Physician to Physician Is CII/CPAR Right for You? - Edmonton Zone Monday, June 7th - 5:00 to 6:00pm Dr. Chris Le, Edmonton North PCN & Dr. Sonnie ...
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Edmonton Zone
Physician to Physician
Is CII/CPAR Right for You?
Monday, June 7th – 5:00 to 6:00pm
Dr. Chris Le, Edmonton North PCN &
AprilCounty
Dr. Sonnie Oyama, Sherwood Park Strathcona 26, 2021PCN
Dr. Janet Craig, Edmonton West PCN
Supported by:
1
Live Recording
• Privacy Statement: The session you are participating in is being
recorded. By participating, you understand and consent to the
session being made publicly available via a link on the AMA
– ACTT website or any Edmonton Zone PCN website for an
undetermined length of time.
• By participating in the live Q&A, your name as entered into the
Zoom sign-in may be visible to other participants during the
session and/or in the recording.
2
Land Acknowledgment
We would like to recognize that we are webcasting from, and to,
many different parts of Alberta today. The province of Alberta is
located on Treaty 6, Treaty 7 and Treaty 8 territory and is a
traditional meeting ground and home for many Indigenous
Peoples.
3
Asking Questions
• At any time, type questions in the
Chat
• At the end we will also invite you
to ask live questions
• Click on “Participants”
• Use the ‘Raise Hand’ feature
To raise
• A moderator will invite you to your hand
unmute
4
Chat Monitors & Facilitators this Evening
Edmonton North Sherwood Park Strathcona County
Plaxedes Mhandu Christina Vesty
Quality Improvement Facilitator Clinical Manager
55
Session Support Team
• AMA – Accelerating Change Transformation Team
• Angille Heintzman • Edna DeChamplain
• Kylie Kidd Wagner • Chris Diamant
6
Disclosure of Financial Support
This program has not received any financial or in-kind support.
7
Progress to
Date
8
Provincial PCN Provider CII/CPAR Implementation Status
(%) May 10, 2021
The percentage of PCN member providers live or in the process of going live on CII/CPAR
80% Goal
Provincial 16% 7% 77%
North 41% 8% 51%
Central 22% 4% 74%
South 19% 6% 75%
Calgary 12% 8% 80%
Edmonton 11% 7% 83%
Providers Live In Progress Potential
9
Edmonton Zone PCN Provider CII/CPAR Implementation Status (%)
May 10, 2021
The percentage of Edmonton zone PCN member providers live or in the process of going live on CII/CPAR 80% Goal
Zone 11% 7% 83%
Leduc Beaumont Devon 32% 2% 67%
WestView 21% 36% 43%
St Albert Sturgeon 19% 10% 71%
Edmonton Oliver 14% 0% 86%
Edmonton North 11% 11% 79%
Edmonton Southside 6% 5% 89%
Edmonton West 6% 0% 94%
Sherwood Park 3% 5% 92%
Providers Live In Progress Potential
10Why
CII/CPAR?
11CII and CPAR were at the Request of Physicians
The Central Patient Attachment Registry was at the request of
the Section of Family Medicine (SGP at the time).
A commitment was made to build this tool for primary care.
Alberta’s community specialists requested technology to
submit consult reports to Netcare (CII) at AMA Rep Forum
Partners
12MyHealth Record Simple View of eHealth in Alberta
Healthcare
Data
Repository
Central
Patient
Attachment
Registry
Information Integration
Connect Care
Community
Health
quest
1300 to 1
Med
Access Y1
Wolf Y2
PS Y3
Suite
e-Notifications
Accuro
e-Delivery (labs, DI, etc.)
13How CII/CPAR Improves Transitions of Care
CPAR confirms primary
Primary provider & provider *June 2021 –
team get primary provider will
eNotifications display in Netcare
when patients are
discharged;
opportunity for
eNotifications sent to
timely follow-up
primary provider & team
when patients are
admitted; opportunity for
primary – hospital team
collaboration
Consult & CED
reports in Netcare
identify current eNotifications, consult &
community CED reports in Netcare
consultants & inform transition planning
supports
14How about privacy?
15
15Keeping Information Confidential
• Only mapped fields in EMR flow to Netcare
• Document confidential information in unmapped fields
• Each EMR has confidentiality features
Clinic EMR
16How Will My Patients Know?
CII/CPAR falls under the Alberta Netcare umbrella,
which is covered by the Health Information Act.
• You are not required to inform individual
patients beyond posting the Health
Collection Notice
• If patients have questions:
• Brochures, Team Scripts, 1-800 Number
• EMR confidentiality or record masking in
Netcare
17What do the reports
look like?
18
18Community
Encounters
CED Sample •
•
Encounter Date
Location
• Provider Name/Role
• Reason for Encounter
Health Concern • Clinical Assessment
History
• Encounter Date
• Health Concern
• Provider Name
• Source (clinic)
Possible Allergy
• Encounter Date
• Possible Allergy
• Provider Name
Measured • Source (clinic)
Observations
• Encounter Date Referrals *New – 3y
• BP, Height, Weight, Waist • Type
Circumference • Request date
• Source (clinic) • Occurrence date
• Source (clinic)
Immunizations
Disclosure Statement
19Community Encounter Digest (CED) in Netcare
A new category/folder called
“Community Reports” has been
added to the Clinical Document
Viewer (CDV) tree in Netcare
20Consult Reports in Netcare
Other providers
can see, at a
glance, that this
patient has a
Tool tip displays
Peds Consult
Source date, category,
sub-category, status,
author, result source
and facility
21eNotifications
• Notice of:
• ED Leave Prior to Admission*
• Change in patient class from ED to
Inpatient*
• Emergency Department Discharge
• Hospital Admission
• Hospital Discharge
• Day Surgery Discharge*
From an AHS Facility in Alberta
Example: at a glance view in Healthquest
Appears in EMRs similar to lab reports. • Notices 7 days/week @ 6 am and 2 PM
*Most but not all AHS day surgery sites are connected.
