i n f o r m a t i o n t e c h n o l o g y
Electronic Health Records and stakeholder engagement
The vision of achieving a provincial
Electronic Health Record is continually moving closer to realization.
The provincial EHR will enable health care providers to electronically
view and manage patient information to enhance delivery of care.
The vision of achieving a provincial
Electronic Health Record (EHR) is continually moving closer to
realization. The provincial EHR will enable health care providers to
electronically view and manage patient information to enhance
delivery of care. From a secure computer system, clinicians will be
able to access select patient information, such as patient
demographics, medications from the Pharmacy Network, radiology
reports from the Provincial Archival Communications System (PACS)
and laboratory results from the laboratory information system, also
known as iEHR/Labs.
The EHR will serve as the longitudinal
collection of patient health care and will combine information from
different care settings held in different systems. For context, in
eHealth language we have several systems that are distinct from one
another and can be best described as follows:
The Electronic Medical Record (EMR) is
a user centric system that enables clinicians to manage their
The Electronic Patient Record (EPR),
which in Newfoundland and Labrador equates to Meditech, is a
facility centric system for the purpose of managing patients at the
The Electronic Health Record (EHR) is
patient centric system that enables access to patient information
for clinicians’ management of patients, regardless of location.
The next phase in developing a provincial
EHR is the interoperable Electronic Health Record (iEHR)/Labs project.
The iEHR/Labs project, which is now reaching the design and planning
phase, is aimed at further facilitating seamless, secure and timely
sharing of accurate health information to provide a more complete
picture of a patient’s medical profile. The labs element of the project
will allow clinicians to view lab results regardless of where they are
located or where the test was conducted.
As the province moves forward with the
iEHR/Labs project, continued and expanded dialogue with end-users across
the province, including physicians, is a recognized priority. Throughout
the early planning stages, the Newfoundland and Labrador Centre for
Health Information (the Centre) will continue consultation with various
stakeholder groups to provide and gather information on how the system
will work and its impact on current practices. Clinical working groups
are also being formed, including a labs-specific group of subject matter
experts and a clinical working group for gathering perspectives from a
variety of clinicians.
As part of the consultation process, the
Centre will look to physicians across the province to help shape and
guide the iEHR/Labs project design and implementation efforts. Through
the use of surveys, focus groups and provincial and regional working
groups, the Centre hopes to gain an understanding of how the project can
be designed to suit physician needs and to ensure that the clinical
information required by physicians is captured and represented. If you
are interested in participating in any of these stakeholder engagement
initiatives, please contact Ian Hodder, the Centre’s manager of change
management, at (709) 752-6136.
With active support and engagement from
the province, regional health authorities and health care professionals,
the Centre is working toward developing the provincial EHR system. The
success of the individual components and the overall provincial EHR is
dependent on valuable input and stakeholder participation. Together with
our partners and stakeholders, we can continue to make strides toward
improving health through quality health information.
For more information on the provincial
EHR, the iEHR/Labs project or the Newfoundland and Labrador Centre for
Health Information, please visit the