HIS Vision for Central East LHIN September 24, 2014

HIS Vision for Central East LHIN
Update to the LHIN Board
September 24, 2014
Karol Eskedjian, eHealth Program Manager Central East LHIN
Hospital Vision for Central East LHIN – June Update
Update – July, 2014
Board Motion - Feb 26, 2014
 Progress to Date
 Survey
 Draft Report
 Next Steps
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HIS Vision Schedule
Project Plan
Stage 1:
Project Initiation
Stage 3:
Current State
Assessment
Stage 2:
Visioning
(April 16-25)
(April 28-May 30)
(May 26-Aug 8)
Visioning Workshop
(MAY 21)
Key Deliverables
Stage 4:
Future State
Development
Current State
Hospital
Assessments
x9 hospitals
Stage 5:
Report Development
(Aug 11-Sep 4)
Strategy and
Roadmap for
preferred
options
Draft
Report
(SEPT 4)
Stakeholder Engagement
ILC #1
(Apr 30)
ILC #2
(May 13)
IWG #1
(May 14-20)
IWG #2
(Jun 11-20)
Governance
Check-in #1
(May 21)
Integration Leadership
Council
IWG:
Integration Working
Group
LHIN Board
Update
(May 28)
Joint IWG
(July 15)
IWG #4
(Aug 4-11)
Governance
Check-in #2/
Update to CEOs
(Jul 28)
Acronyms
ILC:
ILC #5
(Aug 12)
Analysis
review
ILC #4
(Jul 8)
ILC #3
(Jun 10)
Public
Survey
(Sept 7 –
Oct 17 )
Draft Report
out
(Sept 4)
LHIN Board
Update
(Jun 25)
3
ILC #6
(Sep 9)
Present/discuss
draft report
Hospital
(ILC/IWG)
Response
LHIN (Sept 26)
Board
Hospital
Governance
update
Board
Check-in #3/
(Sept24)
Response
(Sept 15 )
(Oct 10)
CEOs share
report with
LHIN Board
their Boards
Meeting
Presentation
(Oct 22)
Hospital Vision for Central East LHIN
 Progress to Date
 Leadership Group and Working Group meetings completed (August 26)
 Draft Final Report provided to Central East LHIN and Hospitals (September 4)
 Validation of Current State - Complete
 Environmental Scan - Complete
 Future State development of recommendations / options - Complete
 Governor Check-in with Board representatives and Hospital CEOs to discuss
and provide initial response to Draft Final Report (September 15)
 Survey on Vision Aspirations and Guiding Principles on website (September 7)
asking broader stakeholders for input and feedback
 Clarification and feedback of report has commenced; Change Control Tracking
by the team to ensure all feedback is gathered.
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Hospital Vision for Central East LHIN
 Survey to Stakeholders
 Survey for feedback and input on the HIS Vision, posted to the Central East
LHIN website on September 7, open for responses until October 17, 2014.
http://www.centraleastlhin.on.ca/goalsandachievements/Integration/HospitalInformati
onSystem-HISVision.aspx
 Survey content will focus on:
 Aspirations for what “IT – enabled care” will look like in 2024;
 Guiding Principles that will support evaluation of options and
recommendations toward the HIS Vision;
 The Vision Aspirations and Guiding Principles are considered iterative and will continue
to evolve.
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Hospital Vision for Central East LHIN
 Draft Final Report
 The Draft Final Report on the HIS Vision was submitted on September 4 to
 LHIN CEO
 Hospital CEOs
 Working Group membership (including Clinical, Technical and Financial)
 Board Representatives for the HIS Vision integrated Planning process
 LHIN Project team tracking all feedback and changes and will provide the list weekly back to the hospitals
lead to share with their stakeholders
NOTE: The Integration Leadership Council (CEO meeting in August) requested a one-month extension of
presentation to the LHIN Board to allow time for their Hospital Boards to meet and review and provide
feedback
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Hospital Vision for Central East LHIN
 Next Steps
 Feedback and information will be provided by each hospital by September 26 to the
Central East LHIN
 The Hospital Boards will review and provide feedback on the Draft Final Report.
 LHIN Project team tracking all feedback and changes and will provide the list weekly
back to the hospitals lead to share with their stakeholders
 Additional material will be compiled to include:
 Feedback by the stakeholders and hospital Boards
 Survey Results from the broader public consultation
NOTE:
 Hospital CEOs, at meeting in August, requested a one-month extension of presentation to the
LHIN Board to allow time for their Hospital Boards to meet and review and provide feedback.
 The presentation will be made to the LHIN Board on October 22, 2014.
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Vision Elements
Aspirations for IT-Enabled Care in 2024…
• Patients will be partners and have a key role in
Enabling
Patients as
Partners
managing their own care through technology
(e.g. mHealth, care collaboration solutions, etc.)
• Patients will be able to choose healthcare
Enhancing
Delivery
Options
delivery options that suit their preferences and
needs through IT enabled access to information.
• Patients and their information will travel
Improving
Transitions
seamlessly across care settings, and the right
information enables seamless operations /
navigation throughout the system.
• Patients will benefit from the same level of
Ensuring
Minimum
Baseline
Standards
integrated health information access regardless
of the provider they visit.
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• Providers will be able to increase a patient’s
capacity to “self-care” through improved
electronic access to health information.
• Providers will be able to contribute to better
outcomes with enhanced ability to communicate
with various patient populations in different
ways.
• Providers will integrate their clinical processes
across care settings through seamless
information sharing as patients move across the
system.
• Providers will have access to interoperable
technology that enables consistent use of
standard clinical processes to support quality
and safety of patient care.
Guiding Principles 1of 2
Principle
Descriptor – When evaluating delivery options for HIS, we will:
1. Patient Engagement &
Access
 Ensure patients will have ease of access to information and delivery of care
 Focus on patients’ ability to participate in their own care
2. Total Cost of Ownership
 Consider not only the initial cost of the system, but also all the costs
associated with:
• implementation
• consulting
• training
• change management
• enhancement over the lifetime
• sustaining the system
 Evaluate whether the options can respond and adapt to new situations
 Evaluate whether options can integrate with new technologies, and emerging
eHealth assets
3. Flexibility to Scale &
Respond
4. Time to Value
 Evaluate whether the benefits of the solution can be realized in a timely
manner (i.e. a solution that takes 8-10 years implementation may not be
feasible)
 Evaluate whether a solution can be implemented at a fast pace to make an
impact without compromising patient safety
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Guiding Principles 2 of 2
Given
Supports Regional Plans
Leverages Synergies
Supports Quality and Patient Safety
Descriptor – The option must:
 Support regional growth and capacity, and should mirror other functions
within the organization
 Leverage existing synergies between provincial eHealth solutions,
regional assets (such as cGTA) and provider solutions (existing or
planned) that could enhance the hospitals’ ability to create synergies in
the future
 Have patient safety and quality of care at its core, and enhance patient
safety and patient care management with technology
 Offer a higher probability of a high quality encounter with the healthcare
system
Increases Clinicians’ Ease of Use
Supports Connectivity
 Ensure new system(s) encourage clinicians’ use through intuitive user
interfaces
 Consider the system’s ability to drive alignment on practices and improve
clinician workflows
 Enable workflow between clinicians and other HSPs and allow for
connectivity within hospitals, between hospitals, and with other service
providers in the LHIN (such as the CCAC) and outside the LHIN to meet
patient needs
 Improve continuity of patient information
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Questions?
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