Using ClinicalConnect, clinicians can gather essential integrated patient data in seconds, resulting in quicker diagnosis and treatment and improved patient care and safety. ClinicalConnect can help reduce repeat lab and diagnostic tests with significant cost savings and reduced patient distress.

It includes access to the following provincial repositories acCDRo, DI-CS and DI-rso, DHDRo, OLIS

The ConnectingOntario ClinicalViewer is a secure, web-based portal that provides real-time access to digital health records including dispensed medications, laboratory results, hospital visits, Local Health Integration Networks’ (LHIN) Home and Community Care Services, mental health care information, and diagnostic imaging reports and images.

Allows authorized health care providers access key acute care and community clinical information through the Acute and Community Clinical Data Repository (acCDR). This data includes hospital and community care organization discharge summaries, emergency reports, referral details, care plans, consultations, clinical notes, and assessments.

This set of services gives Ontario health care providers access to a patient’s diagnostic imaging studies and radiologist reports, irrespective of where the exams were taken. Access to this data provides valuable and timely information that helps to inform the kind of treatment a patient requires and minimizes the need to conduct duplicative tests, delay care, and have patients carry around CDs with their images between providers.

Currently the data set held by the DI-rs contains the following modalities: Computed Tomography Imaging (CT), Positron Emission Tomography (PET), Digital Radiology (X-rays), Ultrasound (Vascular, OB/GYN), Mammography, Fluoroscopy (Radio, In Vivo), Echocardiography, Nuclear Medicine and Bone Mineral Densities

This currently this provides access to approximately 70% of the records of all of Ontario’s dispensed medications, including publicly funded dispensed medications, pharmacy services, and all monitored drugs (e.g. narcotics). Access to this information through the Digital Health Drug Repository (DHDR) supports health care providers to avoid fatal drug interactions and/or overprescribing, to develop patient drug strategies, and to monitor drug usage

Ontario maintains provincially available information on immunizations, vaccine catalogue, and cases of outbreaks of infectious disease held within the Digital Health Immunization Repository(DHIR). The DHIR is a comprehensive, integrated public health information system that helps point of service providers and public health professionals in Ontario, provincially and locally, to efficiently access and manage immunization, vaccine catalogue, and cases of outbreaks of infectious disease

Ontario maintains provincial records for approximately 94% of Ontario’s insured laboratory test results and orders from hospitals, community and public health labs through the Ontario Laboratories Information System (OLIS). This resource provides a way for hospitals, community, and public health labs to facilitate the secure electronic exchange of laboratory test orders and results with practitioners, which reduces the need for duplicative tests and improves patient care.

The Ontario Laboratory Information Systems currently captures the following data types:
1. Biochemistry
2. Haematology
3. Pathology
4. Blood Bank
5. Microbiology

Telehomecare

An intensive six month coaching and monitoring program which supports patients with chronic obstructive pulmonary disease (COPD) or congestive heart failure (CHF) through education, health coaching, and remote monitoring – complementing the care provided by the patient’s primary care provider. It relies on the use of supplied monitoring in a patient’s home, including a blood pressure unit, weight scale, and an oximeterto measure oxygen saturation

Digital Mental Health - Online Peer Support

An online platform that provides a round-the-clock online peer support community where members can share experiences and express themselves in words and images, helping participants feel less socially isolated. There is also a library of articles, tips and support courses including cognitive behaviour therapy accessible online. Members can access the safe community anonymously via computer, tablet or smartphone. Trained counsellors are available24/7 to offer support and keep the community safe (peak hours of activity are between 1:00a.m. and 3:00 a.m.)

The online peer support tool is made available to all Ontarians coping with mood disorders viaOTN through the Provincial Structured Psychotherapy Program.

The Immunization Connect Ontario (ICON) is a web-based tool for the public to securely look uptheir immunization records and report immunizations to and from the DHIR (also known as the'Digital Yellow Card')

InScreen combines existing breast, cervical, and colorectal cancer screening data into a single integrated digital platform that supports patients, providers, and health system planners in improving the quality and uptake of screening. It also enables Cancer ScreeningCorrespondence, a key component of an organized screening program, which is used to increase client participation in screening.

