1. Imagine IT February, 2009

2. Our goals for today  Review why we need an electronic Health Record  Present a high level overview of the plan  Steps we have taken so far  Activities for the next couple of years  Preview core building blocks of the e-HR  Computerized Physician Order Entry  Bar Code Scanning 2

3. The current state  Hundreds of millions of laboratory tests, prescriptions, and hand written records are produced every year in Canada by thousands of doctors, hospitals, clinics and pharmacies  The health system is facing increased pressures as a result of an aging and growing population, shifts in care settings, provider shortages, economic conditions, etc  More paper is not the answer 3

4. Where do we go from here?  An electronic Health Record has tremendous potential to reduce the burden on health care providers and improve the delivery of safe patient care  Seamless patient encounters  Easy and secure access to the complete patient record anytime, anywhere  Decision support tools and access to evidence-based treatment information 4

5. Great but… How do we do this?  Information Management initiatives need to be implemented in a certain sequence to produce a secure and reliable electronic health record 5

6. Steps taken so far  Completed several upgrades, enhancements and infrastructure  Stabilized Provider Portal, Fixed issues with dictation records; Upgraded STAR, Trace-master (ECG’s), ESP(Staff Scheduling) and ED Tracking Board; network and firewall; Disaster Recovery; “stand-by” backups; encryption  Improved day-to-day operations and Customer Service  2008 award for the “Most Improved” Customer Satisfaction  Mobilization of next phase  Enterprise wide IM strategy and Vision; Peri-operative, Emergency Department, Intensive Care Unit and Wireless RFP’s; Drug Profile Viewer; Incident Reporting Solution;Advanced Clinical Infrastructure; Pilot collaboration for new intranet 6

7. Over the next two years we will continue upgrading the core …  Core upgrades and infrastructure  ICU Upgrade  Pharmacy Upgrade  PACS Upgrade  Portering  Wireless infrastructure  Care Record (e-HR foundation) 7

8. … and deliver several advanced solutions  Peri-operative Charting, scheduling, materials management  Instrument Management  Nephrology IS  Clinical Doc Phase 1 (HOBIC)  Emergency Care  Bedside Medication Admin & Bar-coding  Physician Order Entry (CPOE)  Regional Diagnostic Imaging Repository  Regional Clinical Viewer 8

9. Preview: Computerized Physician Order Entry  This presentation will provide an overview of computerized physician order entry (CPOE) in the context of an emergency room visit that continues on into the in- patient setting of care. This presentation will also demonstrate how integrating CPOE with electronic progress notes and the portal can help us achieve higher levels of patient safety and easily access real-time patient information  Presented by Seema Kumbhat, MD Vice President Medical Affairs at McKesson Corporation. 9

10. Preview: Bar Coding and Clinical Documentation  This presentation will provide an overview of how bar code scanning and clinical documentation enables the entire care team to review key clinical data in real time before a medication is administered — improving patient safety by helping to stop errors before they can occur. A patient-specific flow sheet incorporates integrated clinical data so that nurses can chart and view relevant information such as I&O, lab data and vital signs while administering medications and infusions.  Presented by Andy Burnett, RN, FA. Senior Nurse Executive at McKesson Corporation 10

11. To find our more please contact  Marnie Fletcher, Chief Privacy Officer (mfletche@stjoes.ca) ext 33379mfletche@stjoes.ca  Gerardo Castaneda, Chief Information Officer (gcastane@stjoes.ca) ext 34184gcastane@stjoes.ca 11

12. Questions? 12