Canadian SNOMED CT Strategy
October 2012
Draft
Content
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Background
Approach
Current State
Future State Considerations
Action Plan
1
Background
• Infoway – strategic investor of projects to contribute to the electronic
health record initiatives across Canada
• Standards Collaborative – (national release centre for Canada),
develops and maintains standards and provides support for
implementers
• A stakeholder governance framework is in place
• “Knowing is Better” campaign
• Several SNOMED CT strategies have been developed – challenges
included
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Funding for the strategy unclear or not available
Lack of “buy in”
Got stuck on the barriers
2
Background
• Interest in SNOMED CT had increased dramatically; The following
initiatives are using or planning for SNOMED CT Use:
• Diagnostic Imaging Project
• Wait Times Project
• e-referrals project
• Problem list
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Microorganisms
Order Sets
Cancer Synoptic Surgery
Public Health Surveillance
• Successfully delivering SNOMED CT education and training, including
custom education sessions
• Over 3000 requests for changes received this year so far, mainly new
concepts
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Approach
Vision: Over the next three years Infoway will demonstrate
the value of the SNOMED CT enabled, structured health record
as a care and health system management tool.
4
Current State – High Level
• A Current State exercise was done for the following areas:
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Internal Scan
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Tools, Terminology Services, Operations, Engagement
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International Outreach
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Past Strategy Work
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Jurisdictional Interviews
• Value proposition is not well understood or articulated
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It is unclear when to use SNOMED CT, why it should be used and what benefits can
be achieved
• Products and services either do not exist or do not effectively
meet client needs to facilitate adoption
• SNOMED CT is perceived as being difficult to adopt and overly
complex
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Future State*
• Clear understanding of the value proposition and business case
for SNOMED CT for high priority stakeholders
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Knowledge of when, where, how and why to use SNOMED CT
Converting today’s paper chart paradigm into electronic form is not sufficient to
achieve currently targeted benefits.
a compelling value argument for the country to move to SNOMED CT.
• if we demonstrate that structured & coded data will not only move health care to be patient
focussed but also allow for data driven patient care decisions, then this will re invigorate how
health care is delivered.
• Client focused services to support SNOMED CT adoption and
bring value to stakeholders
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Suite of easily consumable SNOMED CT product (such as Ref Sets), tools, education
products
Easy access to SNOMED CT experts (SC and jurisdictional/non-SC)
Operational model that effectively supports stakeholder needs
Increased capacity of resources to support adoption in Canada
• SNOMED CT adopted using various and pragmatic approaches
in a cost effective and straightforward manner
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Supporting health system driven projects is key to adoption and to realizing value.
* Assumes Future state is 3 years out.
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Future State Objectives
• SNOMED CT Adoption plans in place by a minimum of two
priority jurisdictions
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Jurisdictional leverage is used to influence vendors to include SNOMED CT
in their solutions
Benefits such as interoperability between solutions and ability to perform
analytics can be realized in the future.
• A comprehensive suite of SNOMED CT adoption tools, products
and services is being used by our clients
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Benefits such as ease of implementation and increased understanding and
awareness have been realized.
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Future State Objectives
• The SNOMED CT value proposition is articulated by key
influencers across domains and settings.
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SNOMED CT Success Stories are published that include the benefits
SNOMED CT is adopted in solutions that demonstrate how it can be used
to support interoperability and analytics
• Partnerships are realized with three organizations that further
the adoption of SNOMED CT
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align support activities to project needs
• Build capacity and increase knowledge of SNOMED CT through
improved communication and education
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Future State Tactics
The following five tactics will enable the team to meet the future state
objectives:
1. Develop a SNOMED CT adoption plan in partnership with priority
jurisdictions
2. Define what a client service focused terminology service is and
execute a plan to get there
3. Execute an end to end terminology tooling service, both internally
and to support external stakeholders
4. Develop an engagement plan that focuses partnering with other
organizations for success
5. Develop and execute a communications plan targeting priority
stakeholders to aggressively market the value proposition of
SNOMED CT
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Future State Vision – SNOMED CT Support
Service
Achieving this vision will require the following to occur over the
next 6 months:
• Operationalizing a new business model focusing on client
service
• Renaming of terminology service to SNOMED CT Support
Services
• Realizing seamless cross-business unit participation
• Ensuring appropriate resources are in place to deliver on the
plan
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Shift to Client Focused Approach
• Get clear understanding client needs
• Understand landscape and
limitations
Committed
• Provide options for feedback
Clients
• Commit to responding and delivering
• Welcome critical comments
Products services and tools
are developed to meet needs
• Ensure that issues are resolved
Determine what further value can be
• Measure performance
achieved
• Implement process and
Ease of adoption is realized
remove barriers to
providing good service
Products, services and tools are available to meet client
requirements
• Keep up to date on the
industry news
Understand client requirements
Understand who clients are
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Future State – SNOMED CT Support Service
SNOMED CT Support Services will provide the following services:
Implementation support
Education and training
Adoption planning
Requests for change
• Ref Set development support
• Access and support of tools
• Access to standards including
Client
Services
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Product
Support
• Core SNOMED CT terminology and pan-Canadian
extension
• IHTSDO influence and liaison
• Licensing and agreements
Tooling
Support
• Implement, operate and ongoing management of internal
and external SNOMED CT tools and tooling support
existing Ref Sets
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Future State – Action Plan
Current
Implementation Support
Education and Training
RFCs
Limited access and
support of tools
Access to Standards
Year 1
Adoption Planning
Ref set development
support
Enhanced education
and training
Access to Ref Sets
Increased access to
tools
Year 2
Fully operational
Core SNOMED CT
IHTSDO Influence and
liaison
Pan-Canadian Extension
Fully operational
Licensing and
Agreements
Limited tooling available
Enhanced tooling
available internally and
externally
Suite of tools available
internally and
externally
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Key Enablers for Success
The following are key enablers for success:
• Commitment from external clients to further vision
• Internal and external financial resources to realize vision
• Communications planning and support
• Strong client engagement at all levels of internal and external
organizations
• Buy-in and participation from all relevant business units
• Commitment ongoing operational support
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Shifts in Priorities
• In order to realize the Future State; certain priorities of the
terminology team will need to shift; the following is a list of
activities that can potentially be deemed lower priority:
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Development of net new Ref Sets – adoption and development of
Ref Sets will be driven by implementers
In-house customization of tooling – as much as possible off the
shelf and outsourced tools will be used
Participation of terminology team on committees with
questionable value
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