La Reexposición en la Sonata Op 49, nº

electronic Child Health Network – Health Information Network application (eCHN – HiNet)

As of September 2005 Lab Reform Region _All

Description _{eCHN currently shares ADT, Laboratory, Diagnostic Imaging and Health} Records data with 55 member sites via a centralized data repository (as of September 2005).

Hospital for Sick Children (HSC) connection with eCHN is depicted. Category _{Province-wide Data Repository}

Extent of Sharing _{eCHN HiNet includes all clinical data (Laboratory, DI, eMAR- electronic} Medication Administration Report, as well as electronic reports including scanned documents, and ADT information) that the member hospital is willing to share electronically.

Status/Timeframe _{Implemented project.}

HSC is working with eCHN to create a direct interface with MDS. This will allow the direct transfer of referred lab results from MDS to the HSC LIS and to eCHN HiNet. Anticipated by Q3 2006.

Organizations Involved _{55 member child healthcare provider sites and HiNET users in the} community. Click here for a list.

Governance Model _{Formally, as a non-profit organization, eCHN must report to, and remain} accountable to, the Ministry of Health and Long-Term Care of Ontario (MOHLTC).

eCHN manages the data interchange. There is a formal process requiring approval from both the member organization and eCHN prior to

implementing any initiatives involving both organizations.

Funding _{eCHN is fully funded (both implementation of new member sites and} ongoing operating costs) by the MOHLTC.

Data Sharing Model _{Unidirectional feed of laboratory data from member sites into a centralized} eCHN repository. HiNET users can then view the data.

Link to Diagram _{Click here for connectivity model.}

LIS’s used _{eCHN is vendor neutral and accepts disparate Lab data in HL7 format from} all LIS vendors, including MISYS, Lab Vision, Meditech, SoftLab, Sunquest, Triple G.

HL7 Version _2.2

Network Connectivity _{SSHA connectivity between eCHN member sites, VPN access also} supported for doctor offices.

Nomenclature _{eCHN has normalized all member site clinical data to the LOINC and} SNOMED standard.

11.5.

electronic Child Health Network – Health Information Network application (eCHN – HiNet)

As of September 2005

QA Data/Patient _{Identifiers All data is thoroughly tested prior to implementation and retested during} every software upgrade. Quality analysis is also preformed during sample checking.

Connectivity _{eCHN checks all data using their suite of ECR (Error Correction and} Recovery) tools and process for day to day verification.

Nomenclature/Mapping _{Lab data dictionary extracts are “synchronized” (i.e. checked for changes)} against eCHN-MED on a daily basis (error automatically flagged at part of ECR tool suite and data dictionary manually evaluated whenever upgrade takes place. For example, this process was used during HSC’s Softlab to Sunquest upgrade.

Corrective _{Actions eCHN has a 24/7 help desk and works with the member sites to address} and correct any malfunctions or data quality issues.

There is a formal Error, Correction, and Recovery (ECR) process in place at eCHN to address and resolve any malfunctions in information sharing between member sites.

Any issues that are discovered are addressed immediately by the eCHN Data team subject matter experts. The data quality issues are managed via the ECR tools, which include a mechanism to exchange/review information with the sites.

Comments on Privacy &

Security Security- user access and password controlled, 3 factor authentication is _{currently being implemented. Audit feature built into application for the user} level, on the network side – firewall audit logs are reviewed both manually and by automated tools.

How SSHA Fits in the Picture _{SSHA provides connectivity between eCHN member sites.} How OLIS Fits in the Picture _TBD

Critical Success Factors _{Through funding from the MOHLTC, HSC and eCHN were able to work} together and provide the first successful electronic health record in Ontario. Through the process of sharing data, HSC was able to gain access to industry subject matter experts and therefore improve their own internal processes. eCHN’s normalization and QA work gives HSC an extra level of assurance and integrity.

Benefits of This Initiative _{The eCHN initiative supports the sharing of paediatric data with the}

healthcare provider community. Member sites, such as HSC, can therefore provide timely and accurate information on all patients to their direct caregivers without those caregivers being physically present.

Contact Info _{Bonnie Reib}

Managing Director, Department of Paediatric Laboratory Medicine The Hospital for Sick Children

[email protected] 416-813-8958

Participating eCHN Sites

• Bloorview Kids Rehab

• Chapleau Health Services

• Children's Hospital of Eastern Ontario

• Cornwall Community Hospital

• Grandview Children's Centre

• Englehart and District Hospital

• Kirkland and District Hospital

• Lake of the Woods Hospital

• Mattawa General

• North Bay General Hospital

• Northeast Mental Health Care Orillia Soldiers' Memorial Hospital

• Rouge Valley Health System (Ajax &

• Pickering)

• St. Joseph's Health Centre (Toronto)

• St. Elizabeth Health Care

• Sault Area Hospital

• Sensenbrenner Hospital

• Smooth Rock Falls Hospital

• Sudbury Regional Hospital

• The Hospital for Sick Children

• Temiskaming Hospital

• Thessalon Hospital

• Thunder Bay Regional Hospital

• Timmins and District Hospital

• West Nipissing General

• William Osler Health Centre

• Algoma CCAC

• CCAC of the District of Thunder Bay

• CCAC of Timiskaming

• Cochrane District CCAC

• Manitoulin-Sudbury CCAC

• Muskoka East Parry Sound CCAC

• Near North CCAC

• Ottawa CCAC

eCHN Process Model Electronic connection Manual/physical connection Clinician Site Lab (Site Lab LIS) Orders/results

eCHN-HiNet

Model representative of connectivity with most sites Specimens

Client Site – eCHN Interface Engine Site ADT

System

Patient data Orders/results

Combined Data eCHN-HiNet Client Co mb in e d Da ta Combined Data

11.6.