CCCM Updates - CinC - Omicron Response - Data and Digital Information Sessions - Regional Coordinat

COVID-19 Care in the Community

Data and Digital Information Session Regional Community Coordination Centre Session 10 Week Commencing 11 April 2022

COVID-19 Care in the Community Purpose/ Agenda No.

Agenda Item

1

Introduction

2

Current State

3

Release Timeline

4

Risks and Issues

5

Question and Answer Session

6

Next steps and close

Current State and Release Timeline

COVID-19 Care in the Community Technology to free up health sector capacity We are rapidly making changes to the technology of the Covid-19 response to address the challenges posed by Omicron. The table represents the key technologies and the target dates for readiness (subject to operational approval).

Operational Use Date Last Week

Deliverable Case creation in CCCM (via PMS) CCCM Enhancements (Sprint 22.06) New option for GPs to report Unsupervised RAT (on behalf of) Display medications from NZePS (Cloud and PMS)

This Week

Update to Case Self- Service Form CCCM Address enhancements Fix – Oximeter Task in CCCM (released Spring 22.06) Fix – Script errors (released Spring 22.06)

Future Functionality

Visibility of GPs Covid Patients from CCCM (via PMS) Updated Risk Score 2.0 (reflecting improvements based on user feedback)

COVID-19 Care in the Community Fit for Future Update Background: •

•

•

Looking to the future: •

We are working to further enhance the functionality of CCCM to manage and respond to current urgent and longer-term management of COVID-19 as well as other conditions, to reduce reliance on hospital care.

•

The sharp increase in omicron cases at the same time as the introduction of a new digital system meant that there was little time for practices to get up to speed. We also understand that clinicians considered much of the workflow within CCCM as more than what they needed and that the system was limited in how it was configured.

By connecting healthcare providers – and patients - through a shared care record and integrated PMS we will transition Care in the Community from its current focus on Covid outbreak management, to supporting the management of any condition which is clinically safe to be treated at home e.g. flu , diabetes can be treated at home.

•

We have worked to address these issues - to improve the system and to make it more user friendly. Performance issues have been resolved, and the system is more reliable.

We've just started two projects to assist us to understand what investment PMS vendors and other suppliers expect to complete the necessary development of the system.

•

As a result we will have a good overview, across primary and secondary care settings, of what is needed to bring together public health, clinical, social, and well-being supports, as well as preparation, testing, notification, needs assessments and pathway determinations, so that patients get appropriate care, support, discharge and follow-up.

The COVID Clinical Care Module (CCCM) enables integrated healthcare across providers supporting people with COVID-19. It creates visibility of the care provided so that people with COVID-19 can access the care that they need, when they need it. It is also being used in some areas to support payment mechanisms.

COVID-19 Care in the Community New option for GPs to report Unsupervised RAT (on behalf of) Change: New feature to report an Unsupervised RAT (on behalf of) result from the PMS. Details: • Currently there is a feature to report a Supervised RAT from the PMS. • From Thursday 14th April there will be another link (on the same page) to report an Unsupervised RAT result (on behalf of).

• IMPORTANT: Reporting an unsupervised RAT result will NOT attract any payment.

• The purpose is for reporting an Unsupervised RAT result on behalf of a patient.

• The reporting form allows GPs to backdate the actual date of the test and enter symptom onset date (which helps determine day 0).

• The current Supervised RAT reporting link will be slightly renamed to “Supervised Rapid Antigen Test – SARS CoV2.

Supervised v Unsupervised: •

Supervised means a health professional administered and reported the test.

•

Unsupervised means the test means the person did their own test.

COVID-19 Care in the Community COVID-19 Hub Self-Service Updates Update to Case Self-Serve Form (DELAYED)

Isolation Timeline

The Case Self-Serve form is being updated. Specifically, the questions within the Underlying Conditions and Symptoms sections will be updated. The proposed changes are outline below:

A new screen will show Cases their isolation timeline in a way that is clear and easy for them to understand.

Updates to Underlying Conditions section: • Cases will be asked about pregnancy or recent birth • Cases will be asked about immunosuppression • Cases will encounter the updated list of high-risk underlying conditions, which will no longer be a pick-list • Following the above list, Cases will be asked to indicate how many of the underlying conditions they have Updates to Symptoms section: CitC teams have indicated that they need to understand the following: • How far along in the illness a Case is (to understand what therapeutics may be needed) • How unwell the Case is (so they can be quickly contacted) • How at risk of going downhill fast the Case is In line with this, the following updates will apply: • Cases will first be asked about common COVID-19 symptoms • Cases will then be asked about more serious COVID-19 symptoms Please note that both of these section updates will have the appropriate field updates in the NCTS and CCCM/BCMS systems. We will show you what those look like in the system when each is available.

