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Enabling Data Sharing for Hospital-to-Community Transitions in the Toronto Region: A Stakeholder-Informed System
Yallenni Ilamvaluthy1, Tanika Nadeswaran1
1Institute for Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Abstract:
Ontario's healthcare system, with the Toronto region in particular, continues to face major data sharing gaps between hospitals and community agencies. This paper draws on findings from 26 multi-sector stakeholder interviews. It presents a system-level architecture targeting standardized discharge communication and supports provincial interoperability. A House of Quality (HOQ) matrix was used to map stakeholder requirements to functional features [1]. The proposed solution is a centralized discharge eHub platform leveraging existing eReferral infrastructure under the Patients before Paperwork (Pb4P) initiative, layered with interoperability features, electronic medical record (EMR) integration, secure information-sharing, and analytics capabilities to improve continuity of care. The architecture is positioned as an interoperability-enabling mechanism to close cross-sector data gaps.
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