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HSN Presentation to NEACC Presentation to NEACC June 11 2015 WhatWhat is isNew New & &Exciting Exciting at at HSN HSN NEON • OLIS & OLIS Viewer cNEO • Background • HSN and the Region’s Roles • Next Steps What is OLIS OLIS -> Ontario Laboratories Information System Facilitates the secure, electronic exchange of laboratory tests orders and results (current and historical). Is a province-wide repository of lab data that is comprised of hospitals, community laboratories, public health laboratories and practitioners and enables the sharing of lab data across the province. OLIS OVERVIEW Laboratory Future (Haematology, • Manage Referrals to Chemistry, Microbiology, performing laboratories Solution to view results Blood Bank and • Support Physician Office from the OLIS repository Pathology) data into the Integration for laboratory provincial OLIS test ordering and results repository Data OLIS DC to Date(DC) Area Associated hospitals Test Volume LHIN 13 – North Anson General, Bingham Memorial, Blind River, 2.07% East Ontario Chapleau, Engelhart & District, Espanola General, Haem Network (NEON) & Hornpayne, Kickland & District, Lady Dunn, Lady Chem West Parry Sound Minto, Manitoulin, Mattawa General, Notre-Dame, Micro Sensenbrenner, Smooth Rock Falls, St. Joseph’s BBK General, HSN, Temiskaming, Timmins & District, West Path Nipissing General , West Parry Sound Health LHIN 13 – Non- North Bay Health Center, Sault Area Hospital, 0.84% NEON sites LHIN 14 – North Dryden Regional Health Centre, Geraldton District 1.10% West Health Hospital, Manitouwadge Hospital, Nipigon District Alliance (NWHA) Hospital, Sioux Lookout Meno-Ya-Win Health Centre, Underway Thunder Bay Regional Health Sciences Centre Community labs CML Healthcare, Gamma-Dynacare, LifeLabs, Public Health Labs; BioTest Laboratory, Alpha Labs 5 OLIS BENEFITS Expedites access to patient lab results and history Provides for secure transfer and storage of patient information Streamlines testing and eliminates duplication of tests Digitization of results leads to reduction for potential of human error Complete and up-to-date lab test information regardless of where the lab tests are completed OLIS VIEWER BACKGROUND HSN – developed solution Consultation with other Ontario Meditech hospitals Lessons learned from early initiatives: Grey-Bruce Physician - focused OLIS VIEWER BACKGROUND • “One place to go” with seamless access Principles Provincial OLIS portal vs. Meditech EMR • Same “look and feel” of provincial OLIS of portal (Required compliance to specifications) • User friendly, intuitive and supports practice Design: • One-click process OLIS VIEWER PATIENT CONFIRMATION SCREEN PATIENT LAB RESULTS Initial default of last 3 months Can sort results by clicking on Flags tests headers with an abnormal result Offers two types of views OLIS “VIEW RESULTS” REPORT OLIS “DETAIL” REPORT Single Session Tracking To Date • Over 2000 physicians, clinicians and clinical support staff have access to OLIS • Over 5,000 records have been accessed AnecdotalAnecdotal FeedbackClinician Feedback Feedback “This changes the way I practice. ….It makes the patient’s story real for them” “This is saving me so much time” “It is so easy!” Benefits Evaluation….. “When can we have reports…diagnostic imaging….vital signs??” Connecting Northern & Eastern Ontario cNEO’s Focus: cNEO Connecting clinical information for Hospital, Primary and Community Care in northern and eastern Ontario; with initial emphasis on enabling clinical information flow from Hospitals to Primary and Community Care cNEO Program cNEO is one of three province-wide ehealth programs, funded by eHealth Ontario*, that will deliver electronic health record (EHR) services: cNEO Connecting Northern and Eastern Ontario Led by The Ottawa Hospital (Program Delivery Partner) cGTA Connecting Greater Toronto Area Led by University Health Network (Program Delivery Partner) cSWO Connecting South West Ontario Led by London Health Sciences Centre (Program Delivery Partner) *eHealth Ontario is leading the integration of electronic health care systems across the province. Together with the Local Health Integration Networks (LHINs) and health service providers, eHealth Ontario is working to deliver integrated health care for Ontarians. cNEO Program Program Delivery Partner Service Delivery Partners Providing local knowledge, expertise and adoption activities Health Service Providers Pilot cNEO Program Local Health Integration Network (LHIN) Role Ministry Program cNEO Service Health eHealth of Health Delivery Delivery Service Clinician Patient Ontario and Long Partner Partners Providers Term Care LHINs Provides communication channels and vehicles to help distribute/post program information and materials, and lends support towards alleviating health service provider implementation and adoption barriers that arise. cNEO Program cNEO Implementation Timeline First Step Next Steps HOSPITAL & CCAC CLINICAL VIEWER CLINICIAN CONTRIBUTION DELIVERY PROJECT ADOPTION 65 Hospitals & (18,000+ adopters) 2 Hospitals & 4 Community Care of provincial 2 Community Access Centres electronic health Partner Sites (CCAC) record services Pilot Delivery Stages: Due Diligence, Execution & Adoption Spring/Summer 2015 Fall 2014 to Winter 2017 The cNEO Plan The cNEO Plan Timeline in Months Activities 1 2 3 4 5 6 7 Project kick off, project reporting implemented and M1 X X X X X X X cNEO Implementation recurring Timeline M2 Project charter and integrated project plan for assessment X M3 Define quality metrics X M4 Clinical data repository assessment X • Stage 1 M5 Technical and connectivity assessment X M6 Hospital assessment and gap analysis X – Orientation now Community Care Access Centre assessment and gap M7 X analysis – Assessment in M8 Privacy and Security assessment X M9 Legal and agreement framework X M1 Summer Change management X 0 M1 – Stage 2 Planning Implementation work plan developed X 1 M1 Implementation and sustainment resource plan developed X Summer/Fall 2 M1 Business case for implementation Stage 2 developed X 3 M1 Agreements signed with HSPs for contribution to X 4 provincial CDR M1 Final project documentation complete X 5 The cNEO Plan Summer Activities • Complete assessments – Scope, readiness for contribution for each site – Privacy & Security – Define solution(s) for contribution • Confirm overall project timelines and costs • Facilities confirm commitment to participate • Prepare for implementation kick off Challenges • Applying cGTA implementation model – Capacity of smaller facilities to complete assessment requirements • New and complex project structures • A changing environment • Clinical value projects considerations (i.e. POI, OLIS viewer) • Sustainment Thank You Questions? "If you can't fly then run, if you can't run then walk, if you can't walk then crawl, but whatever you do you have to keep moving forward." Martin Luther King, Jr. .
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