A study in collaboration: 24 hospitals, one health record


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Photo: Helen King / Getty Images

The ONE initiative in northeastern Ontario connects 24 acute hospitals with a single and shared electronic health information system.

ONE - One Person, One Record, One System - uses standardized, evidence-based clinical best practices across two dozen organizations with unique cultures, patient populations, clinical workflows, and governance philosophies.

How the hospitals did this will be the focus of a HIMSS21 "24 Hospitals, ONE Record: A Study in Collaboration" session on Tuesday, August 10 from 2:45 pm to 3:45 pm in the Venetian Lando Room 4301 in Las Vegas.

The work was led by an Executive Steering Committee made up of CEOs. According to Dr. Derek Garniss, Chief Medical Information Officer and Medical Director of the Emergency Department at Sault Area Hospital in Sault Ste Marie, Ontario, has committed all 24 acute care hospitals in northeastern Ontario to working together to achieve EMR and clinical standardization.

Garniss speaks to Chantal Gagne, a registered nurse and director of inpatient and surgical services at the North Bay Regional Health Center in Ontario.

ONE's regional partnership benefits clinicians with a more efficient workflow, real-time notifications, and full and timely access to a patient's history. Nursing decisions are made based on the most current and accurate information available through the use of evidence-based standards.

Unified health records reduce the likelihood of duplication and unnecessary testing.

Patients benefit from the shared information through an improved and safer care experience. Patients being moved from one hospital to another don't have to undergo double tests or tell their story over and over, Garniss said. Your records will be complete and understood by all through technology that is aligned with the rest of the province.

ONE enables an accurate record that moves with them within and between hospitals, Garniss said.

The first phase of the project, WAVE 1, began in 2017 and included the North Bay Regional Health Center, West Parry Sound Health Center, and Sault Area Hospital.

According to Garniss, WAVE 1 was a huge undertaking that involved complex, integrated collaboration over long distances. Doctors and department teams from these three locations worked together for two years to design and build the system, and develop and conduct training for doctors and staff to help with the transition to new technology and new workflows, he said.

In October 2019, each of the WAVE 1 hospitals was hooked up to the new shared system, which, according to Garniss, led to a huge transformation from the aging and separate health information systems that were a mix of paper and older technology previously operated by these hospitals.

The result is a single hospital information system in northeastern Ontario for data collection and management that connects healthcare professionals. This uniform system will also enable a platform for the further participation of all providers as well as for the health planning of the population.

The initiative is supported by the Health Information System Roadmap including the installation of MEDITECH Expanse, which serves as the regional HIS for all 24 acute hospitals.

Twitter: @SusanJMorse
Email the author: susan.morse@himssmedia.com


https://dailytechnonewsllc.com/a-study-in-collaboration-24-hospitals-one-health-record/

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