Physician to Physician Is CII/CPAR Right for You? Monday, April 26Th – 5:00 to 6:00Pm Dr

Edmonton Zone Physician to Physician Is CII/CPAR Right for You? Monday, April 26th – 5:00 to 6:00pm Dr. Janet Craig, Edmonton West PCN & Dr. Ron Shute, Edmonton Southside PCN April 26, 2021

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 Co-Presenters this Evening

Edmonton West PCN Edmonton Southside PCN Joshna Tambe Leslie Bortolotto Quality Improvement Consultant Improvement Facilitator

55 Chat Moderators & Session Support Team

• Rajvir Kaur - Quality Improvement Consultant, Edmonton West PCN

• Stephanie Balko - Improvement Facilitator, Southside PCN

• AMA – Accelerating Change Transformation Team • Angille Heintzman • Kendall Olson • Kylie Kidd Wagner • Chris Diamant • Edna DeChamplain

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 (%)

The percentage of PCN member providers live or in the process of going live on CII/CPAR

80% Goal

Provincial 14% 8% 78%

North 39% 10% 52%

Central 19% 7% 74%

South 18% 7% 75%

Calgary 11% 8% 80%

Edmonton 10% 6% 84%

Providers Live In Progress Potential Updated: April 12, 2021 Edmonton Zone PCN Provider CII/CPAR Implementation Status (%)

The percentage of Edmonton zone PCN member providers live or in the process of going live on CII/CPAR

80% Goal

Zone 10% 6% 84%

Leduc Beaumont Devon 31% 2% 67%

St Albert Sturgeon 18% 10% 73%

WestView 18% 38% 44%

Edmonton Oliver 14% 1% 85%

Edmonton North 10% 10% 81%

Edmonton Southside 5% 3% 92%

Edmonton West 4% 2% 94%

Sherwood Park 2% 4% 93%

Providers Live In Progress Potential Updated: April 12, 2021 Why CII/CPAR?

11 CII 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

12 MyHealth Record Simple View of eHealth in Alberta Healthcare Data Repository Central Patient Attachment Registry Connect Care Health quest 1300 to 1

Med Access Community Y 1

Wolf Integration Information Y 2

PS Y 3 Suite e-Notifications Accuro e-Delivery (labs, DI, etc.)

13 How CII/CPAR Can Improve Transitions of Care

Encounter data from CPAR has enabled over 360,000 unique 15,000 e-Notifications per patients month

*coming soon: primary provider to be displayed in Netcare

Over 110,000 consult Over 418,000 Albertans reports now in will have the opportunity Netcare because of for smoother transitions CII

April 2021 Provincial Data

14 How about privacy?

15 15 Keeping Information Confidential

• Only mapped fields in EMR flow to Netcare • Document confidential information in unmapped fields • Each EMR has confidentiality features Clinic EMR

16 How 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

17 What do the reports look like?

18 18 Community Encounters • Encounter Date CED Sample • Location • Provider Name/Role • Reason for Encounter Health Concern • Clinical Assessment History • Encounter Date • Health Concern • Provider Name Possible Allergy • Source (clinic) • 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 19 Community Encounter Digest (CED) in Netcare

A new category/folder called “Community Reports” has been added to the Clinical Document Viewer (CDV) tree in Netcare

20 Consult 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

21 21 eNotifications

• Notice of: • Urgent Care Center Discharge • Emergency Department Discharge • Hospital Admission • Hospital Discharge • Day Surgery Discharge* in any AHS Facility in Alberta

• Notices 7 days/week @ 6 am and 2 PM Example: at a glance view in Med Access

Appears in EMRs similar to lab reports.

*Most but not all AHS day surgery sites are connected.

22 What’s in it for doctors? Physician Experiences

23 The Most Attractive Feature of CII/CPAR Dr. Craig - A Zonal Physician Champion’s Perspective

eNotifications enhance Netcare’s legacy patient list feature (EZ): • Automatically receive daily notifications in the EMR • Near real-time notifications of a patient’s hospital/ER admission or discharge

24 Glenora Medical eNotification Sources West Edmonton

25 The CII/CPAR Implementation Process Dr. Craig - A Zonal Physician Champion’s Perspective

“The implementation process was a team effort and went very smoothly.” – Dr. Janet Craig

The Team: • Clinic Manager • Physicians • eHealth Consultant • PCN Practice Facilitator & Panel Manager • AMA-ACTT Consultant

26 Getting Started What’s Involved | How Your PCN Can Support You

Joshna Tambe Leslie Bortolotto Quality Improvement Improvement Consultant Facilitator

27 The Clinic CII/CPAR Journey

PREPARE TO BEGIN YOUR JOURNEY - Pre-requisites - Data mapping - Roles & responsibilities

28 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 Panel Ready 2 Microquest Healthquest, QHR Accuro, TELUS Med Access, PS 4 Suite or Wolf Healthquest or Accuro must be latest version

Microquest QHR TELUS

29 The Clinic CII/CPAR Journey

CONTINUE YOUR JOURNEY GET READY TO OPTIMIZING HOW YOU GO TO GO-LIVE CARE FOR YOUR PATIENTS LIVE

PREPARE TO BEGIN YOUR COMPLETE JOURNEY PARTICIPATION PACKAGE - Pre-requisites & - Data mapping EMR CONFIGURATION - Roles & responsibilities COMPLETE THE CONFIRMATION OF PARTICIPATION FORM

30 Patient’s Medical Home Optimization: Continuity of Care Dr. Shute – ESPCN Board Chair’s Perspective Before CPAR Now • Discontinuous or disorganized • Conflict reports initiate access to care goes unnoticed conversations with patients, communication between caregivers, and improve continuity • Costly to the system, frustrating of care for caregivers, inferior care for patients

3131 Patient’s Medical Home Optimization: Connected Care Dr. Shute – ESPCN Board Chair’s Perspective

Before CPAR: Transition Now, in addition: Direct Workaround Notification • RN / NP – proactive use of Netcare • Physician notified of all encounters to find admitted patients when they happen: comprehensive and timely • Assess patients using LACE • Physicians can participate in the follow-up decision when a patient • Follow up based upon readmission is admitted or discharged: direct risk involvement

3232 Questions?

33 What Next?

34 PCN PCN CII/CPAR Contact

Reach Out to Edmonton Plaxedes Mhandu [email protected] North

Learn More Edmonton Kacey Keyko [email protected] Southside

St. Albert Duncan Maguire [email protected] Sturgeon Neil Neary [email protected]

Edmonton If you require further support, Oliver Naomi Usman [email protected] contact: Leduc Beaumont Sandee Foss [email protected] [email protected] Devon

Westview Anita Dalueg [email protected]

Edmonton West Joshna Tambe [email protected]

Sherwood Park Sheri Fielding [email protected]

35 Are 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 fastest and easiest “ stories 26 min CII/CPAR video by Dr. Chris Le & Dr. Janet Craig (recording) - Michael McDermott, CII Project Director • For more HQ tools & resources visit actt.albertadoctors.org

36 Stayed Tuned for More Sessions & Soundbites!

• June 7th 5:00pm to 6:00pm - Physician to Physician – Is CII/CPAR Right For You? with Dr. Chris Le (Edmonton North) & Dr. Sonnie Oyama (Sherwood Park Strathcona)

• June 16th & 24th 12:15pm to 1:00pm - Clinic Manager Sessions What is it, how it works, how to get started and how to use the reports once live

• Coming Soon - CII/CPAR Soundbites! Physician to Physician – Common Questions Answered (recordings)

37 Thank 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