progress of Central East LHIN Expansion Sites • Expansion Sites selection and participation begun in Summer 2014 • Site participation identified in Winter 2014 / early 2015 • Sites have completed the Initiation & Preparation phase Site Readiness Assessment Technical Planning Legal Agreements Change Readiness Assessment • Internal Implementation and Adoption Planning • Sites are set to begin the Implementation & Adoption phase; schedule and go-live timing is currently being developed by eHealth Ontario 12 | Confidential—not for public distribution ConnectingGTA… because we need to know ConnectingGTA Clinical Testimonial Video 13 | Confidential—not for public distribution ConnectingGTA Provider Portal - View Patient Summary View – displays patient’s information at a glance Navigation Bar – to move between views/pages Patient Banner – displays patient demographics (hover over available for more detail) Timeline – to identify encounters at a glance Individual Portlets – displayed at a summary level to indicate what data is available for the patient 14 | Confidential—not for public distribution OLIS Lab Trending Flowsheet • Regional lab result trending is now available in a flowsheet format, which allows clinicians to evaluate their patient’s lab results at-a-glance over time • Selective test results were clinically-prioritized to be included in the flowsheet 15 | Confidential—not for public distribution Clinical Feedback & Patient Care Impact Dr. Joel Kennedy is a user of the ConnectingGTA system at Lakeridge Health and also a member of the Clinical Working Group for the Development of the ConnectingGTA System. He kindly agreed to present the clinicians view of implementation, use and how it has impacted his delivery of care. “ConnectingGTA – improving patient care” Video Alignment with the Central East LHIN - IHSP Central East LHIN Health Link Communities Access RMH / HHHS request to view in Expansion CCAC sites live across all Health Link Communities Brock CHC Ontario Shores Centre for Mental Health Sciences in Expansion Peterborough Regional, Campbellford Memorial, Northumberland Hills in Expansion Lakeridge Health Live TAIBU CHC The Scarborough Hospital Live 18 | Confidential—not for public distribution Rouge Valley Health System Live ConnectingGTA and the IHSP • Access to aggregated patient record supports providers in their delivery of care • Information contributed by multiple organizations and sectors provide the overall view of the patient care data • Work done by initiatives such as Hospital consults and Diagnostic reports, Lab information (OLIS) and care planning will feed into ConnectingGTA • Provides the opportunity to further advanced integrated systems of care 19 | Confidential—not for public distribution Thank you! Questions? Appendix Clinician Experiences Improving Transitions in Care "I can provide more informed and comprehensive care for my patients using ConnectingGTA, since it allows me to see visits and results from across the healthcare system.“ Dr. Jeremy Theal, Chief Medical Information Officer, North York General Hospital Improving Clinician Coordination “It was great – I’ve been stressing all week about two medications and an interaction and whether they should be given together because MedsCheck says ‘no’. When I reviewed the ConnectingGTA charts the patient had been getting the two medications together for a long time and the specialist ordered them this way. So great to be able to check that out.” Nurse Practitioner, North Simcoe Muskoka CCAC Reducing Emergency Department Wait Times Reducing Duplicate Tests “ConnectingGTA has proven to be an invaluable resource in the Emergency Department. It saves time and resources. We are no longer dependent on Health Records from other hospitals to send us collateral information, but have it at our fingertips. This means better and faster patient care which is important in an acute setting.” Brittany Poynter, Clinical Head, Centre for Addiction & Mental Health “I have so far been able to avoid one admission and several repeat tests (two patients) thanks to data from ConnectingGTA. Thanks for setting me up with it.” Dr. Raphael Rush, Resident PGY1, Internal Medicine Department, Sunnybrook Health Sciences Centre 22 | Confidential—not for public distribution Central East LHIN Clinician Feedback “Our physicians do a lot of screening with our patients to rule out any medical cause for their psychosis, ConnectingGTA will help us provide a comprehensive assessment without duplicating previously completed tests at other facilities.” Shannon Gallagher, Registered Nurse Rouge Valley Health System “ConnectingGTA will improve patient care in the Emergency Department as I am now able to access patient information that I could not easily obtain