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The overall goal is to use direct provider order entry whenever possible, as it improves accuracy, reduces delays, and supports patient safety. However, verbal orders will still be allowed with limited and clearly defined use.
Verbal orders are intended for urgent or exceptional situations (for example, codes or when a provider cannot reasonably enter the order themselves). Providers will then be required to sign off on the order in the system at the first available opportunity.
Yes, if they have appropriate access and a clinical reason to do so. Results and reports generated by the system will continue to be distributed to primary care providers with read-only access. We are working with several community and primary care organizations on expanded access to Expanse as part of the scope of the Program.
Meditech Expanse includes emerging AI-enabled and automation features, but their use will be introduced thoughtfully and in a controlled way. Any AI functionality is intended to support clinical decision-making, documentation, and workflow efficiency, not replace clinical judgment. Which AI features are enabled will depend on technical readiness, local configuration, governance decisions, and privacy requirements. As these capabilities mature, they will be reviewed through appropriate clinical and governance processes before being introduced. Clear communication and training will be provided before any AI-supported tools are made available to users.
A limited amount of clinically relevant information from the current Meditech system, such as allergies, recent laboratory results, and other key patient data, will migrate into Expanse. This ensures that clinicians have access to the most critical relevant information to support safe care at Go-Live. Remaining historical information will continue to be available through a link, allowing clinicians to quickly and easily access older records when needed. Guidance will be provided on what data will be migrated and how to access historical information in Expanse.
Yes, clinicians will be able to view patient information from Northwest partner hospitals, which includes all 12 hospital organizations in the Northwest region. Some information may remain location-specific and only accessible to users at a particular site, depending on workflow, privacy, or operational requirements.
For care provided outside the Northwest region, work is underway using Meditech’s data-sharing platform, Traverse Exchange, which allows information to be shared between hospitals using Meditech as well as other systems such as Epic, Cerner, and PointClickCare. Ongoing work is focused on determining what external data will be available to Northwest clinicians and how it will be presented and used in clinical care.
All Clinicians will continue to have access to the ConnectingOntario ClinicalViewer for patient information.
Yes. Teams will continue to have the ability to use paper charting in trauma or other high-acuity situations where immediate clinical care must take priority. These workflows are carefully reviewed to ensure patient safety, clinical efficiency, and alignment with best practices. Clear guidance will be provided when paper documentation is appropriate and how it will be reconciled in the system afterward. Training will support teams using the right approach during these high-pressure scenarios.
Yes, there will be a patient portal.
Implementation of the Patient Portal is planned for post Go-Live. This will ensure there is enough meaningful data in the Expanse system for the portal to be useful to patients and their families.
This is a long program and staying supported matters. Reaching out early, using local coordination approaches, and keeping open communication with Change Specialists, colleagues, and your local leadership will help sustainable momentum.
Open postings can be found on our Careers page.
Absolutely. This website will be kept up-to-date throughout the project. To make sure you never miss an update, including opportunities to share your insights and experiences, click here to join our mailing list.
Each hospital will have change teams who will support staff and physicians throughout this project as we plan, train, test and launch our updated system.
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