1. Breaking Down Barriers to Health Information Exchange: How Clinical Leadership is Shaping ConnectingGTA e-Health Conference 2013: Accelerating Change May 27, 2013, 3.30 p.m. Presented by: Dr. David Daien, Co-Chair, Clinical Working Group; Physician IT Lead and Vice- Chair, Summerville Family Health Team Dr. Peter Rossos, Co-Chair, Clinical Working Group; Chief Medical Information Officer, University Health Network

2. 2 | Confidential—not for public distribution Presenters: Dr. David Daien, Co-Chair, Clinical Working Group; Physician IT Lead and Vice-Chair, Summerville Family Health Team Dr. Peter Rossos, Co-Chair, Clinical Working Group; Chief Medical Information Officer, University Health Network Relationships with commercial interests: Nothing to disclose Presenter Disclosure

3. 3 | Confidential—not for public distribution 6 Local Health Integration Networks 750+ Health Care Organizations 6,267 Family Physicians 6,930 Physician Specialists 49,905 Nurses All sectors of care: Acute Care Community Support Services Complex Continuing Care Long Term Care Mental Health & Addictions Primary Care Rehabilitation ConnectingGTA will improve the patient and clinician experience by delivering a regional electronic health record for 6.75M individuals

4. 4 | Confidential—not for public distribution Regional referral patterns require addressing diverse clinical needs across all sectors of care 150+ clinicians directly involved to date 35,000+ patient transfers a year 20,000 target in first rollout

5. 5 | Confidential—not for public distribution How Clinicians are Shaping ConnectingGTA Organizing for Clinicians Working with Clinicians ConnectingGTA’s Clinical Engagement Approach & Model

6. 6 | Confidential—not for public distribution Engage the right people at the right level & time

7. 7 | Confidential—not for public distribution Place clinicians in leadership roles Establish a clear governance model & processes Program Steering Committee ConnectingGTA Program Team Participating Organizations & Clinical Systems Clinical Working Group Technical Working Group Privacy & Security Working Group FUNDERS: eHealth Ontario, Canada Health Infoway clinical co-chairs

8. 8 | Confidential—not for public distribution Enlist clinicians from start to finish

9. 9 | Confidential—not for public distribution Allocate funding for work effort Create & commit to guiding principles Be transparent about unknowns & limitations Patient-centred approach Support continuity of care Deliver clinical value quickly Leverage expertise & experience Build a compelling value proposition

10. 10 | Confidential—not for public distribution Exchange ideas to deliver clinical value

11. 11 | Confidential—not for public distribution Input must be clinically relevant Use input in a meaningful way CCAC Documentation Diagnostic Imaging Reports Drug Information Lab Results Hospital Reports 1 Single Sign-On 2 Log in directly to Portal 3 Via Other Portals 4 Direct Integration Priority data types Workflow

12. 12 | Confidential—not for public distribution Envisage solution from the clinical perspective

13. 13 | Confidential—not for public distribution Our Ongoing Commitment to Clinician Involvement Requirements Definition Vendor Selected Clinician Input Front & Back-end integration Clinician Input Training Go-Live Clinician Input Front-end configuration, testing & design Clinician Input

14. 14 | Confidential—not for public distribution Involving Clinicians in System Design Hold design sessions on modules Usability testing on modules Iterative solution changes Clinical Working Group Validation Solution Finalized 16 Clinical Working Group members 20 Clinical Solution Team members & Clinician Champions 23 Clinicians supporting validation 40 Usability Testers (no prior project involvement) Input from clinical body on requirements Issues & concerns escalated as needed to appropriate working groups

15. 15 | Confidential—not for public distribution Embed adoption locally

16. 16 | Confidential—not for public distribution Program Team & Clinical Working Group Provide customizable tools & materials Site Project Manager & Clinician Champions End User Leverage local best practices & expertise Provide options to encourage participation Seek feedback and be flexible with support Customize materials for local activities Guide Adoption Centrally, Execute Locally

17. 17 | Confidential—not for public distribution DO NOT REINVENT THE WHEEL ANTICIPATE DELAYS & turn them into opportunities TAILOR COMMUNICATIONS for clinicians DO NOT UNDERESTIMATE the work effort ESTABLISH EXPECTATIONS & PROCESSES with the Program team ConnectingGTA’s Clinical Engagement Approach & Model Organizing for Clinicians Working with Clinicians

18. 18 | Confidential—not for public distribution ENGAGE the right people at the right level & time ENLIST clinicians from start to finish EXCHANGE ideas to deliver clinical value ENVISAGE solution from the clinical perspective EMBED adoption activities locally ConnectingGTA’s Clinical Engagement Approach & Model Organizing for Clinicians Working with Clinicians

19. Thank You! Questions? For more information please email ConnectingGTA@uhn.ca orConnectingGTA@uhn.ca visit ConnectingGTA at: www.ehealthontario.cawww.ehealthontario.ca