CinC - Omicron Response - Data and Digital Information Sessions - Regional Coordination Centre Sess

COVID-19 Care in the Community

Data and Digital Information Session Regional Community Coordination Centre Session 7 Week Commencing 21 March 2022

COVID-19 Response Omicron response

3

Three overarching goals

Key features of phase 3

Minimise impact by slowing transmission

Changes to isolation periods:

Protect at risk communities and individuals

• All other contacts do not have to isolate but need to monitor symptoms and get if symptoms develop.

Maintain critical infrastructure services

RATs now primary form of community testing:

• Cases and household contacts: 7 days.

• Rapid antigen tests (RATs) are widely available at community testing centres, pharmacies, and GP practices.

Three phase Omicron response Each phase has different settings for: •

Testing

•

Case investigation

•

Isolation

•

How we manage cases.

We are here

1 2 3

• Critical workers who are household contacts continue to be able to use RATs to return to work under the Close Contact Exemption Scheme.

Supporting self-management in the community: • Most cases will able to self-manage in the community with support from online tools and primary care.

• Local care co-ordination hubs will coordinate health and welfare support for those who need more support.

Vaccination remains a priority: • Boosters.

• Paediatric.

• Influenza.

Updates

COVID-19 Care in the Community Refresh – Updated Self Service Form (1/3)

COVID-19 Care in the Community Refresh – Updated Self Service Form (2/3)

COVID-19 Care in the Community Refresh – Updated Self Service Form (3/3)

Training Session Accommodati on Drop In Session

Date / Time

Link

9am – 3pm Tuesday 22nd March 2022

Access Training Session: HERE

COVID-19 Care in the Community Care in the Community KPI Dashboard view (Hub Dashboard) To support regional Care Hubs in the management of high caseloads, the dashboard reporting feature has been added to NCTS. This feature enables Care Hubs and other users of NCTS to view detailed reporting across a wide range of Case metrics filtered by their region. Detailed training materials will be available shortly.

At a glance you can see for each day: •

An overview of all the cases throughout New Zealand and which facility they are in.

•

How many Cases have been updated to active management vs how many stay on self management.

•

How many Cases have not “been informed” that they are COVID positive.

•

How many Cases in your DHB have received the NCTS SMS.

•

How many Cases in your hubs that have not returned a Self Serve Web Form or had a phone call answer the survey questions

•

The number of cases created each day sectioned by which test they have taken.

•

How many cases have identified as having Accommodation / Disability needs.

COVID-19 Care in the Community Other Updates Automated Case Closure: • As part of Release 22.05 functionality was developed to enable automated closure of a Case in the NCTS and CCCM. • A backlog of ‘old’ Cases are being processed in batches and automated closures for future takes will now be taking effect. We are actively monitoring this process and will continue to provide updates where relevant.

Incorrect Symptom Start Date: • We have been made aware that in some instances, Cases are incorrectly entering their symptom start date when completing the online Contract Tracing (Case Self-Serve) form. If you identify a Case who has entered the incorrect symptom start date, please advise the Case that they can reenter their online form and update this or, if you would like the record to remain in the CCCM please set the Case to Active Management.

Populate BHR Room Number Field for Cases who were previously Disease Contacts: • We have been made aware that in some instances, where a DC becomes a Case the BHR Room Number Field is not automatically populating the assigned Health Provider (General Practice). We are expecting this to reduce as we will no longer be creating BHRs for all DCs. • We are also working on a script that will ensure the Room Number Field on the BHR record is automatically populated with the assigned Health Provider (General Practice), where a Disease Contact Record becomes a Case in the NCTS.

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

Appendix

COVID-19 Care in the Community Overview of System Information Flow

COVID-19 Care in the Community Care coordination hubs Coordinating wraparound support

48 hubs around the motu

Local care coordination hubs coordinate wraparound healthcare and welfare support, following a manaaki first approach putting the individual and their whānau at the centre.

DHBs set up hubs coordinating in four regions:

Healthcare • Assessing whether cases can self manage, need help selfmanaging, or need active clinical support.

• Escalate and de-escalate care when appropriate.

• Refer cases to healthcare providers where necessary.

Welfare

• Northern • Te Manawa Taki • Central • Southern

Interagency collaboration Local DHBs, Ministry of Health, Ministry of Education, Oranga Tamariki, Ministry of Social Development, Whānau Ora (Te Puni Kōkiri).

• Assessing what welfare support needed to isolate.

• Coordinating welfare support across government and nongovernment providers, including: • Accommodation and food • Income support • Senior services • Paying for essential utilities and other urgent costs • Community support

Local providers Range of local community health and welfare providers such as Whānau Ora providers, iwi, food banks, and accommodation providers.

Over 300 full-time community connectors around the country to support the welfare needs of individuals and whānau while isolating.

COVID-19 Care in the Community Assessing healthcare needs Case notified/ confirmed by text and initial instructions

Primary care notified by Healthlink

Online selfassessment • Clinical assessment • Contact tracing • Welfare needs

Primary care assesses their enrolled higher risk patients and enter details in CCCM

Cases will self-manage by default but can escalate to active clinical management if indicated by their selfassessment, their primary healthcare provider’s assessment, or contact coordinated by their care coordination hub

Selfassessment

Active clinical management Primary care assessment

Positive test

New CCCM case

Hubs coordinate contacting higher risk cases who haven’t been assessed by self or primary care

Risk score based on: • Age • Ethnicity • COVID vaccination

Hub coordinated assessment

Assessment and documentation in CCCM whether case can continue self managing or needs active clinical management

De/Escalating as needed by telehealth, primary healthcare, or acute care

Escalation and deescalation as needed

Self-management • Patient continues to self manage • Patient can escalate if needed by telehealth, primary healthcare, or 111