Provincial Hospital Resource System Repatriation Tool Self – Directed Learning for LHIN Users

1. Provincial Hospital Resource System Repatriation Tool Self – Directed Learning for LHIN Users The PowerPoint presentation is intended to be Self – Directed Learning for LHIN Users. It will take approximately 15 minutes to view in “Slide Show” mode.

2. Overview of the Self – Directed Learning Slide Deck • Background & Purpose of the PHRS Repatriation Tool • Module 1: Access and Log in to PHRS • Module 2: Create to Repatriate the Request • Module 3: Re-direct the Request • Module 4: Responding to Confirmation Delay • Module 5: Responding to Repatriation Delay • Module 6:Cancel and Re-issue the Request • Summary & Contact Information

3. Purpose of the PHRS Repatriation Tool • Component of the Provincial Hospital Resource System (PHRS) to track, send, receive and monitor repatriation requests between tertiary/higher level care hospitals and acute care hospitals only • The repatriation tool excludes requests to: • Long Term Care Facilities • Rehabilitation Hospitals • The Repatriation Tool supports the Ministry of Health & Long Term Care Life or Limb Policy. The Life or Limb Policy is available at:http://www.health.gov.on.ca/en/pro/programs/criticalcare/life.aspx

4. Repatriation Tool Implementation May 2014 and beyond LHIN 1 LHIN 2 LHIN 3 LHIN 5 LHIN 6 LHIN 10 LHIN 11 Enhanced PHRS Repatriation Tool is the standardized electronic repatriation tool utilized by all LHINs May 2014 and beyond.

5. 5 Phases in the 2014 Repatriation Algorithm to show the JOURNEY of the Request from start ( create) to finish ( repatriate) Blue-sending hospital responsibility Green-receiving hospital responsibility

6. Requirements for PHRS Site Browser

7. Colored Font and Flags For Details on Definitions, go to PHRS Library Tab on https://www. phrs.criticall.org

8. Module 1 • Access and Log in

9. Logging into the PHRS Open a web browser.into the address bar. Get you username and password from your Hospital designated PHRS Registration Manager Go to https://www.phrs.criticall.organd type in your username and password and click on LOGIN

10. PHRS Map View: Click on your LHIN LHIN Regions • Click on your LHIN

11. LHIN View: Click on the Repatriation Tab located on the Toolbar Navigation displayed depends on User’s access level • Click on the Repatriation Tab on the Toolbar

12. Module 2 • Create to Repatriate

13. Send Request Create

14. 2014 Repatriation Algorithm

15. Create: Select “My Hospital Site” then click “Add New Request” Sending Hospital

16. Create:Step 1-Select Bed Type , Requested Transfer Date, Sending Specialty/service and Requested Hospitals Click Next to go to Step 2 and click on CANCEL to go previous step

17. Create: Step 2-Enter the data in Health Card Number, Ward and Family Physician; Select the Gender, Age and Patient Home Hospital Red arrow: Enter Data Yellow arrow: select from dropdown list Click Next to go to Step 3 and click on Back to go previous step

18. Create:Step 3- Add checkmark in the Initial Precaution Status and in the Initial Patient Medical Information then click on NEXT Click on + to expand selection Click Next to go to 4 and click on Back to go previous step

19. Create: Step 4-Add Name and Phone number for Sending Physician and primary staff contact then Click on SAVE Click SAVE when done or BACK to go to previous step

20. Create: View the Completed “New Active” Request Sending Hospital

21. Proceed Decline Acknowledge

22. 2014 Repatriation Algorithm

23. Acknowledge: View the New Active Request Receiving Hospital Click on active request

24. Acknowledge:Select “Proceed” or “Decline” & Click SAVE Receiving Hospital

25. Acknowledge:Select “Proceed” and Click SAVE Receiving Hospital

26. Acknowledge: Add Contact Information & Click SAVE Receiving Hospital

27. Acknowledge: Add Comments in Proceed Comments Box (optional) & Click SAVE Proceed Comments are optional

28. Acknowledge: “Proceed” status can be changed to “Decline” & Click SAVE Receiving Hospital

29. Acknowledge: Select “Reasons for Decline”& Click SAVE Decline Comments are optional

30. Accept Not Accept Confirm

31. 2014 Repatriation Algorithm

32. Confirm: Select “Accept” or “Not Accept” & Click SAVE Receiving Hospital

33. Confirm: Add “Accept” Comment Box (optional) & Click SAVE

34. Confirm: View “Accepted” Request Receiving Hospital

35. Confirm: “Accept” can be changed to “Not Accept” & Click SAVE Receiving Hospital

36. Confirm: Select “Reason for Not Accept & Click SAVE Not Accept Comments are optional

37. Confirm: Click on the Not Accepted Request to View in the Not Accepted Tab Receiving Hospital

38. Confirm: Click on Comments Tab to View Comments related to request Sending Hospital

39. Transport Arranged Transport Scheduled Transport

40. 2014 Repatriation Algorithm

41. Transport: Click on Transport & Click on SAVE Sending Hospital

42. Transport: Add DATES for Transport Arranged & Scheduled then Click on YES

43. Select Calendar Date Repatriate

44. 2014 Repatriation Algorithm

45. Repatriate: Click on Repatriate & Click on SAVE Sending Hospital

46. Repatriate: Add Date and Click on YES

47. Repatriate: View Repatriated Status Request in the Repatriated TAB Sending Hospital

48. Module 3 • Redirect the Request

49. 2014 PHRS Repatriation Algorithm –Redirect Sending Hospital can redirect the request when the receiving hospital has declined or not accepted up to the Transport Phase

50. Redirect: View Not Accepted Request Sending Hospital