2022-11-29

Dragon Medical One - Launch 5 Personalization Sessions

Personalization sessions for Connect Care's in-system dictation software, Dragon Medical One (DMO), are coming up for Connect Care Launch 5 prescribers. Those in previous launches (Waves/Launches 1-4) are also welcome to attend.

The personalization sessions are scheduled for the following dates/times:

  • Tuesday, December 6, 2022: 10:00-11:30
  • Monday, December 12, 2022: 18:00-19:30
  • Thursday, December 15, 2022: 14:00-15:30

Registration is through MyLearningLink (MLL) (course name: Dragon Medical One (DMO) - Dictation Optimization Sessions), and sessions are via Zoom.

2022-11-24

CMIO Prescriber Drop-in Support - Update

As we approach the fourth week of Connect Care at the Launch 5 sites, the In-person Drop-in Centres have now closed. The Virtual Drop-in Centre (virtualhelp.connect-care.ca) remains open until December 2, 2022, with daily support from 10:00 to 18:00, and an additional 2 hours weekday mornings for oncology prescribers (08:00 to 18:00).

If you require support outside these hours, please call the IT Service Desk & Solution Centre at 1-877-311-4300 (#1 for Connect Care) or visit help.connect-care.ca. The Service Desk is able to provide high-level workflow and training support; urgent issues will be escalated to an on-call CMIO training team member.

For further information about the Virtual Drop-in Centre, visit launchhelp.connect-care.ca. Also listed there are reminders about getting after-hours CMIO help for prescribers via Super Users and the CMIO leader on call.

2022-11-18

CMIO Prescriber Virtual Drop-in Centre - Updated Hours

With the second full week of Connect Care at the Launch 5 sites coming to a close, launch support via the Virtual Drop-in Centre (virtualhelp.connect-care.ca) will be scaled back to daytime hours. Note the Virtual Drop-in will be open for an additional 2 hours on weekday mornings to support Cancer Care Alberta sites. 

  • November 19-December 2, 2022: 
    • For all prescribers, daily support 10:00-18:00 
    • For oncology prescribers, Monday-Friday 08:00-18:00, Saturday-Sunday 10:00-18:00
If you require support outside these hours, please call the IT Service Desk & Solution Centre at 1-877-311-4300 (#1 for Connect Care) or visit help.connect-care.ca.

For further information about in-person and Virtual Drop-in Centre schedules, visit launchhelp.connect-care.ca. Also listed there are reminders about getting after-hours CMIO help for prescribers via Super Users and the CMIO leader on call.

On Other Channels...

Thank you for continuing to check the Connect Care update blog for prescribers (ideally, subscribe to multiple channels; see instructions). Recent additions to this blog and its various channels:

2022-11-16

Calgary Zone Bulletin - Ambulatory Results Management Update

User bulletins highlight stumbling blocks that all affected prescribers need to be aware of when using the Connect Care clinical information system.

Ambulatory Results Management Update

Starting November 16, 2022, some results from outside of the Calgary Zone will be suppressed from In Basket to reduce duplicate reports related to Calgary Zone patients. This is an interim state and will revert at some future date.

  • A hard copy (paper or fax) of results may be sent. Prescribers must regularly monitor Connect Care In Basket AND hard copy reports, and follow-up on results as needed.
  • All results are available in Netcare and the Connect Care patient chart.
  • To improve the reliability of result delivery to In Basket and reduce hard copy reports, be sure to use Connect Care requisitions when arranging for patients' laboratory testing.

For more information, see the memo.

2022-11-11

On Other Channels...

Thank you for continuing to check the Connect Care update blog for prescribers (ideally, subscribe to multiple channels; see instructions). Recent additions to this blog and its various channels:

Tickets, Tickets, Tickets!

Connect Care Launch 5 has gone well, credit to the clinicians, leaders, trainers, Super Users and many others who have worked so hard to prepare.

Launch success is less about absence of problems and more about rapid attention to problems. In this, Launch 5 is doing extraordinarily well. Most issues are resolved quickly. Many stimulate improvements that benefit entire Connect Care community.

What's left are a few tricky problems. These are context-dependent. When a specific print fails, for example, the fault can be device-specific or, sometimes, an intersect of device, department, function and location.

