Starting with the end in mind: The unfolding story of Clinician Peer Network Evaluations

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Francine Ramsey
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1 Starting with the end in mind: The unfolding story of Clinician Peer Network Evaluations Anne Tran Fazzalari Project Manager, Clinical Adoption ehealth KT Forum December 4, 2013

2 Presentation Objectives Prologue - Setting the stage Pan-Canadian Clinician Peer Network program Logic Model: Inputs / Activities / Outputs Peer Leader surveys: Highlights / Themes Epilogue Next Steps 2

3 Canada Health Infoway

4 Vision Healthier Canadians through innovative digital health solutions.

5 Program activity summary (June 30, 2013) Legend Registries Diagnostic Imaging Drug Info Systems Lab Info Systems Telehealth Interoperable EHR Health Surveillance Innovation & Adoption Patient Access to Quality Care Electronic Medical Record and Integration Consumer Health Solutions 389 active and completed projects with an estimated value of $2.11 billion as at June 30, 2013

6 Pan-Canadian Clinician Peer Network Program

7 Clinical Engagement Framework Link with leaders Clinical Council Reference Groups Advocate for clinical value & engage with projects The Next Generation AFMC, AFPC, CASN initiatives E-prescribing HSU Arch/Deploy Blueprint 2015 Direct care providers Clinician Peer Network

8 Pan-Canadian Peer-to-Peer Networks Clinical Peer Leaders working with their colleagues providing clinical leadership, support, mentoring and coaching to facilitate learning and use of technology in practice.

9 Pan-Canadian Clinician Peer Network Framework Western and Territories Region Quebec Region Regional Peer-to-Peer Network Regional Peer-to-Peer Network Regional Peer-to-Peer Network Regional Peer-to-Peer Network Atlantic Region Ontario Region

10 Jurisdictional Peer-to-Peer Network Timeline NS NL QC ON MB SK AB BC PEI AB BC NS NL ON NWT TBD: NB **Iterative implementation and evaluation activities**

Peer Leaders in Action BC http://www.pito.bc.

11 Peer Leaders in Action BC I would certainly encourage people to adopt EMR the sooner you get on it the faster you ll start taking full advantage of it. Lyn Beardsley, Medical Office Assistant

12 SK Peer Leaders their stories.

Peer Leaders in Action - ON https://www.infoway-inforoute.

13 Peer Leaders in Action - ON Most of our colleagues that have taken the journey and made the step, will go through the difficult transition process and come out the other side and say I ll never go back to paper Dr Stephen McLaren

14 Peer Leaders in Action - NS I use the EMR for everything we do for my patients: scheduling appointments, billing, prescriptions, ordering labs, X-rays, and diagnostic images. Dr Gerard MacDonald

15 Pan-Canadian Peer Network Evaluation Activities

16 Peer Network Evaluation Logic Model PROJECT OBJECTIVES INTENDED OUTCOMES INPUTS ACTIVITIES OUTPUTS ACTUAL OUTCOMES What did we invest? What did the Peer Leaders do? What did the Peer Networks achieve? What are the impacts on the Peer Leaders & Peers engaged?

17 The Peer Network Evolving Story INPUTS ACTIVITIES OUTPUTS What did we invest? What did the Peer Leaders do? What did the Peer Networks achieve?

18 INPUTS What did we invest?

19 INPUTS What did we invest? INPUTS 1. To support clinicians in achieving value, in their practice and for their patients, through accelerating adoption and effective use of technology within the practice setting. 2. To link experienced clinicians, with their peers for support, mentoring and sharing of knowledge, experiences, lessons learned and leading practices. Infoway invested in the development of Peer-to-Peer Networks as part of a multi-prong approach to clinician engagement Participation from the jurisdictional Sponsors o quarterly reports o jurisdictional BE reports pan-canadian Peer Leader survey

20 ACTIVITIES What did the Peer Leaders do?

21 ACTIVITIES What did the Peer Leaders do? ACTIVITIES Most Peer Leaders are from primary care settings with some from specialist clinics, acute care, community care and long-term care it is estimated that they collectively have spent over 7,600* hours in more than 1,400* clinician engagement activities/events to date. Focus of Activities Change management Mentoring Coaching Advocacy Engagement Educational Events On-site individual sessions Group sessions Conferences Workshops Channels In-person face to face Webinars Videoconferencing Peer Network Development Tools and resource for clinical engagement * Conservative estimate (source: Clinical Adoption)

22 OUTPUTS What did the Peer Networks achieve?

23 OUTPUTS What did the Peer Networks achieve? 10 Peer Networks successfully completed to date with Peer Leaders engaging with over 21,000 peers* OUTPUTS Documented and realized benefits include: 21,436* peers were engaged: 5% physician (1,103), 89% nurses (19,137), 1.5% pharmacists (326), 4% others (870 clinic staff or managers) 7,642 hours spent with 7,176 hours by implementation stages: 62% on pre-implementation (4,467hrs), 21.7% on implementation (1,557hrs) and 16% on post-implementation (1,152hrs) * Conservative estimate (source: Clinical Adoption)

24 Pan-Canadian Peer Leader Surveys

Transforming health care clinical leadership 96% of Peer Leaders agree/strongly agree they are positively influencing their colleagues understanding and

25 Transforming health care clinical leadership 96% of Peer Leaders agree/strongly agree they are positively influencing their colleagues understanding and adoption of EMR/other technology systems in their practice settings 89% of Peer Leaders agree/strongly agree that the Peer Network is beneficial to clinicians

26 Lessons Learned & Opportunities for Improvement Peer Leader - role definition Scheduling Peer Leaders & colleagues Evaluation activities Resource development and promotion Peer Leader Toolkit

27 Online Peer Network Community

28 Online Community

29 Themes & Qualitative Output

30 Epilogue: Where are we going from here? October 2013

31 Alignment with project objectives The jurisdictional Peer-to-Peer Network objectives contribute to the achievement of the project goals. INTENDED OUTCOMES Aligned to specific jurisdictional Peer-to-Peer Network project objectives Access Quality Productivity

32 Discussion / Questions 32

33 Thank you

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