Community Information Integration/Central Patient Attachment Registry
Continuity of care is about improving Albertan’s health through stronger ongoing relationships with their family physician/nurse practitioner (FP/NP) and team, increased information sharing, and enhanced care coordination.
When Albertans have a continuous, trusting relationship with a family physician/nurse practitioner and team, benefits can include:
- Increased access to appropriate care when it’s needed
- Better health
- Better quality of care
- Improved care coordination
- Improved sharing of their information between care providers
- Increased patient satisfaction
- Community Information Integration (CII) and Central Patient Attachment Registry (CPAR) technologies are enablers of continuity.
An update from Leann Wagner, Chair, Continuity Supports Rollout Steering Committee, Assistant Deputy Minister, Health Workforce Planning and Accountability, Alberta Health regarding the status of CII and CPAR.
Early Adopter Experience of CII/CPAR
Clinics using both Community Information Integration (CII) and Central Patient Attachment Registry (CPAR) have been live since the beginning of 2019 and there are close to 30 participating in the initiative. Recently at the Primary Care Network (PCN) Strategic Leadership Forum, representatives from the first clinics in Leduc Beaumont Devon and Camrose PCNs shared some of the early experience. Read more.
What is CII/CPAR?
CII/CPAR is the chosen vehicle to integrate community EMRs with two-way data flow.
Community Information Integration (CII) is a system that transfers select patient information between community Electronic Medical Records (EMRs) and other members of the patient’s care team through Alberta Netcare. The Central Patient Attachment Registry (CPAR) is a provincial system that captures the confirmed relationship of a primary provider and their paneled patients. Together CII/CPAR will enable the health system integration and improved continuity of care that are essential and foundational change elements in the implementation of the Patient’s Medical Home.
- Enables sharing of important healthcare information between the patient’s family physician and other providers in the patient’s circle of care
- Facilitates sharing of consultation reports back to the patient’s family physician and other providers
- Identifies relationships between patients and their primary provider
- Allows for family physicians to identify and coordinate when patients are on multiple panels and therefore, will enable validated patient-family physicians information to be available on Alberta Netcare Portal
- Supports notification of primary providers when their patient has a hospitalization or ER visit (coming in 2019)
CII/CPAR is an important technical enabler to improved patient care because it will assist clinics in identifying patients where continuity of care may be sub-optimized. Knowing that a patient is paneled to another provider provides an opportunity to confirm roles and responsibilities in care provision. For PCNs and clinics already investing in panel management, CII/CPAR is the next logical step to promote a coordinated care management approach to service delivery and achieve better patient, provider and system outcomes.
Benefits of CII/CPAR
Better Quality of Care:
- Meets patient expectations to have their information readily available to all providers in their circle of care
- More coordinated and consistent care
- Smoother transitions of care
- Less story telling
- Less duplication of care
- Better outcomes
- Less time in hospitals
- Increased patient safety
- Increased satisfaction
- Clearer picture of the primary provider’s panel
- Avoid duplication and unnecessary work
- Ability to deliver better care
- Higher clinic team satisfaction
- Healthcare information available where and when it’s needed
- Information flows automatically
- Avoidance of care gaps and duplication
- Enables smoother transitions of care
- Facilitates planning and delivery of more intensive interventions such as proactive panel-based care in the form of disease management and care planning
- Patient health care record more complete
HEALTH CARE SYSTEM
More Efficient Care:
- Lower healthcare costs
- Less utilization
- Secondary use supports health system planning
- More informed program planning
Tools & Resources
- When patients have a longitudinal relationship with a single family physician, results are better access, better quality of care and a reduced overall health care system utilization and costs.
- When providers have knowledge of patients comprehensive medical information it results in better handoffs, better communication and less duplication of care.
Panel & EMR support
For more information about CII/CPAR please contact Chris Diamant.