Cleaning up tricky problems is a group effort. Our technical specialists need users to:

  • Not ignore problems, even those that seem minor. Report by one means or another (if too busy to submit a helpdesk ticket, jot down the particulars in a secure message or In Basket note to a Super User).
    • Reported problems get "ticketed", which means that they are tracked and resolved as fast as possible. 
  • When reporting printer problems, always include any relevant order number.
For more information:

2022-11-10

Just-in-Time Learning!

Our new Connect Care Launch 5 prescribers are on the steeper part of their learning curve. Help is available!

A powerful way to reinforce basic training, while busy with clinical work, is to consider one or two high-impact tips per day. To that end, we regularly post "Tippies" on the Connect Care Tips channel (tips.connect-care.ca), which contain some simple but impactful suggestions as well as some more advanced tips. 

The easiest way to follow these postings is to subscribe to the Tips blog channel. Also consider subscribing to both the FAQ (questions.connect-care.ca) and the Support (support.connect-care.ca) channels. We answer common questions on the former and provide important news about fixes and enhancements on the latter. 

2022-11-09

Improving Issue Reports and Help Desk Interactions

Problem reports (help.connect-care.ca "tickets") have been well within expectations so far with Connect Care Launch 5. Of course, more tickets are expected as clinical volumes ramp up with more outpatient activity. The good news is that tickets are resolved quickly, with critical tickets resolved within minutes to hours.

Helpdesk tickets route most efficiently when the user provides clear information at the right level of detail. See our tips for impactful issue reports:

No More Tweets

Although these Connect Care blog postings have been linked to Twitter notifications for a number of years, few of our target viewers use those feeds for following Bytes and related CMIO blogging channels.

The time seems right to leave the Twitter platform. Accordingly, all repostings are stopped and the associated Twitter accounts have been deleted.

Connect Care Communication Norms

Communication happens when one person or group relays information to another person or group, whereas documentation happens when information is managed to serve as a record.

Connect Care supports a wide range of communication tools, including voice, facsimile, commenting and secure messaging. Clinicians may wonder which tool to use for different communication needs, and how to use each to advantage.

Communication Norms are about what Connect Care users expect of one another for effective, efficient, safe and respectful information sharing within and between groups. Healthcare teams are encouraged to develop their own "communication compacts", clarifying how they will use different tools for different purposes. 

For example:
  • Chart "Sticky Note to Most Responsible Provider" can function like a "Doctor's To-Do clipboard" listing things to take care of on rounds. 
  • Secure messaging can be used for non-urgent reminders, such as the place and time of an upcoming team conference, that can be attended to within the next half-day (or so).
Urgent clinical communications should always be person-to-person, not relying on tools like sticky notes, secure messaging or In Basket.

2022-11-07

Prescriber Ordering Norms - Are Verbal Orders Allowed?

Computerized Provider Order Entry (CPOE) refers to the process of a medical prescriber entering orders electronically via a digital health record. 

CPOE involves much more than simply transcribing an order. The ordering process activates decision supports, patient safety protections and other aids to quality improvement. With a little practice, the CPOE process can also be much faster than written or verbal equivalents, as favourites, panels, personalizations and other automations come into play. In addition, Connect Care mobile apps make order entry immediately accessible from tablets and smartphones, any time, anywhere.  

It is a Minimum Use expectation for all prescribers that all tests, interventions and medications that can be ordered in Connect Care are ordered in Connect Care. Compliance is tracked in prescriber performance metrics. 

Very few exceptions to CPOE are acceptable, as summarized in Connect Care Ordering Norms.

If there are interdisciplinary teams that are having concerns, questions or challenges regarding CPOE, it is recommended that each team work through the CPOE work package. A memo also contains relevant information for Nurse Clinicians/leaders.

2022-11-06

Launch 5: We are GO!

All Connect Care systems activated on time at 05:00! 

Today, Connect Care welcomes 135 sites from across the province into the family, including Cancer Care Alberta and Alberta Kidney Care South. The first few days will be intense, but with lots of help at hand we are confident that progress will be fast. 

Prescribers, please make use of the drop-in centres and other launch supports (launchhelp.connect-care.ca). Watch this channel for any updates, as well as the Support channel for information on "hot topic" common issues that have been flagged for Launch 5 prescribers.

2022-11-05

Countdown Checklist L5: Drop In

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Drop In
This ends our countdown checklist, with conversion of old to new charts well underway today and tomorrow. We hope all goes well Sunday at 05:00 when the new charts become the official record of care!

Of course that's only the start. We'll have a working system but we'll need to grow it, and grow with it, to fulfill its potential.
Informatics specialists, Super Users and physician informatics leads are eager to help. Reach out.

