1 Northern Ontario e-Health Information and Communication Technology Tactical Plan October 25, 2007

2 The most comprehensive e-Health ICT Blueprint in Ontario, covering the continuum of healthcare service providers Phase 1 – 52 organizations participated All hospitals (including acute mental health and regional cancer programs 9 Community Care Access Centres 6 Community Health Centres The Group Health Association Phase community health organizations addictions, children’s treatment, community support service providers, independent health facilities, long term care homes, mental health, public health 200 community pharmacists 43 nurse practitioners 28 family health teams 1,100 physicians Volunteers Chronic disease and patient management programs

3 Strategic Framework Information and Communication technology supports the processes of quality healthcare provision, access to health information, improvement of consumer outcomes, and the most effective use of available resources across Northern Ontario, through collaboration and sharing information amongst providers and with consumers Northern Ontario ICT Vision Northern Ontario e-Health ICT Goals  Improve consumer access to health information to support informed decision making  Improve communication among service providers  Improve care delivery  Improve service delivery management  Enable information integration and communication among stakeholders and sectors  Commit to research, education and knowledge transfer  Maximize available funding  Ensure a planned and coordinated approach to eHealth and ICT in Northern Ontario

4 Northern Ontario e-Health ICT Strategies 1. Establish the Electronic Record within individual organizations 2. Establish capability to share information among electronic records to facilitate information integration 3. Use technologies to promote service provider communication 4. Use technologies to support consumers to achieve improved health outcomes 5. Build on existing provincial initiatives – WTIS/EMPI, OTN, PACS, OLIS 6. Develop system-wide decision support capability, facilitating evidence-based decisions 7. Support work effectiveness 8. Support research and education 9. Develop technical and support infrastructure and utilize new technologies to match requirements 10. Maximize available resources

5 Tactical Plan Project Prioritization Criteria  Aligned with stakeholder priorities  Aligned with provincial strategies  Support LHIN priority areas for change  Foundation to other projects  Core projects  Promotes communication and  sharing of information  Addresses a significant risk, e.g. patient safety  Mandated by the province  Builds on/leverages successful projects  “Doability”  “Affordability”  Funding availability  Promoting positive outcomes for clients  Common “denominator” project  Promotes continuity of care e-Health ICT Implementation Road Map  Includes provincially-mandated projects  Covers four years  Each project described in presentation  Prerequisites and dependencies are complex

6 Strategies and Priority Projects Sharing and Collaboration of Health Information Content CollaborationStandards & Interoperability #6 System-wide Decision Support Capability #2 Information Sharing and Integration #3 Service Provider Communication #4 Information to Consumers #5 Build on Provincial Initiatives #7 Support Work Effectiveness #8 Support Research and Education #1 Electronic Content #9 Infrastructure #10 Maximize Resources Strategies Priority Projects #1 Project Management Office #2 Technical Infra- structure & Support #13 Administrative Systems #6 Access to Telehealth #5 Leverage Provincial EMPI #12 OLIS Alignment #11 PNOPP #16 Expand ODB Viewer #15 Consumer Portal #3 SSHA Connectivity #4 Secure #8 e-Referrals #7 Clinical Provider Portal #14 Directory of Services #10 Electronic Records #9 e-Physician Strategy Vision

7 Regional ICT Infrastructure, Support, Integration 2007/082008/092009/102010/112011/12 Project Management Office Integration Framework, Architecture, Standards SSHA Connectivity/ONE Mail Leverage Provincial EMPI Access to Telehealth Clinical Provider Portal/Clinical Viewer e-Referrals e-Physician EHR Content Administrative Systems PNOPP Expand ODB Viewer Access Priority 1 Priority 2/3 Legend Directory of Services Consumer Portal OLIS Alignment

8 Governance Principles  Includes all stakeholders from across the continuum of care;  Supports expeditious planning and implementation of the Blueprint directions;  Has a structure and process for communication and input from the stakeholders;  Advocates for and supports a change management and adoption/ uptake program to support the implementation of the e-Health ICT Blueprint;  Leverages current strengths, structures and experience in Northern Ontario;  Promotes an integrated approach in Northern Ontario, while respecting the unique circumstances of communities and service providers;  Supports LHIN accountability agreement for e-Health; and  Is proactive in supporting adoption of innovative technologies that are of benefit to health information management in Northern Ontario

9 Governance (Structure and Membership) NW LHIN NE LHIN NE e-Health Lead NE LHIN ICT Advisory (incl.non-LHIN funded orgs. ) NE e-Health Lead NE LHIN ICT Advisory (incl.non-LHIN funded orgs. ) Additional Continuum of Care Members Additional Continuum of Care Members NW e-Health Lead NW LHIN ICT Advisory (incl. non-LHIN funded orgs. ) NW e-Health Lead NW LHIN ICT Advisory (incl. non-LHIN funded orgs. ) NE PMO NW PMO ONe-Health Membership: 28 members: Including 8 positions from each ICT Advisory, including e-Health leads NE and NW equally represented Not sector-based representation – maintain focus on the information of the client/patient holistically Working Groups 2 e-Health Leads 2 LTC 2 CCAC 2 Community Support Services 2 Community Mental Health 2 Addictions 2 Acute Care 2 CHC francophone /aboriginal) 1 Public Health 1 Pharmacy 1 IHF 1 CTC 2 Physicians 2 Small Hospitals 1 Nurse Practitioner 3 Acute Care Ex-Officio: 1 FNIHB 1 NOSM 1 SSHA 1 FedNor 1 CHI 1 e-Health 1 OTN

10 Governance (Overview and Rules of Engagement) PNOPP DOS E-Physician Clinical Provider Portal (Clinical Viewer)/EHR Regional ICT Privacy Advocacy and Communication Each member is part of a task force/ working group/subcommittee Pan Northern Board as Service Delivery oversight LHIN to purchase services not deliver Would cover Help Desk, bundle of services for physicians, etc. Accountability would be covered through SLA within LHIN Working Groups NW LHIN NE LHIN NE e-Health Lead NE LHIN ICT Advisory (incl non-LHIN funded orgs. ) NE e-Health Lead NE LHIN ICT Advisory (incl non-LHIN funded orgs. ) Additional Continuum of Care Members Additional Continuum of Care Members NW e-Health Lead NW LHIN ICT Advisory (incl non-LHIN funded orgs. ) NW e-Health Lead NW LHIN ICT Advisory (incl non-LHIN funded orgs. ) NE PMO NW PMO