What is a PCCA?
Proactive Care Coordination Assistants (PCCAs) play a key role in coordinating care for at-risk groups and arranging preventative screenings within the Patient’s Medical Home. This enables physicians to focus on patients while ensuring others don’t fall through the cracks. At the Edmonton Southside Primary Care Network (ESPCN), PCCAs improve continuity of care, screening rates, and panel accuracy by reaching out to at-risk patients, offering appointments, and confirming patient attachment. This success has led to four PCNs in Alberta adopting the program, with more interested. Participating physicians report better panel accuracy, care continuity, and screening rates.
Series Overview
The PCCA webinar series:
- Demonstrates a standardized PCCA model.
- Dives into the core groups supported by PCCAs.
- Demonstrates how EMRs are used for effective implementation of the program.
The live series has ended, and the recordings of each webinar are available below.
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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 | Resources 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 | Resources 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 Note: EMR videos may be revised as EMRs and processes are updated. 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 | 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 | EMR Instructional Videos –Accuro –Ava –CHR –Healthquest –Med Access Note: EMR videos may be revised as EMRs and processes are updated. Webinar Recording  |
| 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 | EMR Instructional Videos –Accuro –Ava –CHR –Healthquest –Med Access Note: EMR videos may be revised as EMRs and processes are updated. Webinar Recording  |
| 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 | Resources Requisition Protocol Physician Handout Requisition Protocol Facilitation Guide EMR Instructional Videos –Accuro –Ava –CHR –Healthquest –Med Access Note: EMR videos may be revised as EMRs and processes are updated. Webinar Recording  |
| 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 | Resources ESPCN CPAR Conflict Prioritization Tool EMR Instructional Videos –Accuro –Ava –CHR –Healthquest –Med Access Note: EMR videos may be revised as EMRs and processes are updated. Webinar Recording  |