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CE LHIN: Hospital Information Technology Shared Services (HITSS) Project – Phase 1 High Level overview eHealth Steering Committee – April 7 th, 2011.

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Presentation on theme: "CE LHIN: Hospital Information Technology Shared Services (HITSS) Project – Phase 1 High Level overview eHealth Steering Committee – April 7 th, 2011."— Presentation transcript:

1 CE LHIN: Hospital Information Technology Shared Services (HITSS) Project – Phase 1 High Level overview eHealth Steering Committee – April 7 th, 2011

2 2 Agenda Project Overview / Mandate Project Objectives & Meeting Purpose Current State Next Steps

3 Project Background and Overview The Central East Executive Committee believes it has identified that the establishment of a Hospital IT Shared Services among the partners in the Central East LHIN has the opportunity to: Provide a higher level of service (capacity and capability) to each hospital; Align IT investments and implement the infrastructure and interoperable solutions that will enable universally accessible electronic health records among CE LHIN community hospitals and the exchange of patient information with community providers and patients; Leverage economies and efficiencies with IT services and IT users; Enhance the capacity of the organizations to implement and optimize eHealth initiatives; Accelerate the assessment, planning and adoption of emerging best practices / applications in IT that support quality and safety of patient care across participants; and Create a platform for other joint projects that the members may wish to develop. 3

4  Review of current state & Identify gaps Enable sharing of clinical data Characterize the necessary success factors  Analysis of eHealth adoption status  Benchmarking similar shared services Comparisons with other regional SS Outline the pros and cons  Shared initiatives in the CE LHIN  LHIN expectations for integration  Provincial eHealth initaitives Project Scope 4

5 5 Standardized EMR Shared Regional HIS System Common Data Centre Effectiveness and Efficiency Common Business and Workflow Processes Integrated Clinical View Hospital Efficiencies Hospital IT Shared Services

6 IT Services in the CE LHIN 6 Receives the Service from Internal Providers Receives the Service from External Providers Provides the service internally Provides to others in the LHIN IT Service Type / Hospital Campbellford NHH Haliburton Lakeridge Ontario Shores Peterborough Ross Rouge Scarborough Project Management Network & Security Management WAN Services Data Centre Common Procurement Disaster Recovery / Business Continuity Help Desk / Service Desk Application Support Services Application Development Shared Telecom Break Fix

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9 9 eHealth Ontario Near Term Plans High-Level Plans Detailed Plans Legend: Planning Build; Limited Production Release (LPR); Provincial roll out 2011/122012/132013/142014/15 Diabetes Registry DR LPR; LPR adoption activities Medication Management Medication Management System Drug Profile Viewer Systemic Treatment Information Program Identity, Access & Privacy Client Registry Provider Registry User Registry Consent Directives Privacy Audit Integration Services Regional Integration: cGTA Common Services Integration Regional Integration: 9 LHINs Portal Services Diabetes Registry provincial roll outRoll out to other chronic diseases System procurement; Build; Phase 1 roll out Planning TPA(s) executed; Partner HIAL procurement(s); Build; Roll out Portlet/gadget development; Establish distribution partners Physician eHealth (not subject to MB20 approval) Ontario Lab Information System Data Collection Data Warehousing Go To Market Expansion to 20 CHCs OPIS expansion to 15 additional sites Support DR LPRPost-DMS LPR deployment Support DR LPRPost-DMS LPR deployment Support DR LPRPost-DMS LPR deployment Solution procurement; Build; Integration; Roll out DR LPRConnect remaining hospitals/labs Lab results for DR, EMR, TOH Enabled for use by DR provincial roll out and secondary sources Diagnostic Imaging/PACS Hospital Repositories DI Common Service IHF Repository Complete 4 of 4 hospital diagnostic imaging repository integrations System procurement; Build; Provincial roll out TPA executed; IHF DI-r procurement; Build; Provincial roll out Consumer Proposition Current EMR funding program System procurement; Build; Provincial roll out Phase 2 roll out Support DR Roll out Planning and policy resolution Planning System procurement Continued roll out Planning Procurement; Build; Integration New distribution partners Planning Over time, roll out patient self-management; better access to healthcare system; personal health records Planning and policy resolution Planning, procurement and execution of OLIS upgrade

10 The “Why” – Current State Opportunities 10 All nine Hospitals utilize Meditech to some degree Some sharing of systems between hospitals Flow of patients between hospitals Mix of several large and small hospitals First Meditech 6.0 implementation in Canada Low investment in IS/IT Components of the EMR implemented across the nine hospitals include:  50% fully implemented  9% partially implemented  41% have yet to be implemented  Low adoption compared to peers

11 The “Why” HITSS– Potential Benefits  “Better bang for the buck” Economies of scale, including access to technologies could not do alone Leverage experience and “best practices” Platform for standardization of business and clinical processes  Supports “circle of care” – sharing of clinical data Ability to input and view patient information from anywhere and anytime across CE LHIN hospitals Integrated view that provides comparison and trending of information across organizations  Critical mass Integration Strategically positioned for provincial projects  Allows Organizations to focus on core clinical business vs. technology  Human resource sustainability Ability to attract, retain, and recruit strong, knowledgeable IT resources Increases the depth and expertise 11

12 Critical Success Factors  Leadership / champions: a passion for step change  Compelling case / sense of urgency  Scalable, standardized and sustainable solution(s)  Strategic map between organizational objectives and future business strategy  Objectives need to transcend cost savings  Solid performance and improvement targets  People management  Experience delivering shared services  Capacity to support and sustain adoption / transformation  Robust stakeholder engagement process  Clinically driven  PMO functions  Transition funding 12

13  Finalize report on current assessments  Agree to the gaps  Bring report back to CEEC to define Vision prior to continuing the analysis to determine benefits to the organizations Next Steps 13

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