electronic access to information benefits patient care in saskatchewan kevin kidney, project...

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: kevin.kidney@eHealthsask.ca E-mail: michael.craig@orionhealth.com