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PCCM Panel Prep - Demographic Mismatches & Conflicts Part 3

Learn how CPAR reports allow you and your team to manage Demographic Mismatches and reduce Conflicts, improving care continuity and the accuracy of your AH panel size estimate.

Past Webinar Recording

This video is intended for Alberta physicians and was recorded in November 2024.

Key Takeaways

Accessing CPAR Reports

CPAR reports are available on the CPAR online portal. Your Panel Administrator (PA), who is assigned during the onboarding process, can access the CPAR portal to view and download the Demographic Mismatch and Conflict reports. If you are unsure of who your PA is, ask your PCN contact or email [email protected]

Note: Physicians don’t automatically have access to the CPAR portal and would need to be set up as a PA if they want to be able to access these reports directly.

Managing Demographic Mismatches

Demographic mismatches occur when demographic information in your EMR does not match the patient’s demographics in Netcare. It is important to note that patients with demographic mismatches are not included in the CPAR panel and are therefore allocated via the 4-cut method when determining panel size for PMSP. As such, resolving demographic mismatches can only have either a neutral or positive impact on PMSP panel size estimates.

Managing Conflict Reports

A patient who is included on more than one providers’ CPAR panel, will be noted in the conflict report. This can happen when:

patient switches family doctors without informing the previous family doctor

patient is inappropriately paneled after visiting a clinic for episodic care

patient is actively seeing more than one primary care provider

other scenarios

Reducing conflicts will result in better continuity of care for patients and less admin burden on both clinics. In many cases, resolving conflicts will have a neutral or positive impact on your PMSP panel size estimate. We do not yet know how resolving conflicts will affect PCCM panel payments. Clinics and providers can help keep provincial conflict rates manageable by:

Not paneling non-primary care patients (e.g. patients seen for speciality or episodic care)
Honour requests from other clinics to un-panel patients that are no longer attached to the provider

Managing conflicts is ongoing work. Remember… they don’t have to be resolved immediately, and we’re not aiming for zero!

Note: We do not yet know how resolving conflicts will affect PCCM panel payments.

Team-based approach

It is important to remember that good paneling process and actioning these reports requires a team-based approach so enlist support from your PA, MOAs, and PCN to assist!

Routinely confirming patient attachment is another good way to keep your panel clean and keep your conflicts low. AMA-ACTT has tools such as phone scripts and panel change notification templates that can be incorporated into your processes – we've listed them below.

Additional Resources & Support