Panel to CPAR – Central Patient Attachment Registry

Prioritizing support for Patients Medical Homes

Capacity Building Approach

Building Capability in Key Human Resources to support Spread Building Capacity in partnership with PCNs

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PCN Capacity to Support Member Practices

Improvement Facilitators

Panel Coordinators

EMR Optimization Personnel

Capacity to Engage and Spread Change

Network of Change Agents

Physician Champions

Improvement Facilitators Communities of Practice (CoP)

Panel Identification Change 4 Key Behaviors in Practice

At every interaction ask who the patient identifies as their primary provider Record it in the EMR & Date Stamp It Maintain & Review the panel List Utilize the panel list to plan care delivery starting with ASaP

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Provincial Panel Progress

63% of physicians are

either well-established or

actively working to establish their

panel.

Panel to CPAR

What is CPAR ?

CPAR and the Amending Agreement

The registry was identified as a priority in the ratified Amending Agreement

A Centralized Patient Attachment Registry will be developed and implemented by December 2017. This can be used for implementation of the voluntary blended capitation model for primary care and will be tied into the AH billing payment system. A physician provider registry system will also be enhanced.

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CPAR Timelines

Amending

Agreement Oct 2016

Pre-working Group Activity

& Consultations

Steering Committee and

Working Groups Launch December 2016

Registry Requirements

Gathering Q1 2017

Registry Complet

e December 2017

Registry Populati

on Begins January

2018

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Preparation Phase 1

Transitions Phase 2

Live Phase 3

Seek input to support the design

Transitioning current practice to the CPAR

Live CPAR

Sept. 2016 – Sept. 2017 Oct. 2017 – Dec. 2017 Jan. 2018 -

Design & Implementation Phases

Consultation Results

Seek input to support the design

Sept. 2016 – Sept. 2017

Consultation Results

• Attachment to provider with reference to cross-coverage (functional group)

• Paneling patients and registering in EMR – keep it simple with existing processes

• Transition to CPAR by electronically submitting lists to the registry

• Viewing information with appropriate privacy and audit controls

• CPAR design to be informed by representative sample of users and stakeholders

Why CPAR?

1. Promotes Continuity Between a Single Provider & Patient Relational Continuity results in:

Better health outcomes Better quality of care Better coordination of care Reduced overall costs to the health care system

Why CPAR ?

2. Informational Continuity results in: Better handoffs ( SC to PC etc.) Better communication Less duplication

3. A centralized registry could provide Provincial level attachment data & information for secondary use

Panel Identification Change 5 Key Behaviors in Practice

At every interaction ask who the patient identifies as their primary provider Record it in the EMR & Date Stamp It Maintain & Review the panel List Utilize the panel list to plan care delivery Submit the Panel List to CPAR

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4

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Implementing CPAR

Key Questions for PCN’s on Implementation • What do you expect are benefits & risks

with CPAR ? • How do you see being involved in

implementation?

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Questions?

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Panel as a Patient’s Medical Home (PMH) Priority

What did we set out to do?

CPAR - Benefits

Registration will be used for Care coordination Analytics by provider Funding (FFS and PCN) Identify unattached patients Connect to patient portal Secondary use analytics

Primary Care Continuity

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