Series Overview
The Proactive Care Coordination Assistant (PCCA) Program webinar series, presented in partnership with the Physician Learning Program, aims to inform the upcoming PCCA programs across Alberta. The series will demonstrate a standardized PCCA model, provide comprehensive insights into the core groups supported by the PCCAs, and how Electronic Medical Records (EMRs) are utilized for effective implementation.
What is a PCCA?
Proactive Care Coordination Assistants (PCCAs) are essential team members who proactively coordinate care for at-risk groups and arrange preventative health screening within the Patient’s Medical Home. This “behind the scenes” work allows physicians to focus on the patients in front of them, knowing others will not fall through the cracks.
PCCAs at the Edmonton Southside Primary Care Network (ESPCN) help improve continuity of care, preventative health screening rates and panel accuracy for our member physicians receiving this support. They do this by calling at-risk patients and offering annual or screening appointments with their physician, or with the appropriate MDT, as well as confirming patient attachment during each outreach call.
The evident improvement in screening and continuity has led to four PCNs across Alberta adopting this program, and several other PCNs interested. Physicians participating in the PCCA program observe increased panel accuracy, continuity of care, and preventative health screening rates for their patients.
PCCA Webinar Series
| DATE | TOPIC | DESCRIPTION | RESOURCES |
|---|---|---|---|
| September 25, 2024 | Introduction to the Proactive Care Coordination Assistant (PCCA) Program | Join us for our first webinar designed to introduce you to the innovative Proactive Care Coordination Assistant (PCCA) program, an outreach initiative aimed at ensuring that patients in primary care don’t fall through the cracks. This session will provide a comprehensive overview of the PCCA program, shedding light on its critical components such as: – The core outreach groups – The PCCA rotational model – Program level goals and evaluation | PCCA Model Guidelines and Evidence Webinar Recording  |
| October 23, 2024 | PCCA Program: Getting Started | Our second webinar in the series will help elevate your understanding of the Proactive Care Coordination Assistant (PCCA) program. Presented by an Improvement Facilitator and EMR-Consultant, the webinar will focus on: – Effective clinic engagement strategies – Established integration timelines – Initial Electronic Medical Record (EMR) Assessment – EMR set up and queries – PCCA process checklist – PCCA activity tracking | Physician PCCA Handout EMR Assessment PCCA Integration Guide PCCA Weekly Tracking Sheet PCCA Program Manual PCCA Remote Access FAQ PCCA Query EMR Guides –Accuro –Ava –CHR –Healthquest –Med Access Webinar Recording  |
| November 20, 2024 | Pediatrics and Adult Outreach | Join us for the third webinar in our series, where we’ll focus on the initial Pediatrics and Adults outreach – a key area in the Proactive Care Coordination Assistant (PCCA) program. This session will provide you with an understanding of how to effectively engage patients who have not been seen for extended periods of time. Presented by an Improvement Facilitator and a PCCA, the webinar will focus on: – The importance of recalling adult and pediatric patients with long gaps in care – Established outreach process – Data on the effectiveness of this outreach – Common experiences and insights | Health Check-Ups: When you need them – and when you don’t EMR Instructional Videos –Accuro –Ava –CHR –Healthquest –Med Access Note: EMR videos may be revised as EMRs and processes are updated Webinar Recording  |
| December 18, 2024 | High-Risk Group Outreach: 75+ and Chronic Disease | Welcome to the fourth webinar in our series, “High-Risk Groups,” where we focus on reaching out to patients who are at an increased risk of adverse health events due to their age or chronic disease, and long gaps in care. Presented by an Improvement Facilitator and a PCCA, the webinar will focus on: – The importance of recalling this group of patients – Effective physician engagement – Identifying these patients in the EMR – Adjusting outreach criteria to meet clinic needs – Outreach process overview | To be added |
| January 15, 2025 | Screening Outreach: Alberta Screening and Prevention (ASaP) Maneuvers | Join us for the fifth webinar in our series, focusing on “Screening Outreach” within the Proactive Care Coordination Assistant (PCCA) program. This session will cover the essential steps for reaching out to patients who are due for diabetes, lipids, colorectal cancer, mammography, and pap screening. Presented by an Improvement Facilitator and a PCCA, the webinar will focus on: – The Alberta Screening and Prevention (ASaP) maneuvers – Identifying patients due for screening in the EMR – Utilizing Netcare and converging external results – Incorporating MDT support – Outreach process overview | To be added |
| February 12, 2025 | PCCA Requisition Protocol | Join us for the sixth webinar in our series, where we’ll explore the PCCA Requisition Protocol – a key component of the Proactive Care Coordination Assistant (PCCA) program designed to streamline the screening process and optimize physician efficiency. This session will provide you with the insights and tools needed to effectively implement this protocol and benefit both patients and physicians. Presented by an Improvement Facilitator and a PCCA, the webinar will focus on: – The benefits of the PCCA Requisition Protocol – Effective physician engagement – Pre-screening questions asked by PCCAs – Requisition delivery methods | To be added |
| March 12, 2025 | CPAR Conflict Resolution | Join us for the final webinar in our series, dedicated to the critical task of resolving conflict reports within the Proactive Care Coordination Assistant (PCCA) program. This session will equip PCCAs, who are also CPAR Panel Admins, with the tools needed to effectively prioritize and resolve conflicts. Presented by an Improvement Facilitator and a PCCA, the webinar will focus on: – Sorting the conflict reports – Prioritizing conflict calls – Using faxing template – Our PCN goal for conflict rate – Common experiences and insights | To be added |