* NEW since April 2021
22eNotification - Example
NEW since April 24, deceased patients
are marked on the eNotification as
“Deceased (YYYY, MM, DD)” or
“Deceased”, if the date is not available
from the AHS facility.
Info includes:
• Pt demographics
• Facility location
• Date/time
• Attending provider
If a patient is paneled in CPAR to more than one provider both • Admission reason
providers receive the eNotification • Additional providers
notified
The notice remains in a patient chart similar to a lab result.
23What’s in it for
doctors?
Physician Experiences
24My Journey – CII/CPAR is Teamwork
Dr. Sonnie Oyama- Family Physician & Sherwood Park Strathcona PCN
Board Chair
"At first I was concerned about what I would need to do to get us on CII/CPAR, but
Amira and Jasen from the PCN and the eHealth Consultant made it easy. I felt very
supported and in the end it wasn't a lot of work."
– Rose-ann Oyama, Clinic Manager
The Team:
• Clinic Manager
• Physician
• PCN Practice Facilitator & Panel Manager
• eHealth Consultant
• AMA-ACTT Consultant
25My CII/CPAR Journey – Quality & Timely Patient Care
Dr. Sonnie Oyama- Family Physician & Sherwood Park Strathcona PCN
Board Chair
• Family physicians know their patients
best
• CII/CPAR enables me to enhance the
care I provide my patients
• eNotification
• Opportunity to be proactive
26My CII/CPAR Journey – Peace of Mind
Dr. Sonnie Oyama- Family Physician & Sherwood Park Strathcona PCN
Board Chair
Before CII/CPAR Now live on CII/CPAR
• Patient passed away in • “deceased” patient eNotification
hospital • Proactive
• First notified by call from • Connect with family
Medical Examiner’s Office • Review chart
27CII/CPAR – Better Coordination of Patient Care
Dr. Chris Le - Family Physician Ideal Medical Center
“CII/CPAR helps me offer all my patients the best care possible, especially the most
vulnerable, by enabling me to coordinate their care with my colleagues in a different
clinical setting like the ED or hospital.”
– Dr. Chris Le
28CII/CPAR – Opportunity to Advocate for Patients
Dr. Chris Le - Family Physician Ideal Medical Center
• Community Encounter Digest identified Dr. Le
as a physician who treated the patient
• Multiple substance use issues with concurrent
mental health issues
• Cared for patient while in Poundmaker’s Lodge
• Medication titration
• eNotifications
• Enable follow-up
29CII/CPAR – Opportunity to Advocate for Patients
Dr. Chris Le - Family Physician Ideal Medical Center
• Vietnamese speaking population
• Multiple ways for colleagues to connect
• Community Encounter Digest ?
• Primary Care Provider in Netcare (2021) !
• Opportunity for me to follow up
• eNotifications
30Questions?
31How to get started June 8, 2021 32
Pre-Requisites
The clinic must be live on The clinic EMR Privacy Impact
1 Alberta Netcare Portal 3 Assessment (PIA) must be up
to date
PIA
Using a conformed EMR
2 Microquest Healthquest, QHR Accuro, TELUS Med Access, PS 4 Panel Ready
Suite or Wolf Healthquest or Accuro must be latest version
Microquest
QHR
TELUS
33Reach Out
PCN PCN CII/CPAR PCN CII/CPAR Contact
Physician Rep
to Learn
Edmonton
Chris Le Plaxedes Mhandu pmhandu@enpcn.com
North
More
Edmonton
Ron Shute Kacey Keyko kacey.keyko@espcn.ca
Southside
St. Albert Dr. Barbara Fischer
Duncan Maguire duncanm@saspcn.com
Sturgeon Neil Neary neiln@saspcn.com
Edmonton
Oliver Marco Mannarino Naomi Usman nusman@eopcn.ca
Leduc
Beaumont Rebecca Saunders Sandee Foss sandee.foss@lbdpcn.com
Devon
Westview Sunil Datar Anita Dalueg anita.dalueg@westviewpcn.ca
Edmonton
West Janet Craig Joshna Tambe joshna.tambe@ewpcn.com
Sherwood
Park Sonnie Oyama Sheri Fielding SheriF@sherwoodparkpcn.com
If you require further support, contact: continuity@albertadoctors.org
34Are You a Healthquest EMR User?
• Edmonton Zone has the highest % “ Microquest
of HQ users in Alberta Healthquest
implementations for
• HQ website - physician & team CII/CPAR are the
stories 26 min CII/CPAR video by Dr. Chris Le fastest and easiest “
& Dr. Janet Craig (recording)
- Michael McDermott, CII
Project Director
• For more HQ tools & resources visit
actt.albertadoctors.org
35Upcoming Clinic Manager Sessions
June 16th & 24th 12:15pm to 1:00pm
• Learn more about:
• What CII/CPAR is
• How it works
• How to get started
• How to use the reports once live
• Ask your questions!
• Registration details will be sent out
36Thank You for Joining Us Tonight!
• Please take a few minutes now to provide feedback on this session
(survey link in chat)
• Expect a follow up email with a links to tonight’s recording and
other tools & resources
• Reach out to your PCN for more information or next steps
37You can also read