Countdown Checklist L5, T-minus 0: Share and Learn

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Share and Learn
We are down to the final few hours. Any preparations that could be, have been. Now we must turn to one another in a spirit of collaboration.

Super Users are widely distributed. Look for yellow and orange lanyards (prescriber supports; pink caps in the OR). Don't struggle. Ask for help.
Super Users use social media to rapidly share learnings so they can be widely applied... ask them for help. They can also way-find when they are unable to provide immediate help themselves.

2022-11-04

On Other Channels...

Thank you for continuing to check the Connect Care update blog for prescribers (ideally, subscribe to multiple channels; see instructions). Recent additions to this blog and its various channels:

Countdown Checklist L5, T-minus 1: You've Got This!

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • You've Got This -- And We've Got Your Back
Physicians, nurse practitioners and other prescribers have dedicated time and energy to preparing for Connect Care Launch 5. You've got this! 
  • There are approximately 2,567 CMIO end users across the Calgary and Central Zones, Cancer Care Alberta (CCA), and the Alberta Kidney Care South program who are part of Launch 5: physicians, nurse practitioners, clinical assistants, physician assistants, dentists, residents, medical learners, and nurse practitioner students.
  • 330 CMIO Super Users are deployed across the Calgary and Central Zones, as well as CCA and the Alberta Kidney Care South program, for at-the-elbow support totalling over 7,500 hours of scheduled availability so far (this is expected to increase in the coming weeks). 
  • 1,112 hours of on-site drop-in support and over 1,059 hours of virtual drop-in support is scheduled for prescribers during the pre- and post-launch period so far (this is also expected to increase in the coming weeks).
Watch for Connect Care posters in Launch 5 sites, prescriber updates, and the launch support pages in the Manual.

2022-11-03

Countdown Checklist L5, T-minus 2: Catch Up Dictations

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Dictate any pre-launch admission or transfer notes
Launch 5 inpatient facilities are supported for dictation of admission histories, transfer notes, consultation reports and discharge summaries. This is done through the provincial eScription service, with products appearing in the Netcare electronic health record. These dictations will also be available to refer to in Connect Care when it launches.

Succinct initial progress notes become possible in Connect Care if they can refer to an existing digital admission or transfer record and simply note any changes since. The same applies for Consults performed in the coming week for patients expected to still be in-hospital post-launch.
  • Take advantage of eScription to facilitate easier Connect Care cutover this weekend!

2022-11-02

Countdown Checklist L5, T-minus 3: Buddy Up, Team Up

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Buddy-Up and Team-Up
Every clinical group will have members who like, and others who dislike, information management. This is a good time to recognize this reality and identify buddies for providers who may struggle.

There are valuable human resources embedded in Launch 5 sites and others flowing in from Zone sites already on Connect Care. Pre-socialize your Super Users, Medical Informatics Leads, Area Trainers and other specialty, ward or clinic informaticians. Create and share a launch contact list that fits your local group needs. Prescriber launch supports (launchhelp.connect-care.ca) link to a Super User schedule - good contacts to start with.

This is also a good time to consider how clinical information system adoption work can be divided and shared. Some personalization tasks, for example, can dramatically improve the user experience but take time to set up. Many can be initiated by a team member who understands the preferences of colleagues then shared for adoption by a larger group. Examples of allocatable personalization tasks are listed in the Connect Care Manual.

Consider devoting group, division, or other business meetings to identifying, and sharing, remaining team readiness tasks.

2022-11-01

Countdown Checklist L5, T-minus 4: Unburden as Possible

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Unburden where and when Possible
Many clinical services have limited abilities to control patient numbers or clinical workloads. However, each Launch 5 zone is implementing strategies to ease launch pressures in ways that befit their units and capabilities. In addition, clinicians can help by:
  • Identifying and flagging complex continuing patients who may need more cutover attention during the pre-launch week (see previous posts on pre-launch cutover tasks here and here). 
  • Printing patient lists the evening before launch to ease populating provider care team lists on launch day.
  • Printing Sunrise Clinical Manager (SCM) handover or draft discharge summary notes where available.
  • Protecting time before launch to confirm access to the Connect Care production environment for re-familiarization with training activities and high-value personalizations.
See our Byte about workload planning for more information.

