Agenda. Introductions CBI Project Overview, Objectives, and Scope Technical Overview Privacy and Security Overview Implementation Overview Questions

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1 HSP Kick-off 1

2 Agenda Introductions CBI Project Overview, Objectives, and Scope Technical Overview Privacy and Security Overview Implementation Overview Questions 2

3 Meet our Team Stephanie Carter Director of Information Management Daniel Liadsky Decision Support Michael Chun Technical Advisor Sarah Kuntz Project Advisor 3

4 CBI Working Group Thomas Henderson Tim Guimond Noel Simpson Lana Frado Charles Shamess Deborah Pal Sujata Ganguli Colleen Franklin St. Michael's Hospital St. Michael's Hospital Regeneration House Inc. Sound Times Support Services Fife House Foundation Inc. March of Dimes Canada St. Clair West Services for Seniors Transition House Incorporated 4

5 CBI Overview and Background 5

6 CBI Project Background In 2012, the Toronto Central LHIN determined the need for a business intelligence solution The CBI Reference Group was formed to: Recommend the scope of the CBI Tool Identify the required data elements Determine an appropriate tiered approach The TC LHIN supported the recommendations 6

7 CBI Project Objective CBI Project will enhance Community Sector data quality and reporting Improved data quality and reporting will: Increase decision support capabilities Enhance key functions of planning and system management Serve as a foundation for organization, sector and system planning and performance Provide benchmark reporting to Community Health Service Providers (HSPs) 7

8 CBI Project Scope In Scope Out of Scope Community Support Services (CSS) Community Mental Health (CMH) Community Addictions (CA) Individual health record Central Data Repository Reporting Tool Standardized reports and Query tool for TC LHIN and Community HSPs Data sharing Community HSPs 8

9 Non-CBI Reporting Limited capacity for analysis and reporting No ability to track client(s) within or between sectors Inconsistent data quality Duplicate reporting Community Support Services(CSS) Community Mental Health (CMH) Community Addictions (CA) HSP 1 HSP 2 HSP 1 HSP 2 HSP 1 HSP 2 Client A Client A Client A Client A Client A Client A Reporting (MIS/OHRS, CDS, DATIS, TC LHIN, etc.) 9

10 TC LHIN Current State Ability to track clients through the system Understand service utilization and capacity across sectors Community Support Services(CSS) Community Mental Health (CMH) Community Addictions (CA) Enhanced data quality based on consistent definitions and fields HSP 1 HSP 2 HSP 1 HSP 2 HSP 1 HSP 2 Client A 10

11 Activity by Fiscal Year 2012/13 Scoping by the reference group Establishment of governance Communication to the community sector 2013/14 Technical infrastructure established Implementation to early adopters and initiation of full roll out Electronic Service Provider Agreement (ESPA) finalized and implemented 2014/15 Full roll-out implementation and reports training Client-level data made available to Institute for Clinical Evaluative Science (ICES) 2015/16 Reports enhancement Data Sharing Agreement (DSA) finalized and implemented Initial ICES/CBI repots Future Integrate with additional data sets such as Common Assessment and Access Hubs Additional Data Elements 11

12 Implementation Accomplishments: 88% of in scope HSPs have signed their Electronic Service Provider Agreement (espa). 25% have signed their Data Sharing Agreement (DSA) 85% of community health service providers vendors are validated 66% of in scope HSPs have signed their Addendum (ICES) 61% HSPs are complete and uploading data to CBI 12

13 Implementation Accomplishments: Initial data upload to ICES took place March 31st, Continued subsequent uploads planned LHIN, ICES and HSP ICES reports strategy in progress 13

14 CBI vs. IAR CBI Tool is an aggregate reporting tool that : Collects demographic information (IAR shows assessment record data) Is for use at the HSP and LHIN level (IAR is for use at the client level) Has cross sector and query reporting capabilities Links to other data sets such as those at ICES 14

15 Technology Overview 15

16 Central Data Repository DATIS was endorsed by CBI Working Group to be the central data repository because it: Already holds Community Addictions data Is a non-profit (provincially funded) Meets project privacy and security requirements Has an existing relationship with ICES Already has infrastructure in place (repository, dashboard for reporting, etc.) 16

17 Data Elements Data elements collected for CBI Tier 1 include: Demographic information Functional Centre information Admission information No additional elements are required to be collected by HSPs to participate 17

18 Movement of Data DATIS Data Layer 2 24 Landing Initiate (EMPI) Data Warehouse 23 Application Tier 21 CBI Web Service 25 BI Agency 2 Agency 2 CMS LHIN LHIN BI Consumer 18

19 Privacy and Security Overview 19

20 Privacy and Security Technical controls and safeguards DATIS is a Health Information Network Provider (HINP) Privacy Impact Assessment (PIA) and Threat Risk Assessment (TRA) completed on the DATIS physical environment Process in Place Privacy and Data Access sub-group to oversee HSP sharing agreement, privacy & security, appropriate policies and process Legal Framework Electronic Service Provider Agreement Data Sharing Agreement 3rd party legal review of HSP and vendor agreements 20

21 Implementation Overview 21

22 HSP Activity Review Data Sharing Agreement (DSA) signing guide and sign DSA Review Implementation Checklist Review HSP Testing and Evaluation Guide Complete HSP Testing Complete HSP Go Live 22

23 Vendor Activity Ensure build CBI XML schema according to specifications is complete Complete Vendor Testing and Validation Support HSP Testing and Validation Support HSP Go Live 23

24 Contact us! e: w: PMservice.reconnect.on.ca t:

25 Appendix 25

26 Tier 1 Data Elements Item First Name Last Name at Birth Last Name current Definition First name provided by client Last name on birth certificate Last name provided by client Middle Name Date of Birth Age Gender Org ID Client ID Health Card Number Client provided age Client provided gender The master number issued by the MOHLTC. The value that uniquely identifies a client within a software and agency records 26

27 Tier 1 Data Elements Item Definition Address Phone Number Postal Code LHIN of Residence provided Functional Centre Unique ID/Key (Program Enrollment ID) Date of referral into a functional centre Date of admission into a functional centre Date of service initiation into a functional centre Date of discharge from a functional centre Canadian postal code of residence LHIN in which the client resides MIS Definitions Unique identifier for each service transaction The date the HSP is aware of a client referral into a functional centre. The date the HSP registers a client into a functional centre. Service delivery start date within a functional centre. The date the HSP deregisters a client from a functional centre. 27

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