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Trainer Update
June 19, 2015
Attendance
Agenda• Training site update• Individual imms record • New QRCs
– Mass Imms Event Report - review the QRC 5.2.
• QRC updates– QRC update: 2.2, 2.3, 2.4
• Panorama Defects:– Changing the date of a mass immunization event– Applying altered dose to mass immunization (Hep B 0.25)
• Creating Clients In Panorama• Clinical Issues– Adacel-Polio/Quadracel/Pediacel, Renal dose of Hep B• Panorama System Updates Communique • FAQs - in development• Round Table• Setting User Defaults
Training Site Update
• There is an issue with the green header in the Training database is still gray some of the time
• Site will be refreshed some time this summer
• If you are planning any training sessions this summer, please let help desk know.
Individual Immunization Record
• Will be available in Production within the next 3 weeks
• Manitoba Health will be replacing the Immunization Certificate with this record in the future.
• Reminder letters will be sent out by MB Health• Adhoc Immunization records will be provided by
PH/Community Area Offices• There will be a QRC for this report when it is
available
New QRC
• QRC 5.2 Mass Imms Event Report• Will be on website next week
• Demo Mass Imms event 1241
QRC Update• Need to document Public Health Unit org
when recording individual immunizations – for reporting Purposes (unit specific reports) – to increase ability to follow-up (AEFI, product
recalls)
• Affects the following QRCs:– QRC 2.2 Recording Non Provider Recorded Immunizations– QRC 2.3 Recording Provider Recorded Immunizations– QRC 2.4 Recording Immunizations for Vaccine Not in Inventory
QRC Update (Continued)
• Defect: Applying 0.25ml dose in Mass via Mass Imms Worksheet • dose change is not maintained if any of the
clients on the worksheet have a status of “not forecasted”
• Affects the following QRCs (Points to Remember):- QRC 3.13 Recording Non Provider Recorded Immunizations from a
Worksheet - QRC 3.14 Recording Provider Recorded Immunizations from a Worksheet
Defect: Changing the Date of Mass Imms Event
• When you change a mass imms event date the updated “new” date for the mass event does not change in all locations
• This has been identified as a defect and has been logged
Example: If I create an event on July 1st (Mass event ID#1259) and then change the date to July 3 the following happens:•Mass Imms Event search page– Search by event ID presents July 1– Search by who created – presents July 1– Search by who created and date – presents
correct date– Search by corrected date – factory table presents
event with correct date•All other locations the event date presents July 3
Create Client function
• Users SHOULD NOT Create New Clients in Panorama
• If users have a client that they think needs to be created, ask them to submit this request to a CD coordinator or designate
• We are working on providing guidelines for when it is appropriate to create a client
Clinical Advice:Quadracel vs Adacel Polio
• Our auditors are seeing a frequent clinical error where Adacel-Polio is being given as part of primary series as a substitute for Quadracel
• See: http://www.gov.mb.ca/health/publichealth/cdc/docs/hcp/2012/120418.pdf
• The primary series will now be completed using Pediacel for the first 4 doses and the Adacel-Polio to be used for the booster dose, if required
Documenting Renal Dose of Hep B
• Document as 1 immunization. • Change the dose in the immunization details• Record Site: Other• Document the sites in the comments section.
• Apply same to other multi-site doses
Panorama System Updates Communique –
• In development and should be out shortly• Will be sent out to all users and posted to the
Panorama website
Setting User Defaults Update
• We developed a “Setting your Panorama User Defaults” PP Presentation for trainers to use to communicate with their users
• Presentation of slide deck immediately after this meeting
Round Table
Interlake-Eastern•All sites are live and all users using single imms!! (52 users)•Positive feedback•Questions
– Plans for using Mass Imms for Flu in fall?• WRHA – will be doing delayed entry• NHR – possibly some direct entry depending on connectivity• SH-SS – looking to try 1 direct entry flu clinic staffed with trained PHNs• PMH – delayed entry with clerical doing the entry
– Smaller office clinics may try direct entry– Casuals will not be trained for Fall 2015
– Delayed entry for mass imms – by nurses or clerks?• WRHA – nurses• SH-SS - clerical
Round Table
• Southern Health – Sante Sud– 100% deployed!! (77 users)– Mostly positive feedback– Sustainability planning is starting (note: MB Health
and eHealth are starting this planning as well)– Identified issue: dealing with connectivity issues
with limited regional IT resources– At this point, casuals will not be trained
Round Table
• Prairie Mountain Health– 100% deployed! (95 users)– Focus on developing policies and procedures
• ?create a provincial task group to discuss• There is interest amongst this group membership to look at
working on this together• Contact one of the following trainers if you are interested in being
part of these discussions: – Melody Hawryluk: [email protected]– Shannon Whalley : [email protected]– Bonnie Chappell: [email protected]
Round Table• Northern Health– All staffed and connected sites are deployed!! (39 users)– Remaining sites
• 2 sites with staff vacancies• 3 sites with no connectivity
– All sites will have immunizations entered into Panorama– Fall 2015 School immunizations will be done via Mass
events– Holding 2 training events in fall for Mass Imms training
Round Table
• WRHA– 100% deployed! (144 users)– Fall 2015 – planned training for 100+ casual staff– Challenges – onboarding training strategy
Action ItemsIssue Action Assigned/Date
Regional policy & procedure /practice guideline development
If you are interested in working together contact:Melody Hawryluk: [email protected] Whalley : [email protected] Chappell: [email protected]
All trainers
No date set
Communicate new training materials to users
• Physical count• Returns• Mass Immunization Worksheet• New requirement to record Public Health Org
for Single Immunizations
All trainers
As soon as able
Trainer support for new QRCs and important updates
Create taped version of update to new QRCs and update 2.2. 2.3, 2.4
Helena/JulieJuly 2015
Next meetingFriday July 31st 1030-1200
Support modelTransition planning for this group to sustainment
