1. Trainer Update October 30, 2015

2. Agenda Transition to Operations – Training Training Environment – vaccine inventory Inactive to active client records Communications Downtime Procedures Peer supporter training Manager / MOH training Mass Immunization Events – Lessons Learned Roundtable

3. Transition to Operations Centralized Panorama support team Clinical analyst responsible for training & communications Training Work Group Chaired by Clinical Analyst Regional and organizational representation Terms of reference pending approval Transition in December Last project training support meeting November 2015

5. Training Environment - Inventory Panorama training environment No Influenza IM – Quadravalent vaccine Use Influenza Trivalent or Influenza Intra Nasal vaccine instead Not a priority – focus on the skills not on the vaccine Issue – no inventory for HPV shows in Train. It may have just run out in the inventory. Need to add more product so can have it to use. Stock for Ig in the Train environment and Production – cannot be attached to a mass imms event. Would have to be entered as an individual immunization. Project team cleaning up the number of clients as hard to find clients with the almost same name Let Helena or Arielle know which clients to clean up from your region

6. Inactive to active client records Client records changed from “inactive” to “active” can remain as active QRC 3.16 change reflects this

7. Communications Panorama October Bulletin Panorama October System Update Website Updated QRCs posted Downtime procedures posted FAQ – being posted incrementally over November Panorama support team to manage

8. Downtime Procedures Immunization and Inventory Provided to organizational leaders mid October Require modification for regional / organizational use

9. Peer supporter training Still testing required functionality so can’t train until testing complete Plan to train end of November Analysis of merge client requirement Reports Create client Mass imms event closure

10. Manager / MOH training Recommended agenda developed To be completed by end of November Account requests may be required Public Health Activities and Associated Panorama Security Access Roles guidelines WRHA Project coordinator to coordinate Rural Sent regional leaders account request information Project coordinator to provide information for implementation teams

11. Mass Immunization Events What lessons have you learned during the Influenza clinics? Registering clients that come in as a family. Search using the MFRN number so you get all the PHINs at once Select and return to the Mass Imms Event Worksheet – can’t find. Client is likely inactive. Search Delayed entry. Hard to read information on the paper. Make sure that document formal name on the paper not their informal name so it is easy to find in Pan As registering clients at the event, record someone immediately into the worksheet so that the cohort could not be deleted Bundling up paper consents for easy delayed entry. The nurses ordered the consents alphabetically so that they could find the registered client on the mass imms event worksheets. Bundle by provider, by arm, Two or three dates for the same site. New mass event for each date. Direct entry NRHAs IT Services purchased a hub for use. Made sure that compatibility settings were set correctly. Verbal consents. Spreadsheet was developed to track.

12. Mass Immunization Events What lessons have you learned during the Influenza clinics? Regional tools developed can be posted on Website for all to use. Action: Carolyn to send spreadsheet used by NRHA Question: how many providers per event? As many as you want. Don’t worry about the drop down. The vaccine stock may not be accurate. Need to do a quantity on hand stock adjustment. Nurses administering immunizations that don’t have access to Panorama. These nurses can be set up as a provider so that the immunization can be linked to a provider. PMH Clerks make appointments for immunizations and then do delayed entry. Nurses bundle consents by provider and site. Then the clerks set provider and org / SDL for the bundle when they enter. Bundle consents by provider and arm.

13. First Nations New trainer for FN starting on November 2 Training materials have been modified slightly for FN training.