Practical Paranoia - Why Use AHS Secure Email?

We've previously posted about warranted worry when using email for clinical purposes.

Alberta health Services (AHS) offers a secure email solution that can support sending identifiable patient health information between AHS email and, with "!Private" in the subject line, to non-AHS email addresses.

Clinicians have raised a number of questions. Hopefully, this FAQ helps:


Is Connect Care at risk in new provincial review?

Connect Care participants have expressed concern about recent news reports of a provincial government review of Alberta's health information systems. Is Connect Care at risk?

The review, fulfilling a pre-election promise of the new provincial government, does not reflect second thoughts, or any lack of support, for the Connect Care initiative. Rather, there are information services that Connect Care can offer patients and physicians that may overlap with other provincial offerings, like the provincial electronic health record and public service patient portal. The intent of the review is to consider the most efficient strategy for leveraging Alberta's considerable opportunities. A request for proposals from potential reviewers has been posted and review results are not anticipated until 2020.

The Connect Care initiative continues with unequivocal commitment to its first launch in November 2019, and beyond.


Connect Care Wave 1 - What's Up?

Anyone associated with Connect Care is no stranger to immense complexity! And the number of simultaneously accelerating activities increases week by week. It can be hard to appreciate all that is happening.

A new Wave 1 Activities Timeline can help stakeholders keep up with accomplishments, needs and milestones.

With all clinical content (decision, documentation and inquiry supports) designed, the new priorities relate to content build and validation. It is especially important to re-rally clinical experts to ensure that what is built is what was intended. All levels of training continue to ramp up, with the bulk of end-user training starting just weeks from now. Other immediate happenings relate to device (medical and non-medical) installation, testing and validation.


How much past health data will make it into Connect Care?

Data conversion is about how historical health information is selected and managed for transfer from legacy information systems to the Connect Care clinical information system (CIS). We've previously explained the principles and processes that determine which, and how much, health information will be available in Connect Care at launch.

Wave 1 launch rapidly approaches and we can answer data conversion questions with more certainty.

In most cases, laboratory and diagnostic imaging results will be complete back to June 1, 2017; bringing over two years of important clinical information into Connect Care. In addition, most vaccination records, genetic data and legacy clinical information system (e.g., eCLINICIAN) data will transfer. Paper records will not be transcribed or copied. However, they may inform chart abstraction (outpatient) or cutover data entry (inpatient) near launch.

Clinicians can be reassured that key health information remains available in the Alberta Netcare Portal; an important safety net during transitions to Connect Care.

In addition to previously shared conversion summaries, take a quick look at the Key Messages for a quick summary of our latest expectations.


More Power to Connect Care Users

Building capacity in clinician communities remains a pillar of the Connect Care physician readiness strategy. Capacity grows at many levels. Our training program emphasizes empowerment of end-users, especially to leverage personalizations that can make the clinical information system (CIS) experience efficient, even enjoyable.

We've previously blogged about building capacity at other levels. Physician Super Users, Power Users, Builders, Analysts, Knowledge Leads and Medical Informatics Leads have already proved invaluable to our clinical system design and build efforts. We are benefiting from skilling-up before launch, which is not typical for other CIS implementations.

One option for physicians seeking more advanced information management skills is the Power User pathway. We've facilitated this opportunity for medical informatics leaders embedded in zones and specialty areas. It is exciting to witness how many have taken advantage of excellent course offerings from Epic. 17 Power Users are certified (completed 8 courses), 66 have started the pathway and 58 have at least two courses completed.

Thanks to all who prepare for CIS mastery... to better help the rest of us avoid being enslaved by the CIS!


Wave 1 Physician Training - Registration Progress

We've previously posted about getting Wave 1 physicians ready for and scheduled into Connect Care training.

A big thank you to all who have heeded the call and submitted preferences for personalized training! We are grateful to have over 1,300 physicians (73% of Wave 1 cohort) already getting lined up for basic training.

Follow-up communications are going out to those who have not yet registered preferences. It is very important that all physicians respond and get matched to acceptable tracks and timelines. Delays reduce options!

The Area Trainers guiding physicians through training are themselves trained, with about 60% completing key preparations this week. Super Users are also key to effective facilitation. About 40% will have finished their own training this week.

Our unique Connect Care training program continues to unfold. We are excited to see, as much as possible, the prospect of clinicians training clinicians coming to fruition. It remains for users to seize the opportunities offered. Taking training seriously is one of the best predictors of satisfaction with a new clinical information system.


Connect Care Physician Training - Good News

Today we are pleased to receive official confirmation that the Royal College of Physicians and Surgeons of Canada has completed its review of the Connect Care physician training program, including its eHealth literacy components. Specialist physicians are eligible for a full 12 hours of continuing professional development hours (at 3 credits per hour for a total of 36 credits) upon completing their assigned training and satisfying the associated competency assessment. This is good recognition, representing a significant portion of the credits specialists need to accrue yearly (90%!).

We await final word from the College of Family Physicians of Canada.


Connect Care July 2019 Calendar

A summary of key Connect Care happenings in July 2019 has been posted to the Alberta Health Services (AHS) internal Connect Care website, linked below.

High priority activities continue to advance device interfaces. Business continuity and datacentre failover exercises begin. Super User training is underway.

Clinical content validation activities are top priority so that we can ensure acceptability of documentation, decision and inquiry supports in time for personalization and launch.


Connect Care July 5, 2019 Newsletter Posted

The July 5, 2019, Connect Care Newsletter is available via the link below; covering 1) Timeline Updates, 2) New Connect Care Experience Videos, and 3) Waves 1 anad 3 Workflow Walkthrough.