2022-10-31

Countdown Checklist L5, T-minus 5: Find Drop-In Centres

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Take advantage of the Prescriber Drop-in Centres
Scheduled in-person drop-in help sessions are available at the Foothills Medical Centre for Calgary Zone and the Red Deer Regional Hospital for Central Zone, just before and for weeks post-launch. These are good for troubleshooting issues related to mobility, personal device, dictation, personalization and workflows, as well as login, role and access problems.

Schedules for the drop-in centres (including dates, times, and rooms) can be found in the Connect Care Manual. Note that locations and times can change. Late-breaking information about the drop-in centres will be posted in the Connect Care Manual (launchhelp.connect-care.ca).

2022-10-30

Countdown Checklist L5, T-minus 6: Follow the Tippies

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Follow Connect Care Tippies
With most Launch 5 prescribers having full Connect Care production access, this is prime time for setting up starter personalizations that can streamline Connect Care workflows at launch. This is also a great time to collect simple best practices that colleagues have found most useful. These "Tippy" peer-to-peer tips can be considered within a moment, with many able to speed things up for most users.

Tippies are published on our "Tips" channel (button above or tips.connect-care.ca) and are re-released approximately twice a week in the peri-launch period. Please consider subscribing to the Tips channel.

The entire Tippies collection can be viewed via tippies.connect-care.ca or tippy.connect-care.ca (worth bookmarking).

2022-10-29

Countdown Checklist L5, T-minus 7: Support Cutover Activities

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Support Cutover Activities
Key for attending physicians, nurse practitioners and trainees anticipating Launch 5 inpatient and/or outpatient launch is work to make sure that essential information is ready for loading or linking into the Connect Care clinical information system before launch... and that legacy systems are tidied up so that they can be retired. Related preparations include: 
  • General inpatient
    • For non-Sunrise Clinical Manager (SCM) sites, make sure that all dictations are complete and signed; use dictation (eScription) for all admissions, transfers and consults between now and launch, if possible, so that transition notes at launch can refer to recent documentation in Netcare. 
    • For SCM sites, complete documentation using existing systems (templates, eScription); SCM production will be accessible post-cutover since not all SCM documentation is copied to Netcare.
  • Surgical inpatient: Make sure that work is underway to enter upcoming surgical cases into Connect Care.
  • Outpatient: Make sure that all clinic documentation is complete, signed and routed, while also taking care to close any charts still open in legacy systems.
  • Complex patients: Consider pre-launch problem list documentation to support easy transition note generation at launch.
  • Long-term care (LTC):
    • October 31–November 5 - Review orders entered into Connect Care for LTC residents to ensure accuracy of medication and non-medication orders. 
    • LTC clinical teams may still be entering care plan information and other clinical documentation, but all orders will be entered as of October 28.
Key resources:

2022-10-28

On Other Channels...

Thank you for continuing to check the Connect Care update blog for prescribers (ideally, subscribe to multiple channels; see instructions). Recent additions to this blog and its various channels:

BBHR: Interactive Patient Lists

Building a Better Health Record (BBHR)

As part of our documentation quality improvement initiative, we promote practical ways for clinicians to comply with minimum use norms.

Interactive Patient Lists

The Connect Care clinical information system (CIS) includes powerful tools for accessing, personalizing, building and sharing patient lists.

Those working on inpatient ward, consult or service teams can benefit from the creation of one or more personalized lists. Unfortunately, it can be daunting to know which columns (often with many similarly named options to choose from) to line up for a specific clinical need. 

A clinician-led working group has established standards for Patient List design and has used those to produce a growing set of high-performing, validated and clinician-recommended list columns (easy to recognize as descriptors start with "[AHS]"). In addition, a set of 6 patient list templates can help users initiate personal lists with preferred columns.

To start or adapt a "My List" personal list:

  • Use the "Edit List" menu (top left of Patient Lists activity) to pick the "Properties" submenu.
  • Look for a "Copy" button at the bottom left of the "Available Columns" section in the list editor. Click this.
  • Note the list templates with names that start with "++AHS IP MD..." (near the top of the pick-list) and select a template fitting the clinical workflow (e.g., ward rounds, ward consults, emergency consults).
  • Either use the patient list configuration as is, or add/remove columns to personalize. Columns that have descriptors starting with "[AHS]" are preferred.

