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Electronic Medical Records

Where to Start

OntarioMD

EMR Videos

Learning videos describe preparing the practice for EMRs, selecting an EMR system, understanding EMR workflow and going live.

https://www.ontariomd.ca/resource-library/videos/emr-videos

Physician Training Requirements Guide

This guide helps physicians and their staff identify the training activities required to prepare themselves for the use of EMRs.

https://www.ontariomd.ca/iet/transition%20support/physician%20training%20requirements%20guide_v1.1.pdf

College of Family Physicians of Canada

Best Advice Guide: Adopting EMRs in a Patient’s Medical Home

This guide provides practical advice for health professionals on what to consider when adopting an EMR system. This document guides family physicians on how to adopt EMRs by discussing three topics:

  • What is an EMR?
  • What are the benefits of adopting an EMR system?
  • What factors need to be considered when adopting an EMR system?

http://patientsmedicalhome.ca/files/uploads/BAG_EMR_EN_Final.links1_.pdf

Further Resources

OntarioMD

EMR Maturity Model

The EMR Maturity Model was designed to measure the effective use and value of EMRs. It acts as a detailed roadmap to help physicians optimize their EMR use. The model represents the existing and potential capabilities of EMRs in the evolving digital health landscape. It represents six levels of EMR maturity across three functional areas within a practice and uses 10 key measures to evaluate a physician’s level of EMR use.

https://www.ontariomd.ca/products-and-services/emr-practice-enhancement-program/emr-maturity-model

EMR Progress Assessment

The EMR Progress Assessment (EPA) is a tool for physicians to assess and improve their current EMR use. It asks about three functional areas of EMR use:

  • Practice management
  • Information management
  • Diagnosis and treatment support

The EPA is an online assessment featuring 10 key measures mapped against the three functional areas. It tracks and measures progress in EMR use against the EMR Maturity Model developed by OntarioMD.

https://www.ontariomd.ca/products-and-services/emr-practice-enhancement-program/emr-progress-assessment

EMR Training Videos

Training videos are available for OSCAR, Practice Solutions and Accuro.

https://www.ontariomd.ca/resource-library/videos/emr-videos

Peer Leader Program Overview

OntarioMD’s Peer Leader Program is a network of over 50 physicians, nurses and clinic managers who are expert users of EMRs and are available to help physician practices realize more clinical value from EMRs. The program provides consulting services that can lead to more efficient EMR use and workflow, optimizing existing EMR functions and accessing additional ones, and to improved clinical decision support.

https://www.ontariomd.ca/pages/overview-of-peer-leader-program.aspx

EMR Practice Enhancement Program: Overview

The EMR Practice Enhancement Program (EPEP) helps physicians enhance their EMR skills and efficiency. No matter the current level of EMR skill, EPEP offers an analysis of EMR use, practice workflow and data quality to help physicians move beyond data capture and use information to improve patient care and practice efficiency. It provides hands-on support from practice advisors and Peer Leaders who are expert EMR users to create an enhancement plan that reflects unique practice priorities, leading to improved workflow, efficiency and patient care.

https://www.ontariomd.ca/products-and-services/emr-practice-enhancement-program/overview

HRM: Ontario’s Health Report Manager

The Health Report Manager (HRM) enables clinicians using an OntarioMD-certified EMR system to securely receive patient reports electronically (only from participating hospitals and specialty clinics). HRM electronically delivers text-based medical record reports (e.g., discharge summaries) and transcribed diagnostic imaging reports (excluding images) from sending facilities directly into patients’ charts within the clinician’s EMR system.

https://www.ontariomd.ca/pages/health-report-manager.aspx

Health Report Manager Videos

https://www.ontariomd.ca/resource-library/videos/hrm-videos

eNotifications: Follow Up with Your Patients Sooner

eNotifications are sent through the HRM to primary care providers to notify them when their patients are discharged from an emergency department or are admitted to or discharged from in-patient units. eNotifications are an HRM add-on and appear in the EMR in the same manner as medical record reports sent through HRM. eNotifications are augmented with Community Care Access Centre and Health Links information (where available) before being sent to your EMR system. After receiving an eNotification, you will receive the discharge summary and/or other reports from the hospital once the hospital has prepared the report(s) for electronic transmission.

https://www.ontariomd.ca/pages/enotifications.aspx

Proof of Concept: EMR Physician Dashboard

Busy clinicians need to be able to quickly and easily view and analyze the data in their EMR in order to realize the technology's full potential to improve patient outcomes.

https://www.ontariomd.ca/products-and-services/proof-of-concepts#bookmark1

Privacy Training

OntarioMD is committed to training physicians and their staff on relevant topics to facilitate their use of technology in an increasingly digital world. OntarioMD understands different practice types and seeks opportunities to help physician practices realize the benefits of technology to address their needs and goals

https://www.ontariomd.ca/products-and-services/privacy-and-training-resources

Centre for Effective Practice

EMR Tool for Pain Management

This resource incorporates the clinical Centre for Effective Practice Management of Chronic Non-Cancer Pain (CNCP) Tool (https://thewellhealth.ca/cncp). It is currently available for TELUS PS Suite, and an OSCAR EMR version is in development. The tool is divided into six sections:

  • Baseline Assessment
  • Ongoing Assessment
  • Non-Pharmacological Therapy
  • Non-Opioid Medications
  • Opioid Medications
  • Intervention Management and Referral

This approach allows clinicians to conduct a complete assessment and provide a tailored management plan that incorporates the patient’s goals while adhering to current best practices in improving CNCP management overall.

https://thewellhealth.ca/cncp/?target=supporting-material

Association of Family Health Teams of Ontario

Measurement and Quality Improvement: Standardized EMR Queries

Standardized EMR queries for diabetes, COPD, CHF, depression and opioid use.

https://www.afhto.ca/measurement/standardized-emr-queries-2/

Association of Ontario Health Centres

Business Intelligence and Reporting Tools (BIRT)

This resource provides member centres with a holistic view of their operations by consolidating key data and presenting it in an integrated and easy-to-analyze manner. The Non-Operational Reporting and Analytics (NORA) is also discussed.https://www.aohc.org/Business-Intelligence-and-Reporting-Tool?lang=en 

Canadian Primary Care Sentinel Surveillance Network (CPCSSN)

Sentinels

CPCSSN is a multi-disease electronic medical record surveillance system with health information from EMRs in the offices of participating family physicians. Its aim is to improve the quality of care for Canadians suffering from five chronic conditions (hypertension, osteoarthritis, diabetes, chronic obstructive pulmonary disease [COPD] and depression) and three neurologic conditions (Alzheimer and related dementias, epilepsy and Parkinson disease).

http://cpcssn.ca/sentinel/potential-sentinels/

Canada Health Infoway

Change Management Toolkit: Leading Change in Health Care

Designed to support change management leaders and practitioners, frontline clinicians, managers and senior leaders who are implementing digital healthcare solutions in their workflow or practice, the framework reflects leading practices and lessons learned for managing change in digital health projects.

https://www.infoway-inforoute.ca/en/resource-centre/toolkits/change-management

Safety Net Medical Home Initiative

Quality Improvement Strategy Part 2: Implementation Guide

This document describes how practices can optimize health information technology in the context of a Patient-Centred Medical Home.

http://www.safetynetmedicalhome.org/sites/default/files/Implementation-Guide-QI-Strategy-2.pdf

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