Effective Exchange and Integration of Cancer Control ...


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Effective Exchange and Integration of Cancer Control ...

  1. 1. Effective Exchange and Integration of Cancer Control Information with Community Partners  Brian Schmidt  Don Henkelman  Carol Rother  Theresa Volk
  2. 2. The Vision  Cancer care information is fully integrated with community care  Bi-directional information exchange or sharing is transparent and automated  The processes to support the above are more cost effective than the current processes
  3. 3. The Challenges  The de-facto standard for information exchange still measures 8½ by 11 inches  Data standards are in the early stages of development  Cancer care information is managed by a provincial system, while community-care information is managed by Regional or local systems  The Regional and local systems are very heterogeneous
  4. 4. The Challenges (cont.)  The confidentiality of patient information & patient’s right to privacy must be maintained  The information highway is frequently a dirt road filled with potholes leading no-where  No one has any money – solutions must have very short development cycles and be cost effective
  5. 5. BCCA Strategy – Focus on Internal Systems  Build an Information Technology infrastructure that is state-of-the-art  Deploy across the entire enterprise  Establish corporate-wide electronic communications  Build a ‘killer-app’ that supports your core business of patient care  Build strategic partnerships with best-of-breed vendors for operational support systems
  6. 6. BCCA Strategy – Focus on Change Management  Experience a re-engineering project  Become a process-focused organization  Have the courage to change  Develop a culture of change  evolution not revolution  Evolve to an integrated Electronic Health Record
  7. 7. BCCA Strategy – Focus on Industry Standards  Personal Health Number  HL7  DICOM  Lab Test Standard  Provider Registry  H.320 & H.323 videoconferencing  ISO 17799 Security Standard
  8. 8. BCCA Strategy – Focus on Existing Data Linkages  Automate the capturing of external reports  Automate linkages to the client registry  Automate the capturing of external images  Attach external documentation to the electronic record immediately upon receipt  Support multiple patient identifiers
  9. 9. BCCA Strategy – Facilitate External Communications  Develop a web site directed to the health care professional  Guidelines, protocols, manuals, generic support information  Support ‘community of interest’ groups  Membership lists  Group-specific documents  Links to related information  Information on conferences, lectures, etc.  Access to CME  Leverage video, voice and data convergence
  10. 10. BCCA Strategy – Provide External Access to our EHR  Initially use ‘Windows’ clients over VPN  From home or office  Extend to electronic document exchange over the Internet  Extend to full access to our existing EHR over the Internet  Ensure patient confidentiality by leveraging established patient-physician relationships
  11. 11. BCCA Strategy – Web Services  Use Internet technologies to provide ‘cancer services’  Services can be integrated into desktops or applications by users or vendors  Services can be accessed via a Cancer Agency portal from any web application  Requires standards, especially security & authentication standards
  12. 12. The Ultimate Vision – The Fully Integrated Virtual EHR  Integration & management of clinical information from a variety of sources  Care providers role defines the view on integrated clinical information  User is unaware how the information arrives at the care-giver station
  13. 13. 1st Step in the Vision – The BCCA Extranet Project  Goal of the project:  Design and development of extranet application  Provide health care professionals with secure, authorized access to BCCA applications  Primary purpose  develop communities of interest  improve bi-directional exchange of information
  14. 14. Extranet Project Priorities  Develop the technical infrastructure  Provide access to e- Chart  Develop “communities of interest”  Develop the Surgical Oncology Network website  Provide electronic distribution of reports  Create applications to support on-line requisitioning, referral and ordering  Enhance our website to provide easy access to info for health care professionals
  15. 15. Technical Infrastructure  The goal is to develop a robust infrastructure to support the secure exchange of information with external stakeholders  Working with Ministry of Health Security Working Group to develop standards
  16. 16. Access to E-chart  Phase One: giving Agency physicians access to Agency applications from external locations using VPN technology  Phase Two: extending this access to community physicians  Long term: provide authorized physicians with immediate, online access to clinical information wherever secure Internet access is available (home, office, hospital)
  17. 17. Communities of Interest  Identify various communities with similar needs (e.g. Surgical Oncology Network, Tumour Groups)  Enhance 2-way communication, access to information between members  Create a template to standardize information management for communities
  18. 18. Surgical Oncology Network  Develop website for communication & information exchange for surgical oncology community  Facilitate Continuing Medical Education (CME)  Develop model for authorized access to information
  19. 19. Electronic Report Distribution  Distribution of electronic reports and clinical information to physician offices  Physician offices will no longer have to re-key information into their office systems
  20. 20. On-line Requisitioning, Referral and Ordering  Develop applications to allow physician offices to requisition tests or refer patients on-line  Result in decreased duplication of tasks & tests
  21. 21. Management of Information on our Website  Implementation of a Content Management System to support web site development  Develop one point of access to timely and accurate Cancer Agency information for health care professionals
  22. 22. Extranet Project Benefits  Decreased duplication of tasks, tests and information  Timely access to clinical documentation from community hospitals  Ability to view clinical information on-line and discuss a case with a BCCA oncologist  Potential for direct access to Agency services/applications
  23. 23. How can we work together?  Identify institutions and individuals who are interested in pursuing these opportunities with us  Visit the BCCA booth in the lobby and fill out a postcard with your contact information