The Interactive Symptom Assessment and Collection (ISAAC) tool allows patients and their care team to assess and monitor symptoms through a web-based platform. It is an accessible, touchscreen platform that currently supports symptom management for oncology as well as functional assessment for orthopaedic patients. ISAAC enables the collection of patient-reported outcomes (PROs) from patients and facilitates the identification of concerning symptoms or issues.

ISAAC has the capability to notify the caregiver team via email when symptom scores exceed defined thresholds, ensuring the appropriate symptom management can be performed more effectively and efficiently. ISAAC also has the functionality to intelligently trigger PROs based on patient responses. If a patient indicates feelings of depression, ISAAC will offer additional questions to characterize the patient’s depressive symptoms.

My Cancer IQ is an award-winning website that helps people understand their risk for cancer and what they can do to lower that risk. It ultimately aims to reduce the risk of developing cancer by providing evidence-based information and resources to support Ontarians in managing their health, as well as opportunities to discuss the outcome of the assessment with their primary care physician.

My CancerIQ provides cancer risk assessments and resources, including a personalized action plan to Ontarians, for six cancers: lung, breast, colorectal, cervical, kidney and melanoma

MyChart

An intensive six month coaching and monitoring program which supports patients with chronic obstructive pulmonary disease (COPD) or congestive heart failure (CHF) through education, health coaching, and remote monitoring – complementing the care provided by the patient’s primary care provider. It relies on the use of supplied monitoring in a patient’s home, including a blood pressure unit, weight scale, and an oximeterto measure oxygen saturation

This program provides retinal screening sites for diabetes patients that leverage the eConsult program for access to ophthalmology consults. The program strives to provide timely access to care if diabetic retinopathy is detected from the screening exam and arrange ongoing care (e.g., ophthalmology, optometry)

Virtual visits are clinical visits conducted by video, electronic message, and/or audio call.

In Ontario, the provincial program for virtual visits is the ministry’s Telemedicine Program, which allows providers to have video visits with patients at a patient host site through OTN’s provincial network and bill their services through the Ontario Health Insurance Plan (OHIP)claims process.

Provincial Virtual Visit Program

Allows patients to participate in secure clinical video visits at a telemedicine studio or directly through computer, video and smartphone in the comfort of their homes.

eVisits to the Home Pilot

The eVisits: Timely Access to Primary Care Pilot enables patients to have virtual visits with theirprimary care practitioner from their computer or smartphone via electronic messaging, audiocall or video visit using an online platform

The Client Health and Related Information System (CHRIS) is the provincial digital health asset that supports the delivery of home and community care services. CHRIS is a web-based platform that acts as the home and community care core patient management system, delivering a common set of functions related to care coordination, care planning and administration of home and community care.

The Data Submission Portal (DSP) is a web-based .NET application used for the submission and validation of data for a number of cancer and screening programs. Data is used to support both operational and analytic needs across the cancer continuum.

eClaims is a web-based application that allows for adjudication and reimbursement of approximately $400 million of cancer drugs annually. eClaims is used primarily by pharmacists, pharmacy technicians, physicians (e.g., oncologists,hematologists), hospital finance staff, and other hospital administrators as well as Cancer CareOntario program and finance staff.

eClaims provides a central location for all relevant information on a patient (e.g., enrolments, treatments, supporting clinical documentation and patient specific communication). It also enables providers within the circle of care across sites to view enrolment details and treatment history (e.g., including uploaded supporting documentation) on their patients.

eCHN is the paediatric digital health record of Ontario. It is a secure portal for clinicians to access paediatric medical information for patients under their care. Patient data is collected from over 70 hospital sites across Ontario and is reflected in a consolidated digital record.

The Canadian Triage and Acuity Scale (CTAS) improves patient safety by ensuring consistent application of triage guidelines in Ontario EDs. The CTAS are guidelines used by ED nurses to triage patients according to the urgency of their needs. The triage process assesses how urgently a patient needs to be seen by a physician and helps define the order in which patients should be seen when multiple patients are waiting

An eReferral is an electronic communication that enables the referral process through the transfer of information among providers to support the patient across the continuum of care.eReferral helps to address the challenge of fragmentation across a high number of disconnected systems that make it difficult to share patient information. Traditional referrals are also often lost, incomplete, and provide little to no transparency for the referrer or patient.

There are currently a number of different programs with multiple eReferral solutions in the province, including some that are Ontario-based innovators

Health Report Manager (HRM) is a digital health solution that enables primary care clinicians using an OntarioMD-certified EMR to securely receive important patient reports electronically from other participating health care settings (primarily hospitals, HSSO and independent health facilities).