A number of enhancements respond to user requests:

  • Content - Columns display succinct information that is formatted to comply with AHS standards.
  • Hover - Hovering over columns within patient rows triggers pop-up displays of relevant information.
  • Double-click - Activating a column within a patient row will either open a relevant editing tool within the list or will open the patient chart to a relevant activity.
  • Sorting - This is optimized for clinical use case.
  • Report - Again defaulted to best fit the clinical use case.
A number of Patient Lists resources have been updated:

Countdown Checklist L5, T-minus 8: Complete Login Lab

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Complete CMIO Login Lab
It is essential that all Launch 5 prescribers confirm access to the AHS Network (insite.ahs.ca), to the Unified Access Portal (myapps.ahs.ca) and to Production (PRD) Connect Care.

In addition, all prescribers are required to complete a "CMIO Login Lab" found within Connect Care Hyperspace. This checks that the right tools are assigned to the user in the right way. 

Step-by-step instructions are provided in a tip:

2022-10-27

BBHR: RAPID Rounds Report Consolidates Transition Planning Information

Building a Better Health Record (BBHR)

As part of our documentation quality improvement initiative, we promote practical ways for clinicians to provide clear and actionable communication at transitions of care.

RAPID Rounds Report

When a patient (row) is selected in a Rapid Rounds patient list, a "report" displays either below or to the side of the list (user preference). The default report for Rapid Rounds is a transition planning report. The same report can be viewed as a pop-up by double-clicking within the Room/Bed or Length of Stay (LOS) columns in the patient list. And the report is always available from inpatient chart sidebars.

The new report functions like a planning dashboard. It gathers in one place all information that might be needed when preparing for discharge or transfer. More importantly, the report is interactive. The displayed information can be selected (click or tap) to view deeper layers of related information. And the data (e.g., pre-admission community supports) can be edited in-place, allowing work to be done in patient lists without having to open individual charts.

Countdown Checklist L5, T-minus 9: Check In Basket

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Check In Basket
Launch 5 prescribers who have completed basic training and the associated proficiency assessment gain access to the Connect Care production environment (PRD), where they can complete personalizations and otherwise get ready for launch. As soon as a prescriber gains access to PRD, they also have an active "In Basket", with immediate implications to the routing of patient test results and communication.

Some prescribers participate in or are affected by early cutover and conversion activities; they can line up orders that need to be ready in the system at launch. There may be communications that relate to setting up surgical cases or outpatient encounters that will occur post-launch. In addition, once a prescriber's account is activated in PRD, new test results will start to automatically route to the prescriber's In Basket, and other Connect Care users can send messages to the prescriber via In Basket.

More information on managing results and reports is available in the Connect Care Manual. A Results Management Toolkit has been prepared (and is continually enhanced) to help prescribers hone effective and efficient results management habits. Prescribers with "mixed-context" practices need to be aware of situations where results might route to both their Connect Care and external EMR systems.

For these and other reasons, it is best to start regular In Basket checks now. A useful In Basket personalization sends alerts to an email of one's choice when there is new In Basket content.

2022-10-26

BBHR: RAPID Rounds Patient List Supports Multidisciplinary Discharge Planning

Building a Better Health Record (BBHR)

As part of our documentation quality improvement initiative, we promote practical ways for clinicians to provide clear and actionable communication at transitions of care.

RAPID Rounds Patient List

"RAPID" (Review, Assess, Plan for Imminent Discharge) Rounds is a CoACT Collaborative Care activity that fosters communication within and between care team members, including patients and families. It facilitates timely coordination of care and decreases overall lengths of stay.

Connect Care provides a number of informational supports for Rapid Rounds, including:

  • Rapid Rounds Patient List - For use during multidisciplinary discharge planning rounds, this allows quick information access and documentation while reviewing a panel of inpatients.
  • Rapid Rounds Report - Provides a compressed summary of discharge planning information together with interactive tools for updating key data and multidisciplinary discharge readiness "traffic lights".
  • Transition Planning Sidebar - For use when a chart is opened to an inpatient encounter, replicating much of the information found in the Rapid Rounds report while speeding access to information best updated during day-to-day care.
Connect Care's patient lists serve as a gateway to inpatient workflows. A uniquely interactive list has been developed to support RAPID Rounds. This exposes information needed for discharge planning while allowing much of it to be updated without leaving the patient list.

Countdown Checklist L5, T-minus 10: Anticipate Computerized Prescriber Order Entry (CPOE)

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Anticipate CPOE
Computerized Prescriber Order Entry (CPOE) refers to the process of a medical prescriber entering orders electronically via a digital health record instead of using paper-based processes. 

