EP04.07 - Scaling Up Clincial Interoperability in Canada's Largest LTC Sector
e-Health ePoster Library. Feldman S. Jun 7, 2016; 131560; EP04.07
Stuart Feldman
Stuart Feldman
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Abstract
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Purpose/Objectives: The project objective is to provide 630 Long Term Care Homes in Ontario with seamless access to provincial Electronic Health Record assets. The solution will make use of Single Sign On and Patient Context management features within LTC Clinical Information Systems to provide timely and secure access to Resident health information while ensuring compliance with provincial privacy regulations. This sector based approach leverages a dominant LTC CIS vendor to provide the solution to over 80% of the LTC Homes in Ontario. As a result, 20,000 clinicians within the LTC sector will be provided with effective and efficient access to the information they need to support clinical worklfows and provide quality care to LTC Residents. Methodology/Approach: 1. Establish connection with provincial cGTA, cSWO and cNEO networks. 2. Integrate local identity management with the provincial identity management service. 3. Provide authorized clinical users with seamless access to EHR lab results, diagnostic imaging reports, etc. 4. Execute a legal framework to support information sharing between other sector and system Health Information Custodians. 5. Undertake Privacy & Security due diligence and develop tools for compliance. 6. Project evaluation. Finding/Results: Not Applicable. The project is currently in the implementation phase. Conclusion/Implication/Recommendations: This project will provide 20,000 clinical users in the LTC sector with clinical information that contributes to improved patient care, clinical decision making, patient safety and resident/family experiences. For example, providing more comprehensive and timely lab results, imaging, and hospital reports will allow LTC staff to make necessary changes or updates to a Resident's care plan than if they had to wait for this information to be faxed or delivered to the home. Integrating EHR data into clinical workflows can improve clinician productivity by avoiding potential duplicate orders, providing easier access to information to support decision making, or being able to see information pertaining to the Resident that would not otherwise be available. The benefits of using single sign-on include significantly increasing the likelihood of clinicians looking at relevant health information as part of their decision making process; reducing password fatigue from different user name and password combinations; reducing time spent re-entering passwords; reducing IT costs due to a lower number of IT help desk calls about passwords. Support for Patient Context Management can improve clinician efficiency by reducing the time required to find resident health information and by facilitating ready access to multiple sources of information that would otherwise take a long time to look up or compile. Over time, the platform can support integration with other local clinical systems such as nurse call systems and other communication platforms. Alignment with eHealth Ontario Blueprint: • The Ontario Long Term Care Clinical Interoperability Project (OLTCCIP) will enroll 20,000 clinical users with OneID credentials and provide a software platform that integrates the PointClickCare Clinical Information System with Ontario's connecting projects providing access to EHR Services such as OLIS and DI-CS. • The provincial connecting projects provide the infrastructure and accessibility platform that will permit the LTC sector to have access to additional EHR services as they become available. 140 Character Summary: An innovative LTC sector based approach using single sign on and context management to support advanced clinical workflows and future value-added capabilites.
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