Healthquest: How CPAR Panels work (Primary Care)

In the demographic area of the patient chart the basic information that is needed for patient panel identification for CII/CPAR is:

• Full Name
• Date of Birth
• Default Doc
• Gender
• Alberta Health Care # (PHN)
• Confirmation Date (checked “Verified” with a date)

Note: Key items to consider are:

• The “Verified” field: the checkbox must be checked and there must be a date in the date field
• The end date and the end date reason fields must be blank

Some useful resources on setting demographic information in your EMR:

The Healthquest EMR CII and CPAR Online Guide and

The Healthquest Guide for Patient’s Medical Home

1. Regularly confirm that both you and the patient consider that you are “quarterbacking” their care.
2. Record the confirmation in the EMR in the “Patient Data Verified” field with a date.
3. Maintain & review the panel list at regular intervals.
4. Utilize the panel list to plan care delivery.
5. Submit the panel list to CPAR (Microquest moved to an automated upload of panels in May 2021. The manual upload button remains and is an option for clinics to use).

To view a list of patients that will be uploaded to CPAR there is a set report available in Reports > Client Lists < CPAR Reporting

On the CPAR report click Select Panel

Choose the Provider (Doc) and then click Retrieve

The panel list will appear

It is an important step to review the panel list and look for:

• Accuracy of paneled patients
• Factors that would cause that patient record to be rejected by CPAR:
  • Patients with special characters in their names
  • Patients without a last visit date
  • Patients with a blank PHN

The report gives you a count of how many patients are on the list. You can print the list, filter, export or send to the List Manager.

During the CPAR submission period for CPAR, click Submit Panel (As of May 2021, panels are automatically uploaded on the 8^th of each month by Microquest).

If there are many provider panels in the clinic and each list has been reviewed and is ready to send, a Panel Administrator may click Submit All Panels. All panels will be sent to CPAR.

Uploading your paneled patients to CPAR enables routing of eNotification alerts to your EMR inbox when one of your paneled patients has an event at an AHS facility. eNotifications are sent for:

• Emergency room discharges and left without being seen
• Inpatient admissions and discharges
• Day surgery discharges

eNotifications appear in the Lab Results tab of a provider’s Appointment List. They are delivered twice daily at 6am and 2pm. The date displayed is the date the event occurred:

Team members with access to the lab results can see the eNotifications and responding can be teamwork. The eNotifications include basic information:

• Pt demographics
• Facility location
• Date/time
• Attending provider
• Admission reason (if available)
• Additional providers notified (if multiple providers have identified the patient on their CPAR panel).

It is important to check Alberta Netcare for additional information about the encounter before following up with the patient.

The notice remains in the lab/report tab of the patient chart and is coded with:

• Date: Date the event occurred
• Document Type: Notification
• Admission or Discharge
• Inpatient, Outpatient or Emergency
• Facility (e.g., Daysland Health Centre)

The notice will include a deceased notification next to the patient’s name if the information is available in the data feed from the AHS facility’s Admission, Discharge Transfer (ADT) system. If the data includes both the patient name and the date of death, both will be displayed: Patient Name (Deceased: YYYY-MM-DD). If the ADT data does not include a date of death, then only the deceased notification will be shown: Patient Name (Deceased). ANP can be checked in the meantime to see if a death has been recorded by the AHS facility. Once the death has been registered with Vital Statistics, the date of death will be shown on the CPAR demographic mismatch report after the next panel submission.

At the clinic mark the patient as deceased on their client card so the patient will not load to CPAR in the next monthly upload. You can do this by applying any “End Date Reason” to the client card. Another way the patient will not upload to CPAR is if you change the Default Doc to a blank field.