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Join Dr. David Daien and Dr. Peter Rossos as they explore how clinical leadership drives the ConnectingGTA initiative to enhance the electronic health record for 6.75 million residents. This presentation focuses on engaging clinicians in shaping health information exchange across diverse care sectors. Discover the collaborative model that connects over 750 health care organizations and aims to streamline patient transfers and improve clinician experience. Learn about the governance, technical integration, and best practices that support a patient-centered approach in e-health solutions.
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Breaking Down Barriers to Health Information Exchange: How Clinical Leadership is Shaping ConnectingGTA e-Health Conference2013: Accelerating Change May 27, 2013, 3.30 p.m. Presented by: Dr. David Daien, Co-Chair, Clinical Working Group; Physician IT Lead and Vice-Chair, Summerville Family Health Team Dr. Peter Rossos, Co-Chair, Clinical Working Group; Chief Medical Information Officer, University Health Network
Presenter Disclosure • Presenters: • Dr. David Daien, Co-Chair, Clinical Working Group; Physician IT Lead and Vice-Chair, Summerville Family Health Team • Dr. Peter Rossos, Co-Chair, Clinical Working Group; Chief Medical Information Officer, University Health Network • Relationships with commercial interests: • Nothing to disclose
ConnectingGTA will improve the patient and clinician experience by delivering a regional electronic health record for 6.75M individuals • 6 Local Health Integration Networks • 750+ Health Care Organizations • 6,267 Family Physicians • 6,930 Physician Specialists • 49,905Nurses • All sectors of care: • Acute Care • Community Support Services • Complex Continuing Care • Long Term Care • Mental Health & Addictions • Primary Care • Rehabilitation
Regional referral patterns require addressing diverse clinical needs across all sectors of care 35,000+ patient transfers a year 150+ clinicians directly involved to date 20,000 target in first rollout
How Clinicians are Shaping ConnectingGTA • Organizing for Clinicians • ConnectingGTA’s Clinical Engagement Approach & Model Working with Clinicians
FUNDERS: eHealth Ontario, Canada Health Infoway Program Steering Committee Place clinicians in leadership roles clinical co-chairs Clinical Working Group Technical Working Group Privacy & Security Working Group Establish a clear governance model & processes ConnectingGTA Program Team Participating Organizations & Clinical Systems
Patient-centredapproach Create & commit to guiding principles Support continuity of care Be transparent about unknowns & limitations Deliver clinical value quickly Allocate funding for work effort Leverage expertise & experience Build a compelling value proposition
Priority data types Workflow 1 Single Sign-On Hospital Reports Input must be clinically relevant 2 Log in directly to Portal CCAC Documentation Diagnostic Imaging Reports Use input in a meaningful way 3 Via Other Portals Drug Information 4 Direct Integration Lab Results
Our Ongoing Commitment to Clinician Involvement • Clinician Input • Clinician Input • Requirements Definition • Vendor Selected • Front & Back-end integration • Front-end configuration, testing & design • Training • Go-Live • Clinician Input • Clinician Input
Involving Clinicians in System Design Issues & concerns escalated as needed to appropriate working groups • Input from clinical body on requirements • Hold design sessions on modules • Usability testing on modules • Clinical Working Group Validation • Solution Finalized Iterative solution changes 16 Clinical Working Group members 20 Clinical Solution Team members & Clinician Champions 23 Clinicians supporting validation 40 Usability Testers (no prior project involvement)
Guide Adoption Centrally, Execute Locally Leverage localbest practices & expertise Provide options to encourage participation Seek feedback and be flexible with support • Program Team & Clinical Working Group • Site Project Manager & Clinician Champions • End User • Provide customizable tools & materials • Customize materials for local activities
DO NOT REINVENT THE WHEEL • Organizing for Clinicians • ConnectingGTA’s Clinical Engagement Approach & Model • ESTABLISH EXPECTATIONS & PROCESSES with the Program team • ANTICIPATE DELAYS & turn them into opportunities Working with Clinicians • Organizing for Clinicians • DO NOT UNDERESTIMATE the work effort • TAILOR COMMUNICATIONS for clinicians
ENGAGE the right people at the right level & time • Organizing for Clinicians • ConnectingGTA’s Clinical Engagement Approach & Model • EMBED adoption activities locally • ENLIST clinicians from start to finish Working with Clinicians • Working with Clinicians • ENVISAGE solution from the clinical perspective • EXCHANGE ideas to deliver clinical value
Thank You! Questions? • For more information • please email ConnectingGTA@uhn.ca or • visit ConnectingGTA at: www.ehealthontario.ca