The five hospitals in Ontario supported by Transform Shared Service Organization (TSSO) have significantly improved their electronic health record systems by migrating Oracle Health Foundation EHR to Oracle Cloud Infrastructure. This move has enhanced performance, usability, and availability, providing both patients and clinicians with a faster, more reliable experience. The scalable cloud platform also sets the stage for adopting AI technologies, including a pilot program of Oracle Health Clinical AI Agent.

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TSSO was established by five hospitals in the Erie St. Clair region, including Bluewater Health, Chatham-Kent Health Alliance, Erie Shores HealthCare, Hôtel-Dieu Grace Healthcare, and Windsor Regional Hospital, to manage IT services and support innovation across affiliated healthcare providers, long-term care facilities, hospices, and family health teams. By moving to Oracle Cloud Infrastructure, TSSO has strengthened data security, improved EHR responsiveness, and made real-time patient information more accessible to clinicians. The cloud migration also allows TSSO to begin integrating Oracle Health Clinical AI Agent, with a pilot currently underway among select physicians and plans for broader adoption in 2026.

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Lyn Baluyot, Chief Executive Officer of TSSO, said the organization’s migration to a cloud-based platform allows for greater resiliency and agility. She explained that this upgrade elevates the experience for both patients and clinicians, supports uninterrupted interoperability, and lays a foundation for future innovations. She emphasized that OCI’s stable and redundant infrastructure provides high availability and strong system performance while enabling the organization to experiment with emerging technologies.

Since transitioning to OCI, TSSO hospitals have reported notable improvements in EHR speed and efficiency. Page load times for clinicians have decreased by an average of 71 percent and the time from system login to usability has been reduced by 46 percent. Faster system performance allows healthcare staff to complete documentation and tasks more quickly, giving them more time to focus on patient care. Real-time updates to patient records further strengthen communication and coordination among care teams, enhancing overall patient outcomes.

With Oracle Health Clinical AI Agent integrated into the EHR, clinicians benefit from automated generation of detailed narrative notes from physician-patient interactions. Physicians review and validate the notes at the point of care, reducing administrative burdens and enabling more time for direct patient engagement.

Erin O’Halloran, Vice President and Canada Market Leader at Oracle Health, said TSSO’s migration to OCI represents a critical step toward delivering patient-centered, coordinated care across its network. She noted that OCI supports all healthcare workloads, from core application systems to advanced machine learning and data analytics, allowing clinicians to make more informed decisions. By leveraging a local Oracle Cloud region in Canada, TSSO can ensure continuity of critical health services and strengthen preparedness across the healthcare system.

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