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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…