CII/CPAR introduction

What is the Community Information Integration (CII) Project?

Access to comprehensive and up-to-date patient information is vital to the proper coordination of care for your patients.

CII is designed to provide all healthcare providers in Alberta access to comprehensive and up-to-date patient information through Alberta Netcare.

Using CII with Healthquest, patient information from participating clinics will be automatically uploaded every night, in a secure transmission, to Alberta Netcare.

By participating in the CII project, clinics will have the opportunity to close the patient information gap in Netcare, improving the coordination of care for all Albertans.

What Information is Collected by CII?

CII will collect patient identifying information, provider identifying information, and other data elements captured during a patient encounter, such as: height, weight, and reason for visit.

This information will be collected and displayed in Alberta Netcare in one of two ways:

1. Community Encounter Digest (CED) reports, which will offer a snapshot of patient care over the past 12 months
   
2. Specialist Consult reports, which will outline an assessment and recommended treatment plan for a patient, in PDF format.
   

What Does a CED Look Like?

     The CED report will summarize the care a patient has received over the past year.

The CED report will include data elements on:

1. Service Providers (Name, Identifier, Role, Expertise)
   
2. Service Delivery Location (Name, Identifier, Type of Services, Postal Code)
   
3. Encounters (Date, Reason for Visit, Clinical Assessment)
   
4. Observations (Problems, Allergies, Blood Pressure, Height, Weight, Pulse, Oxygen Saturation, Head Circumference
   
5. Interventions and Treatment (Intervention / Treatment, Date)
   
6. Referral Requests (Service Requested, Date)
   
7. Immunizations (Vaccine Administered, Date, Lot Number)

Do Clinics Need to Revise Their EMR PIA to Participate in the CII Project?

Alberta Health was written a PIA that will cover changes made to clinic EMR systems to accommodate disclosure of health information to CII. A synopsis of the Alberta Health PIA will be provided to custodians along with an endorsement letter that states that the custodian has been made aware of the changes to his/her EMR in support of the data extraction process.

The endorsement letter indicates to the Office of Information and Privacy Commissioner that the physician/custodian's EMR and the PIA covering it are amended and that the Alberta Health PIA reflects these changes and the security measures taken to protect health information as a result of the changes. The clinic is required to ensure all other privacy and security documentation are up to date. The CII implementation team will work with clinics to confirm documentation.

What Privacy and Security Protections are in Place for the Data Being Shared?

Data is being transferred from the EMR vendor's hosting site to the Alberta Health data center via a dedicated web service that uses strong encryption. Data from the Alberta Health data center goes to Alberta Netcare clinical repositories and to Alberta Health analytic environment through a virtual private network (VPN) that uses strong encryption.

The Alberta Health data center meets high standards of data security with firewalls, intrusion detection, antimalware systems and redundancy of power supply and hardware to ensure high availability and data integrity.

     

How are Patients’ Expressed Wishes Honored?

Healthquest has several options for masking confidential patient information. Any information marked as confidential in Healthquest will also be marked as confidential in Netcare and will not be included in the CED report.

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