1. Introduction Canada Health Infoway’s vision is for all Canadians to have an electronic health record (EHR) by 2016. Ontario’s provincial strategy is aligned with this vision, as is the Central East Local Health Integrated Network (CELHIN). Rouge Valley Health System (RVHS) invested in an electronic documentation system (OBTraceVue )to help achieve this common vision. OB TraceVue, or more commonly known as OBTV by the clinical staff has the potential to cover the entire continuum of gynecological and obstetrical care, combining surveillance and alarming with comprehensive patient documentation and data storage in one system. B- Robust Educational Plan  Information and communication (ICT) literacy assessments  Development of multiple educational material (technical self learning package, reference checklists, roadmaps, evaluations) B- Robust Educational Plan  Information and communication (ICT) literacy assessments  Development of multiple educational material (technical self learning package, reference checklists, roadmaps, evaluations) C -Change Management Strategy  William Bridges Change Theory  Designated change management agent  Aggressive sustainability plan C -Change Management Strategy  William Bridges Change Theory  Designated change management agent  Aggressive sustainability plan A- Project Management Approach  Experienced Project Lead (Project Charter)  Establish Committee Membership: Clinical Informatics, Clinical End Users, Physician Lead, Professional Practice, Health Information, Information and Communication, Biomed, Pharmacy. Biomedical engineering. Phillips representatives A- Project Management Approach  Experienced Project Lead (Project Charter)  Establish Committee Membership: Clinical Informatics, Clinical End Users, Physician Lead, Professional Practice, Health Information, Information and Communication, Biomed, Pharmacy. Biomedical engineering. Phillips representatives For more information contact Donna Pynn Clinical Informatics email: dpynn@rougevalley.ca or 416-284-1131 x 4261dpynn@rougevalley.ca Timelines Purpose Share building blocks used to build and implement an electronic documentation system into the Women's and Children's birthing centre and identify lesson learned. Saying good-bye to the old way Transitioning through the new way Acceptance of OBTV Building Blocks Critical Success Factors A Project Management A Project Management B Education Plan B Education Plan C Change Theory C Change Theory ICT May- June Information and Communication Literacy test distributed to all clinicians-Basic computer classes offered Workflow Analysis June- July Inventory of interdisciplinary documentation revealed > 70 forms Build & Configure September Configuration of screens, build forms templates. Policies October Create five policies e.g. Electronic Documentation Standards Policy; Downtime Policy Education October - November 2 Creation of educational plan and materials Super User and End User classes Go Live November 4 th, 2009 Implementation Day Sustain November 4 -> onwards Sutainability Strategies Lessons Learned 1.Physician Engagement 2.Realistic Timelines 3.Identify all Possible Stakeholders 4.Attention to Sustainability Plan 1.Physician Engagement 2.Realistic Timelines 3.Identify all Possible Stakeholders 4.Attention to Sustainability Plan