Electronic Access to
Information Benefits Patient
Care in Saskatchewan
Kevin Kidney, Project Director EHR, eHealth Saskatchewan
Michael Craig, Vice President, Orion Health
Presenter Disclosure
• Faculty: Kevin Kidney - eHealth Saskatchewan
Michael Craig - Orion Health
• Relationships with commercial interests:
– Kevin Kidney - Project Management Consultant, Solvera Solutions
– Michael Craig – Vice President, Orion Health
Agenda
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What is the “eHR Viewer”
eHR Viewer Background
EHRs in Saskatchewan
Initial eHR Assets
Goals
Evolution of eHR Viewer
Clinical Data in the eHR Viewer
Benefits
Lessons Learned
What is the “eHR Viewer”
A secure website developed for
Saskatchewan health care providers
that provides access to patient
profiles regardless of where they
present for care or where they live
in the province.
eHR Viewer: Background
• eHealth Saskatchewan/Orion Health Collaboration
• Project aligns with the province’s overall interoperable EHR
strategy - integrates Orion Health’s Clinical Portal
Saskatchewan applications.
• Integration - multi-vendor, cross-collaborative team of Project
Managers, Healthcare SME’s, Technical Leads and
Implementation Consultants.
• Canada Health Infoway as a funding partner
Orion Health’s Role
Orion Health worked in conjunction with eHealth Saskatchewan
to provide:
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Subject matter expertise;
requirements validation;
product installation;
Integration services;
Product configuration;
testing; and
deployment services
Today, eHealth Saskatchewan and Orion Health continue to work
together in delivering new clinical features and functionality
Initial eHR assets
Patient data in Saskatchewan is created/stored in various
systems.
For example:
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Laboratory Information Systems
Pharmacy Information System
Saskatchewan Immunization Management System (SIMS)
Radiology Information System (RIS) and Picture Archiving and
Communications System (PACS)
• Hospital Systems (Sunrise Clinical Manager)
• Physician Electronic Medical Record (EMR) systems
• Transcription Systems
Goals in building the eHR Viewer
The SK EHR vision is “Simply stated… getting the right
information, to the right individual, at the right time, in the right
place!” to:
• Improve quality of patient care through informed decision making,
• Improve the patient experience through the coordination of service
delivery,
• Improve overall efficiency and sustainability of the health sector,
• Inform management decision-making and provide the necessary
information base,
• Support planning, outcome measurement, accountability and research.
Goals of the Project Team
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Provide value to the patients, clinicians/health care
providers
Align with health system priorities
Continue to leverage the supporting infrastructure
for the EHR
Continue to evolve the EHR infostructure
Continue to Add Value – make it “do-able”
Evolution of eHR Viewer
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Diagnostic images
Clinical encounters
Integration with hospital systems in
context
Patient Portal
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Remaining Health Regions & Canadian Blood
Services Labs
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Pharmaceutical profile (PIP)
Drug Allergies & Contraindications (PIP)
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Sun Country, Mamawetan, Saskatoon
BloodBank Labs
Future
2013
Provincial Standard Lab message
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SDCL & Sunrise Labs
Immunization information
Discharge Summaries
Clinical Document Repository
Chronic Disease Management Data
Clinical Observation Repository
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Prince Albert Parkland & Prairie North Labs
2012
2011
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2010
2009
− eHR Viewer (IDM, patient demographics &
Lab Results, Privacy services)
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Integration w/ Shared Client Index
Saskatchewan Lab Results
Repository(SLRR)
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Five Hills & Kelsey Trail Labs
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Direct Lab Distribution to EMR’s
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Regina Qu’Appelle & Saskatoon Labs
eHR - Architecture
Clinical Data in the eHR Viewer
Clinical Data in the eHR Viewer
• Demographic information to uniquely identify a patient
Clinical Data in the eHR Viewer
• Laboratory Test Results
Clinical Data in the eHR Viewer
• Dispensed Medications
Clinical Data in the eHR Viewer
• Known Medication Allergies and Intolerances
Clinical Data in the eHR Viewer
• Immunizations
Clinical Data in the eHR Viewer
• Transcribed Clinical Reports – Discharge Summaries
Clinical Data in the eHR Viewer
• Chronic Disease Management indicators
Who uses the eHR Viewer
The eHR Viewer is currently in many health care settings:
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Community Pharmacies
Walk-in Clinics
Specialist Clinics
Family Practice Clinics
Saskatchewan Cancer Agency
Saskatchewan Institute of Applied Science and Technology (SIAST)
Campus Health Center
• Wascana Rehabilitation Center
• Regional Health Authority Laboratory Medicine Medical Staff
(Pathologists, Hematopathologists, Medical Biochemists and Medical
Microbiologists)
eHR Viewer Users
Benefits
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Fewer duplicate tests and quicker access to information
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Access to over 90% of all lab results.
Lab Results Repository has more than 30 million lab test results, (60,000/day).
History of previous testing
Integration to Pharmacy Information Program repository provides access to over
105 million prescriptions (43,000/day).
Ease of use and implementation - Intuitive user interface
Highly scalable and able to integrate with other health systems
and data domains.
As eHR Viewer is rolled out across the province, clinical data will
be available anywhere a patient seeks medical care in province
Facilitates the
sharing of patient
centric information
across the
continuum of care
A more
accurate &
timely
picture of
the patient
Faster
diagnosis
Less time
waiting for
information
Better
treatment
decisions
Reduced
duplicate
laboratory
testing
Actively
involve
patients
Reduced
duplicate
medication
treatment
Supporting
patient
confidentiality
Lessons Learned
• Rigorous project planning and execution
• Strong project governance structure (agile decision-making)
• Steering Committee
• Clinical Consultation
• Privacy and data governance
• Build the right team – “One Team” approach
• Never under estimate the time for each project phase
• Do-able value added releases
Lessons Learned
• Ensure supporting business process readiness
• Streamline the on boarding process:
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Online User Self Registration
Online Acceptance of User Agreements
Online training and self-directed tools and supports
Online User account management (Password resets)
Document, Document, Document
Test, Test, Test
Keep an eye on performance
Pilot with providers – “limited production roll-out”
A few more testimonials…
“The eHR Viewer is the best lab information source I have
seen…the interface is intuitive. I can quickly log on from
anywhere; it is easy to find patients; and best of all, even if a
patient's tests were done in another health region, the results
are still immediately available.“
Dr. Milo Fink – Saskatchewan Physician
“Since I began using the eHR Viewer I have been able to
impact patient care in a positive way each and every day.”
Kimberly Sentes – Saskatchewan Pharmacist
Questions
For more information:
Kevin Kidney
Project Director, EHR
eHealth Saskatchewan
Office: 306.337.5510
Mobile: 306.591.2654
E-mail: kevin.kidney@eHealthsask.ca
Mike Craig
Vice President
Orion Health
Office:
Mobile:
E-mail: michael.craig@orionhealth.com