CPOE offers an important means by which health processes and outcomes can improve. Entered orders trigger clinical decision supports that can help avoid unsafe medications, promote best practices and improve system performance. Studies show that the move from paper to CPOE decreases common medication errors by 50% or more.

Accordingly, it is a Minimum Use expectation that a
ll tests, interventions and medications that can be ordered in Connect Care must be ordered in Connect Care. Very few exceptions are acceptable.

Connect Care provides tools that make CPOE as easy as possible. Indeed, with the convenience of ordering personalized favourites on any computer or mobile device, anywhere, anytime, ordering is easier to do, and do well, than when constrained by paper. Still, Launch 5 will bring significant change for many providers at facilities moving from paper to computerized order entry. This is a good time to anticipate and prepare for CPOE:

2022-10-25

Countdown Checklist L5, T-minus 11: Anticipate Acute Cutover

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Anticipate Acute Cutover
Cutover for acute care is a process through which key pieces of information about admitted patients are entered into Connect Care prior to launch. The primary concern for prescribers will be the management of medication and non-medication orders, and the translation of important information about patients’ clinical status from a paper record (or Sunrise Clinical Manager [SCM]) to Connect Care.

Prescribers should anticipate, and mobilize resources for, five key tasks as part of cutover processes near launch:
  1. Review paper BPMH form to ensure home medication list is accurate, and sign. The cutover nursing team will only enter information from signed BPMH forms. This task can be performed any time before launch.
  2. Validate continuing medications on paper abstraction forms (or in SCM) to be entered by pharmacists 72 hours prior to launch. For SCM sites, see the SCM FAQ for additional medication order tasks.
  3. Document continuing non-medication orders on paper abstraction forms to be entered by the cutover nurses and dieticians starting 72 hours prior to launch. For SCM sites, see the SCM FAQ for additional non-medication order tasks.
  4. Validate entered orders in Connect Care on the morning of launch. For SCM sites, see the SCM FAQ for additional order validation tasks.
  5. Ensure they have an up-to-date patient list the day before launch. Teams will have to create provider-specific and specialty lists by finding their patients on the individual units throughout the hospital; teams are encouraged to have a designate identified prior to launch to manage this.
    • Note: Service groups that will use provider care teams to identify their patient lists will need to attach their provider care teams to the patient’s treatment team in order to populate patient lists.
The following FAQs and demo can help prescribers prepare for acute cutover activities (for long-term care activities, see this post):

2022-10-24

BBHR: Introducing the Connect Care Transition Planning Package

Building a Better Health Record (BBHR)

As part of our documentation quality improvement initiative, we promote practical ways for clinicians to provide clear and actionable communication at transitions of care.

Connect Care Transition Planning Package

Preparing for discharge begins at admission. Some admissions are straightforward, with dates and dispositions unfolding as expected. Others are complex and require coordinated multidisciplinary planning to facilitate safe transitions. 

Connect Care provides a new set of integrated supports that can help clinicians with complex discharges, while improving communication with healthcare providers for all discharges. These tools comprise a "transitions planning package" that includes:

  • Improved Admission and Discharge Navigators
  • Expected Discharge Date (EDD Management) tools
  • Daily Checklists
  • Rapid Rounds Lists and Reports
  • Transition Planning Sidebars
  • Transition Planning Documentation blocks
  • LACE Readmission Index calculations and recommendations
  • Provincial Standardized Discharge and Transfer Summaries
  • Communications to Electronic Health Record (Netcare) and Electronic Medical Records (eDelivery)

The next series of BBHR postings will focus on transition planning tools, highlighting how they work with tips, guides and demonstrations. 

Ordering Therapy Plans - Launch 5 Prescriber-Led Support Sessions

Edit: New session added.

Physicians and other prescribers who order recurrent, ongoing therapies (IVIG, blood, antimicrobials, etc.) known as Therapy Plans (pre-defined collection of related/standing orders that can apply to multiple/recurrent encounters over time) are invited to attend orientation sessions. The sessions explain the process of ordering Therapy Plans and will assist you when converting legacy orders and paper-based orders prior to Launch 5. There will be demonstrations of Therapy Plan workflows and an opportunity to address questions. 

The following sessions provide background information and context, focusing on workflows with demonstrations. Although important for Launch 5 prescribers who anticipate Therapy Plan use, all Connect Care prescribers are welcome, as many may benefit from a refresher.

Clicking on the hyperlinked date for a session will open a calendar invite for that session, which you can then respond to and receive the meeting information.

