Www. POSP Vendor Conference Connecting to the Provincial EHR Patrick Binns Executive Director,...

www.albertawellnet.org

POSP Vendor ConferenceConnecting to the Provincial EHR

Patrick BinnsExecutive Director, Alberta Wellnet

May 8, 2003

Development Status

Development on target for completion by June 30• Person Directory Release 2 went into production pilot April 7, 2003• LTRH Release 1 “ready for production” on May 9, 2003• EHR Release 1 “ready for production” on May 9, 2003• EHR S2S interfaces to be in production by June 30, 2003

Vendor related activities• S2S message specifications – Available today• Vendor “Sandbox” test server – Available today• Front-end integration – Targeted for end of June• Start of conformance testing – End of Summer

Development Status

Shift towards implementation & rollout activities• Pilots activities underway for Person Directory• Extending the PIN pilot sites with EHR browser functions• EHR implementation/rollout planning underway:

• Site-based rollout through “rollout communities”:• POSP sites (coordinated with the POSP rollout team)• RHA sites• Pharmacy sites

• Role-based training through a train-the-trainer approach (e.g)• Senior’s Drug Profile users• Prescribing Doctors• Emergency Services staff

• Focus on stakeholder communications• Focus on S2S integration with POS and pharmacy vendors• Initial rollout to start as early as July 2, 2003

The task ahead

Sizing the rollout (initial estimates)

Facility Estimated

Sites in Alberta

Target Sites for

Mar/ 04

Potential EHR

Users

Users to train for Mar/ 04

Portion of target

Clinics (33%) 900 300 8,100 2,700 33% Pharmacies (50%) 780 390 3,120 1,560 50% SDP @ Acute Care Facilities (100%)

307 307 2,456 2,456

100%

SDP @ Homecare Sites (100%)

150 150 1,500 1,500 100%

Total 2,137 1,147 15,176 8,216 Assumptions:Clinics: Average 4 physicians and 5 staff per clinic (total of 9)Pharmacies: Average 3 pharmacists, 1 pharmacy technician per pharmacyAcute Care: average 8 users per acute care facilityHome Care: Average 10 users per home care site

Working with Vendors

Wellnet Resources to support Vendor testing• Phil Robson – PM for the vendor relations team• Vendor website:

• S2S message specifications• Links to resource materials for HL7 and XML• Documentation on how to implement the messages• Information on how to use the Sandbox test environment• Test scripts

• Technical sessions for S2S message questions• Access to Wellnet technical resources• Newsletters and other communications• Wellnet website• Other announcements

Barriers & CSFs

Barriers to Implementing the EHR• Overall size of the rollout• Scheduling and coordination of rollout activities• Cost effective change management• Resolution of privacy and security concerns• Time for vendors to connect EMRs to the EHR

Critical Success Factors• Engaging stakeholders (Health Authorities, POSP, vendors, etc.)• Flexibility of the implementation plan• Effective scheduling and prioritization of sites• User adoption of applications• Long-term usability of the message specifications

Front-end Integration

Sample Front-end Integration Flow• EMR locates patient of interest• Option: EMR pre-loads data to EMR• EMR presents patient data (e.g. drug history)• Launch a browser with PHN as a parameter to either:

• EHR summary screen for the patient• PIN prescription screen for the patient• Lab viewer screen for the patient

• Perform action with the EHR application• Task-switch (alt-tab) back to the EMR• Option: EMR to back-fill info through S2S interface• EMR locates next patient

Www. POSP Vendor Conference Connecting to the Provincial EHR Patrick Binns Executive Director,...

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