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 8 Week Commencing 28 March 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

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.

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

Deliverable Automatic NCTS Case Closure and removal of record from CCCM (Currently working through backlog).

Last Week Updated Phone and Self Service Assessment Form.

Alternative language translations available for the Covid Care Hub. This Week ESR Éclair to send positive RAT notifications to GP inboxes.

Case creation in CCCM. Next Week Additional CCCM Enhancements (Sprint 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 Updates Duplicate GP notifications §

§

Over the weekend it was discovered that the ‘Community COVID Case Information’ (CCCI) notification of a COVID Case creation that is sent to GP inboxes from the NCTS is duplicating for some cases.

A fix has been identified and is currently in testing for the evening of Monday, 28th.

Automatic Case Closure Update §

Approximately 250,000 Cases have been closed in the past week.

§

Backlog continues to increase by 15,000 – 25,000 cases per day.

§

Closures will continue over the next week until the backlog is finally caught up.

Display Address of the CCCM Prescribing Facility on a Prescription: §

Where a prescription is made through CCCM, the prescription will display the address of the CCCM Prescribing Facility.

§

The facility is assigned to the patient based on their Regional Hub and is not necessarily the General Practice as they may not be the team providing care. This is a legal requirement.

RAT Requestor §

Targeted Rural Service – Making a request for a courier

§

If a person wants to have their RATs sent to them, they will need to call the 0800 222 478 number to confirm if they are eligible.

Isolation Start Date Error Resolved: §

We have identified an issue where in some instances the isolation start date for a Case was incorrect.

§

This error was preventing some users from being able to update the Day 0 for Case via the Onset of Symptoms/Predicted Isolation start date fields in the NCTS.

§

This issue is now resolved and Day 0 for Cases should now be working as expected.

Raised Issues Sector feedback generated features and updates

COVID-19 Response Included in Sprint 22.6 – Approx. delivery w/c April 06th with minor releases in-between.

The Update

What does this mean for me as a ‘CCCM HealthLink in Context View’ user?

Status

GPs will be able to launch CCCM from their PMS and ‘Create a Probable Case’ in order to enter a record when one doesn’t already exist.

I will be able to create a CCCM record for a probable case and carry out my standard activities e.g. health checks and initial assessments,

In Progress

Where the BHR is managed as a case, allow CCCM access from HealthLink to an NHI/BHR that has been discharged less than 2 weeks of today’s date. The patient context banner should also show the date of discharge.

I will be able to continue accessing my patient's CCCM record after their NCTS case been closed, for up to 2 weeks, SO THAT I am able to access, maintain, and update COVID clinical records as required when providing care for my patients' COVID related illnesses.

To be included in Sprint 22.6

The CCCM via HealthLink error message for a NHI with no active record will be updated to provide suggested reasons for why ‘no active case was found’

Stop GPs who are accessing CCCM via HealthLink from receiving constant script errors.

I will have a list of potential reasons for why this error message is occurring, and have a clearer starting point to resolving the issue.

Such reasons include 1) delay in record creation since reporting a RAT; 2) Patient has been discharged recently; 3) You need to have an HPI set up on your profile in your PMS; 4) There is an issue with your username and password, or set up within your PMS.

I will no longer receive constant script errors when accessing CCCM via HealthLink.

To be included in Sprint 22.6

To be included in Sprint 22.6

COVID-19 Response Included in Sprint 22.6 – Approx. delivery w/c April 06th with minor releases in-between (dates TBC).

The Update Privacy disclaimer pop-up for CitC patients-in-context.

What does this mean for me as a CLOUD user?

What does this mean for me as a ‘CCCM HealthLink in Context View’ user?

Status

1. The first time an external user logs into CCCM via HealthLink or Regional Clinical Portal, they are presented with the BCMS Terms of Use and must accept in order to allow access to CCCM. 2. The first user and first time the "Do you require welfare assistance" question is marked Yes on an RHC, the Welfare Privacy Statement must be acknowledged and accepted.

3. The first user and first time the following actions are taken on a person's record, the General Privacy Statement must be acknowledged and accepted: Whiteboard note added; Generic note added; Clinical note templated added; Initial assessment completed; Regular Health Check completed.

Privacy disclaimer pop-up for CitC patients-in-context.

To be included in Sprint 22.6

I will be able to easily raise these specific tasks in a consistent manner so that: Two new/updated automatically filled out tasks: 1. Oximeter required 2. Clinical review required

• (Oximeter) there is the option to raise this task, so that I can filter for all tasks for oximeter requests instead of relying on manual checks, and easily find the patient who require oximeters;

Turn of automatic tasks that are set from MIQF processes for Community Care facilities only.

I won't see tasks that aren't applicable, and don't have to waste effort on manually completing tasks that don't apply to me/us.

Updated task filter to enable "all tasks" as a filter option on the CCCM dashboard.

• (Clinical review) the automatically filling out of the task request will save me time, making it easier and more user friendly.

I will be able to filter for all people who have an active task on their record, no matter the task type.

To be included in Sprint 22.6

To be included in Sprint 22.6 To be included in Sprint 22.6

COVID-19 Response Included in Sprint 22.6 – Approx. delivery w/c April 06th with minor releases in-between (dates TBC).

The Update

What does this mean for me as a CLOUD user?

What does this mean for me as a ‘CCCM HealthLink in Context View’ user?

Status

An easy-to-access link from within CCCM to up to date training materials and release notes

I will be able to access a ‘help’ menu that provides me with access to release notes, CCCM user manuals, and a redirection link to ‘Contact Support Team’. I will be able to help myself solve issues before needing to escalate them.

To be included in Sprint 22.6

The address field on page 3 of the ‘Person Information’ tab will be updated to enable a search box that validates the provided address with eSAM.

As a CCCM user, I will be able to search for and apply an address to update a Case’s location of isolation and have that provided back to NCTS

To be included in Sprint 22.6

Enable users to change the patient’s care plan via the main dashboard or the patient context banner, as well as in the regular health check.

The saved care plan will also be triggered back to NCTS, written in the note timeline as a Clinical Notes, and will be reflected in the next regular health check as the new default.

I will be able to assign someone to Self or Active Mx outside of/without having to complete a regular health check.

To be included in Sprint 22.6

The discharge/full summary will be refreshed to be made more legible and appropriate to community care of COVID.

I will be able to receive an appropriate/user friendly discharge/full summary for my patients in my PMS Patient Outbox.

Waiting Development

The update will enable medications prescribed in the last 6 months from NZePS to be listed in the initial assessment.

As a care provider, I will be able to see NZePS data about my patient pre-populated into the initial assessment, saving me time.

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

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