Temperatura y extinci´on

Hospitals claim that current skill sets meet their existing IM/IT needs. However, gaps in skills will need to be overcome to support HIS

modernization

• Hospitals across the LHIN perceive that existing skill sets are meeting current needs of the majority of the areas within IM/IT

• A few hospitals have self-identified that there are skill gaps, particularly in Servers & Network Support, Clinical Informatics and Decision Support, that need to be addressed as the Central East LHIN moves towards a common HIS vision

Key Findings

Key Insights

• Although many hospitals indicate that skills meet their current needs, it is

evident that new skill sets will be required as each hospital advances their use of information technology. Hospitals who will receive services will require new skills in managing service contracts and hospitals that are providing services will need advanced skills in managing

complex solutions as well as applications management and clinical informatics. All hospitals will require advanced skills in change management.

• With the exception of Ontario Shores, the other hospitals do not currently have redundancies presenting risks to overall continuity that should be considered. Please refer to Appendix D for details on skills assessment.

Skills refers to how well the existing human resources can meet current demands with their existing training and capabilities. Meets Needs indicates that the hospitals have the appropriate skills to meet their current needs. This self-rating was provided directly by IT leadership from each hospital.

Human Resources

(Skills ) _{Does not Meet Needs Some Gaps Meets Needs}

Source: Key findings is based on hospital’s assessment of skill sets. To note, KPMG is aware that skillsets presented were identified by the hospitals and believe the current skill set gaps present risks to the region.

4. HIS Investment

Options

4.1

Options Identification

4.2

Context for Analysis

4.3

Options Analysis Overview

4.4

Summary of Options Analysis

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4.1 Options Identification

While there are many permutations for HIS investment when examining how each hospital moves forward and how to implement an HIS, there are two fundamental Hospital Information Systems (HIS) options at the system level that are capable of achieving the future vision. They are:

1.

Common HIS

This means the same system is being used across all the hospitals in the LHIN

2.

Mixed Model

This means some hospitals utilize a common HIS, while other hospitals choose a different HIS (e.g. five hospitals choose to go with a single instance, single vendor solution, while others decide to use

independent solutions)

Deciding on the path (i.e. directional plan) is the first step of many to achieve the shared vision. There are many paths that can be taken to achieve value for patients and the region (as articulated in the Board motion). While each option provides value, the opportunity is to identify which path provides the greatest value and has the greatest potential to reach the shared vision.

Value is defined by the importance or worth of an option to patients and other stakeholder groups within and outside the organizations and assumes that the benefits outweigh the risks.

The subsequent slides present the analysis of each option developed to inform a recommendation on a preferred option (i.e. a path for the LHIN to take to achieve the vision).

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4.2 Context for Analysis

IT investment across the LHIN is broader than HIS. HIS on its own provides the foundation for long-term achievement of the shared vision, however, on its own does not achieve the shared vision. It is just one part of the many interdependent components to achieve the shared vision and other components and provincial and regional solutions will need to be considered as the below visual illustrates.

Back Office Non-Clinical Solutions • IT Back Office functions Front Office Non-Clinical Solutions •Finance •HR •Procurement & Materials Management Provincial & Regional Solutions Regional & Departmental Clinical Programs Clinical Solutions • Hospital Information Systems

• Ancillary hospital systems • Other HSP Clinical/Case

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4.3 Options Analysis Overview

The objective of the analysis was to evaluate potential HIS options for the region to achieve the shared HIS vision using qualitative

information gathered through stakeholder engagement activities and quantitative information from the financial model (inputs provided by the hospitals) developed for this project. Each potential option was evaluated against a set of key criteria, developed in collaboration with the LHIN and reviewed by ILC, to inform recommendation on a preferred HIS option.

Navigation Tip: The icons below associated with the five key criteria will appear throughout this section to help the reader more

readily link back the analysis to each of the criteria.

Five Key Analysis Criteria

1. Value for Patients: Patients value the ability to gain improved access to care, enhanced information sharing, and promotion of patient self care and disease management.

2. Value for Providers: Healthcare providers value a system that is easy to use, improves their ability to acquire and assess accurate patient data, increases

workflow efficiencies through enhanced communications, and overall provides the ability to improve health services delivery.

3. Value for the Health System: Value for the Health System as a whole encompasses overall patient care delivery and the associated benefits. Value for the Health System may be observed as improved quality outcomes, seamless transfer of information and connectivity across patient care settings.

4. Cost Effective: Cost effectiveness was reviewed for each hospital over 5 and 10 year intervals. This evaluation considered the net new incremental investments and the overall costs to implement, maintain and sustain the system.

5. Alignment to Guiding Principles: The alignment of guiding principles analyzed the vision and direction of each individual site and how quality, ability to adapt, willingness for change impacts the LHIN HIS initiatives.

Value

The importance or worth