1. The Community Health Information Network Abigail Dancey Community Care Access Centre of Waterloo Region CANARIE Workshop Showing Results – Sharing Knowledge Toronto, Ontario November 4, 2004

2. Integration in Health Care Integration a key component to federal/provincial health mandates Organizational boundaries, different systems were barriers The CHIN is a secure technological solution that “bridges the gap”

3. Objectives About CCACWR Understand the CHIN system Understand information transfer Achievements Future developments

4. Community Care Access Centres 42 CCACs across Ontario Coordinate delivery of community based health care and placement services CCAC of Waterloo Region $41 M operating budget 100% funded by MOHLTC 19 300 clients served in 2003/04

5. CHIN’s Core Value Proposition CHIN links existing systems and provides information to users in ways not available through existing information systems AND CHIN streamlines work by reducing duplication within the information exchange process

6. The History 1995 – CHIN concept conceived and evolved Group of committed health care providers in the Waterloo Region 1999 – First pilot project 2001 – e-Billing module Contracted service providers Electronic transmission of billing files Reduced invoice payment turnaround time - 21 days to 3 days

7. What CHIN is and is not CHIN is: Individual focused Shares client health information between organizations Provides access to longitudinal client health information from multiple sources Accessible at all points of care in a timely manner CHIN is not: Organization focused An operational system i.e, client information system A single physical data repository An information highway like SSHA but an application that runs on it Adapted from Alberta Health and Wellness – Building an EHR

8. CHIN Architecture

9. Transportation of Information Three main methods to transfer information “Pull” reports Electronic forms (smart forms) Secure e-mail

10. Long Term Care Wait List Report LTC Employee Marshall Lisa CCAC Resource CM Cambridge Country Manor Chateau Gardens Columbia Forest Fairview Mennonite Forest Heights Golden Years Heritage House

11. RAI-HC Assessment Results

12. Partnerships with Service Providers

13. CHIN E-Mail

14. CHIN Security Features

15. CHIN: Now 4 communities 58 organizations 268 users 3600 messages exchanged weekly

16. CHIN: Future CHIN module for communicable disease outbreak CCACWR Region of Waterloo Public Health Unit Cambridge Memorial Hospital / Grand River Hospital / St. Mary’s Hospital 23 Long-term Care Facilities (in future planning phase)

17. Conclusion CHIN uses existing technology to connect health care teams CHIN’s efficiencies allow increased focus on clients CHIN provides enhanced security along its communication channel

18. The Community Health Information Network Abigail Dancey Community Care Access Centre of Waterloo Region CANARIE Workshop Showing Results – Sharing Knowledge Toronto, Ontario November 4, 2004