before.” Melodie Cannon, Nurse Practitioner, Rouge Valley Health System “Using ConnectingGTA, I accessed test results from another hospital to determine a timely diagnosis and course of action.” Dr. Naresh Mohan, Chief of Staff Rouge Valley Health System "Having access to ConnectingGTA has produced numerous benefits for the patients I've seen in the Emergency Department. One definite advantage is that I've been able to reduce my lab and diagnostic imaging utilization by having access to the patient's results from other facilities. ED Physician, The Scarborough Hospital 23 | Confidential—not for public distribution ConnectingGTA Early Adopters (Wave 1) Data Population OLIS Population* • 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 Data Viewing CDR Population • • • • • • • • • • • • • • • • Central CCAC Central East CCAC Central West CCAC Lakeridge Health Corporation Mississauga Halton CCAC Mount Sinai Hospital North Simcoe Muskoka CCAC North York General Hospital Rouge Valley Health System St. Michael’s Hospital Sunnybrook Health Sciences Centre/St. John’s Rehab The Scarborough Hospital Trillium Health Partners (Mississauga Hospital/Credit Valley Hospital) Toronto Central CCAC University Health Network William Osler Health System ConnectingGTA Viewing • • • • • • • • • • • • • • • • • • • Central CCAC Central East CCAC Central West CCAC Centre for Addiction & Mental Health City of Toronto LTCH and Services Lakeridge Health Corporation Mississauga Halton CCAC Mount Sinai Hospital North Simcoe Muskoka CCAC North York General Hospital Resource Matching & Referral Rouge Valley Health System St. Michael’s Hospital Sunnybrook Health Sciences Centre/ St. John’s Rehab The Scarborough Hospital Trillium Health Partners (Mississauga Hospital/Credit Valley Hospital) Toronto Central CCAC University Health Network William Osler Health System * 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 24 | Confidential—not for public distribution ConnectingGTA Early Adopters (Wave 1) [cont’d] Data Viewing Long-Term Care • Chester Village • Copernicus Lodge • The Rekai Centre at Wellesley Central Place • The Rekai Centre at Sherbourne Place • Elm Grove Living Centre Inc. • Hellenic Care for Seniors, Toronto, Inc. • Lakeside Long-Term Care Centre • Maynard Nursing Home • Mon Sheong Home for the Aged • Rose of Sharon Korean Long Term Care • St. Hilda's Towers Inc. • Suomi-Koti/Toronto Finnish Canadian Seniors Centre Inc. • The O'Neill Centre • Vermont Square Long Term Care Home 25 | Confidential—not for public distribution Primary Care • • • • Georgian Bay Family Health Team Queen Square Family Health Team West Durham Family Health Team Wise Elephant Family Health Team ConnectingGTA Expansion Sites (Wave 2) Data Population Data Viewing Acute Care • Halton Healthcare Services Corporation • Headwaters Health Care Centre • Humber River Regional Hospital • Mackenzie Health • Markham-Stouffville Hospital • Peterborough Regional Health Centre/Campbellford Memorial Hospital/Northumberland Hills Hospital • Royal Victoria Hospital/ Collingwood General & Marine Hospital/Georgian Bay General Hospital • Southlake Regional Health Centre/Stevenson Memorial Hospital • St. Joseph’s Health Centre • Toronto East General Hospital Mental Health & Addiction • Centre for Addiction & Mental Health 26 | Confidential—not for public distribution Acute Care • Women’s College Hospital • • • • • Primary Care • Access Alliance – Multicultural Community Health Centre • Anishnawbe Health Toronto Community Care • Brock Community Health Centre Acclaim Health • Davenport-Perth Neighbourhood Centre CANES Community Care Nucleus Independent Living • East End Community Health Centre • Flemingdon Community Health Centre Punjabi Community Health Services • Planned Parenthood of Toronto St. Demetrius Supportive • Regent Park Community Health Care Services 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 • Wellfort Community Health Centre • Women’s Health in Women’s Hands ConnectingGTA Expansion Sites (Wave 2) [cont’d] Data Viewing • • • • • • • Long-Term Care Mental Health & Addiction Region of Peel Silverthorn Care Community Streetsville Care Community Tullamore Care Community Ukrainian Canadian Care Centre Victoria Village Woodbridge Vista Care Community • Canadian Mental Health Association (Peel) • Jean Tweed Treatment Centre • LOFT Community Services • Ontario Shores Centre for Mental Health Sciences • Progress Place • Sherbourne Health Centre • Waypoint Centre for Mental Health Care • York Support Services Network 27 | Confidential—not for public distribution Rehab/CCC Baycrest Bridgepoint Active Healthcare Providence Healthcare Runnymede Healthcare Centre Salvation Army Toronto Grace Health Centre • West Park Healthcare Centre • • • • •