Guiding Principles

The Wave 2 Implementation integrated project plan is driven by five guiding principles for design and build. Since the Wave 2 Implementation project is based on the Wave 1 foundational build and all changes will be subject to the ONE change process, the Wave 2 Implementation scope will be reflected in the various change requests created during the project.

• Employ common data standards to enable a ‘one patient, one record’ system which supports care decisions throughout the patient’s journey across all ONE sites, and is ‘right-sized’ for participating healthcare organizations.
• Standardize inter-professional care on best practice and up-to-date evidence.
• Standardize the processes supported by and the documentation available in the ONE HIS across all ONE participants wherever possible and relevant.
• Each site will align their internal practices with the agreed upon standard processes (including but not limited to Policies, Procedure, Standard Content, Workflow and Practice Changes).

• Wave 2 is a PHASE in the ONE project where additional hospitals, functionality and modules will be added to the ONE HIS.
• Wave 2 includes ALL ONE partners (3 founding hospitals plus participating NEON organizations).
• The ONE HIS foundational build was completed to support the onboarding of additional hospitals. All standard dictionary content used by the ONE hospitals, as established during Wave 1 implementation, will remain unless the ONE hospitals (founding hospitals and NEON hospitals) agree to the change in accordance with an agreed upon change process. Any new content will follow the agreed upon change process.
• Existing Dictionary settings will be reviewed to determine if future standardization is possible.

• Leverage the capabilities of MEDITECH Expanse and the systems feeding the Expanse-based ONE Health Information System (HIS) to support safe, effective, efficient patient/client-centred care and business processes. Avoid implementing capabilities simply because they are available.
• Decision making and design will be driven by frontline healthcare delivery professionals aligning to professional standards.

• Design systems and processes to support data-driven decision-making.
• Consider how data captured in the EMR will facilitate and enhance opportunities for population health, business and clinical data analytics, teaching and research.

• Privacy and security patient, staff, physician, and learner information is essential.
• Select and utilize systems and processes that support privacy, security, and information management best practices and legislation.