ALBERTA HEALTH SERVICES ITAC Alberta eHealth Update October 2009

AHS Strategic Directions

Supporting Services Layer Key supports for the delivery of care Lab DI Rx Identity Management (person, provider, etc.) Interface Engine, Repositories, Data Warehouses Document Mgmt Registration Referrals Patient Context Layer Presents Clinicians (& Patients) with views of the shared patient record relevant to their context of care or service ASSESS PATIENT PROVIDE CARE PLAN CARE EVALUATE OUTCOME CPOE/Clinical Decision Support/Clinical Documentation Patient Care & Services Where Clinicians interact with patients, supported by transactional clinical systems and relevant decision support Measurement and CQI (real time data; activity based costing) Transition out of Care Episode Transition into Care Episode Acute Ambulatory Primary Communit y Systems Scheduling Clinician PatientClient Supporting Services Layer Key supports for the delivery of care (not shown but includes Corporate Systems) Clinical Services Vision: ‘Integrated’ IT Enabled Care (5 to 10 yrs)

4 Maturity Scale for IT Enablement of Business Goals/Vision 0. Variability Difficulty navigating system, inconsistent information, lack of standardization 1. Standardization Standard content & processes: policies, procedures, strategies & plans, functional & reporting requirements, service levels, roles & responsibilities. 2. Automation Automated confirmation, complete information exchange & messaging, trusted sources of information 3. Intelligence Automated decision support, dashboards, coordinated events, handoffs & triggers Increased standardization of business processes will facilitate IT enablement of Business Goals/Vision Current Situation: Different AHS businesses at different stages on this scale

Target 5 Progress to this Environment will be Staged The IT Roadmap will: Align with AHS business priorities Extract business value along the way Trade-off cost, risk and business value in making decisions to consolidate, optimize or add/replace IT assets Maintain momentum while moving toward business goals and IT’s target environment Target  Planned evolution Coherent IT world ("Big bang") Opportunistic ("Patching") Year 2 Year 1 X X Today Business Value Time