Case Study
Scaling Success With ONE HITS and Expanse
- Challenge: Expanding a shared electronic health record across 23 diverse sites in northeastern Ontario required a scalable approach, strong change management, and innovative support models.
At a glance
ONE Health Information Technology Services (ONE HITS)
- Location: Northeastern Ontario, Canada
- Facility: 23 acute-care hospitals ranging from small community to large regional centers
- EHR: MEDITECH Expanse
- Services Provided: Implementation leadership, READY-certified consulting, change management, training, virtual command center support
Key Outcomes
- 23 hospitals unified on a single MEDITECH Expanse system, serving 790,000 people
- Embedded change management practices that enabled a smoother, more sustainable transition
- Successful adoption of a virtual command center model, reducing costs and improving support coverage
What I valued most about working with Tegria was their flexibility and partnership. Over three years, many of their consultants felt less like outside vendors and more like part of our team. They brought expertise, strengthened our processes, and helped us succeed in our most complex HIS project to date.
BRENDA MUTOCEO, ONE HITS
Background and Challenge
ONE Health Information Technology Services (ONE HITS) was created to deliver a shared MEDITECH Expanse system across northeastern Ontario hospitals, ensuring patients received a consistent, safe care experience across the region. After launching three founding hospitals, the team faced the challenge of scaling to 23 hospitals of varying sizes and programs. This required not just technology implementation, but also regional governance, workflow standardization, and strong change management to bring diverse stakeholders into a shared decision-making model.
Solution
To meet the scale of Wave 2, ONE HITS partnered with Tegria to provide READY-certified specialists, subject matter experts, and change management leadership. Together, they embedded policies, procedures, and roles early in the project so that new practices were in place well before go-live. This proactive approach helped ensure smoother adoption and sustainability.
Recognizing the geographic spread of hospitals, the team also introduced a regional virtual command center. This innovative model provided centralized strength while Tegria augmented local sites, giving frontline teams relief and consistent support during go-lives. By shifting to this hybrid approach, the project reduced costs, minimized staff burnout, and created a scalable framework that will be applied to future waves of implementation.
Results
Wave 2 brought 23 hospitals live on MEDITECH Expanse, standardizing workflows, strengthening governance, and ensuring patients have a consistent experience across the region. With smoother transitions and innovative support models, ONE HITS is well-positioned for its next expansion into northwestern Ontario.