cii/cpar overview - alberta doctors
Post on 27-Dec-2021
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CII/CPAR OverviewSheena George
CII/CPAR Primary Care LeadAMA - ACTT
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1. CII/CPAR overview2. Edmonton zone priority
connections
3. Benefits during COVID-194. Three physician and team
stories
Agenda
5. Edmonton zone milestones
6. How to get involved
7. Questions and answers
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Wayne’s Story
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Wayne’s JourneyPaneled with++Relational
Continuity
Recorded in EMR
Referred to Urologist
Outpatient Procedure
ER HospitalUTI x 6
Urosepsis x 2
No notification to Family Physician
ER docs had limited access to
information
Follow-up reliant on
family, or…
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Continuity Defined
Continuity of Care: a multidisciplinary review, JL Haggerty et al, 2013
Quality of patient care
over time with a primary care
provider
Connection across health care events
and providers
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What is CII/CPAR?
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CII is a system that collects select patient information from community Electronic Medical Records (EMRs) and shares it with other members of the patient’s care team through Alberta Netcare.
Community Information Integration (CII)
Community Physician Office
EMRs
CII Data Hub
Alberta Netcare
Healthcare DataRepository
Health InformationData Governance
Committee
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• A provincial system that captures the confirmed relationship of a primary provider and their paneled patients.
• Receives information automaticallyfrom clinic EMRs on a monthly basis
• Next logical step for practices that have invested in panel management
• Foundational for future enhancements of informational continuity
Central Patient Attachment Registry (CPAR)
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CII/CPAR: What You Share, Receive & Enhance
Share
Confirmed Panel Lists
Patient Encounter Data
Consult Reports
Receive Reports
1) Demographic Mismatch Report
2) Conflict Reports
3) eNotifications
Enhance Netcare
4) Community Encounter Digest
5) Consult Reports
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Wayne’s JourneyFollow-up
with FamilyPhysician
Paneled with++Relational
Continuity
Recorded in EMR
Referred to Urologist
ER HospitalUTI
eNotification to Family Physician
Outpatient Procedure
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Common CII/CPAR Questions
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Do patients need to be notified that I am participating
in CII/CPAR?
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• Only mapped fields in EMR flow to Netcare• Document confidential information in unmapped fields• Each EMR has confidentiality features
• HIA requires Health Collection Notice Posters
• Most patients do NOT ask questions • If they do, questions are about Netcare (HQCA survey)• Starting conversations with patients is NOT necessary
Privacy of InformationClinic EMR
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11.0Average # of e-Notifications per 7 days (week) per 1000 patients on panel
1.5Average eNotificationsphysicians receive daily
As of May 2020…
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