Trainer Update

October 30, 2015

Agenda• Transition to Operations – Training• Training Environment – vaccine inventory• Inactive to active client records• Communications• Downtime Procedures• Peer supporter training• Manager / MOH training• Mass Immunization Events – Lessons Learned• Roundtable

Transition to Operations• Centralized Panorama support team• Clinical analyst responsible for training &

communications• Training Work Group• Chaired by Clinical Analyst• Regional and organizational representation• Terms of reference pending approval• Transition in December

• Last project training support meeting November 2015

Training Environment - Inventory• Panorama training environment• No Influenza IM – Quadravalent vaccine• Use Influenza Trivalent or Influenza Intra Nasal

vaccine instead• Not a priority – focus on the skills not on the vaccine• Issue – no inventory for HPV shows in Train. It may have just run out in

the inventory. Need to add more product so can have it to use. • Stock for Ig in the Train environment and Production – cannot be

attached to a mass imms event. Would have to be entered as an individual immunization.

• Project team cleaning up the number of clients as hard to find clients with the almost same name• Let Helena or Arielle know which clients to clean up from your

region

Inactive to active client records• Client records changed from “inactive” to

“active” can remain as active• QRC 3.16 change reflects this

Communications• Panorama October Bulletin • Panorama October System Update• Website• Updated QRCs posted• Downtime procedures posted• FAQ – being posted incrementally over

November• Panorama support team to manage

Downtime Procedures• Immunization and Inventory • Provided to organizational leaders mid

October• Require modification for regional /

organizational use

Peer supporter training• Still testing required functionality so can’t

train until testing complete• Plan to train end of November• Analysis of merge client requirement• Reports• Create client• Mass imms event closure

Manager / MOH training• Recommended agenda developed• To be completed by end of November• Account requests may be required

• Public Health Activities and Associated Panorama Security Access Roles guidelines

• WRHA• Project coordinator to coordinate

• Rural• Sent regional leaders account request information• Project coordinator to provide information for

implementation teams

Mass Immunization Events• What lessons have you learned during the

Influenza clinics?• Registering clients that come in as a family. Search using the MFRN number so you

get all the PHINs at once• Select and return to the Mass Imms Event Worksheet – can’t find. Client is likely

inactive. Search • Delayed entry. Hard to read information on the paper. Make sure that document

formal name on the paper not their informal name so it is easy to find in Pan• As registering clients at the event, record someone immediately into the worksheet

so that the cohort could not be deleted• Bundling up paper consents for easy delayed entry. The nurses ordered the

consents alphabetically so that they could find the registered client on the mass imms event worksheets.

• Bundle by provider, by arm, • Two or three dates for the same site. New mass event for each date. • Direct entry NRHAs IT Services purchased a hub for use. Made sure that

compatibility settings were set correctly. Verbal consents. Spreadsheet was developed to track.

Mass Immunization Events• What lessons have you learned during the

Influenza clinics?• Regional tools developed can be posted on Website for all to use.

• Action: Carolyn to send spreadsheet used by NRHA • Question: how many providers per event? As many as you want. Don’t

worry about the drop down.• The vaccine stock may not be accurate. Need to do a quantity on hand

stock adjustment.• Nurses administering immunizations that don’t have access to

Panorama. These nurses can be set up as a provider so that the immunization can be linked to a provider.

• PMH Clerks make appointments for immunizations and then do delayed entry. Nurses bundle consents by provider and site. Then the clerks set provider and org / SDL for the bundle when they enter.

• Bundle consents by provider and arm.

First Nations• New trainer for FN starting on November 2• Training materials have been modified

slightly for FN training.