cii/cpar overview - alberta doctors
TRANSCRIPT
![Page 1: CII/CPAR Overview - Alberta Doctors](https://reader030.vdocuments.us/reader030/viewer/2022012920/61c8c36debbaae7dc96dee85/html5/thumbnails/1.jpg)
13
CII/CPAR OverviewSheena George
CII/CPAR Primary Care LeadAMA - ACTT
![Page 2: CII/CPAR Overview - Alberta Doctors](https://reader030.vdocuments.us/reader030/viewer/2022012920/61c8c36debbaae7dc96dee85/html5/thumbnails/2.jpg)
14
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
![Page 3: CII/CPAR Overview - Alberta Doctors](https://reader030.vdocuments.us/reader030/viewer/2022012920/61c8c36debbaae7dc96dee85/html5/thumbnails/3.jpg)
15
Wayne’s Story
![Page 4: CII/CPAR Overview - Alberta Doctors](https://reader030.vdocuments.us/reader030/viewer/2022012920/61c8c36debbaae7dc96dee85/html5/thumbnails/4.jpg)
16
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…
![Page 5: CII/CPAR Overview - Alberta Doctors](https://reader030.vdocuments.us/reader030/viewer/2022012920/61c8c36debbaae7dc96dee85/html5/thumbnails/5.jpg)
17
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
![Page 6: CII/CPAR Overview - Alberta Doctors](https://reader030.vdocuments.us/reader030/viewer/2022012920/61c8c36debbaae7dc96dee85/html5/thumbnails/6.jpg)
18
What is CII/CPAR?
![Page 7: CII/CPAR Overview - Alberta Doctors](https://reader030.vdocuments.us/reader030/viewer/2022012920/61c8c36debbaae7dc96dee85/html5/thumbnails/7.jpg)
19
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
![Page 8: CII/CPAR Overview - Alberta Doctors](https://reader030.vdocuments.us/reader030/viewer/2022012920/61c8c36debbaae7dc96dee85/html5/thumbnails/8.jpg)
20
• 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)
![Page 9: CII/CPAR Overview - Alberta Doctors](https://reader030.vdocuments.us/reader030/viewer/2022012920/61c8c36debbaae7dc96dee85/html5/thumbnails/9.jpg)
21
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
![Page 10: CII/CPAR Overview - Alberta Doctors](https://reader030.vdocuments.us/reader030/viewer/2022012920/61c8c36debbaae7dc96dee85/html5/thumbnails/10.jpg)
22
Wayne’s JourneyFollow-up
with FamilyPhysician
Paneled with++Relational
Continuity
Recorded in EMR
Referred to Urologist
ER HospitalUTI
eNotification to Family Physician
Outpatient Procedure
![Page 11: CII/CPAR Overview - Alberta Doctors](https://reader030.vdocuments.us/reader030/viewer/2022012920/61c8c36debbaae7dc96dee85/html5/thumbnails/11.jpg)
23
Common CII/CPAR Questions
![Page 12: CII/CPAR Overview - Alberta Doctors](https://reader030.vdocuments.us/reader030/viewer/2022012920/61c8c36debbaae7dc96dee85/html5/thumbnails/12.jpg)
24
Do patients need to be notified that I am participating
in CII/CPAR?
![Page 13: CII/CPAR Overview - Alberta Doctors](https://reader030.vdocuments.us/reader030/viewer/2022012920/61c8c36debbaae7dc96dee85/html5/thumbnails/13.jpg)
25
• 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
![Page 14: CII/CPAR Overview - Alberta Doctors](https://reader030.vdocuments.us/reader030/viewer/2022012920/61c8c36debbaae7dc96dee85/html5/thumbnails/14.jpg)
26
11.0Average # of e-Notifications per 7 days (week) per 1000 patients on panel
1.5Average eNotificationsphysicians receive daily
As of May 2020…