1. “Standards Level the Playing
Field “
PHYSICIAN & COMMUNITY EHEALTH
PROGRAM
WORLD STANDARDS DAY
October 14, 2014

2. Objecti
ve
Ontario’s community-based clinicians
create, access and share electronic
records (EMR) for patient care.
Focus
To broaden and accelerate the adoption of technology by
community- based clinicians

3. 3
Transforming Physician Offices
80% of a patient’s interaction occurs at the community level
Canada Healthcare Encounters
Family Physician
Visits
Specialist
Consults
Tests,
Diagnostics
ER
Visits
Hospital
Admissio
ns
56%
22%
16%
5%
1%

4. Current State of EMR Adoption in Ontario
More than 80% of Ontario’s Primary Care
Physicians are moving forward with an EMR
4

5. 5
Individually EMRs are helping to transforming
clinical practice
 Enhanced billing &
scheduling
 Share patient with practice
colleagues
 Enhanced chronic disease
management
 Patient & practice
reporting
 Improved patient safety
 Remote access

6. 6
Without Interoperability . . . .
EMRs remain primarily
“islands of automation”

7. EMR EMR EMR
Rx
OLI
S
HR
M
CIHI ICE
S
+…
Message-Based Document-
Based
2000+
What Ad Hoc Connectivity Looks Like

8. How Standards
arehelping to level the
playing field

9. EMR Integration By Design
EMR EMR EMR
Rx
OLI
S
HR
M
CIHI ICE
S
+…
Message-Based Document-
Based
HIAL

10. Access to Lab Results
EMR-enabled clinicians are now able to search and
download lab results via the Ontario Laboratories
Information System (OLIS)

11. Access to Medical & Diagnostic Image
Reports
EMR-enabled clinicians can now electronically
receive hospital reports

12. Better Outcomes Registry & Network (BORN)
12
EMR EMR EMR
HIAL
EMR data contained in
Antenatal & Well-Baby forms
are exchanged with BORN to
support maternal and child
programs across the province.

13. What’s Next?
13
Leverage standards to
help clinicians:
• improve patient care
• better utilize EMR data
o implement quality improvement
activities
o enhance reporting and analytics at the
patient, practice and health system
levels
• enhance care coordination
• strength collaboration and
communications
• realize efficiencies

14. 14
MEL CASALINO
Senior Director, Physician and Community eHealth
a