From detailed guides to online courses – resources are available to provide you with the knowledge necessary to build and integrate EHR applications.

EHR Deployment

The province is divided geographically and jurisdictionally into three regions, along Local Health Integration Network (LHIN) boundaries. These are ConnectingGTA (cGTA – six LHINs encompassing the Greater Toronto Area and North Simcoe Muskoka), ConnectingSouthWestOntario (cSWO – four south west LHINs) and ConnectingNorthernandEasternOntario (cNEO – four northern and eastern LHINs).

Regional integration involves leveraging local, regional and provincial assets and connecting existing information technologies in ways that improve health care client care and clinical efficiencies for a region. The initiative revolves around developing the three ehealth regions to implement regional integration hubs, which will enable effective delivery of regional and provincial ehealth solutions.

Figure 14: Ontario's Three Ehealth Regions

Ultimately the goal is to connect these regions so that users in any region will be able to access a health care client’s EHR information across Ontario, no matter where the care was provided. Use of a regional approach also incorporates local and regional sources of information, allowing for regional flavour and innovation.

eHealth Ontario expects that many of its partners will deliver access to health care information through internet technologies. The delivery approach that the agency has adopted, using portals and web applications, supports broad deployment. In this way, the web is not a single channel, but rather a technology that supports many different access points. Some providers use web technology for remote access to their EMR, and all major HIS vendors already provide web viewers for their solutions – which can be leveraged regionally. Hospitals have deployed web infrastructure to help their staff in their day-to-day work and to help health care clients understand their own health care. eHealth Ontario supports these efforts with standards-based portlets that can be deployed in partner portals to quickly deliver comprehensive EHR capabilities.

The basic strategy is to build a central point of integration for (and within) each region. This is called a regional hub, defined as a set of integrated EHR services and infrastructure for a defined region of Ontario, which includes a HIAL, a provider portal, clinical repositories, and applications for that region. Furthermore, the three regional HIALs, along with a provincial HIAL owned by eHealth Ontario, will be interconnected to form a federated Ontario HIAL solution, for data exchange.

This section describes key solution components, how they will be deployed and how users will access and store information in the EHR.

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Published four times a year, the Blueprint Bulletin provides readers with regular insight into the elements, services and new developments associated with the Ontario eHealth blueprint.

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