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Information and Communication Technologies
PAGE 2 ST. JOSEPH’S HEALTHCARE HAMILTON INFORMATION TECHNOLOGY VISION FOR 2018
T
his strategy marks the beginning of a new journey for St. Joseph’s Healthcare Hamilton. My role as Chief Information Officer for the Local Health Integration Network (LHIN), Hamilton Health Sciences (HHS) and St. Joseph’s Healthcare Hamilton (SJHH) provides a unique opportunity to share resources and make investments in health Information Technology that benefit all partners in Hamilton and our region. Leading hospitals in North America are adopting technologies that make it easier to provide high quality care and enhance the patient experience. In order for us to keep up with changes in patient and provider expectations we too must embrace thesetechnologies and reap the rewards that come with them. This strategy outlines the direction that we are going to take and is designed to provide a new vision and perspective on what is possible. Our initial focus will be to get the foundation right so that we then make targeted investments resulting in new capabilities that will enable us to provide the best in quality and safety in all of our services.
Mark Farrow, Vice President and Chief Information Officer
St. Joseph’s Healthcare Hamilton and Hamilton Health Sciences
O
ur hospital system has a reputation for outstanding quality of care, a culture willing to change to achieve excellence in clinical outcomes, and innovation that attracts talented residents, educators, and researchers. As we move forward, advances in technology provide the opportunity to make changes in the way we serve our patients and provide care. We must embrace these technologies in order to continue to be a leader focused on serving the changing needs of our community. Implementing new technologies, such as the modernization of our hospital information system, will require patience, sacrifices and change in the way we deliver care. However, if we achieve our health Information Technology vision we can expect world-class quality outcomes, safety and patient experience. Let’s continue to design the healthcare system of the future and continue to live the legacy of St. Joseph’s Healthcare Hamilton.Dr. David Higgins, President
St. Joseph’s Healthcare Hamilton
About Our Strategy
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re
•
fresh Technology
Transforming Care…SJHH’s Information and Communication Technologies Vision for 2018
Our Health Information Technology Vision is guided and inspired by the SJHH’s Strategic Plan (Mapping Our Future) as well as the mission, vision, and values of SJHH. As a whole, our organization identified five priorities in our overall strategic plan that provide direction for all of our services across the continuum of care, including:
• Quality and Safety
• Transforming How We Work • Innovation and Research • Engaging Our People • Breaking Down Barriers
By implementing re•fresh as our information technology
health strategy, we will work to renew a promise: to bring together the most advanced technology and education to transform healthcare for the future. We will accomplish all of these things supported by a visionary approach to information technology.
Why is Health Information Technology so critical to
our future?
As changes in technology, consumer expectations, clinical practice and health system management continue to impact the hospital landscape, it will become more challenging to be a healthcare leader without making significant investments in Health Information Technology (IT). It will be difficult to: • Meet and track safety and quality care objectives • Attract talented practitioners, researchers, educators,
residents and students
• Support multi-disciplinary care and collaboration initiatives
• Be a leader in innovation and ultimately keep research and teaching accreditation
• Manage costs and effectively report on hospital and clinical performance
PAGE 4 ST. JOSEPH’S HEALTHCARE HAMILTON INFORMATION TECHNOLOGY VISION FOR 2018
Our Vision
SJHH’s Vision Statement for Information and Communication Technologies
strategic investments will achieve clinical value in the short-term while laying a foundation for the future; they will ensure wise, prudent, and innovative use of technology. health information technology encompasses all
investments that enable the comprehensive management of health information across all systems of care.
a culture of collaboration combines existing energy and desire with bridging technologies.
excellence is the best quality and safety in every service that is provided.
proven technologies are in use and delivering high quality patient care and have an evidenced-based value proposition. innovative technologies support new models of care and collaboration as well as new ways of managing people, processes and assets.
meeting the changing needs of our community means meeting our community’s population health needs while incorporating the community’s desire for innovation in service delivery, a better patient experience, and more involvement in their care and health management.
Strategic investments in health information technology enable a culture
of collaboration and excellence through the use of proven and innovative
technologies that meet the changing needs of our community.
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What does the SJHH ICT Vision mean for…
Patient, Caregivers, Families
• Easy access to hospital and health information, discharge or transition instructions, and electronic tools that help guide health decisions and help manage disease
• Worry free transitions between care environments with an electronic health record accessible across the health system and at home
Clinicians, Staff, Volunteers, Learners
• Easy access to clinical tools that save time and help deliver better care
• Alerts, status updates and decision support tools that help to ensure consistent patient-centered care, excellent patient outcomes and safety
• Collaboration tools that better support multidisciplinary care and make patient transitions seamless and worry free
Researchers, Scholars, Educators
• Easy access to clinical data to support cutting edge research
• Common technologies are in place to support research in a consistent fashion • Rapid dissemination of research findings into care delivery
Leadership, Management, Administrators
• Confidence that patient information is appropriately charted, clinicians are exceeding quality standards, and safety is built into every clinical process
• Data acquisition, consolidation and analysis tools that enable well-informed management decisions and make reporting effortless
PAGE 6 ST. JOSEPH’S HEALTHCARE HAMILTON INFORMATION TECHNOLOGY VISION FOR 2018
Our Strategy
Four strategic priorities will enable the Health Information
Technology Vision for St. Joseph’s Healthcare Hamilton
Building and maintaining a strong foundation to
enable new models of care
Investing in the advancement and modernization of the Hospital Information
System and key foundational technologies that support a more robust and flexible
IM/IT environment.