Practical Paranoia - Sending Clinical Email

Clinicians should take great care when using electronic mail to communicate about clinical work, especially messages that may contain identifiable patient information.

We look forward to Connect Care launch, as the clinical information system (CIS) has advanced clinical communications tools.  These include email, text/chat, image capture and telehealth. Everything that happens within Connect Care stays within Connect Care. The physician and patient portals securely extend these clinical communication channels to those without full CIS access.

But what are we to do before Connect Care deployment is wide enough for all recipients to to receive? Before launch, and during transition periods when some but not all areas have launched, Alberta Health Services (AHS) secure email should be used for clinical communications.

Any email sent from one AHS address (ending with @ahs.ca or @albertahealthservices.ca or @covenanthealth.ca or @albertapubliclabs.ca) to another is automatically encrypted and acceptable for clinical communications.

An additional step is needed to protect email sent from an AHS address to a non-AHS address. It is easy. Just add "!Private" (remember the exclamation mark comes before, with no space, "private") anywhere within the email subject line. The recipient will receive instructions about how to decrypt the protected message. This will work even if there are attachments. And simply adding "!private" to the subject works with any email management software (e.g., Outlook, Apple Mail, Web mail, etc.).

For more information:


Privacy Awareness - an Essential Clinical Skill

Privacy awareness is essential to good clinicianship. It does not come naturally and so we all need training. Our digital world presents ever-changing threats to information security, making it hard to know when we may unintentionally weaken the vigilance our patients expect. Breaches harm patients, and can be devastating for clinicians.

On the eve of Connect Care implementation, Alberta Health Services has overhauled its universal privacy awareness training. A new online elearning module, called "InfoCare - On Our Best Behaviors" is now available on MyLearningLink.ahs.ca (MLL). This privacy awareness training is required of all physicians prior to gaining access to Connect Care. The module is engaging, case-based, and easy to complete. It highlights a series of behaviors that physicians can promote for patient care, professionalism and Connect Care readiness.

InfoCare is delivered through MLL, which is most commonly used on AHS computers in AHS facilities. As physicians are more likely to complete the course on personal devices outside AHS facilities, we have prepared a summary of tips that can help those using personal devices. To complete privacy awareness training:
  • Go to MyLearningLink.ahs.ca (we recommend the Chrome Internet browser for those who do not have access to Internet Explorer 11 on Windows 7 or 10).
  • Sign on with your usual AHS credentials (same as those for email)
  • Search the Course Catalogue for courses containing the word "InfoCare"
  • Register for and complete the course online
  • Verify that your confidentiality and user agreement is accepted and the course is marked as complete.
  • Tips: Using MyLearningLink


Compensation for Connect Care Physician Training

Training registration emails and scheduling surveys have gone out to almost 2,000 physicians touched by Connect Care's Wave 1 launch later this year. This makes clinician training real and immediate.

A dedicated team of physicians, educators and technical experts have collaborated to develop customized learning pathways for Alberta’s physicians. A mix of in-person, self-directed and case-based modules will take between 8-12 hours to complete, varying with users’ needs. Basic training is as brief as possible, with progress to personalization and optimization contingent upon satisfactory completion of privacy awareness training and a competency assessment.

There are no fees for Connect Care courses, certification, resources or supports. As with other Alberta informatics initiatives, financial compensation is not provided for time lost to training. However, we expect that physicians will receive continuing medical education (CME) credits and be eligible for Alberta Medical Association continuing medical education program funding. Connect Care training resources are invested in building informatics capacity in physician communities. This allows physicians to train physicians, peers to help peers, and builders to express physician needs.

Physician training slots open well in advance of Connect Care launch in each zone, program or facility. Participating physicians are notified by email and encouraged to respond promptly with scheduling preferences. Once training track(s) are assigned, physicians should complete basic training as soon as possible, allowing more time for personalization pre-launch. Effective personalization makes transitions easier.

Physicians can direct questions or concerns to zone medical leaders and their associate chief medical information officer. The following resources can help:


A deep look at Connect Care

After years of planning, consultation and development, Connect Care stakeholders were given a full day to delve into the emerging clinical information system last week.

Representatives from sites and programs in launch Waves 1 and 3 gathered from across the Edmonton Zone for our first "Workflow Walkthrough" event. This provided  was a chance for users to see how the Connect Care system will be used in a number of important workflows, with priority given to high-volume, high-complexity or high-risk contexts. A preliminary big-picture overview, used demonstrations of the new Connect Care build to illustrate a full patient journey through the health care system.

Attendees watched videos and live demonstrations, and had opportunities to ask questions and log issues or change requests.  Workflow walkthroughs are an important part of readiness preparations for each of the many Connect Care launch waves.


MyLearningLink for Connect Care Physician Training

“MyLearningLink” (mylearninglink.ahs.ca, or “MLL”) is Alberta Health Services’ (AHS) online learning management platform. It is used to deliver courses offered to all AHS stakeholders in all areas. It is also used to facilitate the registration, scheduling, delivery, completion tracking and assessments for Connect Care training. Users can find, access and complete any self-directed e-learning courses or assessments that can be completed online. MyLearningLink is important to Connect Care.

Unfortunately, until recently, the MLL environment focused on education needs of AHS staff working in AHS facilities on AHS-provisioned systems. Courses are approved for Internet Explorer (IE, version 11) running under Windows 7 on AHS desktop computers. But Connect Care users need to train at non-AHS locations on non-AHS computers.

Fortunately, MLL is upgraded to work on networks both inside and outside of the AHS “intranet”. Testing and support for users of Apple operating systems is coming.

For now, we  have prepared a tip giving interim advice for clinicians who may have difficulty replicating the standard AHS computer set-up. Please try this out and send any feedback, questions or suggestions to mip@ahs.ca.