For more information, please see the below resources:

Prescriber Drop-In Centres Now Open - Virtual and On-Site

The Connect Care Launch 5 prescriber drop-in centres are now open! 

These centres are good for troubleshooting issues related to mobility, personal devices, dictation, personalization and workflows, as well as login, role and access problems. 

More information on the drop-in centres and their hours can be found at launchhelp.connect-care.ca. This link can also be accessed from the banner found at the top of each page of the Connect Care Manual.

A summary of "hot topics" or key issues being identified and addressed through the drop-in centres and other launch supports will be posted on our Support channel, with daily summaries starting launch day.

Countdown Checklist L5, T-minus 12: Know Where to Get Downtime Help

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Know where to get Downtime Help
The Connect Care clinical information system (CIS) needs periodic maintenance. Scheduled downtimes can happen as often as monthly, usually in the early hours of a weekday (e.g., between 00:30 and 04:30), avoiding peak patient care times. Downtimes can affect CIS parts (e.g., linked WellSky transfusion system) and/or the entire digital health record. Details about affected sub-systems are posted in advance of a planned downtime, and a variety of backup systems ensure that things like test results, order sets, documentation and other key tools remain accessible. During downtime, a CIS environment that provides a read-only view of chart information is available.

Most clinicians rarely, if ever, experience a scheduled downtime, and unscheduled downtimes are even rarer. The key is to know where to find just-in-time information and support.

The Connect Care Manual is hosted on separate servers not affected by AHS infrastructure, and so remains available during downtimes. In preparation for launch, check out the following link to see what the Manual covers. Essential information on downtime procedures is covered in a 1-page tip sheet, worth bookmarking. The first downtime scheduled after launch is December 8, 2022, so there will be plenty of time to prepare.

2022-10-23

Countdown Checklist L5, T-minus 13: Identify Launch Supports

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Identify Launch Supports
This is a good time to check that you and your colleagues know who the Super Users, Medical Informatics Leads or other peer-resources are for your clinical site, group, area or clinic. They can facilitate pre-launch personalization activities. They will be present and a great resource during the weeks around launch. 

Clinical groups may plan for their own start and end-of-day check-ins to flag issues to forward to twice daily launch support meetings.

Note where Launch Supports are described in the Connect Care Manual. This information is frequently updated with specifics about how to find and use in-person, online and telephone supports for help with Connect Care on-boarding, including the daily Super User schedule and details about the Launch 5 Virtual Drop-in Centre and the Calgary and Central Zone in-person drop-in centres.

2022-10-21

Countdown Checklist L5, T-minus 15: Get Ready for Interfacility Transfers

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Get Ready for Interfacility Transfers (IFTs)
Transferring admitted patients between facilities may seem a confusing process, particularly when the receiving facility is not on Connect Care. But there's help! 
  • RAAPID: The RAAPID (Referral, Access, Advice, Placement, Information & Destination) service manages all consultation requests within Connect Care, streamlining the process into a single "Intake Encounter". If transferring a patient to an alternate level of care or to emergency care, call RAAPID first.
  • Keep Calm and Navigate: Navigators help prescribers navigate multi-step workflows where it is otherwise easy to forget key requirements. The below navigators support patient movement.
    • Interfacility Transfer (IFT) Navigator: If your patient is being transferred to another facility and is not expected to return.
    • Leave of Absence (LOA) Navigator: If your patient is being transferred to another facility and is expected to return (or you're not sure).
    • Transfer Navigator: If your patient isn't leaving your facility but is being transferred to another department.
    • Discharge Navigator: If your patient is leaving your facility and is not going to another healthcare facility.
For additional information, including tip sheets and demos on specific workflows (e.g., ED vs. specialty consults), see the Connect Care Manual. The below linked infographics are also handy visual guides, the first on which Connect Care navigator to use for movement of admitted patients, and the second for IFTs specifically within the Calgary Zone.

2022-10-20

Ambulatory Tips, Tricks, and Traps - Launch 5 Prescriber Support Sessions

The ambulatory component of basic Connect Care training for prescribers who also provide acute care is necessarily streamlined. However, some prescribers with a significant ambulatory workload may feel like they have not had sufficient exposure to the ambulatory tools and workflows in Connect Care via basic training to be comfortable navigating the Connect Care clinical information system during a busy clinic come launch. To help these users, the CMIO will be hosting additional ambulatory support sessions. 