HRM electronically delivers medical record reports (e.g. discharge summaries) and transcribed diagnostic imaging reports from sending facilities directly into patients' charts, within a clinician's EMR.

Reports sent through HRM also include eNotifications, which are real-time electronic notifications of an event (e.g. admit, discharge or transfer) or message sent through HRM to theEMR of the patient’s primary care physician to inform them that their patient has been discharged from the hospital’s ED or admitted to or discharged from an inpatient unit. They are seamlessly integrated into the EMR and the physician’s workflow.

eNotifications are augmented with community information provided through HSSO’s CHRIS aswell as with Health Links information (where available) prior to being sent to EMRs.

The Integrated Assessment Record (IAR) provides a centralized integrated repository for clinical assessment data collected from multiple community care sectors, including home and community care, community mental health (CMH), community addictions (CA), long-term care homes (LTCH) and inpatient mental health (MH). It allows authorized HSPs within the circle of care to upload and view a client’s assessment information in a secure and timely manner.

KidneyWise is an online clinical toolkit that provides guidance to primary care providers in identifying patients that may be at higher risk of developing chronic kidney disease (CKD). It also provides recommendations on how to properly diagnose and manage the care of an identified patient to reduce the risk for further disease progression.

The ORRS includes a robust provincial clinical dataset of chronic dialysis, advanced chronic kidney disease, and acute dialysis patients. This data informs the funding of renal services and is used by regional renal programs for patient management, funding forecasts and real-time reporting.

The i4C Dashboard (formerly known as the EMR Quality Dashboard) is an EMR-integrated tool that provides clinicians with a real-time view of how their practice population is performing across an array of primary care indicators, and enables providers in taking immediate action based on that data. This tool also makes it easier for clinicians to proactively monitor and screen their patient population, and supports them in improving the quality and consistency ofEMR data.

ONE Mail allows users to securely and confidentially exchange PHI with other registered healthcare providers using ONE Mail

TheOncology Patient Information System (OPIS) is a CPOE system that is used in 15 hospitals and 19satellite facilities across Ontario for ordering and administering systemic treatments. Formerly a paper-based process for systemic therapy drug ordering, OPIS automates this process and improves patient safety by:

The Oncology Patient Information System (OPIS) is a CPOE system that is used in 15 hospitals and 19satellite facilities across Ontario for ordering and administering systemic treatments. Formerly a paper-based process for systemic therapy drug ordering, OPIS automates this process and improves patient safety by:

• Allowing immediate electronic communication among cancer care providers to ensurereliable, safe and efficient care;
• Replacing handwritten prescriptions to reduce prescription errors and adverse drugevents; and
• Flagging drug allergies to prevent adverse drug events.

The PET eTool provides support for those referring physicians (typically specialists) who orderPET scans. It contains information regarding clinical eligibility and facilitates access to – and the sharing of – PET scan referral and activity data between physicians, PET centres and CCO.

The ConnectingOntario ClinicalViewer is a secure, web-based portal that provides real-time access to digital health records including dispensed medications, laboratory results, hospital visits, Local Health Integration Networks’ (LHIN) Home and Community Care Services, mental health care information, and diagnostic imaging reports and images.

The Screening Activity Report (SAR) provides Patient Enrolment Model (PEM) primary care physicians (including their delegates and health care providers servicing First Nations, Inuit, Metis and urban Indigenous communities), with a supplementary tool for improving their cancer screening rates and appropriate follow-up for breast, cervical and colorectal cancer screening.

The report presents physician performance and patient level screening activity for colorectal, breast and cervical cancer screening. It allows physicians to compare their screening performance against other physicians within their OHT, as well as across the province.

SADIE is a secure web application for clinicians that provides a step by step process forsubmitting applications to the Exceptional Access Program (EAP), facilitating patient access todrugs not funded on the Ontario Drug Benefit (ODB) Formulary.

The Ontario eConsult Program is a secure web-based tool that allows physicians or nursepractitioners timely access to specialist advice for all patients, often eliminating the need for anin-person specialist visit.

The program includes 4services: the Champlain BASE Regional Service (available to providers in the Champlain andMississauga Halton region), the Ontario eConsult Service (accessed through the secure OTNhuband available to all Ontario nurse practitioners and physicians), Teledermatology and Teleophthamology.

