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BC First Nations Panorama Implementation

Project (FN PIP)

Overview

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What Is Panorama?

Public health information system currently under development

Will provide ability to collect, share and analyze health information

Will assist public health officials responding to outbreaks such as: SARS West Nile Virus Avian Influenza Salmonella Listeriosis

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CommunicableDisease CaseManagement

OutbreakManagement Immunization

WorkManagement Notifications Inventory

Essential Public Health Business Applications

User Interface Reports Charts

Lab Systems Hospitals Registries Alerts Physician Offices

CommunicableDisease CaseManagement

OutbreakManagement Immunization

WorkManagement Notifications Inventory

Essential Public Health Business Applications

User Interface Reports Charts

Lab Systems Hospitals Registries Alerts Physician Offices

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What Is Panorama?

Over time, Panorama will include key public health functionality to support: Immunizations – individual and mass

immunizations, client forecasts, coverage reports

Communicable Disease Case Management – surveillance and management of reportable communicable diseases

Outbreaks – aggregate and detailed information about communicable disease outbreaks

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What Is Panorama?

Work Management– multiple bookings, team workloads, task management

Notifications – client warnings re: allergies, adverse reactions/events

Family Health –support, care and guidance in non-primary care areas including maternal/infant health, child health, and assessments

Vaccine Inventory – management of inventory levels, future forecast of demand

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Key Messages

FN and Health Canada clinical staff will use BC’s instance of Panorama

There are ~ 130 FN Health Centres in BC – these are FN PIP’s implementation sites

Each FN Community can choose to adopt, or not FN implementation schedules will be FN-driven FN-specific requirements will need to be

accommodated (e.g. P&S, AAI, JOrg, AOrg, reporting, UDFs, etc.)

FN PIP Team is not planning for simultaneous HA / FN Health Centre implementation

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Key Messages

Health Centres visited to date are keen to adopt “Appropriate process” seems more important

than fast implementation Direction from Partners that FN PIP contribute to

“Transformative Change” within BC’s health systems

FN PIP Team is keen to explore opportunities to “integrate” into RHA’s overall Panorama implementation / support plans

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Key Messages

FN PIP Team is working with FN Telehealth Expansion Team, FNIH/FNHS Co-Management and FNHC Health Planning and Engagement Manager to coordinate readiness assessments

Suggestions that FN PIP (and Panorama) be used as a catalyst for coordinating FN / HA public health processes and programs

Many significant dependencies remain prior to FN implementation (ISAs, network/connectivity, training/support models, etc.)

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Tripartite / TFNHP Context- FN eHealth Governance Tripartite Strategy Council for

First Nations eHealth Strategic direction for BC First Nations eHealth Alignment of Tripartite partner’s strategy & investment

Tripartite Technical Working Group for First Nations eHealth

Analysis & planning of non strategic issues Supports Tripartite Strategy Council

First Nations eHealth Co-Management Model Key BC First Nations eHealth operational entity Manage First Nations eHealth infrastructure, shared

services, investments, and standards development

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Project Background

BC First Nations Panorama Implementation Project (FN PIP) Launched to support the adoption of key

components of Panorama by both Health Canada and First Nations community public health resources

Business case approved in April 2008 Working Group established in Sept 2009 Phase 1 Project Charter signed in Oct 2009

Project Governance Tripartite Strategy Council for First Nations eHealth

First Nations eHealth Co-

ManagementBCY PHIP(Project Team,

RHA Teams ILC and IWG)

First Nations Panorama

Implementation Project

PIP Working Group

Tripartite Technical Working Group

FNs eHealth

ImplementationPIP

Management Team

FN Communities

/ Health Centres

Panorama Ops

(RHAs, SSO, BCCDC)

OperationsHealth

Canada PDISG

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Project Vision

To ensure access to Panorama for all BC First Nations health service

providers, for improved quality of service across health jurisdictions

through seamless access to appropriate and timely information,

within the framework of the Tripartite First Nations Health Plan.

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Project Objectives

Panorama implementation and access in First Nations Health Centres

First Nations data stewardship

First Nations eHealth capacity development

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Benefits From a Health Director’s Perspective

Continuity of care: More accurate immunization records Co-management of care for multiple

communicable diseases Patient safety:

Ready access to information regarding Adverse Events Following Immunization and Adverse Drug Reactions

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Benefits From a Health Director’s Perspective

Disease prevention and control: Improved immunization program

management Notifications of communicable disease

cases and improved contact tracing records

Information Management: Quality of service and information-

sharing can be improved across health jurisdictions.

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Benefits From a Health Director’s Perspective

Service delivery: Process duplication can be reduced and

service delivery coordinated, especially for First Nations community members who may access services from First Nations, Health Canada and Health Authorities.

Increased efficiency and capacity: Public health professionals and health

centres can benefit from workflow improvements and increased efficiencies, as well as the introduction or enhancement of process standards.

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Benefits From a Health Director’s Perspective

Partnership in the pan-Canadian public health system: By being able to input, own and manage

First Nations client health data within Panorama, First Nations health providers can participate with provincial partners in this public health information system.

Freedom of choice: First Nations communities will have the

choice to use Panorama.

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High-level approach: Broad communication and engagement

Site visits, Tripartite memo, info sheets Ask for expressions of interest in

Panorama Request issued on Sept 7, 2010 21 Health Centres expressed interest so far Two information teleconferences to be held

in September & October Deadline for responses = Nov 30, 2010

Project Approach

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High-level approach: Work with interested First Nations to

develop an implementation schedule Work with a few Health Centres initially

to refine an implementation process Support remainder of interested First

Nations to implement Panorama in their Health Centres

Project Approach

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Implementation Approach

Initial implementation to focus on 2-4 health centres: Implementation checklist will help to

determine site readiness Understand and address tasks, challenges

and opportunities related to implementation of a provincial public health system for FN/HC users (at an initial, small, manageable scale)

Develop tools, templates and processes that will also support implementations at other health centres

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Implementation Approach

FN PIP Working Group to meet ~ every 8 weeks to support implementation process: Process/standards alignment with Health

Authorities and BCCDC Reporting requirements User support/training models Privacy and data access requirements Alignment with provincial operations and

governance models Template / toolkit development Issues management

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Implementation Approach

Post-implementation review and assessment of initial 2 – 4 sites will be conducted

Review and refine toolkit with stakeholder input Establish an onboarding process and schedule

with Health Centres willing and ready to adopt Replicate implementation process across

additional health centres Stabilize ongoing operational support models

(and integrate with provincial and RHA models where appropriate)

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Implementation Checklist

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Implementation Checklist

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Implementation Checklist

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Implementation Checklist

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Implementation Checklist

Used by Project Team to: inform detailed project plan measure project progress help evaluate site readiness track external dependencies communicate progress and status communicate dependencies / barriers Identify Community Signing Authority

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FN Health Centres Visited to Date

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Next Steps

Ongoing FN PIP Working Group meetings Ongoing Governance / Planning discussions with Tripartite

Partners Continue initial visits to Health Centres Continue follow-up visits for current-state analysis (P&S,

Business, Technical) Work with FNIHB and other regions to identify

standardization points Continue to receive and follow up early adopter

expressions of interest Continue to coordinate with Health Authorities’ activities Continue to identify and analyze “integration” points and

transformative change opportunities

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Questions and Contact Info

Questions?

Contact Info Karl Mallory – Project Manager

Karl.mallory@gov.bc.ca250-818-7702