the community health information network. integration in health care integration a key component to...

The Community Health Information Network

Integration in Health Care

Integration a key component to federal/provincial health mandates

Organizational boundaries, different systems were barriers

The CHIN is a secure technological solution that “bridges the gap”

Objectives

About CCACWR

Understand the CHIN system

Understand information transfer

Achievements

Future developments

Community Care Access Centres

42 CCACs across Ontario

Coordinate delivery of community based health care and placement services

CCAC of Waterloo Region $41 M operating budget100% funded by MOHLTC19 300 clients served in 2003/04

CHIN’s Core Value Proposition

CHIN links existing systems and provides information to users in ways not available through

existing information systems

AND

CHIN streamlines work by reducing duplication within the information exchange process

The History 1995 – CHIN concept conceived and evolved

Group of committed health care providers in the Waterloo Region

1999 – First pilot project

2001 – e-Billing module Contracted service providers Electronic transmission of billing files Reduced invoice payment turnaround time - 21 days to 3 days

What CHIN is and is notCHIN is:

Individual focused

Shares client health information between organizations

Provides access to longitudinal client health information from multiple sources

Accessible at all points of care in a timely manner

CHIN is not:

Organization focused

An operational system i.e, client information system

A single physical data repository

An information highway like SSHA but an application that runs on it

Adapted from Alberta Health and Wellness – Building an EHR

CHIN Architecture

SSHA Gateway

Userworkstation

I nternet

SSHA Private Network

HTTPS(SSL)

HTTPS(SSL)

CHIN Serverchin.ccac-ont.ca

CCACworkstation

Database

Waterloo CCAC

CHIN-SAS

PMI-SAS

Userworkstation

Database

Other CHIN Site

PMI-SAS

CHIN DMZ

Transportation of Information

Three main methods to transfer information

“Pull” reports

Electronic forms (smart forms)

Secure e-mail

Long Term Care Wait List Report

LTC Employee

Marshall Lisa

Marshall Lisa

CCAC Resource CM

Cambridge Country ManorChateau GardensColumbia ForestFairview MennoniteForest HeightsGolden YearsHeritage House

RAI-HC Assessment Results

Partnerships with Service Providers

CHIN E-Mail

CHIN Security Features

CHIN: Now

4 communities

58 organizations

268 users

3600 messages exchanged weekly

CHIN: Future

CHIN module for communicable disease outbreak

CCACWR

Region of Waterloo Public Health Unit

Cambridge Memorial Hospital / Grand River Hospital / St. Mary’s Hospital

23 Long-term Care Facilities (in future planning phase)

Conclusion CHIN uses existing technology to connect health care teams

CHIN’s efficiencies allow increased focus on clients

CHIN provides enhanced security along its communication channel

The Community Health Information Network

Abigail DanceyCommunity Care Access Centre of Waterloo Region

CANARIE Workshop Showing Results – Sharing KnowledgeToronto, Ontario

November 4, 2004