Improvement Story session at the 2013 Saskatchewan Health Care Quality Summit. For more information about the summit, visit www.qualitysummit.ca. Follow @QualitySummit on Twitter. The implementation and on-going enhancement of the eHealth Saskatchewan Clinical Portal to complement existing systems to support improved health care province-wide through electronic access to important clinical information. Better Health Kevin Kidney

1. Electronic Access to Information Benefits
Patient Care in Saskatchewan
Kevin Kidney
This Session is sponsored by:

2. Kevin Kidney, Project Director EHR
Denise Junek, Vice President eHealth & Business Services

3. Empowering Patients, Enabling Care
Better knowledge translates to better care.
The 5 Rs of the Electronic Health Record:
• The right information
• About the right client
• Available to the right person
• In the right place
• At the right time

4. Electronic Health Records in
Saskatchewan
Patient data is created and stored in various systems specific to the needs of
providing patient care within that care setting. For example:
• Sunrise Clinical Manager
• Physician Electronic Medical Record (EMR) systems
• Pharmacy Information System
• Radiology Information System (RIS) and Picture Archiving and
Communications System (PACS)
• Saskatchewan Immunization Management System (SIMS)
• eHR Viewer

5. • A secure website developed for Saskatchewan
health care providers that provides access to
patient profiles regardless of where they
present for care or where they live in the
province.
What is the eHR Viewer?
eHealth Saskatchewan

7. Facilitate sharing of information
across the continuum of care
More accurate, complete, and
timely picture of the patient’s
health
Easy to use and access
Hospital
Pharmacy
Radiology
Lab
Primary
Health Care
Benefits for Providers

8. Reduced wait time (phone/fax)
looking for information
More appropriate treatment
decisions
Faster diagnosis
Benefits for Providers

9. “The eHR Viewer is the best lab information source I
have seen…the interface is intuitive.
I can quickly log on from anywhere; it is easy to find
patients; and best of all, even if a patient's tests were
done in another health region, the results are still
immediately available.“
Dr. Milo Fink – Saskatchewan Physician

10. Reduce duplicate laboratory
testing
Reduce duplicate medication
Benefits for Patients
Support patient confidentiality
DATA
PRIVACY
Confidential
Personal Health Information
Auditi
ngPassword
Access
Lock
Protect

11. “Since I began using the eHR Viewer I have been able
to impact patient care in a positive way each and
every day.”
Kimberly Sentes – Saskatchewan Pharmacist

12. Building the eHR Viewer

13. What were our goals?
• Provide value to the patients
• Provide value to clinicians/health care providers
• Align with health system priorities
• Continue to leverage the supporting
infrastructure for the EHR
• Continue to evolve the EHR infostructure
• Continue to Add Value – make it “do-able”

14. − Diagnostic images
− Clinical encounters
− Integration with hospital systems
− Patient Portal
− Remaining Health Regions & Canadian Blood
Services Labs
The Evolution of the eHR Viewer
Future
2013
2012
2011
2010
2009
- Provincial Standard Lab message
- SDCL & Sunrise Labs
− Pharmaceutical profile (PIP)
− Drug Allergies & Contraindications (PIP)
− Sun Country, Mamawetan, Saskatoon
BloodBank Labs
− Immunization information
− Discharge Summaries
− Clinical Document Repository
− Chronic Disease Management Data
− Clinical Observation Repository
− Prince Albert Parkland & Prairie North Labs
- Lab Distribution to EMR’s
- Regina Qu’Appelle & Saskatoon Labs
− eHR Viewer (IDM, patient demographics &
Lab Results, Privacy services)
− Saskatchewan Lab Results
Repository(SLRR)
− Five Hills & Kelsey Trail Labs

15. What is available through the eHR
Viewer?
A number of sources of clinical data are available in the eHR Viewer:
 Demographic information to uniquely identify a patient
 Laboratory Test Results (over 26,000,000 tests)
 Dispensed Medications (over 105,000,000 dispenses)
 Known medication allergies and intolerances
 Immunizations
 Transcribed Clinical Reports – Discharge Summaries
 Chronic Disease Management indicators

16. Protecting the Patients Privacy
The design and implementation of the eHR Viewer was undertaken with the foremost
regard to securing and protecting the Patients health data.
• Extensive Privacy Impact Assessment
• Meet requirements under HIPPA
• Access only to Authorized Health Care Providers
• Detailed auditing of system usage
• Stringent password creation rules
• Options for the Patient to limit access to their health care data:
• Data “Masking”
• “Full Block”
• Ability for Patients to request audits of access to their profile

17. eHR Viewer DEMO

19. Training
Patient

22. Laboratory Information

29. Medication Information

37. Immunization Information

42. Chronic Disease Management
Information

48. Delivering the eHR Viewer

49. Delivering the eHR Viewer
In our pilot phase, we worked closely with 100+ healthcare providers
to ensure the Portal is meeting expectations and delivered in an
effective way.
Improved our approach and developed new
tools to facilitate a “lean” implementation:
 Streamlined sign up process
 Online User Self Registration
 Online Acceptance of User Agreements
 Online training and self-directed tools and
supports
 Online User account management (Password
resets)

50. eHR Viewer Users and Sites
8 8 8 8 9 10 12
20
29
38
48
59
81
48 48 48 48 52 52 56
68
98
112
128
154
201
0
50
100
150
200
250
1-Mar-12 1-Apr-12 1-May-12 1-Jun-12 1-Jul-12 1-Aug-12 1-Sep-12 1-Oct-12 1-Nov-12 1-Dec-12 1-Jan-13 1-Feb-13 1-Mar-13
Sites Total Users

51. Delivering the eHR Viewer
The eHR Viewer is currently in many health care
settings:
• Community Pharmacies
• Walk-in Clinics
• Specialist Clinics
• Family Practice Clinics
• SIAST Campus Health Center
• Saskatchewan Cancer Agency
• Wascana Rehab
• Regional Laboratory Medicine Medical
Staff (including Pathologists,
Hematopathologists, Medical Biochemists
and Medical Microbiologists)

52. • Currently positioning ourselves to deliver the EHR Viewer to
a wider variety of care settings over the next six months
• Delivery efforts will focus on:
– Meeting the significant demand being created by “word
of mouth” and expressions of interest
– Supporting physicians enrolling in the Chronic Disease
Management Quality Improvement Program
– Meeting the needs of all healthcare providers across a
mid-size health region
Delivering the eHR Viewer

53. The Future

55. 55
Questions
For more information:
Kevin Kidney
Project Director, EHR
eHealth Saskatchewan
Office: 306.337.5510
Mobile: 306.591.2654
E-mail: kevin.kidney@eHealthsask.ca

56. 56
Thank you
For more information:
Kevin Kidney
Project Director, EHR
eHealth Saskatchewan
Office: 306.337.5510
Mobile: 306.591.2654
E-mail: kevin.kidney@eHealthsask.ca