CENTRAL PATIENT ATTACHMENT REGISTRY (CPAR)

Catch the CPAR Wave A Fluid Record of Each Patient’s Primary

Provider

• Presenters: Chris Diamant Barbra McCaffrey

• Relationships that may introduce potential bias and/or conflict of interest: – No relationships to declare.

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Presenter Disclosure

Agenda • What is Panel?

• What is CPAR?

• Why is Continuity of Care Important?

• Why is CPAR Important?

• What will PCNs have to do?

• What will Practices have to do?

• Leading Practices and Confirmation Rate

• CPAR Upload Options

• Timelines

What is Panel? 4

Panel – Mutual Agreement 5

I am choosing to see you as my

family doctor for comprehensive

care.

I will be your regular family

doctor and provide comprehensive

care.

Try to come to this

medical home and

see me first.

I will always try to come to this medical home

first.

What is CPAR?

• Registry of primary providers and their attached patients

• Panels

• Registry can accommodate

• Shared panels

• When a provider has multiple panels (from different locations)

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CPAR will…

• Capture attachment and will be updated each quarter because panel is fluid

• Be an authoritative, trusted, reliable source of patient – primary provider attachment

• Inform Netcare and the health system in the future

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Patient Story… 8

Why is Continuity of Care Important?

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∗ “Having a family doctor, being able to access the family doctor, and most importantly, continuity of care with a family doctor, is probably the single most important thing a health care system can provide to its population.”

∗ Dr. Richard Lewanczuk, Senior Medical Director, Primary Health Care, AHS

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If we could only do one thing…

Continuity of Care is essential:

• to achieve health system transformation • to improve patient outcomes

System Wide Drivers of Continuity

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∗ Foundational building block for informational continuity

∗ Technical enabler for relational continuity

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Why is CPAR Important?

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CPAR and Patient’s Medical Home

Clinic confirms panel list at practice

Registration of panel administrator (PA)

and provider panels

Upload panel list (per provider panel) to

CPAR

Registry looks for duplicates and mismatches

PA receives panel conflict and

mismatch reports

Panel conflicts are resolved with panel

management; deceased removed

Panel lists are validated

Clinic Workflow

Supports for PCNs

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Clinic confirms panel list at practice

Registration of panel administrator (PA)

and provider panels

Upload panel list (per provider panel) to

CPAR

Registry looks for duplicates and mismatches

PA receives panel conflict and

mismatch reports

Panel conflicts are resolved with panel

management; deceased removed

Panel lists are validated

• STEP Documents • CPAR Readiness Checklist • EMR Guides

Access Management Registration Support • Access Admin • Panel Admin CPAR Guide • How to login & use

EMR Guides & Videos • Panel lists • Extracting & saving

PCN, Provider & Team Toolkit • Approaches • Using reports • Scripts • Panel size &

access

• Downloading reports • Sorting reports • Prioritizing

PCN Readiness tools

CPAR Training

Handout – PCN & Clinic Process Steps

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Managing Panel Conflicts

Leading Practice Example Readiness

Lakeside Clinic

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1. Create Patient Awareness

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2. Scripts for Team

∗ Document it and

communicate amongst the team.

∗ All team members are on the same page

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3. Defined Clinic Process

Panel Identification and Maintenance Process Measures

Patient Confirmation January 2018

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4. Measure and Monitor

Physician # Pts NOT Confirmed Confirmation Rate

Dr. G 5 not confirmed at last visit 97%

Dr. T 9 not confirmed at last visit 96%

Dr. L 10 not confirmed at last visit 91%

Dr. M 19 not confirmed at last visit 89%

Special Thanks to Dr. Nadine Letwin & Victoria Doyle, Clinic Manager

∗ Key step in Panel ID & Maintenance

∗ See EMR Guides & Videos

∗ Added to Accuro and Med Access in 2017

∗ Easy to measure & monitor

∗ Date included in CPAR panel upload

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Patient Confirmation – Process Measure

Field Field Description

Patient ID Alphanumeric

Issuing Authority Text (e.g., ABH, BCH, SKH)

Patient First Name Text

Patient Last Name Text

Patient Preferred Name Text

Patient Date of Birth Formatted Date (dd/mm/yyyy) Partial date is not allowed

Gender Text (M, F, O)

Last Confirmation Date Formatted Date (dd/mm/yyyy) Partial date is not allowed

Last Visit Date Formatted Date (dd/mm/yyyy) Partial date is not allowed

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Data Uploaded to CPAR

Options to upload panels 1. Consider participating in

Community Information Integration (Automate CPAR upload)

2. Securely upload panel lists quarterly

∗ From clinic to CPAR ∗ Like attaching a file to an e-mail ∗ Secure like H-link

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CPAR Upload Options

Future: Informational Continuity

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Estimated Timelines Com

munications

1 • Awareness • Panel Readiness

2 • Awareness and Readiness messaging continues • Confirmed Participation in Limited Production Rollout

3 • Limited Production Rollout Registration • LPR Training

4 • LPR - Validation of all processes (registration through acting on

reports)

5 • LPR Evaluation • General rollout registration & training

6 • General rollout

http://www.topalbertadoctors.org/CPAR/

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How do we get ready?

• Review clinic panel ID & maintenance processes

• Use the Panel and CPAR Readiness Checklist and the Roles and Responsibilities of a CPAR Panel Administrator

• Continue to Confirm patients at check in!

http://www.topalbertadoctors.org/CPAR/

Panel Readiness: STEP Documents Supportive Tools for Every Panel

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CHECKLIST

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Communicating with PCN Members: Readiness Phase

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A • Awareness of CPAR • What is it / what it is not

D • Desire: How registry participation aligns with PCN priorities • CPAR as an enabler for continuity of care

K •Knowledge of the practice readiness criteria •PCN supports practice readiness and registration

A • Ability: Tools to help practices be ready (E.g., Checklists) • CPAR toolkit will support practice implementation

R • Reinforcement: Reports will be available to PCNs to provide

feedback on registry participation information from members

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THANK YOU!

Presenter Disclosure

• Presenter: Dr. Tobias Gelber Chris Diamant Barbra McCaffrey

• Relationships that may introduce potential bias and/or conflict of interest:

–No relationships to declare.