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Benefits Realization


Benefits realization (BR) is a key component of the projects supported through the eHealth Centre of Excellence. The BR team has adopted an approach to evaluation that is linked with the change management and adoption process. The purpose is two-fold:

  1. Identify the processes that produce organizational and clinical value in health workflows
  2. Assess how the use of different e-tools can yield increased value.

The BR team examines academic research and documented best practice guidelines to understand the clinical value propositions that should motivate specific clinical workflows to adopt change.


The BR framework, initially developed by the connecting South West Ontario (cSWO) Program, has been published in Building Capacity for Health Informatics in the Future, a peer-reviewed ebook that details the proceedings 

of  the 2017 Information Technology and Communications in Health conference (ITCH 2017). Click here to read it!


The following BR documents are case studies which describe the clinical value in using digital health tools. They are organized by program: cSWO ProgramSystem Coordinated Access (SCA), and QBIC (Quality Based Improvements in Care). We have also developed some BR cases on Health Links across the Waterloo Wellington region, in partnership with the Waterloo Wellington Local Health Integration Network (WWLHIN).


cSWO Program case studies

The following cases were developed by the eHealth Centre of Excellence as the cSWO Program Delivery Partner in Waterloo Wellington.


cSWO Regional Clinical Viewer, ClinicalConnect™


Improving secondary stroke preventative care

Improving management of infectious disease in hospital

Improving continuity of care during LTC transitions

Addressing health inequities through outreach

Improving care in emergency departments for patients with complex conditions

Matching patient need and geriatric medicine / geriatric psychiatry referrals

Integrated community hospice palliative care

Early psychosis treatment

Improving hospital readmission outcomes with better post-discharge visits

Improving community care through HealthLinks and community paramedicine

Diabetes central intake education and specialist care

Documenting clinical and organizational value of community pharmacy access to the electronic health record

Access to breast cancer oncology reports facilitates faster decision-making and decreases time to OR

Enhancing efficiency and improving patient experience through the electronic health record use in Public Health


Primary Care Data Sharing (PCDS)

Value for atrial fibrillation clinical decisions in primary care and emergency care

Using electronic medical record data to identify complex patients likely to access acute care services 

Value for determining chronic kidney disease risk in diabetic patients 

Conducting a medication reconciliation with complex patients in primary care


Digital Health Drug Repository (DHDR)

The DHDR supports clinicians to make timely, appropriate care decisions during narcotics withdrawal

Narcotics data enables evidence-informed prescription decisions 

Improving access to information for geriatric emergency management nurses

Adding value to opioid contract monitoring within primary care

DHDR improves transitions of care


Health Report Manager

HRM is improving quality of care, patient experience, and efficiency



SCA case studies

Chronic disease prevention and management (CDPM) referrals from primary care

Stroke rehabilitation eReferrals

Orthopedic central intake

Geriatric medicine services clinical intake



QBIC case studies

Improving COPD management through an EMR decision support tool


Bridging guidelines and practice for the management of patients with chronic heart failure


Using eConsult to support timely access to specialist advice, reducing anxiety and decreasing unnecessary referrals


Providing timely patient care with confidence using eConsult in primary care


Using tablets to increase standardized, validated mental health assessments and facilitate evidence use at point of care


Enhancing the patient experience and enabling more accurate mental health assessments using tablets





Health Links case studies


Interprofessional, team-based care impacting outcomes for Health Links patients in Kitchener-Waterloo


Flexibility of the Health Links approach allows clinicians in Guelph to provide patient-centred care within their local contexts


Outreach workers in Rural Wellington are the bridge for individuals to overcome barriers and access appropriate resources 


Health Links coordinated referral process results in efficient, appropriate care for patients in Cambridge-North Dumfries






For more information, or if you are interested in participating in an upcoming BR case, please contact:


Lirije Hyseni, BR Practice Lead

(519) 885-0606 x. 1018