1. 1 BC First Nations Panorama Implementation Project (FN PIP) Overview

2. 2 2 What Is Panorama?  Public health information system currently under development  Will provide ability to collect, share and analyze health information  Will assist public health officials responding to outbreaks such as:  SARS  West Nile Virus  Avian Influenza  Salmonella  Listeriosis

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4. 4 4 What Is Panorama?  Over time, Panorama will include key public health functionality to support:  Immunizations – individual and mass immunizations, client forecasts, coverage reports  Communicable Disease Case Management – surveillance and management of reportable communicable diseases  Outbreaks – aggregate and detailed information about communicable disease outbreaks

5. 5 5 What Is Panorama?  Work Management– multiple bookings, team workloads, task management  Notifications – client warnings re: allergies, adverse reactions/events  Family Health –support, care and guidance in non-primary care areas including maternal/infant health, child health, and assessments  Vaccine Inventory – management of inventory levels, future forecast of demand

6. 6 Key Messages  FN and Health Canada clinical staff will use BC’s instance of Panorama  There are ~ 130 FN Health Centres in BC – these are FN PIP’s implementation sites  Each FN Community can choose to adopt, or not  FN implementation schedules will be FN-driven  FN-specific requirements will need to be accommodated (e.g. P&S, AAI, JOrg, AOrg, reporting, UDFs, etc.)  FN PIP Team is not planning for simultaneous HA / FN Health Centre implementation

7. 7 Key Messages  Health Centres visited to date are keen to adopt  “Appropriate process” seems more important than fast implementation  Direction from Partners that FN PIP contribute to “Transformative Change” within BC’s health systems  FN PIP Team is keen to explore opportunities to “integrate” into RHA’s overall Panorama implementation / support plans

8. 8 Key Messages  FN PIP Team is working with FN Telehealth Expansion Team, FNIH/FNHS Co-Management and FNHC Health Planning and Engagement Manager to coordinate readiness assessments  Suggestions that FN PIP (and Panorama) be used as a catalyst for coordinating FN / HA public health processes and programs  Many significant dependencies remain prior to FN implementation (ISAs, network/connectivity, training/support models, etc.)

9. 9 Tripartite / TFNHP Context - FN eHealth Governance  Tripartite Strategy Council for First Nations eHealth  Strategic direction for BC First Nations eHealth  Alignment of Tripartite partner’s strategy & investment  Tripartite Technical Working Group for First Nations eHealth  Analysis & planning of non strategic issues  Supports Tripartite Strategy Council  First Nations eHealth Co-Management Model  Key BC First Nations eHealth operational entity  Manage First Nations eHealth infrastructure, shared services, investments, and standards development

10. 10 Project Background  BC First Nations Panorama Implementation Project (FN PIP)  Launched to support the adoption of key components of Panorama by both Health Canada and First Nations community public health resources  Business case approved in April 2008  Working Group established in Sept 2009  Phase 1 Project Charter signed in Oct 2009

11. Project Governance

12. 12 Project Vision To ensure access to Panorama for all BC First Nations health service providers, for improved quality of service across health jurisdictions through seamless access to appropriate and timely information, within the framework of the Tripartite First Nations Health Plan.

13. 13 Project Objectives  Panorama implementation and access in First Nations Health Centres  First Nations data stewardship  First Nations eHealth capacity development

14. 14 Benefits From a Health Director’s Perspective  Continuity of care:  More accurate immunization records  Co-management of care for multiple communicable diseases  Patient safety:  Ready access to information regarding Adverse Events Following Immunization and Adverse Drug Reactions

15. 15 Benefits From a Health Director’s Perspective  Disease prevention and control:  Improved immunization program management  Notifications of communicable disease cases and improved contact tracing records  Information Management:  Quality of service and information- sharing can be improved across health jurisdictions.

16. 16 Benefits From a Health Director’s Perspective  Service delivery:  Process duplication can be reduced and service delivery coordinated, especially for First Nations community members who may access services from First Nations, Health Canada and Health Authorities.  Increased efficiency and capacity:  Public health professionals and health centres can benefit from workflow improvements and increased efficiencies, as well as the introduction or enhancement of process standards.

17. 17 Benefits From a Health Director’s Perspective  Partnership in the pan-Canadian public health system:  By being able to input, own and manage First Nations client health data within Panorama, First Nations health providers can participate with provincial partners in this public health information system.  Freedom of choice:  First Nations communities will have the choice to use Panorama.

18. 18  High-level approach:  Broad communication and engagement  Site visits, Tripartite memo, info sheets  Ask for expressions of interest in Panorama  Request issued on Sept 7, 2010  21 Health Centres expressed interest so far  Two information teleconferences to be held in September & October  Deadline for responses = Nov 30, 2010 Project Approach

19. 19  High-level approach:  Work with interested First Nations to develop an implementation schedule  Work with a few Health Centres initially to refine an implementation process  Support remainder of interested First Nations to implement Panorama in their Health Centres Project Approach

20. 20 Implementation Approach  Initial implementation to focus on 2-4 health centres:  Implementation checklist will help to determine site readiness  Understand and address tasks, challenges and opportunities related to implementation of a provincial public health system for FN/HC users (at an initial, small, manageable scale)  Develop tools, templates and processes that will also support implementations at other health centres

21. 21 Implementation Approach  FN PIP Working Group to meet ~ every 8 weeks to support implementation process :  Process/standards alignment with Health Authorities and BCCDC  Reporting requirements  User support/training models  Privacy and data access requirements  Alignment with provincial operations and governance models  Template / toolkit development  Issues management

22. 22 Implementation Approach  Post-implementation review and assessment of initial 2 – 4 sites will be conducted  Review and refine toolkit with stakeholder input  Establish an onboarding process and schedule with Health Centres willing and ready to adopt  Replicate implementation process across additional health centres  Stabilize ongoing operational support models (and integrate with provincial and RHA models where appropriate)

23. 23 Implementation Checklist

24. 24 Implementation Checklist

25. 25 Implementation Checklist

26. 26 Implementation Checklist

27. 27 Implementation Checklist  Used by Project Team to:  inform detailed project plan  measure project progress  help evaluate site readiness  track external dependencies  communicate progress and status  communicate dependencies / barriers  Identify Community Signing Authority

28. 28 FN Health Centres Visited to Date  Westbank (and ONA)  Sto:lo Nation  Lake Babine  Ts’ewulten  H’ulh-etun  Seabird Island  Esketemc  Three Corners  Tsawout  Gitanmaax  Glen Vowell  Kispiox  Fraser Lake  Yekooche  Saik’uz  Songhees  Sliammon  Kitsumkalum  Squamish  Nuu-chah-nulth (Port Alberni)  Takla Lake

29. 29 Next Steps  Ongoing FN PIP Working Group meetings  Ongoing Governance / Planning discussions with Tripartite Partners  Continue initial visits to Health Centres  Continue follow-up visits for current-state analysis (P&S, Business, Technical)  Work with FNIHB and other regions to identify standardization points  Continue to receive and follow up early adopter expressions of interest  Continue to coordinate with Health Authorities’ activities  Continue to identify and analyze “integration” points and transformative change opportunities

30. 30 Questions and Contact Info  Questions?  Contact Info  Karl Mallory – Project Manager  Karl.mallory@gov.bc.ca Karl.mallory@gov.bc.ca  250-818-7702