EP03.07 - Impact of Provincial Diagnostic Imaging (DI) Sharing to Healthcare Delivery
e-Health ePoster Library. Lianos A. Jun 7, 2016; 131581; EP03.07
Angela Lianos
Angela Lianos
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Abstract
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Purpose/Objectives: OBJECTIVE In the past, the lack of sharing in the DI domain has placed a burden on healthcare providers and their patients. To address this issue, four diagnostic imaging repositories (DI-r) were created in Ontario that allow for storage, sharing, and retrieval of DI exams from all hospitals in Ontario that perform DI tests, and from digitally-enabled independent health facilities (IHFs). These DI-rs have provided great value by: making prior imaging available resulting in more seamless workflow for physicians and reduced wait times for patients; improving diagnostic response times; reducing unnecessary duplicate exams and corresponding reduction in unnecessary radiation exposure; and eliminating geographic barriers within regions. While there is no denying the clinical value that the DI-rs provide to healthcare delivery in Ontario as articulated in surveys, testimonials and other data collection, the need for provincial sharing still exists. To address this, the DI Common Service was implemented. Methodology/Approach: METHODOLOGY In December 2010, eHealth Ontario received Treasury Board approval to create a system that would allow for sharing of diagnostic information across regional borders. Working with the four DI-rs, eHealth Ontario implemented a standards-based registry and repository to enable this sharing. DI Common Service is currently in production enabling province-wide access to diagnostic reports through web portals allowing clinicians to access a patient's longitudinal DI record anywhere, at any time. As of September 2015, 8.6 million DI reports from the four DI-rs in Ontario are available and accessible in eHealth Ontario's Provincial DI Document Repository allowing for improved healthcare delivery and outcomes. Finding/Results: FINDINGS Testimonials from clinicians using the system include: 'Rendering in DI Common Service is outstanding; reading reports is much easier…can find information I want and it saves time.' 'I can use the DI portal to inform and educate patients who may not understand or have been informed of their test results.' 'When families advise of past tests/scans done, this can be easily viewed/confirmed.' 'There is value from a patient relationship perspective in having information readily available.' 'The patient felt like he was cared for and the team was communicating.' Conclusion/Implication/Recommendations: CONCLUSION The decisions and implementation efforts to enable the DI Common Service initiative and the provincial sharing it provides has fostered an environment where healthcare delivery is optimized by eliminating geographic barriers across regions in Ontario and creating a more seamless workflow for clinicians allowing them to better care for their patients. Further, the methodology is currently being utilized during the implementation process that over the next year, will allow for sharing of images (in addition to reports) to further enhance the value of the system to clinicians and their patients. 140 Character Summary: The DI Common Service initiative and the provincial sharing of DI information it provides, has fostered an environment where healthcare delivery in ON is optimized.
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