• Modernization of hospital information system (HIS)
• Update infrastructure to enable future objectives; ensure core applications are current • Establish an IP Communications Network capable of supporting wireless IP devices across
all hospitals
• Develop and implement advanced capabilities of the HIS (Computerized Provider Order Entry, Closed Loop Medication Administration) and an ambulatory EMR
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Improving access to information and services
Focusing on bringing information closer to providers, researchers and patients through
mobile and remote access to key applications and information.
• Make clinical applications accessible on provider smartphones and tablets • Provide patients with access to their health information
• Allow patients to perform standardized transactional services online (i.e. registration, request appointments, retrieve pre-operative information, etc.)
• Encourage patients to manage their own care by certifying health management tools (i.e. apps) and providing access to credible health information
Improving information use
Using Information Strategically through analytics or by providing better information
to providers at the point of care.
• Develop data infrastructure to enable analytics for reporting and research
• Implement technologies which enable analysis of assets, provider workflow and patient throughput to support clinical processes optimization, quality improvement and resource management
Improving collaboration
Enabling better collaboration between providers and between providers and
their patients.
• Make it easy for providers to communicate and collaborate through Voice Over IP (VoIP) and enhanced virtual care opportunities
• Give patients the ability to communicate with their care teams electronically
PAGE 8 ST. JOSEPH’S HEALTHCARE HAMILTON INFORMATION TECHNOLOGY VISION FOR 2018
Our Plan for Our People
The following roadmap outlines investments over time
and expected outcomes
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Patients, Caregivers, Families
1 Easily navigate webpage and access crediblehealth information
2 Better health outcomes as patients use approved health management apps and access medical records online
3 Patient services available through patient applications 4 Register and request appointments online improves
patient experience and reduces costs
Clinicians, Staff, Volunteers,
Learners
5 More providers accessing lab results and reports through Clinical Connect
6 Improved productivity and safety through reduced communication delays
7 Nursing and allied health clinical documentation in HIS
8 Increased productivity and safety as all providers place orders electronically with mobile app
9 Reduction of medication errors
10 Better health management as patients can consult providers online
11 Providers are always connected and can easily locate each other
Researchers, Scholars,
Educators
12 Increased access to existing datasets
13 Improved reliability of clinical data for research 14 Easy access to HIS clinical data enables population
health management and quality improvement 15 Advanced medical informatics leads to world
renowned research
Leadership, Management,
Administrators
16 Faster access to quality and performance data for reporting
17 Better management of assets and safety compliance 18 Dashboards and benchmarking metrics identify
areas for improvement
19 Asset tracking, patient through put and workflow analysis lead to improved productivity, reduced costs, and enhanced patient experience
PAGE 10 ST. JOSEPH’S HEALTHCARE HAMILTON INFORMATION TECHNOLOGY VISION FOR 2018
Our Plan for Our Strategy
The following roadmap outlines investments over time
and expected outcomes
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Building and maintaining
a strong foundation
1
Ambulatory Electronic Medical Record (EMR)
2
Update infrastructure
3
IP Communications Network
4
Core Health Information System (HIS)
5
Computerized Provider Order Entry (CPOE)
6
Clinical Decision Support
7
Closed Loop Medication Administration
(CLMA)
8
Advanced IP Communications Network
Improving access to
information and services
9
Update website
10
Data Quality Improvement
11
Establish Bring Your Own Device
12
Patient Kiosks/Mobile Applications
13
Enhanced Patient Services
14
Provider Mobile Applications
15
Advanced Clinical Research
Information System
Improving information use
16
Business Intelligence (BI)
17
Location and Condition Sensing Technology
(LCST) Pilots
18
Clinical Research (modernized HIS)
19
Advanced BI (modernized HIS)
20 Expanded LCST Projects
21
Patient through put and Capacity
Management System
Improving collaboration
22
Wireless Voice Over IP (VoIP)
23
Integrated Comprehensive Care (ICC)
Expansion
24 e-Consultation
PAGE 12 ST. JOSEPH’S HEALTHCARE HAMILTON INFORMATION TECHNOLOGY VISION FOR 2018
ST. JOSEPH’S HEALTHCARE HAMILTON ASSET NO.