The Integrated Client Management System (ICMS) was developed to support the management of breast screening at Ontario Breast Screening Program (OBSP) sites and to collect the data required to run a provincial screening program.

Microstrategy is a secure enterprise Business Intelligence (BI) platform that provides self-serve analytics and automation of analytics reports and decision support models. iPort and iPortAccess are domain-specific products that leverage Microstrategy to provide site, facility and regional reporting on health care system performance and other key performance indicators.

ONE ID is the provincial identity and access management solution which performs identityvalidation of health care professionals and their staff through established registration andenrolment processes and standards. This includes managing access permissions to digitalservices such as clinical viewers, OTNhub and ONE Mail.

The Wait Times Information System (WTIS) application is a provincial information system dedicated to the collection of near real time Ontario wait times data from hospitals, independent health facilities and surgeons’ offices. The WTIS is a web-based application that supports manual data entry by facilities, in addition to enabling automated data capture from other information systems.

Access providers and sites accepting referrals by video, and find specialists offering online advice to primary care providers. The HSD is integrated with data from the Provincial Provider Registry (PPR) and augmented with additional information by the virtual care providers and patient host sites. All updates made to the PPR are automatically populated within the HSD so there is no duplication of effort or information.

The Provincial Client Registry (PCR) is the definitive provincial source for a health care client’s(patient) identity, facilitating the unique, accurate and reliable identification of individual clients and others who receive care in Ontario, across the disciplines in the health care sector. It also serves as a unique identifier (e.g. health care number) for the linking of health information across all electronic health record enabled clinical information repositories.

The Provincial Provider Registry (PPR) is the authoritative source of information for health profession data for use by digital health solutions. It contains records for ~92% of health regulated providers from more than 20,000 provider organizations. It facilitates the unique and accurate identification of regulated providers and organizations that deliver health services inOntario, or who participate in the collection, use, or disclosure of PHI across the continuum of care.

Consumer Gateway and/or Provider Gateways enables direct access to provincial data assets, registries and data assets. The gateway works through the messaging layer between systems(i.e. POC) and facilitates digital requests for patient information through industry standard APIs.

It manages the flow of data being contributed into the integrated health record, as well as the flow of data requested to view by users, and logs access and applies security policies.

The Innovation Lab provides vendors and innovators an environment in which they can experiment with the interoperability of their assets with respect to provincial systems.

SPARK provides streamlined pathways to support the connection of consumer digital health applications to provincial health data assets. It ensures that the appropriate safeguards are in place to protect PHI through privacy and security risk assessments, an agreements framework and conformance to eHealth Ontario’s technical specifications.

These are online, evidence-based clinical practice guidelines, standards and additional resources available to both health care providers and patients. They include:

• Clinical Practice Guidelines and Standards – CCO guidelines are available online and cover the entire cancer care continuum (prevention, screening, diagnostic assessment, treatment, palliative care, end-of-life care and survivorship). This guidance contains recommendations for practice and policy that reflects the most current and best available evidence from health care research and expert opinion.
• Disease Pathway Maps – Pathway maps are flowcharts that represent evidence-based best practices in cancer care. Pathway maps are organized by cancer type (e.g., lung cancer) and phase along the cancer continuum (e.g., screening, diagnosis, treatment).
• Ontario Cancer Profiles – Ontario Cancer Profiles is a self-serve, interactive mapping tool. It provides the ability to create custom graphs, maps and tables that show recent provincial and regional statistics on select cancer burden, risk factor and screening indicators. This tool allows for the creation of profiles that support targeted cancer control and prevention efforts.
• TobaccoWise – TobaccoWise is website that provides resources supporting tobacco cessation with a focus on First Nations, Inuit, Métis and urban Indigenous communities.

The Drug Formulary is a publicly available repository of evidence-informed resources that serve as a reference for clinicians, administrators, patients and caregivers. It contains information on approximately 900 evidence-informed treatment regimens that are approved for use inOntario. It reflects best practices and standardized language and provides information about safe use of drugs in the Ontario cancer system.

The Cancer Care Ontario E-Learning site offers primary care providers and other health care professionals (including medical students) a variety of online resources for continuing professional development with a focus on the Aboriginal Relationship and Cultural Competency Courses. All E-Learning resources are offered free of charge and are accessible anytime, from anywhere, through an online connection.