Advancing Patient Recovery through an Integrated Electronic Medical Record

Rationale / Objectives

Ontario Shores Centre for Mental Health Sciences (Ontario Shores) is a public teaching hospital specializing in comprehensive mental health and addiction services for those with complex, serious and persistent mental illness. Ontario Shores’ mission is to provide leadership and exemplary mental health care through specialized treatment, research, education and advocacy. With 326 beds and extensive outpatient programs, Ontario Shores provides a range of services rooted in a recovery-oriented approach. The organization sought to improve services via the implementation of a fully integrated electronic medical record.

Project/Program Description & Major Achievements

The integrated EMR allows clinicians working in both inpatient and outpatient settings to have access to relevant clinical information to support patients as they transition through the care continuum. In addition, Ontario Shores is involved in health information exchanges (HIEs) through participation in the Integrated Assessment Record (IAR), Clozaril Support and Assistance Network (CSAN), Ontario Drug Profile Viewer, Hospital Diagnostic Imaging Repository (HDIRS), and the Timely Discharge Information system (TDIS). 

Lessons Learned

Critical Success Factors

  • Consistent open communication with all clinicians.
  • Develop infrastructure to create opportunities for surveillance on key patient safety practices.
  • Develop ongoing adoption strategies to support the use of EMR for the quality of care and patient safety.

Further Description

As the first HIMSS EMRAM Stage 7 hospital in Canada, Ontario Shores has implemented a fully integrated Electronic Medical Record (EMR) for inpatients and outpatients that supports an inter-professional, evidence-based, patient-centered recovery model. 

Major Achievements

Ontario Shores is working to Bring Care Closer to Home by offering a secure patient portal to assist patients and their families access health information such as clinical reports. This helps to promote active engagement and partnership between patients, families and healthcare providers and is consistent with a growing body of evidence which demonstrates that patients who are more actively involved in their healthcare experience better health outcomes. 

Metric Result Details
Adherence with recommended metabolic monitoring protocols 100% increase  over a 6 month timeframe
Antipsychotic polypharmacy 20% reduction  over a 6 month timeframe
Computerized Physician Order Entry  94% current rate
Use of restraint and seclusion Decreased by 44% approximately 14,500 hours over a 12 month period