Who do I contact to participate in SHIIP or learn more about the project?
All inquiries can be sent to SHIIP@lhins.on.ca. Additionally, you can use the Contact Us form on this website.
What is a LRP / LRA?
A Legal Responsible Person (LRP) signs all legal documents for a site. A Local Registration Authority (LRA) is delegated by the LRP to perform registration tasks.
How long is the onboarding process for a new organization?
Since this is a multi-step process, it can take some time. For more information, please use the Contact Us page and we’ll get back to you as soon as we can.
Does the SHIIP team provide training to users participating in SHIIP?
Yes, in-person training on SHIIP as well as privacy-specific training is available. Additionally, learning resources are available on this website. If you would like to request training, please reach out to us via the Contact Us page.
The SHIIP Tool
What are dashboards?
Dashboards in SHIIP provide users with a variety of metrics that can be used to view care trends, shortfalls, success, etc. SHIIP has three dashboards; Acute Care, Indicators, and Care Coordination.
What is a risk score / indicator?
Risk indicators within SHIIP provide it’s users with the ability to identify at-risk patients. These indicators are calculated / determined by a variety of factors, such as; number of emergency department visits, number of complex conditions, frequency of visits, etc.
Which risk scores / indicators are available within SHIIP?
SHIIP provides access to several risk indicators. More information can be found here.
How are risk scores / indicators interpreted?
This is unique to each score / indicator; however, the scores / indicators used in SHIIP can generally be interpreted as negative when high and positive when low.
What is a CCP?
As defined by the Ontario Medical Association, a Coordinated Care Plan is a written or electronic plan that is created and maintained by the patient or his / her family, the health care time including physician consultants where appropriate, and community services when necessary. It outlines the patient’s short and long-term needs, recovery goals, and coordination requirements. It also identifies who is responsible for each part of the plan.
SHIIP holds an electronic version of a patient’s CCP. It contains ten pages – each contains different information. The pages include a patient’s identifiers, members of their care team, their current health issues, their goals, etc.
Who can see a patient’s CCP?
Health care providers listed as a patient’s primary care provider will be able to view a patient’s CCP (as well as the rest of the patient’s profile). Additionally, all SHIIP users with access to that provider’s roster will also be able to view the patient’s CCP.
Are patient records automatically created in SHIIP?
Patient records are automatically created when SHIIP receives information from one of it’s data integrations.
What is a Patient List?
Users can add patients to Patient Lists. Patient Lists can be used as populations throughout SHIIP if you want to view information for a specific grouping of patients. These lists provide a great deal of flexibility and support just about any workflow.
What is a complex patient?
A complex patient is defined as an individual with 4 or more high-cost/chronic conditions. For more information on complex conditions, please visit this page.
Privacy / Legal
Where does SHIIP get Personal Health Information (PHI)?
Schedule “A” of the Participation Agreement outlines the data used and applies to all data accessible through SHIIP. SHIIP includes administrative and clinical data made available in real-time and “near” real-time. The sources of data include:
- Discharge Abstract Database (DAD)
- National Ambulatory Care Reporting System (NACRS)
- Admission, Discharge and Transfer (ADT) feeds
- NesdaTrak *
- EMHWare *
* These data sources are only available in the South East LHIN.
From a simplified perspective, personal health information in SHIIP and it’s purpose for use are described below:
- Patient demographics: Identifies patients and links their PHI from multiple health care organizations.
- Visit / encounter data: Allows for complex patient identification and care coordination through SHIIP.
- Consent directives: SHIIP identifies the flagged patient and does not continue to store / show PHI for that patient.
Who has access to Personal Health Information (PHI) stored by SHIIP?
SHIIP provides access to patient information in two ways; assigned primary care providers, and flat access to a site’s patients. If a user is assigned to a primary care provider, they can view patient records attached to that provider. If a user has flat access to a site’s patients, they can see all patients flowing through that site. Flat access can be further broken down to a specific clinic (i.e. Cardiology), active physician and role, and admission / discharge day range.
Will clinicians working in a hospital setting also be able to access their patient’s health information?
Yes, regardless of what type of patient care clinicians provide (primary care, community, and/or hospital) clinicians can view their patient’s health information in SHIIP.
Furthermore, SHIIP provides flexibility in designing specific views of the data for all types of users. This allows control over the exposure of PHI to each user and ensure that data relevant to the user workflow is included.
It is important to note that there are pre-requisites to accessing SHIIP.