eHealth Ontario Initiatives And Accomplishments
Emergency Neuro Image Transfer System (ENITS)
- Neurologists at any one of Ontario's 13 neurosurgery centres can examine scans 24/7 and assess if a patient with head trauma needs to be transferred to another facility to receive acute care or recommend immediate treatment procedure.
- Since January 2009, 2,404 head trauma neurosurgical cases were referred to ENITS and 1,558 patient transfers have been avoided to date.
- Transfers are very risky for patients and they cause significant anxiety for patients' families. They can also be expensive - more than $50M has been saved since ENITS was launched.
- St. Joseph's Health Centre is the final acute care referring hospital to come online on ENITS.
- All 100 acute care facilities across the province are now on the ENITS system and the full rollout and deployment of ENITS is now complete.
Prior to ENITS all head trauma cases were transferred either to the USA (38 per cent) or to a neurosurgical centre within the province (62 per cent). Through ENITS, 64 per cent of all head trauma cases are now not being transferred. This has a significant life-saving effect on severely traumatized patients by avoiding risks associated with unnecessary transfer.
Electronic Medical Record (EMR) Adoption Program
- As of January 2011, 6,000 doctors are participating in the electronic medical records adoption program to enhance patient care, improve health outcomes and increase patient safety.
- An additional 3,000 physicians will receive funding by March 31, 2012.
- Replacing paper with electronic records means fewer errors and more time spent on patient care, and easier clinical data analysis.
- Physicians, hospitals, specialists and providers in the circle of care can share information securely, quickly and easily.
- The Ontario Telemedicine (OTN) is one of the largest and most comprehensive telemedicine networks in the world.
- In 2010, OTN delivered more than 100,000 patient visits allowing patients to get care as close to home as possible.
- In 2010 more than 31,000 telemedicine clinical consultations took place in northern Ontario.
- More than 3,000 health care professionals in more than 1,000 sites across the province use OTN to deliver care to their patients.
- Since 2003, telemedicine has saved approximately 245 million kilometers in patient travel and 68 million kilograms of pollutant load has been eliminated.
- The Telestroke Program provides stroke patients in remote areas of the province with 24/7 access to life-saving emergency care that they might not receive without this real-time expert neurological assessment.
- Emergency physicians use OTN to connect neurologists to obtain urgent diagnosis and treatment advice, including the administration of time-sensitive medication.
Diagnostic Imaging / Picture Archiving and Communications System (DI/PACS)
- One hundred and forty-eight hospitals in Ontario now use digital diagnostic images electronically instead of film.
- Using DI/PACS avoids the physical transfer of images and duplication of tests, saving time and yielding faster results for patients.
- Radiation exposure to patients is reduced and health care costs are minimized.
- For the first time, all 26 hospital entities in the Erie St. Clair and South West Local Health Integration Networks (LHINs) are now able to access filmless diagnostic images including x-rays, CT scans and MRIs through the Southwestern Ontario Diagnostic Imaging Network.
Drug Profile Viewer (DPV)
- DPV displays medication histories in emergency departments, in-patient units, clinics and patient pharmacies hospital wards and clinics and in-patient pharmacies for the 2.6 million patients who are Ontario Drug Benefit recipients (these patients account for 45 per cent of all prescriptions dispensed within the province).
- It helps clinicians complete medication reconciliation, which can identify potential drug interactions, saving lives and ensuring confidence in treatment plans for patients.
- eHealth Ontario launched Canada's first ePrescribing program at two demonstration sites (Group Health Centre in Sault Ste. Marie and Georgian Bay Family Health Team in Collingwood).
- ePrescribing improves quality of patient care by giving doctors and pharmacists access to reliable, timely prescription and dispensing information.
- ePrescribing saves lives and reduces visits to emergency departments and physician offices by preventing adverse drug reactions caused by illegible paper prescriptions.
- Electronic authentication, authorization and delivery of prescriptions, reduces the potential for prescription fraud and diversion.
Hospital Report Manager (HRM)
- HRM sends hospital reports within minutes to the physician's EMR system instead of sending paper reports or faxes.
- Patients do not wait for information to follow them - physicians have the most up-to-date information about their patient before he or she arrives for an appointment.
- Patients get more timely access to care and their anxiety while waiting for results and treatment plans is greatly reduced.
- Approximately 1,000 physicians are receiving some form of electronic record transfer from hospitals.
- HRM can be used between any hospital and physician office using OntarioMD certified EMR systems.
- eHealth Ontario is supporting other HRMs across the province, e.g., the Physician Office Integration (POI) Program in NW LHIN, the Southwest Physician Office Interface to Regional EMR (SPIRE) system in SW LHIN, and the Timmins FHT/Timmins District Hospital (TFHT/TDH) Connectivity Project in the NE LHIN.
Chronic Disease Management System - Diabetes Registry
- Diabetes is a chronic disease that is a serious and growing health problem. It is the sixth leading cause of death in Ontario and Canada. Diabetes is a leading cause of cardiovascular disease, amputation, blindness and end-stage renal failure leading to dialysis.
- In Ontario, more than 1,200,000 people (8.3 per cent of the population) are living with type 1 and type 2 diabetes. The number is expected to increase by another 700,000 over the next decade to 1.9 million by 2020.
- Diabetes costs Ontario $4.9 billion per year according to the Canadian Diabetes Association (CDA).
- The CDA estimates that those costs will rise to $7 billion per year by 2020 and that one in four Ontarians will be living either with diabetes or pre-diabetes by 2020.
- Use of the Chronic Disease Management System - Diabetes Registry (CDMS-DR) by health care providers will save Ontarians' lives, limbs and vision.
- The Diabetes Registry will help patients and health care providers manage care for Ontarians with diabetes according to recommended guidelines.
- Following a stringent procurement process, the chosen vendor consortium (CGI, AxSys, and Endeca) was announced in August 2010.
- The vendors are completing design work for the CDMS-DR according to eHealth Ontario's specifications and a limited-production release Diabetes Registry is planned for later this year.
Ontario Laboratories Information System
- eHealth Ontario is leading the implementation of the Ontario Laboratories Information System (OLIS) across the province as part of its ehealth strategy.
- OLIS is a cornerstone information system that connects hospitals, community laboratories, public health laboratories and practitioners to facilitate the secure electronic exchange of laboratory test orders and results.
- There are approximately 156 health care providers using OLIS.
- OLIS includes 52 per cent of hospital lab results and 90 per cent of all community lab results.