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ENITS – Frequently Asked Questions
As of March 26, 2015
1. What is ENITS and how does it differ from the Regional DI-r projects?
The Emergency Neuro Image Transfer System (ENITS) is a centralized e-Health Ontario online consultation system
that makes emergency remote neuro and vascular consultations easier, faster and more accurate. Hospitals across
the province send emergent head, spinal and abdominal/ thoracic scanned images to ENITS where they can be
accessed and reviewed by approved physicians anytime, anywhere.
eHealth Ontario’s DI program is part of the agency’s overall strategy to improve patient care, safety and access. By
putting in place a stable technical infrastructure, it guarantees that health care providers have access to vital clinical
activity information systems when they need it. eHealth Ontario coordinates the four DI-r projects covering all
hospitals in Ontario and provides funding support and the ONE® Network that gives providers access to the system.
2. What types of images are available through ENITS?
The types of images currently available through ENITS include emergent CT images of the head and spine (cervical,
thoracic and lumbar sections), and the standard series of “on-demand” axial and coronal MRI images of the head
and spine.
An expansion of the ENITS now includes emergent Abdominal, Thoracic and Lower Extremity CT/ CT-angio studies
which will be utilized by approved vascular and cardiac surgeons.
3. Which groups of physicians currently participate in the ENITS program?
The ENITS solution is currently available to neurosurgeons, spinal surgeons, adult /paediatric intensivists, Telestroke
neurologists, vascular and a limited number of cardiac surgeons who are responding to a consult request from
CritiCall Ontario. New physicians who have been approved to access ENITS can obtain account management details
from the CritiCall Ontario website.
4. Can ENITS be used by any physician?
ENITS is limited to approved physicians. New medical disciplines wishing access to ENITS will need to contact Steven
Johansen- DI Program Manager at eHealth Ontario. Email -steven.johansen@ehealthontario.on.ca
5. What unique identifiers are used for the CT and MRI images?
Patient ID#, patient name, accession number, referring physician name and CT/ MRI/ CT-Angio study date can be
used to identify the study.
6.
Should every CT/ CT-angio image be pushed to ENITS?
All ENITS connected sites have amended their CTs to push all emergent heads and spines and push all emergent CT
and CT-angio- abdominal, thoracic and lower extremity studies to ENITS.
7. Are there any limitations to access MRI image for the ENITS consultation?
Yes. A number of Ontario hospitals do not staff their MRIs 24/7 and the consulting physicians will be advised
whether MRI images can be completed as a supplement to the consultative process. In these situations, emergent
CT head images will be used.
8. How long are images available on the ENITS?
Images will be removed from ENITS after 7 days.
ENITS – Frequently Asked Questions
As of March 26, 2015
9. What are the privacy implications of ENITS physicians having potential access to all the ENITS images?
A Privacy Impact Assessment (PIA) summary is available at eHealth Ontario’s web site:
http://www.ehealthontario.on.ca/images/uploads/pages/documents/ENITS_pPIA_Summary.pdf
If you have any questions about ENITS or the implementation process, please contact eHealth Ontario:
Privacy Office
777 Bay Street, Suite 701
Toronto Ontario M5B 2E7
Tel: (416) 946-4767
privacy@ehealthontario.on.ca
10. Does ENITS support both MAC and PC users?
Yes. The eUnity TM application runs on a number of web browser platforms and does not require any additional
plug-ins. Flash will be verified during the physician’s initial logon to the eUnity TM viewer.
11. What is the timeout with the updated ENITS application?
The inactive session timeout has been set to 60 minutes after which Physicians will be required to re-login to the
ENITS system to access imaging
12. Is it possible to export images from ENITS?
Yes. Images will be automatically de-identified upon export.
13. Can I access the ENITS system from a connected mobile device, such as an iPhone or Blackberry?
The eUnity vendor has been engaged to develop an ENITS iPad application. It is anticipated this application will be
available for approved end users in late spring 2015.
14. Who provides end user support of the ENITS system?
ENITS Helpdesk Contact Info
The ENITS Helpdesk can be contacted via toll free support line at 1-877-465-7167 or locally at 519-685-8335 or via eMailenits@lhsc.on.ca for immediate access, account and password related issues.
DI Dept
For DI departments that are experiencing problems pushing exams to ENITS, the ENITS Helpdesk will provide support
and escalation as required to resolve the problem.
Once connected to the support line, please:
Press 1 for current system status.
• If there are no system issues, press 0 to connect to the Helpdesk and state the following:
ENITS – Frequently Asked Questions
As of March 26, 2015
• You are calling about ENITS
• Your name
• Your location
• Description of the problem
The ENITS Helpdesk also be reached by eMail for non-urgent requests: enits@lhsc.on.ca
Details pertaining to ENITS program status, account creation, training material and support processes are located on the
CritiCall Ontario web site: http://criticall.org/webconcepteur/web/CritiCall/en/nav/applications.html