CENTRAL PATIENT ATTACHMENT REGISTRY (CPAR)€¦ · CENTRAL PATIENT ATTACHMENT REGISTRY (CPAR) Catch...
Transcript of CENTRAL PATIENT ATTACHMENT REGISTRY (CPAR)€¦ · CENTRAL PATIENT ATTACHMENT REGISTRY (CPAR) Catch...
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.