1. EHR Governance in South Western Ontario eHealth 2013 Glenn Lanteigne CIO South West and Waterloo Wellington LHIN and SWO Cluster Lead May 29, 2013 Tweet it @GlennLanteigne #eHealth13

2. 2 Governance at a Provincial Level in Ontario The Cluster Approach

3. 3 Patient / Consumer Services and Solutions and Care Coordination Services (Portals, Personal Health Record, Self-Management Tools, Telehomecare, System Navigation, Appointment Scheduling, Secure Messaging) Health Services Access, and Integration Solutions (Referral and Resource Matching, Telemedicine, Service Directories, Scheduling) Health Information Access and Sharing Solutions (Clinical Portals, iEHR, Secure Messaging, Single Sign on, Registries, Repositories,Consent Management) Systems and Information Integration and Business Coordination Services (Governance & Planning, Policy & Agreements, Privacy, Security & Identity and Access Management, Integration engines, Data Analysis) Care Provider Clinical Systems Adoption, Standardization and Consolidation (Hospital Information Systems, Electronic Medical / Client Records) Framework for an eHealth enabled health care system and EHR: So where does Governance sit? Health System Management Clinical care transformation

4. 4 How will the cSWO EHR Program be managed and governed? The requirements for an agreement framework is an elaboration of the governance model which defines the spectrum of agreements which will be required to formalize the relationships, expectations, and required performance between the various roles within the cSWO EHR Program. Each role will require one or more agreements to establish the expectations of their various relationships. The proposed governance model and agreements are provided below: This business model establishes a sustainable, scalable, change-ready capability to evolve the cSWO EHR and other eHealth services in response to rapidly growing/changing health care system requirements at the local, regional and provincial levels.

5. 5 What does the Near-Term (18 months) business solution look like? The near term strategy is pragmatic. The cSWO EHR Program will leverage and integrate proven and existing business solutions and capabilities within the province (e.g. SWODIN, OLIS) and South West Ontario (e.g. ClinicalConnect, SPIRE, HRM) to enable the rapid and broad deployment of a robust EHR, and to quickly support the advancement of clinical and system health transformation priorities of the Province, LHINs and Health Service Providers (e.g. Health Links).

6. 6  A regional eHealth program serving the residents, HSPs and LHINs of South West Ontario  cSWO Program Governance design and implementation plan developed by LHINs, HSPs and eHealth Ontario expressly to deal with our eHealth challenges  cSWO Program’s immediate priority: eHealth Services which make an individual’s electronic health care information …from across the continuum of care …accessible in a timely and secure fashion …at any point of care in South West Ontario Addressing our Governance Challenges: The connecting South West Ontario (cSWO) Program

7. 7 cSWO Planning Project Governance Structure

8. 8 What does the cSWO EHR Program model look like? The proposed cSWO business model defines a centralized program management function (Transfer Payment Agency), to assume overall accountability for the cSWO EHR Program implementation and delivery, directing and coordinating a series of individual Program Delivery Partners, who are in turn, accountable for a number of service delivery functions. This model reflects the strategy of knitting together and building on existing assets and capabilities rather than creating net new.

9. 9 SWO Delivery Partner & Health Links Governace Provincial, Regional and Local Health Transformation Priorities

10. 10 Tying it all together Provincial, Regional and Local Health Transformation Priorities cSWO EHR Program Defines Requirements and Sets Priorities Responds, Supports, Enables

11. Context of Consumer Health Personal Health Portal

12.  Alberta Netcare provides a patient-centered view of the patient’s health, collected from service locations across the province  MyHealth.Alberta.ca is the access point into one’s personal health record. It will include both self- entered information and content from Alberta Netcare  Both of these key provincial applications provide value to primary care networks, as they help connect all members of the care team… including the patient

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14.  Governance Review  Competitive Process  Open to all Albertans  First meeting April 4 th, 2013 in Edmonton  Demographic Coverage 14

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