CareConnect
The Future is Close at Hand
eHealth 2013
Gordana Dulovic, Manager, eHealth Operations
Provincial Health Services Authority (PHSA), BC
Presenter Disclosure
Speaker: Gordana Dulovic
Relationships with commercial interests:
Nothing to disclose
2
Overview of Session - CareConnect
• History of CareConnect
• CareConnect Today – Provincial eHealth Viewer
– Clinical data contents
– Who’s using it
– Benefits
• eHealth Operations
– Governance and support model
• Future plans
3
History of CareConnect
• CareConnect began in 2004 as an integrated web-based
Electronic Health Record solution for Vancouver Coastal
Health
• Winner of 2008 Microsoft HUG Interoperability award
• In 2009, CareConnect was adopted for the province of
BC as the Provincial eHealth Viewer. Provincial content
added:
• Lab results from Provincial Laboratory Information Systems
• Provincial Diagnostic Imaging Viewer
• Deployment to all BC Health Authorities (FHA, PHSA,
NHA, VCHA, VIHA, IHA)
4
CareConnect Content
CareConnect
Laboratory Results &
Reports
Medical Imaging
Studies & Reports
Clinical Documents
&Transcribed
Reports
Encounters
All Health Authority
Labs (Hospital)
All Health Authorities
Vancouver Coastal
Health Authority Acute
Vancouver Coastal
Health Authority
Vancouver Coastal
Health Authority Community
BC Cancer Agency
All Private Labs
(Community)
BC Cancer Agency
5
CareConnect Content
6
Inside CareConnect – Patient Summary Page
7
CareConnect Reach
Health Authority
Number of users
(approximate)
Deployment plans
VCHA (VCH & PHC)
5800
In sustainment
PHSA
2800
Expansion in progress
VIHA
2800
Expansion in progress
FHA
70
Expansion in progress
NHA
75
Expansion in progress
IHA
1800
Expansion in progress
Total
13 345
8
User Deployment Trends
• CareConnect (eHealth Viewer) may not add value in all health care settings
• Trends are emerging showing where value is being realized
High Value User Groups
Description
Access / Triage / Transition
Groups
Intake, Pre-Admission clinics, Referral Teams,
Discharge Coordination
Emergency Rooms, Urgent
Care Services, Primary Care
First points of intake into Health System, often
have limited or no history
Patient Transfers / HA
Geography Edge
Patients seen in other HA’s, eg, Specialty
services with follow-up in other HA or Community
Care Teams that cross HA
boundaries
Cancer Agency clinicians working in concert with
HA and Primary Care clinicians
Support Staff
Supporting clinical workflow
Specialists
Collateral results to augment HA data
Inpatient Care
Inpatient surgical teams
High
Value







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Measuring the Clinical Value / ROI
# Patient Reports Viewed
25000
20000
15000
10000
5000
0
PLIS
PDIV
Encounters
Documents
10
What our users have to say….
“I wish to thank you for getting BC Cancer Agency information on line. This
makes an enormous difference to those of us who work in palliative care.
We very much appreciate having access to this information!”
“It helped me make a clinical decision regarding a patient presenting
with Chest Pain, who had prior cardiac investigations at another
facility.”
“It makes my job easier, it prevents me from having to bother the staff at
bedside to give me the information.”
“Saves time and increased confidence in having most recent patient info.”
“Better, more comprehensive access to my patient's health data.”
“Ease of access to results is so much better.”
11
eHealth Operational Governance
eHealth Project Board
Strategic Oversight
Clinical Guidance
Clinical
Committees
Committees:
CIAC (PLIS/PDIV
COC
(PLIS/PDIV/Panorama)
Executive, Operations and
Working Group Committees
Change
Advisory
Boards (CAB)
Boards:
iEHR CAB
CareConnect CAB (TBD)
PDIV CAB (TBD)
CIO Council
Committees:
JEC (PLIS)
JOC (PLIS)
JPOC (Panorama)
JPMWG (PLIS)
PDIV Executive Steering Committee
PDIV Working Group
PESC (Panorama)
Strategic Guidance
Operational and Project
Tactical Monitoring
eHealth Projects and Operations
12
eHealth Operations Support Model
• Support is based on a multi-partner model
• Existing operational infrastructure, resources, and processes
were leveraged when established
MoHS
Health
Authority
Operations
eHealth
Operations
CIS Vendors
eHealth
Vendors
HSSBC
13
Overview of eHealth Service Model
PHSA eHealth
HA
HSSBC
eHealth
Vendors
MOH
CIS
Vendors
Tier 3, 4
Tier 2;
Tier 4 (PDIV)
Tier 1
(IBM)
Tier 4
-
Tier 4
Tier 2, 3, 4
Tier 4
(PDIV)
Tier 1, 4
(Infrastructure,
desktop)
(IBM)
Tier 4
Vendor
Management
Tier 4
(Integration
Support)
Release
Management
CAB
CAB
CAB
CAB
CAB
As required
System
Development
Tier 3, 4
eHealth Viewer
Integration
-
Tier 4
Vendor
Management
eHealth
Viewer
Integration
Identity
Management/
Enrolment/
Deployment
Tier 3 support for
User Engagement
Activities
Tier 2
User Enrolment,
communications,
engagement,
training
N/A
Conformance
Standards; EMR
user enrolment
into HIAL
-
Support for
Auditing and
Breach
Management
Auditing and
Breach
Management
Participate in
Breach and
Auditing
process
Conformance
Standards
-
Tier 4
Conformance
Standards
Service Area
User Support
System Support
Privacy and
Security
Data Services
Tier 2, 3, 4
Tier 1, 2, 3
-
-
-
14
-
Future Plans
• Expansion to larger number of users in most HAs and to
more clinical groups
• Expansion to non-HA affiliated physicians
• Increase of adoption by enhancing the solution,
the content, and by and removing barriers to use
• CareConnect use will be complemented by direct
integration between clinical systems and eHealth data
domains
15
CareConnect
The Future is Close at Hand
Gordana Dulovic, Manager, eHealth Operations
eHealth 2013
Gordana.Dulovic@phsa.ca
Provincial Health Services Authority, BC
16
Appendix
17
CareConnect Access Model
• Access is granted on the principle of least privilege and need to know
• The provincial EHR business role is made up of a four tier access model
framework
Role Context
Functional Description
Refers to the clinical setting in which
the user works.
Refers to the user’s functional role.
EHR Business Role
18
How CareConnect is Supporting Care
• Fluid / rapid
transition across
continuum of care
• Complex comorbidity
• Multidisciplinary
teams
19