HSP Kick-off

1

Agenda

2

• Introductions

• CBI Project Overview, Objectives, and

Scope

• Technical Overview

• Privacy and Security Overview

• Implementation Overview

• Questions

Meet our Team

3

Stephanie Carter Director of Information

Management scarter@reconnect.on.ca

Daniel Liadsky

Decision Support dliadsky@reconnect.on.ca

Michael Chun

Technical

Advisor mchun@reconnect.on.ca

Sarah Kuntz

Project Advisor skuntz@reconnect.on.ca

CBI Working Group

4

Thomas Henderson St. Michael's Hospital

Tim Guimond St. Michael's Hospital

Noel Simpson Regeneration House Inc.

Lana Frado Sound Times Support Services

Charles Shamess Fife House Foundation Inc.

Deborah Pal March of Dimes Canada

Sujata Ganguli St. Clair West Services for Seniors

Colleen Franklin Transition House Incorporated

CBI Overview and

Background

5

CBI Project Background

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• In 2012, the Toronto Central LHIN determined the need for a business intelligence solution

• The CBI Reference Group was formed to:

• Recommend the scope of the CBI Tool

• Identify the required data elements

• Determine an appropriate tiered approach

• The TC LHIN supported the recommendations

CBI Project Objective

7

Improved data quality and reporting will:

• Increase decision support capabilities

• Enhance key functions of planning and system

management

• Serve as a foundation for organization, sector

and system planning and performance

• Provide benchmark reporting to Community

Health Service Providers (HSPs)

CBI Project will enhance Community Sector

data quality and reporting

CBI Project Scope

8

In Scope Out of Scope

Central Data Repository

Reporting Tool

Community Support

Services (CSS)

Community Mental

Health (CMH)

Community

Addictions (CA)

Standardized reports and Query tool

for TC LHIN and Community HSPs

Data sharing Community HSPs

Individual

health

record

Community

Addictions

(CA)

Community

Mental Health

(CMH)

Community

Support

Services(CSS)

Non-CBI Reporting

• Limited capacity

for analysis and

reporting

• No ability to track

client(s) within or

between sectors

• Inconsistent data

quality

• Duplicate

reporting

9

HSP 1 HSP 2 HSP 1 HSP 2 HSP 2

Client A Client A Client A Client A Client A Client A

Reporting (MIS/OHRS, CDS, DATIS, TC LHIN, etc.)

HSP 1

Client A

Community

Addictions

(CA)

Community

Mental Health

(CMH)

Community

Support

Services(CSS)

TC LHIN Current State

• Ability to track

clients through

the system

• Understand

service utilization

and capacity

across sectors

• Enhanced data

quality based on

consistent

definitions and

fields

10

HSP 1

HSP 2

HSP 1

HSP 2

HSP 1

HSP 2

Activity by Fiscal Year

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•Scoping by the reference group

•Establishment of governance

•Communication to the community sector 2012/13

•Technical infrastructure established

• Implementation to early adopters and initiation of full roll out

•Electronic Service Provider Agreement (ESPA) finalized and implemented

2013/14

•Full roll-out implementation and reports training

•Client-level data made available to Institute for Clinical Evaluative Science (ICES)

2014/15

•Reports enhancement

•Data Sharing Agreement (DSA) finalized and implemented

• Initial ICES/CBI repots 2015/16

• Integrate with additional data sets such as Common Assessment and Access Hubs

•Additional Data Elements Future

Implementation Accomplishments:

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88% of in scope HSPs have signed their Electronic Service Provider Agreement (eSPA). 25% have signed their Data Sharing Agreement (DSA)

85% of community health service providers vendors are validated

66% of in scope HSPs have signed their Addendum (ICES)

61% HSPs are complete and uploading data to CBI

Implementation Accomplishments:

13

• Initial data upload to ICES took place

March 31st, 2015.

• Continued subsequent uploads

planned

• LHIN, ICES and HSP ICES reports

strategy in progress

CBI vs. IAR

14

• CBI Tool is an aggregate reporting tool that :

–Collects demographic information (IAR shows assessment record data)

– Is for use at the HSP and LHIN level (IAR is for use at the client level)

–Has cross sector and query reporting capabilities

– Links to other data sets such as those at ICES

Technology Overview

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Central Data Repository

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• DATIS was endorsed by CBI Working Group to be the central data repository because it:

– Already holds Community Addictions data

– Is a non-profit (provincially funded)

– Meets project privacy and security requirements

– Has an existing relationship with ICES

– Already has infrastructure in place (repository, dashboard for reporting, etc.)

Data Elements

17

Data elements collected for CBI Tier 1

include:

• Demographic information

• Functional Centre information

• Admission information

No additional elements are required to

be collected by HSPs to participate

Movement of Data

18

DATIS

Data Layer

Landing

Data Warehouse

Initiate

(EMPI)

2

2

2

2

2

2

2

5

2 4

2 3 2 2

CBI Web

Service

2 1

LHIN BI Consumer

LHIN

Application

Tier

Agency

CMS

BI

Agency

2 5

Privacy and Security

Overview

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Privacy and Security

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• Technical controls and safeguards – DATIS is a Health Information Network Provider

(HINP)

– Privacy Impact Assessment (PIA) and Threat Risk Assessment (TRA) completed on the DATIS physical environment

• Process in Place – Privacy and Data Access sub-group to oversee HSP

sharing agreement, privacy & security, appropriate policies and process

• Legal Framework – Electronic Service Provider Agreement

– Data Sharing Agreement

– 3rd party legal review of HSP and vendor agreements

Implementation Overview

21

HSP Activity

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• Review Data Sharing Agreement (DSA)

signing guide and sign DSA

• Review Implementation Checklist

• Review HSP Testing and Evaluation

Guide

• Complete HSP Testing

• Complete HSP Go Live

Vendor Activity

23

• Ensure build CBI XML schema

according to specifications is complete

• Complete Vendor Testing and

Validation

• Support HSP Testing and Validation • Support HSP Go Live

Contact us!

e: cbisupport@reconnect.on.ca

w: PMservice.reconnect.on.ca

t: 647.461.3342

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Appendix

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Tier 1 Data Elements

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Item Definition

First Name First name provided by client

Last Name at Birth Last name on birth certificate

Last Name current Last name provided by client

Middle Name

Date of Birth

Age Client provided age

Gender Client provided gender

Org ID The master number issued by the MOHLTC.

Client ID The value that uniquely identifies a client within a software

and agency records

Health Card Number

Tier 1 Data Elements

27

Item Definition

Address

Phone Number

Postal Code Canadian postal code of residence

LHIN of Residence provided LHIN in which the client resides

Functional Centre MIS Definitions

Unique ID/Key (Program

Enrollment ID) Unique identifier for each service transaction

Date of referral into a

functional centre

The date the HSP is aware of a client referral into a

functional centre.

Date of admission into a

functional centre

The date the HSP registers a client into a functional

centre.

Date of service initiation into

a functional centre

Service delivery start date within a functional

centre.

Date of discharge from a

functional centre

The date the HSP deregisters a client from a

functional centre.