Debates of February 8, 2021 (day 54)

Date
February
8
2021
Session
19th Assembly, 2nd Session
Day
54
Members Present
Hon. Diane Archie, Hon. Frederick Blake Jr., Mr. Bonnetrouge, Hon. Paulie Chinna, Ms. Cleveland, Hon. Caroline Cochrane, Hon. Julie Green, Mr. Jacobson, Mr. Johnson, Mr. Lafferty, Ms. Martselos, Ms. Nokleby, Mr. Norn, Mr. O'Reilly, Ms. Semmler, Hon. R.J. Simpson, Hon. Shane Thompson, Hon. Caroline Wawzonek
Topics
Statements

Question 518-19(2): eHealth System and Online Patient Portal

Thank you, Mr. Speaker. I spoke earlier in my statement about our electronic medical record system and our eHealth system. At one point, the Northwest Territories was a leader in this area, being one of the first jurisdictions to completely shift all of our health records to electronic form. When we designed that system, we designed a patient portal, which allowed people to log in and see their health records digitally. Other jurisdictions have now caught up and have those portals open and operating, and we have refused to do this. My question for the Minister of Health and Social Services is: Why has that portal not been turned on? Thank you, Mr. Speaker.

Speaker: MR. SPEAKER

Thank you, Member for Yellowknife North. Minister of Health and Social Services.

Thank you, Mr. Speaker. The department supports, in principle, the idea of having a patient portal where patients can access their health information that's held in electronic medical records, recognizing that there is information that is not in electronic medical records. We recognize the benefits of them having confidence in managing their health themselves and to make sure they're making informed discussions with their healthcare provider. It turns out that turning this feature on is a little less like turning on a light switch and more like steering the Queen Mary. It hasn't been accomplished at this point, and in the meantime, the medical record system we're using is going to be retired on December 31, 2023, so we are now looking for a new electronic medical record system. It seems unlikely we are going to make modifications to this system, but rather, we'll look at it in the context of the next system. Thank you.

I look forward to bringing up this issue in the next Assembly as it was brought up in the last, as well. I understand we are now shopping for a new electronic medical records system. I heard that was 2023. Can the Minister commit that as part of going out and purchasing a new system, an online patient portal will be part of that system?

I can't make that commitment. I can say that there is interest in this. I've already said that. It's in the four-year business plan that you've reviewed in the fall. Another possibility is to have a separate patient portal that is not connected to the electronic medical records but, in fact, include a wider range of records such as you mentioned in your statement: records from Alberta, paper records, images, and that kind of thing. Before we go down this road, we need to do a very comprehensive privacy assessment, and we need to answer some fundamental questions such as: Can parents access their children's records? If you are a caregiver, can you access your patient's records or your client's records? We need to have a very robust privacy and public engagement on this issue before we are able to decide what the best route forward is.

I recognize that it may not be as simple as turning a switch on. However, our doctors and our healthcare professionals use HealthNet Viewer daily. There have been consistent problems in this area in making sure that patient files are complete. I think that there is a bit of a misunderstanding, and our patients think that someone is monitoring their file and making sure it is robust and complete and all of the data works in there. Actually, the health system is just as siloed as many other GNWT departments. My question is: What work is being done now to make sure we are bringing all of our information into one place, whether it is the electronic medical records system or some new system as the Minister states?

I will need to return to the Member with information about what is being done right now on bringing in different sources of information into electronic medical record. I can say that I've answered a couple of questions from MLAs about records that seem to be missing from the electronic medical records for one reason and another. If the Member has a constituent who feels that their electronic medical records are incomplete, we can certainly investigate that.

Speaker: MR. SPEAKER

Thank you, Minister. Final supplementary. Member for Yellowknife North.

Thank you, Mr. Speaker. I have had multiple constituent issues of records missing, but the problem is: they do not have access to that electronic medical record system. A portal accomplishes exactly that, is that they can keep a file up-to-date. As the Minister said, there is lots of work to do in this area. COVID, I think, has pushed this work to the forefront. Is there a digital health strategy coming forward with some of the lessons learned and some of the paths we have to go down that will answer these questions such as maybe by 2023, whether we will have this portal? My question to the Minister is: do we have a comprehensive digital health strategy that is factored in, the changes COVID has put on the system? Thank you, Mr. Speaker.

The Department of Health and Social Services is very actively working on the pandemic rather than looking back at all of the lessons learned. I am not aware that there is work being done on a digital strategy at this point. Of course, it is important to capture the lessons learned, but this is not the moment. Thank you.

Speaker: MR. SPEAKER

Thank you, Minister. Oral questions. Member for Frame Lake.