“Standards Level the Playing Field “

PHYSICIAN & COMMUNITY EHEALTH PROGRAM

WORLD STANDARDS DAY

October 14, 2014

Objective

Ontario’s community-based clinicians create, access and share electronic records (EMR) for patient care.

FocusTo broaden and accelerate the adoption of technology by community- based clinicians

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Transforming Physician Offices

~80% of a patient’s interaction occurs at the community level

Canada Healthcare Encounters

Family Physician Visits

Specialist Consults

Tests, Diagnostics

ER Visits

Hospital

Admissions

56%

22%

16%

5%

1%

Current State of EMR Adoption in Ontario

More than 80% of Ontario’s Primary Care Physicians are moving forward with an EMR

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Individually EMRs are helping to transforming clinical practice

Enhanced billing & scheduling

Share patient with practice colleagues

Enhanced chronic disease management

Patient & practice reporting

Improved patient safety Remote access

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Without Interoperability . . . .

EMRs remain primarily“islands of

automation”

EMR EMR EMR

Rx

OLIS

HRM

CIHI

ICES

+…

Message-Based

Document-Based

2000+

What Ad Hoc Connectivity Looks Like

How Standards

are

helping to level the playing field

EMR Integration By Design

EMR EMR EMR

Rx

OLIS

HRM

CIHI

ICES

+…

Message-Based

Document-Based

HIAL

Access to Lab Results

EMR-enabled clinicians are now able to search and download lab results via the Ontario Laboratories

Information System (OLIS)

Access to Medical & Diagnostic Image Reports

EMR-enabled clinicians can now electronically receive hospital reports

Better Outcomes Registry & Network (BORN)

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EMR EMR EMR

HIAL

EMR data contained in Antenatal & Well-Baby forms are exchanged with BORN to support maternal and child programs across the province.

What’s Next?

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Leverage standards to help clinicians: • improve patient care• better utilize EMR data

o implement quality improvement activities

o enhance reporting and analytics at the patient, practice and health system levels

• enhance care coordination• strength collaboration and

communications• realize efficiencies

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MEL CASALINOSenior Director, Physician and Community eHealth

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