The Care in the Community team will cover these changes in the CITC Release Demo (Weds 13 April at 3pm) and what it will look like in both NCTS and BCMS systems, this session will be recorded and made available to watch back for those who can’t make that time.

COVID-19 Care in the Community Updates Oximeter Task •

Previous issues with the Oximeter task have been resolved.

Health Hub Update The Health Hub website is being updated to improve accessibility for users. The changes will include an isolation calculator and translation into four languages (with more to follow): • • • •

Te Reo Māori Cook Island Māori Tongan Fijian

Enter the date you developed symptoms, or the date you tested positive (whichever came first) to find out when you will be free.

We are also working on Easy Read, New Zealand Sign Language (NZSL), braille, audio and Large Print formats.

Script Errors • • •

Some users experiencing script errors when accessing CCCM (via Medtech / Healthlink).

The issue is caused by the use of outdated IE browser.

Script errors have now been resolved.

Requesting Changes to Incorrectly entered test results The CitC support team are receiving a high number of requests for change with Incorrectly Entered Test results.

Please ensure that all teams are advised to check the results in the system before submitting them, and if an error occurs please send the following information to CITC@contacttracing.health.nz.

• • • •

NHI Date of test Confirmation of what the test should have been entered as OR the NHI that the test should have been against Any other information that might be relevant

COVID-19 Care in the Community CCCM Updates and Enhancements (22.6) User Impact Rating High

CCCM Changes

High-level description

Manual case creation

•

Allow General Practice teams to manually create a CCCM Record (Case) for enrolled patients, where no record currently exists.

High

Task Updates

• • • •

When a Task is completed, the status will become read-only in the task tab and a note is added showing whom it was completed by and their note.

Addition of a new Oximeter Task that automatically populates key fields when selected.

Automatically populate key fields of the Clinical Review Task when selected.

Two new task filters: ‘All Tasks’, and ‘Clear Task Filter’.

Option to select a Care Plan (Self or Active Management) from the Main Dashboard or the Patient Context Banner.

Medium Medium

Update Care Plan from dashboard or context banner Disability Assistance enhancements

•

Hub (Cloud/Web Users)

GP (PMS Users)

✓

✓ ✓

✓

✓

✓

Extend access to discharged records in PMS version Privacy acknowledgement messages Label Renamed

•

A number of enhancements related to Disability Assistance including: • New picklist option in the Initial Assessment for Disability Assistance Required called “Identify as having a disability/tangata whaikaha Maori” and have this auto populate from NCTS. • Apply a disability flag with the pick list option in the comment.

• New filter option on dashboards called “Assistance” • Rename of “mobility assistance required” flag for active management to “Assistance Required”.

Allow extended access to previously discharged records to General Practice teams accessing CCCM via PMS if for up to 2 weeks.

•

Users will be presented with privacy acknowledgement pop-ups (general and for welfare referrals) to acknowledge and ‘accept’.

✓

✓

•

Rename current ‘Earliest Release Date’ field to ‘Iso End Date’.

✓

✓

•

Allow direct access to CCCM Training Materials and CitC Release Notes via a new ‘Help’ section on the CCCM banner.

✓

✓

•

Update to the error message for an NHI with no active record in CCCM to give more direction on what has happened and options for support.

Low

Access Supporting Materials via ‘Help’ item Update Healthlink Error Landing Page Message New ‘phone’ icon

•

A new Phone icon has been added to the bar on the Person Information page. When users hover over the icon the case’s primary phone number will display.

Low

CCCM Address Enhancements •

Medium

Display Medications from NZePS:

Low

CCCM Address Enhancements •

Low Low Low Low Low

•

•

eSAM Address Field: Update address field on page 3 of Person Information to an eSAM address search field.

Automatically list medications prescribed to the NHI (patient) in the last six months from the NZePS within the Initial Assessment.

Populate an Address in CCCM: Display address based on NCTS Location of Isolation on page 3 of the Person Information, where this information is not available the system. will Call to the NHI database and retrieve address registered to that NHI

✓

✓ ✓

✓

✓

✓

✓

✓

✓

✓

COVID-19 Care in the Community NCTS Updates and Enhancements (22.6) User Impact Rating NCTS Changes

High-level description

High

Case creation

•

High

Case Management Update

•

Medium

Add Deprivation Decile to the case Record

•

Cases being created by General Practice teams using CCCM will create Case Events and Case Records in the NCTS, and will follow typical pathways for Case management.

Individuals testing positive for a second time within 28 days of Onset of Infection will NOT be considered a new Case. The system will automatically check the individual’s NHI and, if they had a previous infection within 28 days, the system will link the Case Event/Notification to the existing Case and will not send any further information to the individual.

Add the ‘Deprivation Score’ field to the Case Record to enable filtering by this parameter from a list view.

