NWT HealthNet
iEHR, EMR, DI/PACS
iEHR
• What is NWT HealthNet?
• What is iEHR?
• What are the benefits?
• What are we deploying?
• Who will it be deployed to?
• Where and when will we
deploy it?
• How will the iEHR be secure
and private?
• Your Questions?
• Contact Information
Agenda
What is NWT HealthNet?
• A term used to describe set of electronic
systems that enhance patient safety and
quality of care.
• These systems will impact the way in which
health care providers and staff utilize and
access patient’s medical information and
deliver care.
• Encompasses iEHR, EMR, DI/PACS
Systems.
What is an interoperable Electronic Health Record (iEHR)?
• A secure and private
“lifetime” view of a patient’s
key health information
• Available electronically to
authorized health providers
anywhere, anytime in support
of high quality patient care
What are the benefits?
• Provide health professionals with a
common understanding of a patient’s
health condition
– Prevent unnecessary treatments
– Reduce unnecessary duplication of tests
• Reduce the incidence of medical error by
improving the accuracy and clarity of text
reports and lab results
• Mitigate the increasing healthcare service
demands on a constrained pool of
healthcare resources
• Provides a more complete picture of the
patient
• Supports the Integrated Service Delivery
Model (ISDM)
Currently: “Silos” of information across the health care
system are fragmented
Stanton
Site Information
Systems
Local Master
Person Index
Inuvik
Hay River
Site Information
Systems
Site Information
Systems
Local Master
Person Index
Local Master
Person Index
Ft. Smith
Site Information
Systems
Local Master
Person Index
HSA
Site Information
Systems
Local Master
Person Index
iEHR Viewer
Provide Integrated Patient-Centered Information
Remote
Sites
iEHR
Viewer
Clinical Data
Repositories
Site Information Systems
Enterprise Master Person Index (EMPI)
What are we deploying?
• iEHR Viewer is a
web based portal
that allows
clinicians “view
only” access to key
patient information
• iEHR access will
be available
anytime, anywhere,
to support quality
patient care
• iEHR Viewer will
initially be
deployed in 2
stages, Release 1
and Release 2
NWT iEHR Viewer Scope
Enterprise Master
Patient Index
(EMPI)
Lab Results
Security
Diagnostic
Imaging
Text Reports
Clinical Text
Reports
Privacy
Patient Lists
Secure
Access
Services
Event History
NWT iEHR Viewer Deployment Schedule
Viewer Components
Enterprise Master Patient
Index (EMPI)
Release 1
Release 2
All Medipatient Sites and
HMIS (Stanton, Hay River,
Inuvik, Ft. Smith)
Stanton, Hay River, Inuvik,
DynaLife (referred out tests
to Alberta)
Provincial Lab (referred out
tests to Alberta)
Diagnostic Imaging Text
Reports
Stanton
Hay River, Inuvik,
Ft. Smith
Clinical Text Reports
Stanton
Hay River, Inuvik,
Ft. Smith
Lab Results
Patient Lists
Stanton, Hay River, Inuvik,
Ft. Smith
Event History
Stanton, Hay River, Inuvik,
Ft. Smith
Who will it be deployed to?
Users will be restricted to only have access to the information they need to know to
do their job.
The level of access to Patient Information will vary depending on the individual’s role
in the organization.
Examples of staff who may have some form of access:
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General Practitioners
Physician Specialists
Locum Physicians
Medical Residents
Hospital Nurses
Nurse Practitioners
Licensed Practical Nurses
Community Health Nurses
Nurses in Charge
Clinic Supervisors
Nursing Students
Diagnostic Imaging Technologists
Discharge Planners
Home Care Nurses
Lab Supervisors
Lab Technicians
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Medical Receptionists
Health Records Technicians
Midwives
Nutritionists
Occupational Therapists
Physiotherapists
Psychologists
Public Health Nurses
Respiratory Therapists
Speech / Language Pathologists
Student Occupational Therapists
Student Physiotherapists
Unit Clerks
Audiologists
Medical Office Assistants
Where and when will we deploy it?
• A pilot rollout
– 40-50 Users
– Fall 2009
• Phased rollout
– Authorized Clinicians
– Late 2009, 2010
How will the iEHR be secure and private?
• Legislation is being developed around; personal health
information, access to the information, and use & sharing of
information to ensure personal health information is being
safeguarded by all health care providers.
• Until this legislation is passed personal information will
continue to be protected by polices, procedures and ATIPP.
• Each user is restricted to the information they can access
based on their role and a need to know basis.
• The HealthNet Viewer has undergone additional control
assessments such as: Threat and Risk Assessment,
Vulnerability Assessment and Privacy Impact Assessments.
Network Security
(includes: strict policies,
threat/risk analysis,
connectivity standards)
Fob
(Secure Sign On)
Technical Security
(includes: authentication,
authorization, encryption,
audit logs, firewall, intrusion
detection, anti-virus)
Administrative
Security (includes:
Privacy Impact Assessment
(PIA), Audit of User access,
training, user ID registration,
confidentiality agreements)
The most remarkable
feature about twentyfirst century medicine is
that we hold it together
with nineteenth century
paperwork.
For More Information…
• Visit www.hlthss.gov.nt.ca