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Provincial EMR Requirements Overview

Baseline EMR Requirements

The Government of Manitoba’s baseline requirements (functional and non-functional) include the fundamental clinical and administrative features and data elements considered the ‘must haves’ to support a primary care or community specialty practice.

  • Standard Certification: Mandatory
  • Integrated Certification: Mandatory

eChart Manitoba Context-Sensitive Launch Interface

The launch button securely connects the clinician to information within eChart Manitoba, the province’s electronic health record (EHR), in the context of the current patient record being viewed within the EMR. Considered an essential support by clinicians in the province, eChart Manitoba pulls together information from many existing systems in Manitoba including filled drug prescriptions, laboratory results, immunizations and x-ray reports. Authorized health-care providers can view important health information to support provision of quality patient care when needed.

  • Standard Certification: Mandatory
  • Integrated Certification: Mandatory

eHealth_hub

eHealth_hub is a Shared Health Business Service that coordinates electronic delivery of information between systems using a Manitoba Certified EMR. Individual certification against a variety of components is available based on customer needs, including:

Lab results – enables the secure and reliable electronic delivery of laboratory results to the Certified EMR Product from the Laboratory Information System of Diagnostic Services, Shared Health to authorized health-care providers. Visit our eHealth_hub page to learn more about the information available.

DI results – enables the secure and reliable electronic delivery of diagnostic imaging reports to the Certified EMR Product from Manitoba’s Radiology Information System (RIS) to authorized health-care providers.

Client Registry Query Service – enables a direct interface providing EMR users with a secure method to query and import client demographics from the Manitoba Provincial Client Registry to the Certified EMR Product. To learn more about CR Query Service, read our FAQs.

Home Clinic Enrolment Service – provides a secure method for EMR users to submit enrolment data, receive real-time validation responses to enrolment and retrieve timely remediation messages from within the Certified EMR Product. To learn more about the Home Clinic Enrolment Service, read our FAQs.

Home Clinic Client Summary Service* – provides a secure method for Home Clinics to submit enrolled patient key health information from a Certified EMR Product for the purpose of producing a standardized Client Summary document. Home Clinic Client Summary documents are stored in eChart Manitoba in the Clinical Document tab in the Primary Care Home Clinic folder and are accessible to authorized health-care providers in support of direct patient care. To learn more about Home Clinic Client Summaries and the associated Home Clinic Client Summary Service, read our FAQs.

  • Standard Certification: Optional – all components
  • Integrated Certification:
    • Lab, DI, Enrolment Service, Home Clinic Client Summary Service – Mandatory
    • Client Registry Query – Optional

*Home Clinic Enrolment Service is a prerequisite.

Primary Care Quality Indicator Reminders and Data Extract

Manitoba has adopted a set of Primary Care Quality Indicators (PCQIs) established by the Canadian Institute of Health Information (CIHI). This set of PCQIs includes indicators related to preventative care and to a select group of chronic diseases. Based on these indicators, Certified EMR Products will prompt clinicians when their patients are due or overdue for care. These clinical reminders have proven to result in improved patient care. Certified EMR Products will enable collection and extraction of data required to evaluate primary care quality in these areas. Clinics will submit this data to Manitoba and, in return, receive a series of valuable reports based on analysis of their data to support continuous quality improvement in patient care and EMR data quality.

  • Standard Certification: Optional
  • Integrated Certification: Mandatory

Comprehensive Care Management Billing Support

Comprehensive Care Management tariffs came into effect on April 1, 2017. This functionality will provide support to family physicians who wish to submit claims for these tariffs.

  • Standard Certification: Optional**
  • Integrated Certification: Mandatory

**Primary Care Quality Indicator Reminders and Data Extract is a prerequisite.

Interprofessional Team Data Extract

The Interprofessional Team Data Extract collects encounter-based data for patients seen by a non-physicianhealth provider. This data extract supports provincial initiatives, and enables those workingin interprofessional team settings to understand the scope of work and impact of those resources.

  • Standard Certification: Optional
  • Integrated Certification: Optional

Access, Capacity and Workload Reporting

Based on Advanced Access principles, these reporting requirements enable clinics to assess cliniciancapacity and workload as well as patient access. A wide-range of reports includes panel size,provider supply, patient demand, delay to appointments and more. Reporting can be done at theindividual provider, care team (e.g. interprofessional team, My Health Team, etc.) and clinic level. As a result, these reports support a variety of Manitoba stakeholders’ analytical needs and theircontinuous improvement efforts.

  • Standard Certification: Optional
  • Integrated Certification: Mandatory

*Primary Care Quality Indicator Reminders and Data Extract is a prerequisite.

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