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