Medium

Identify GP Enrolment on the Case Record

•

Unenrolled/Enrolled Circle of Care information will appear on the Case Record, allowing users to see if a Case is enrolled with a GP.

Medium

Display CCCM Contact Details

•

Display the most recent contacts details (phone number & email) and location of isolation address from CCCM.

Low

Release SMS delivery fields on Case Record

•

Update to display the date and time that a Release Text was sent, as well as the delivery status. This information will display in fields under the Status Information section of the Case Record.

Raised Issues Sector feedback generated features and updates

COVID-19 Response Included in Sprint 22.7 – Approx. delivery 27th April with minor releases in-between.

The Update

User Impact

Initial assessment detail box will be

Users will be able to see NZePS medication prescriptions from the last 6 months. Each

automatically populated with a list of

medication will be on a separate line, with no repetitions.

Cloud/Web User

PMS User

✓

prescribed medications from the last 6 moths (from NZePS)

As a clinical user, I will no longer need to manually enter this information.

Create Probable Case from CCCM

Following on from GP creation of Probable Cases, this will enable Case Creation from the main

Dashboard.

CCCM Dashboard. Users will be able to Create a Case and query an NHI for patient information, add a primary phone number, email, location of isolation address with ESAM

✓

Status

In Progress

In Progress

validation, symptom onset date, and set a facility for the case to be allocated to.

New filter for Cases who have entered a

As a user, I will be able to filter on dashboards for all Cases/BHRs that have EITHER an initial

value on their Case Self-Serve form.

assessment note OR a regular health check note added from NCTS AND there is a value entered in any of the underlying conditions, COVID symptoms, additional symptoms fields from CSS.

✓

✓

Waiting Development

A flag will also automatically be raised when a BHR is updated with a value in any of the underlying conditions, COVID symptoms, additional symptoms fields from CSS. Search filter for Acuity Score updated to

I will be able to search and filter for patients with an acuity rating of X and higher, rather than

return results that are equal to or greater

for a specific number, so that I can easily see priority patients rather than having to constantly

than the number searched.

reset filters.

✓

Waiting Development

COVID-19 Response Included in Sprint 22.7 – Approx. delivery 27th April with minor releases in-between.

The Update

User Impact

Cloud/Web User

PMS User

✓

✓

✓

✓

✓

✓

Status

Case (red underline) flag label will be updated from Quarantine to Case,

I will be able to see the correct label for a Case (instead of MIQF specific Quarantine label). I will also e able to quickly and reliably identify a Case from the main dashboard with the

And will be automatically applied to BHRs

updated Case Flag (red underline)

Waiting Development

that are managed as a Case.

Ability to change Day Zero in CCCM.

CCCM users will be able to update the Day Zero field in CCCM as needed, and this information will be fed back to NCTS to update the Case's isolation period as well.

Show vaccine guidance/definition as a

During the initial assessment (page 3), I will be able to click on a link from within CCCM and be

help option.

directed to the most up to date definitions of COVID vaccination status in HealthPathways.

Waiting Development

Waiting Development

Questions & Answers Session

Drop in and Training Session

COVID-19 Care in the Community Drop – in Sessions and Training Tuesday 12:00pm-1:00pm (weekly) Covid Clinical Care Module Virtual Training Sessions (General Practice Specific)

Hosted via Teams: HERE Wednesday 5:30pm-6:30pm (weekly) Tuesday 3pm-3:30pm (weekly) – GP specific Wednesday 10am-10:30 (weekly) – Hub specific

Covid Clinical Care Module Support Drop-in Sessions

Thursday 10am-10:30pm (weekly) – GP specific

Hosted via Zoom: HERE

Thursday 3pm-3:30pm (weekly) – Hub specific Tuesday 3pm-3:30pm (weekly) – GP specific CitC Hub Session – Training of New Releases and Features

Wednesday 3:00-4:00pm - scheduled as required

Hosted via Teams: HERE

COVID-19 Care in the Community Webinars and Q&A Sessions: Session Type

Northern Regional Coordination Centre session Southern Regional Coordination Centre session Te Manawa Taki Regional Coordination Centre session

Central Regional Coordination Centre session

Date / Time

Tuesday 11:00-11:30 (weekly) Wednesday 11:30- 12:00 (weekly) Thursday 11:30 - 12:00 (weekly)

Friday 11:30 - 12:00 (weekly)

Access Hosted via Teams: HERE Hosted via Zoom: HERE

Hosted via Zoom: HERE

Hosted via Zoom: HERE

COVID-19 Care in the Community Training Materials Training Material Description

Access

The Quick Reference Guide provides an overview of the key tasks you will complete the CCCM.

CCCM Quick Reference Guide

The Full Training Guide provides a detailed step by step guide of the tasks you can complete within the CCCM.

CCCM Full Training Guide

Care in the Community NCTS User Guide

CitC Hub Training Guide

Next Steps and Close