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Northern Ontario e-Health Information and Communication Technology Tactical

Plan

October 25, 2007

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The most comprehensive e-Health ICT Blueprint in Ontario, covering the continuum of healthcare

service providers

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

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Strategic Framework

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 informationamongst providers and with consumers

Northern Ontario ICT Vision

Northern Ontario e-Health ICT Goals

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

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Northern Ontario e-Health ICT Strategies

1. Establish the Electronic Record within individual organizations

2. Establish capability to share information among electronic records to facilitate information

integration

3. Use technologies to promote service provider communication

4. Use technologies to support consumers to achieve improved health outcomes

5. Build on existing provincial initiatives – WTIS/EMPI, OTN, PACS, OLIS

6. Develop system-wide decision support capability, facilitating evidence-based decisions

7. Support work effectiveness

8. Support research and education

9. Develop technical and support infrastructure and utilize new technologies to match

requirements

10. Maximize available resources

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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

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Strategies and Priority Projects

Sharing and Collaboration of Health Information

Content Collaboration Standards & Interoperability

#6System-wide

Decision SupportCapability

#2Information Sharing andIntegration

#3ServiceProvider

Communication

#4Information

toConsumers

#5Build on

ProvincialInitiatives

#7SupportWork

Effectiveness

#8Support

Research andEducation

#1ElectronicContent

#9Infrastructure

#10Maximize

Resources

Str

ateg

ies

Pri

ori

ty P

roje

cts

#1Project

ManagementOffice

#2Technical

Infra-structure& Support

#13Administrative

Systems

#6Access toTelehealth

#5 LeverageProvincial

EMPI

#12OLIS

Alignment

#11PNOPP

#16Expand ODB

Viewer

#15Consumer

Portal

#3 SSHA

Connectivity

#4Securee-mail

#8e-Referrals

#7ClinicalProvider

Portal

#14Directory

of Services

#10ElectronicRecords

#9e-Physician

Strategy

Vis

ion

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Regional ICT Infrastructure, Support, Integration

2007/08 2008/09 2009/10 2010/11 2011/12

Project Management Office

Integration Framework,Architecture, Standards

SSHA Connectivity/ONE Mail

Leverage Provincial EMPI

Access to Telehealth

Clinical Provider Portal/Clinical Viewer

e-Referrals

e-Physician

EHR Content

Administrative Systems

PNOPP

Expand ODB Viewer AccessPriority 1

Priority 2/3

Legend

Directory of Services

Consumer Portal

OLIS Alignment

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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

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Governance (Structure and Membership)

NW LHINNW LHIN

NE LHINNE LHIN

NE e-Health Lead

NE LHINICT Advisory(incl.non-LHIN funded orgs. )

NE e-Health Lead

NE LHINICT Advisory(incl.non-LHIN funded orgs. )

AdditionalContinuum of Care

Members

AdditionalContinuum of Care

Members

NW e-Health Lead

NW LHINICT Advisory(incl. non-LHIN funded orgs. )

NW e-Health Lead

NW LHINICT Advisory(incl. non-LHIN funded orgs. )

NE PMONE PMO

NW PMONW PMO

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

2 e-Health Leads

2 LTC

2 CCAC

2 Community Support Services

2 Community Mental Health 2 Addictions

2 Acute Care

2 CHC francophone /aboriginal)

1 Public Health

1 Pharmacy

1 IHF

1 CTC

2 Physicians

2 Small Hospitals

1 Nurse Practitioner

3 Acute Care

Ex-Officio:

1 FNIHB

1 NOSM

1 SSHA

1 FedNor

1 CHI

1 e-Health

1 OTN

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Governance (Overview and Rules of Engagement)

PNOPP

DOS

E-Physician

Clinical Provider Portal(Clinical Viewer)/EHR

Regional ICT

Privacy

Advocacy and Communication

• 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

Working Groups

NW LHINNW LHIN

NE LHINNE LHIN

NE e-Health Lead

NE LHINICT Advisory(incl non-LHIN funded orgs. )

NE e-Health Lead

NE LHINICT Advisory(incl non-LHIN funded orgs. )

AdditionalContinuum of Care

Members

AdditionalContinuum of Care

Members

NW e-Health Lead

NW LHINICT Advisory(incl non-LHIN funded orgs. )

NW e-Health Lead

NW LHINICT Advisory(incl non-LHIN funded orgs. )

NE PMONE PMO

NW PMONW PMO