electronic access to information benefits patient care in saskatchewan
DESCRIPTION
Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter. The implementation and on-going enhancement of the eHealth Saskatchewan Clinical Portal to complement existing systems to support improved health care province-wide through electronic access to important clinical information. Better Health Kevin KidneyTRANSCRIPT
Electronic Access to Information Benefits Patient Care in Saskatchewan Kevin Kidney
This Session is sponsored by:
Kevin Kidney, Project Director EHR Denise Junek, Vice President eHealth & Business Services
Empowering Patients, Enabling Care
Better knowledge translates to better care.
The 5 Rs of the Electronic Health Record: • The right information • About the right client • Available to the right person • In the right place • At the right time
Electronic Health Records in Saskatchewan
Patient data is created and stored in various systems specific to the needs of providing patient care within that care setting. For example:
• Sunrise Clinical Manager
• Physician Electronic Medical Record (EMR) systems
• Pharmacy Information System
• Radiology Information System (RIS) and Picture Archiving and Communications System (PACS)
• Saskatchewan Immunization Management System (SIMS)
• eHR Viewer
• 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?
eHealth Saskatchewan
Facilitate sharing of information
across the continuum of care
More accurate, complete, and
timely picture of the patient’s
health
Easy to use and access
Hospital Pharmacy
Radiology Lab
Primary Health Care
Benefits for Providers
Reduced wait time (phone/fax)
looking for information
More appropriate treatment
decisions
Faster diagnosis
Benefits for Providers
“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
Reduce duplicate laboratory
testing
Reduce duplicate medication
Benefits for Patients
Support patient confidentiality
DATA
PRIVACY
Confidential
Personal Health Information
Au
dit
in
g Pas
swo
rd
Acc
ess
Lock
Pro
tect
“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
Building the eHR Viewer
What were our goals?
• Provide value to the patients • Provide value to 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 − Patient Portal − Remaining Health Regions & Canadian Blood
Services Labs
The Evolution of the 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
- Lab Distribution to EMR’s - Regina Qu’Appelle & Saskatoon Labs
− eHR Viewer (IDM, patient demographics &
Lab Results, Privacy services)
− Saskatchewan Lab Results Repository(SLRR)
− Five Hills & Kelsey Trail Labs
What is available through the eHR Viewer?
A number of sources of clinical data are available in the eHR Viewer:
Demographic information to uniquely identify a patient
Laboratory Test Results (over 26,000,000 tests)
Dispensed Medications (over 105,000,000 dispenses)
Known medication allergies and intolerances
Immunizations
Transcribed Clinical Reports – Discharge Summaries
Chronic Disease Management indicators
Protecting the Patients Privacy
The design and implementation of the eHR Viewer was undertaken with the foremost regard to securing and protecting the Patients health data.
• Extensive Privacy Impact Assessment
• Meet requirements under HIPPA
• Access only to Authorized Health Care Providers
• Detailed auditing of system usage
• Stringent password creation rules
• Options for the Patient to limit access to their health care data:
• Data “Masking”
• “Full Block”
• Ability for Patients to request audits of access to their profile
eHR Viewer DEMO
Training
Patient
Laboratory Information
Medication Information
Immunization Information
Chronic Disease Management Information
Delivering the eHR Viewer
Delivering the eHR Viewer In our pilot phase, we worked closely with 100+ healthcare providers to ensure the Portal is meeting expectations and delivered in an effective way.
Improved our approach and developed new tools to facilitate a “lean” implementation:
Streamlined sign up process
Online User Self Registration
Online Acceptance of User Agreements
Online training and self-directed tools and supports
Online User account management (Password resets)
eHR Viewer Users and Sites
8 8 8 8 9 10 12 20
29 38
48 59
81
48 48 48 48 52 52 56 68
98
112
128
154
201
0
50
100
150
200
250
1-Mar-12 1-Apr-12 1-May-12 1-Jun-12 1-Jul-12 1-Aug-12 1-Sep-12 1-Oct-12 1-Nov-12 1-Dec-12 1-Jan-13 1-Feb-13 1-Mar-13
Sites Total Users
Delivering the eHR Viewer The eHR Viewer is currently in many health care settings:
• Community Pharmacies • Walk-in Clinics • Specialist Clinics • Family Practice Clinics • SIAST Campus Health Center • Saskatchewan Cancer Agency • Wascana Rehab • Regional Laboratory Medicine Medical
Staff (including Pathologists, Hematopathologists, Medical Biochemists and Medical Microbiologists)
• Currently positioning ourselves to deliver the EHR Viewer to a wider variety of care settings over the next six months
• Delivery efforts will focus on: – Meeting the significant demand being created by “word
of mouth” and expressions of interest
– Supporting physicians enrolling in the Chronic Disease Management Quality Improvement Program
– Meeting the needs of all healthcare providers across a mid-size health region
Delivering the eHR Viewer
The Future
55
Questions For more information:
Kevin Kidney Project Director, EHR eHealth Saskatchewan Office: 306.337.5510 Mobile: 306.591.2654 E-mail: [email protected]
56
Thank you For more information:
Kevin Kidney Project Director, EHR eHealth Saskatchewan Office: 306.337.5510 Mobile: 306.591.2654 E-mail: [email protected]