BCMA Diabetes Collaborative Learning Session

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BCMA Diabetes Collaborative Learning Session
1Registry Data Drives Disease Management
Ministry Resources for CDM

• Rosemary Grayfor Knowledge Management
  TechnologyPrimary Care Enhancement
• Ministry of Health Planning/Services
• 4 March 2004
• Vancouver, BC

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Agenda

• MoH Information Mgmt Technology Overview
  Resources for Practitioners
• Using the CDM Toolkit
• Contacts / Resources

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THE EXPANDED CHRONIC CARE MODEL - APPLICATION OF
THE PHCTF
Population Health Outcomes Clinical/Functional
Outcomes
Created by Victoria Barr, Sylvia Robinson,
Brenda Marin-Link, Lisa Underhill, Darlene
Ravensdale Anita Dotts (2002)
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MoH Secure Web Site for Practitioners

• One Point of entry for secure provider
  interactions
• Provider-to-MoH/HA
• MoH/HA-to-provider
• Provider-to-provider
• 2 factor authentication / security model
• gt400 physician users province wide
• 800-1000 users by March 2004
• Available to all physicians in BC
• Permits secure file pick-up and drop-off
• Includes CDM Toolkit access
• Needs Internet connection and browser (only)

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Future possibilities

• Health Registry patient demographic transactions
  (PHN lookups, MSP Eligibility checks, Address
  updates, etc)
• Pharmacare Special Authorities
• Medical Practice Access to PharmaNet (MPAP)
• Comprehensive multi-disease flowsheets
• ? Prenatal forms, Immunization records, ?others

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What is the CDM Toolkit?

• Guideline (Flowsheet)-based confidential data
  capture and reporting
• Facilitates
• Recall/reprints of records, Patient call back
  lists
• Data sharing among authorized users (e.g.
  physicians MOAs, nurses, other physicians)
• Collaborative and comparative reports
  performance indicators and quality improvement
  measures
• Direct data imports from office-based EMR
  software
• Secure information sharing

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CDM Toolkit Contextual Overview
Firewall
ToolkitDataBase
MSP CDM Registers
Web browser(manual)
HNFTP(file transfer)
File extract (from clinic EMR)
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Benefits of the Toolkit

• Easy identification of CDM patients
• Access to current Guidelines and Protocols
• Standardized clinical and quality improvement
  reporting
• Provides peer comparisons individual to group
  comparisons
• Tracks changes in processes and patient outcomes
  over time
• Provides Guideline-based Patient Recall reports
• Supports multiple chronic conditions per patient
  without data duplication
• Supports interdisciplinary care teams and shared
  patient care
• Permits updates to MSPs probabilistic CDM
  Registers
• Supports GPSC FSFP data collection requirements

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Benefits (contd)

• New MSP CDM Registers and Flowsheets
  automatically available to users
• Integration with GP office EMR software (10
  vendors participating to date)
• ONE userid and password to access many secure web
  services
• Direct access to CDM Secure Website for secure
  file transfer
• Pickup e.g. Probabilistic CDM registers,
  Performance Measures
• (Coming Soon) Send e.g. Consult notes, referral
  letters to other physicians, file transfers
  between providers and HAs/MoHP/S
• Direct access to related Health Registry/Primary
  Health Care secure web services
• Health Registry patient demographic transactions
  (PHN lookups, MSP Eligibility checks, Address
  updates, etc)
• PHC population-based registration transactions
  and reports
• .. irrespective of an individual GPs level of
  office automation Internet access and a web
  browser are all that are required

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Access and Security How secure is the data?

• 128-bit SSL Encryption
• The same strength used for online banking
• Client-Side Certificates
• A second factor of authentication to ensure the
  user is entitled to use his/her user id (i.e. are
  you who you say you are?)
• Certificates issued by Ministry of Health
• Role-Based data access
• Only physicians or their authorized delegates can
  see patient-specific data
• Other users can only see aggregate reports

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Access and Security What data can I see?

• Physicians (MRPs)
• Patient data for your own patients
• Patient data for other providers patients for
  whom you have been granted access
• Detailed, patient-specific reports for all
  patients for whom you have access
• Summary reports for all patients and providers
  for whom you have access
• Summary reports for the Collaborative(s) to which
  you belong
• MOAs, Nurses, other provider Delegates
• Patient data for patients to whom a physician has
  granted you access
• Detailed, patient-specific reports for all
  patients for whom you have access
• Summary reports for all patients and providers
  for whom you have access
• Health Authority and Collaborative Administrators
• Summary reports for all patients and providers
  within their HA or Collaborative
• Ministry of Health Administrators
• Summary reports for all patients and providers
  within the CDM Toolkit
• Access Administration for all users (to manage
  user access to patients and to providers data)

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Sample Run Chart Report
Pop 1 My Patients Pop 2 All Providers in BC
(sample/test data only)
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Sample Run Chart Report
Pop 1 My Patients Pop 2 All Providers in BC
(sample/test data only)
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How does this impact me?

• The BCMA Diabetes Collaborative
• Using the CDM Toolkit

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CDM Toolkit - Status

• Production in Jan 2004
• CHF, VIHA Collaboratives already using Toolkit
• BCMA Collaborative Teams going live now
• Physicians registering for access
• HAs helping to identify Teams (physicians, MOAs,
  nurses. see Team Spreadsheet)
• MoH pre-loading diabetes data
• HA/Collab support staff assigned user IDs
• BCMA Collaborative beginning data entry and
  reporting for diabetes patients

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CDM Toolkit - Status

• STRETCH GOAL
• By March 5th, 2004
• All Collaborative physicians signed up for access
  (i.e. submitted the online Registration
  Agreement)
• All Collaborative teams completed Team
  Spreadsheet and returned it to HA contact
• MoH and HA plan support/followup required for
  individual Teams

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Resources

• CDM Toolkit / PHC HNWeb / CDM Secure Website
• REGISTRATION https//healthnet.hnet.bc.ca/has/reg
  agree/4614fil.pdf
• LOGIN https//healthregistry.moh.hnet.bc.ca
• FAQ http//www.healthservices.gov.bc.ca/cdm/secur
  efaqs.pdf
• MoHS CDM Website http//www.healthservices.gov.bc
  .ca/cdm
• MoHS MSP Website http//www.healthservices.gov.bc
  .ca/msp
• MoHP PHC Website http//www.healthplanning.gov.bc
  .ca/phc

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Contact Information

• CDM Toolkit
• Ministry of Health Help Desk
• Tel [phone]
• Rosemary Gray, Project Manager
• Tel [phone]
• Email rosemary.gray_at_gems2.gov.bc.ca
• Alec Matthews, Information Analyst
• Tel [phone]
• Email alec.matthews_at_gems9.gov.bc.ca