Toronto East General Hospital (TEGH) is a lead partner in a shared Learning Management System (LMS), which provides access to e-learning resources such as WHMIS, accessibility training, and infection control for employees of east Toronto health care organizations. The group is known as Back Office Solutions (BOS). In 2001, Solutions – East Toronto’s Health Collaborative – was created to provide an integrated system of care and support for the people of east Toronto. In 2008, five Solutions organizations (Community Care East York, COTA, Nisbet Lodge, Neighbourhood Link Support Services, and TEGH), used start-up funding from the Toronto Central LHIN to investigate back-office integration opportunities that would improve efficiency and effectiveness of all organizations, ultimately improving quality of care for members’ shared clients. Community Learning in Infection Control (CLIC) was formed the following year to standardize infection control education for front-line workers in the community and integrated into BOS in 2011. Each organization pays a modest annual fee and signs a Memorandum of Understanding. TEGH is the lead organization, providing overall leadership and administration. Course content is based on TEGH’s e-learning courses, which are modified for community use. The annual fee is used to buy LMS seats, develop programs, and support annual maintenance of the learning modules. The BOS system now offers: • 24/7 access for staff members from BOS organizations from home or work (on all platforms) • Confirmation and tracking of course completion • The ability for each member to control access and create reports for their own organization • Integration of learning modules that have been developed by community partners. New members have joined since implementation and BOS is now in a position to expand. Additional seats will be purchased as other community organizations commit to joining. BOS is also planning to develop new modules that will enhance safety across the care continuum, including workplace violence and falls prevention. Any new module that is too hospital-centric will be modified for community partners.

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