Five hospitals supported by Transform Shared Service Organization (TSSO) in Ontario, Canada, have significantly improved the performance, usability, and availability of their electronic health record (EHR) system by migrating Oracle Health Foundation to Oracle Cloud Infrastructure (OCI).
The move enables the hospitals to enhance clinician and patient experiences, scale more efficiently, and adopt new AI-powered capabilities, including a recently launched pilot of Oracle Health Clinical AI Agent.
TSSO was established by five hospitals in the Erie St. Clair region of Southwest Ontario—Bluewater Health, Chatham-Kent Health Alliance, Erie Shores HealthCare, Hôtel-Dieu Grace Healthcare, and Windsor Regional Hospital—to manage shared IT services. The organization also delivers technology solutions to affiliated health service providers, long-term care homes, hospices, and family health teams across the region.
By migrating to OCI’s scalable, high-performance cloud infrastructure, TSSO has strengthened data security while enabling clinicians to access real-time patient information through faster, more reliable EHR performance. OCI also provides the foundation for the organization’s adoption of Oracle Health Clinical AI Agent, with a pilot currently underway involving select physicians and plans to expand usage in 2026.
“By enhancing our infrastructure resiliency and agility, we can elevate the experience for patients and clinicians and support uninterrupted interoperability and operations across all our facilities,” said Lyn Baluyot, CEO of Transform Shared Service Organization. “Leveraging a modern, cloud-based platform enables us to deliver superior service that adapts to our patients’ evolving needs. With OCI’s stable and redundant environment, we gain high availability and strong performance while also creating a foundation to innovate with emerging technologies.”
Measurable Performance Gains Across the Network
Since completing the migration to OCI, all five hospitals in TSSO’s network have reported substantial improvements in EHR responsiveness. On average, page load times for clinicians have been reduced by 71 percent, while the time required to log in and begin using the system has decreased by 46 percent.
These gains are helping clinicians complete documentation and administrative tasks more efficiently, allowing more time for direct patient care. Faster system performance also enables more comprehensive, real-time updates to patient records, improving communication and coordination among care teams.
Laying the Groundwork for Clinical AI
With Oracle Health Clinical AI Agent integrated directly into the EHR, clinicians will be able to automatically generate narrative-rich draft clinical notes from physician–patient interactions in near real time. Physicians can then review, edit, and validate documentation at the point of care, reducing administrative burden and increasing face-to-face patient time.
“TSSO is dedicated to redefining people-centered care by providing integrated and coordinated patient services across its network, and its recent move to OCI lays the essential groundwork to realize this vision,” said Erin O’Halloran, Vice President and Canada Market Leader at Oracle Health. “OCI is built to run every healthcare workload—from core applications to data science and machine learning—enabling more informed care decisions and a better patient-focused experience.”
By leveraging Oracle Cloud regions located in Canada, TSSO is also supporting continuity of critical health services while strengthening system-level preparedness across the region.
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