Transcript CHI PowerPoint template PPT - e

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e-Referral enabled
collaborative health care
Opportunities and considerations
Presented by:
Sasha Bojicic
Emerging Technology Group
Canada Health Infoway Inc
The goal of the presentation
• Position e-Referral as a core component of e-
Health
• Describe what is an e-Referral
• Business drivers and expected benefits
• Architecture pattern
• Functional enablers
• Implementation considerations
• Implications for collaborative health care
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The “e”-ing of Things
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e
Indicates business conduct where business
objectives are achieved by electronic exchange of
information
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e- ing things is not simple
It is much more then just using a
technology
It requires configurable processes
patterns and data
It requires governance of resources
(people , processes and technologies)
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What is an
e-Referral?
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e-Referral - common misperception
Digitize
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e-Referral represents holistic implementation of the clinical
process that uses information technology with goal to
automate
expedite
improve
monitor
qualify
all stages of the patient referral across multiple organizations
and health care settings
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The e-Referral Process Pattern
Referring Provider
1. Initiate Referral:
The Referring Provider
can task an
administrator with
arranging the referral or
the provider proceeds to
Step #2.
2. Determine Referral
Recipient:
The Referring Provider uses
an online Services/Provider
directory to help determine
with the patient the
appropriate referral recipient
based upon services/
providers, priority, location
and availability.
3. Referral Template:
4. Send Referral:
The Service-specific
referral template is
accessed and patient
demographic and health
information prepopulates from the
provider’s EMR. Referral
data is validated
including the patient
priority.
The completed
electronic referral is
sent electronically to
the Referral Recipient.
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The e-Referral Process Pattern
Consulting Service / Provider
8. Consultation:
7. Appt. Scheduled:
The Consulting Service/
Appointment is placed
Provider assesses/treats
in EHR, confirmation
patient completing a
sent to referring
consultation template pre- clinician and patient.
populated with information
from the Service’s/Provider’s
electronic record.
6. Review Request:
5. Receive Referral:
The Consulting Service/
Provider reviews and
accepts, rejects or requests
additional information from
the Referring Provider.
The Services/Provider
Referral Recipient receives
the referral request
electronically.
A receipt of request
acknowledgment is sent.
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e-Referral represents patient-centric health care delivery
pattern which allows
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What are the anticipated benefits
Collaborative management of the e-Referral process
• Patient prioritization
• Status tracking
• Reporting
Accurate and timely access to services
• Resource availability
• Event scheduling
• Clinical content provision
Real time clinical decision support and dynamic business
intelligence
•Access to clinical guidelines and best practices
•Patient safety clinical validation
•Wait time analytics
Scheduling
Decision
Support
Notification
Functional
Enablers
Health
Service
Discovery
Status
Tracking
Content
Provision
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Health Service Discovery
Query the list of relevant health care
organizations and providers
Increased resource visibility and wait time availability
Filter search results based on the provider and /
or patient preferences /criteria
Enables patient preferences (proximity, wait time, language
preference, etc.)
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Content Provisioning
Authoring and publishing of the clinical content
(templates, orders sets, guidelines)
Consolidated management of standardized clinical content
Subscription to and distribution of the clinical
content
Enables access to clinical content
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Status Tracking
Capture, monitor and report the status of the
prospective event
Communicate referral progress inside the circle of care
Status change management
Triggers other system processes (alerts, notifications, etc.)
according to the business rules
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Notification
Configure preferred notification channels
Enable individual preferences for notification
Event driven notification / alert broadcast
Increases service provider and health care team accessibility
and ability to timely respond
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Event Scheduling
Access to resource availability and booking of the
prospective event
Proactive management of service and resource capacity
Input for wait times analytics
Proactive wait time management
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Decision Support
Access to decision support resources (best
practices, clinical guidelines)
Support for evidence based decision making
Systemic enforcement of the business rules
Avoid redundant procedures, check for adverse reaction to
medication, etc.
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EHRS Architecture Considerations
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Unleashing the potential – scaling options
Local
Regional
• Simple updating of lists
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(eReferral providers, care
settings, locations,
services, care plans)
• Stand –alone forms &
templates
• Local decision support
resources
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Create linkages to
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regional registries and
source systems to
automatically maintain
‘eReferral lists’ (ie. LDAP •
and regional shared
databases)
Potentially use a regional
shared content
management system for
the creation and
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management of
forms/templates
Jurisdictional
Use EHR infrastructure
eg. Registries/databases
for automatically
maintaining lists
Use EHR distribution
mechanisms like HIAL,
Web Services,
Publish/Subscribe, etc..
For communication
between providers, care
settings, etc..
Use EHR repositories like
SHR for storing
documents and encounter
information
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Implications for health care sector
Increased use of the existing EHRS
infrastructure
Development of new system capabilities
and services
Accelerated IT enabled health care practice
• Cost reduction
• New reimbursement model
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Implications for participants
Content harmonization
• Fewer data capturing variances
• Improved evidence based CDS
Quality management with process monitoring
and notification
• Increased efficiency
• Improved patient safety
• Reduced wait times
Increased visibility and accessibility to health
care providers
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Thank you