These 1-hour sessions are an opportunity to see ambulatory workflows in action, to hear advice from providers who have been using Connect Care in busy outpatient practices, and to ask questions – all in anticipation of your first day in clinic on Connect Care.

To register for a session, click on the hyperlinked date for the session that works for you (the sessions are all the same). It will download and open a calendar invite for that session, which you can then respond to and receive the meeting information.

2022-10-19

Countdown Checklist L5, T-minus 17: Confirm Dual Roles

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Ambidextrous? Let us know!
Most physicians work within a primary care or specialty service and are well served by the Connect Care department, role and user template initially assigned to them. Some prescribers work in multiple facilities or specialties (e.g., Critical Care and Medicine), still served well by their Connect Care toolset and the ability to change departments (contexts) on the fly.

Some prescribers work in two or more clinical areas that require quite different clinical information system (CIS) modules. The emergency module (ASAP), for example, is not like the critical care user interface. If one needs to switch between different modules for different roles (e.g., ER physician and Critical Care physician), then more than one "job" needs to be added to one's Connect Care prescriber record.

Connect Care has made these configuration changes for dual-role prescribers who are already known. If you think you may have been missed, likely because you do not see a module you need in PRD, get in touch with Medical Affairs or Provincial NP Services to request adjustments to your profile.

2022-10-18

Connect Care Scheduled Downtime and Fall Upgrade - Thursday October 20, 2022, 00:30-04:30

What you need to know

The Connect Care clinical information system needs periodic maintenance. The next scheduled update will occur during downtime on Thursday, October 20, 2022, between 00:30 and 04:30. On this occasion, all Connect Care production systems are affected, including Hyperspace, Transfusion (WellSky), Content (Quanum), Dictation (Dragon Medical One), OBIX, MUSE and ECG Web, MyAHS Connect, and the Link Provider Portal. Connect Care PRD SRO (the read-only copy of the production environment) will be available during this outage; PRD SRO is accessible from any computer used for documenting in Connect Care regularly. Netcare also remains available. Note there are also limitations on managing personalization settings before (and during) this period due to the transparent lockdown, previously posted about here. 

This downtime window is specifically for the Fall 2022 Upgrade, with changes to most Connect Care applications. These changes are primarily enhancements and will affect all prescribers using Connect Care. A summary of the change impacts are available in a slide deck, linked from the Manual. The slide deck includes links to tip sheets hosted by Epic; users will need to have an Epic account to view them. Resources specific to changes to Mobility (Haiku/Canto) and In Basket are also available in the Manual, as well as information for private surgical MOAs. 

What you need to do

BEFORE DOWNTIME

    • Complete orders and documentation in the chart before downtime begins.
    • Stop using PRD for orders 15 minutes prior to downtime, as they may not be processed.

DURING DOWNTIME

    • Check with Unit Clerk/Charge Nurse to confirm processes for ordering, documentation, and patient movement.
    • Use paper documents provided in clinics and inpatient units, with forms appropriate for orders and/or charting.
    • Postpone, if possible, routine orders or documentation until after downtime. This will limit amount of data entry and reconciliation required post-downtime.
    • Orders: Use paper order sheets for essential orders during downtime.
    • Documentation: Use paper forms or eScription for essential documentation for procedures or intervention results and reports.

AFTER DOWNTIME

    • Prescribers are responsible for the following activities for any patient admission, transfer, or discharge:
      • Updating the problem list
      • Completing medication reconciliation
      • Entering admission, discharge, or visit diagnosis
    • Prescribers receiving In Basket messages about missing chart elements should follow the link to the missing chart element and, for non-ED prescribers, enter “.DOWNTIME” (SmartPhrase) to complete the chart element, indicating that content is available elsewhere in the chart. For ED prescribers, use the SmartPhrase ".DTNOTE".

Where you can find more information

For essential information on downtime procedures, see the 1-page tip sheet. For additional information, see the Connect Care Manual:

2022-10-17

Countdown Checklist L5, T-minus 19: Check Provider Registry Entry

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Confirm PROVIDER REGISTRY Information
The Connect Care clinical information system (CIS) draws from a “provider registry” to store information about clinicians in the CIS. The registry is also a source of information that can affect how CIS user roles and permissions are set up, how providers can find and communicate with one another, and how things like preference lists and referrals work. 

It is important that this information be correct, and getting ready for Connect Care launch is a perfect time to validate information about oneself. Specific instructions are provided in: 
Access and identity essentials are described in the Connect Care Manual.