2022-05-25

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

The Connect Care Launch 4 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.

For a summary of "hot topics" or key issues being identified and addressed through the drop-in centres and other launch supports, see our Support channel.

Countdown Checklist L4, T-minus 2: Catch Up Dictations

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 2022...
  • Dictate any pre-launch admission or transfer notes
Launch 4 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 next weekend!

2022-05-24

Removal of Outdated eCLINICIAN Medication-checks from Connect Care

Most clinicians have noticed "Medications from outside sources..." alerts in Connect Care charts:


These prod the user to open the "Reconcile Outside Information" activity and either import or delete information from an external health information system. Judging by the large numbers of unmanaged alerts, it appears that most users do not find them helpful. 

A review of the reconcile outside medication prompts reveals that they relate to imports from the eCLINICIAN outpatient health record, which was replaced by Connect Care in 2019. Years have passed, the information is old and the prompts have little remaining value. 

As part of ongoing efforts to minimize unnecessary alerts, all unreconciled eCLINICIAN medication triggers older than 2 years will be archived; thus removing distracting prompts. 

Other potentially high-value information continues to flow from active external systems (e.g., allergies and adverse reactions). These may prompt clinicians to consider incorporating any new information into Connect Care charts.

Countdown Checklist L4, T-minus 3: Buddy Up, Team Up

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 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 4 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 site-specific pages listing 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.

2022-05-23

Experience MyAHS Connect to Promote MyAHS Connect

We've previously posted about increasing uptake of Connect Care's patient portal, MyAHS Connect. With a critical mass of engaged patients, Connect Care prescribers have growing opportunity to improve information gathering and sharing with patients, including during inpatient encounters

But it can be hard to promote a service that one has little experience of!

A new initiative enables Connect Care prescribers to activate their own MyAHS Connect accounts. They can experience firsthand the benefits of a full-feature patient portal. Personal access can also help clinicians help patients who ask questions about patient portal functions.

This opportunity is offered to prescribers activated for Connect Care use as part of past and current launches. Some clinicians may already have MyAHS Connect access by virtue of their own experiences as patients. Others can complete a self sign-up request. Application instructions are provided on the AHS intranet:

Countdown Checklist L4, T-minus 4: Unburden as Possible

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 2022...
  • Unburden where and when Possible
Many clinical services have limited abilities to control patient numbers or clinical workloads. However, each Launch 4 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.

2022-05-22

Countdown Checklist L4, T-minus 5: Find Drop-In Centres

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 2022...
  • Take advantage of the Prescriber Drop-in Centres
Scheduled drop-in help sessions are available at the Alberta Children's Hospital and Peter Lougheed Centre for Calgary Zone and the Royal Alexandra Hospital Women's Centre for Edmonton 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 room) can be found in the Connect Care Manual. Note that locations and times can change. Late-breaking information about the drop-in centre will be posted in the Connect Care Manual (launchhelp.connect-care.ca).

2022-05-21

Countdown Checklist L4, T-minus 6: Follow the Tippies

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 2022...
  • Follow Connect Care Tippies
With most Launch 4 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 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).

2022-05-20

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 L4, T-minus 7: Support Cutover Activities

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 2022...
  • Support Cutover Activities
Key for attending physicians, nurse practitioners and trainees anticipating Launch 4 inpatient and/or outpatient launch is work to make sure that essential information is ready for loading into Connect Care 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 problem list documentation pre-launch to make it easier to generate a transition note at launch.
  • Long-term care (LTC):
    • May 23-28, 2022 - 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 by May 20, 2022.
Resources:

2022-05-19

Countdown Checklist L4, T-minus 8: Complete Login Lab

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 2022...
  • Complete CMIO Login Lab
It is essential that all Launch 4 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:

2022-05-18

Countdown Checklist L4, T-minus 9: Check In Basket

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 2022...
  • Check In Basket
Launch 4 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.

2022-05-17

MyAHS Connect - Empowering More Albertans for Health Care

We've reached another exciting milestone for better connecting patients with their health care: more than 100,000 Albertans now have access to their Connect Care health record through MyAHS Connect! 


A big thank you to prescribers at Connect Care sites who have encouraged their patients to “get connected!”

MyAHS Connect gives patients the opportunity to be a more active member of their healthcare team using their smartphone, tablet or computer. It’s a win-win for patients and care teams.

For more information about MyAHS Connect, see:

Countdown Checklist L4, T-minus 10: Anticipate Computerized Prescriber Order Entry (CPOE)

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 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 4 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:

2022-05-16

Countdown Checklist L4, T-minus 11: Anticipate Cutover

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 2022...
  • Anticipate 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, four 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 prior to launch, 64 hours prior for post-acute and 40 hours prior for inpatient. For SCM sites, see the 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 FAQ for additional non-medication order tasks.
  4. Validate entered orders in Connect Care on the morning of launch. For SCM sites, see the FAQ for additional order validation tasks.
The following FAQ can help prescribers prepare for acute cutover activities (for long-term care activities, see this post):

2022-05-15

Countdown Checklist L4, T-minus 12: Identify Launch Supports

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 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 User 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 4 Virtual Drop-in Centre and the Calgary and Edmonton Zone in-person drop-in centres.

2022-05-13

Countdown Checklist L4, T-minus 14: Know Where to Get Downtime Help

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 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 August 11, 2022, so there will be plenty of time to prepare.

2022-05-11

Countdown Checklist L4, T-minus 16: Get Ready for Interfacility Transfers

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 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.

2022-05-09

Countdown Checklist L4, T-minus 18: Confirm Dual Roles

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 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.

2022-05-06

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 L4, T-minus 21: Check Provider Registry Entry

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 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.

2022-05-04

Countdown Checklist L4, T-minus 23: Confirm PRD Access

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 2022...
  • Check your PRD (Production) Access
All prescribers who have completed their On Our Best Behaviours (InfoCare) training and Connect Care Proficiency Assessment (EUPA) should be able to log in to the full production version of Connect Care (PRD) by now.

Please do the following from within an AHS network (AHSRESTRICT) or from outside with the aid of an RSA security fob or token:
  1. Go to myapps.ahs.ca and log in with your AHS username and password. Can't get in? See "Access Problems" in the Connect Care Manual.
  2. Once logged in to myapps.ahs.ca, ensure that the PRD (production) Connect Care icon is available. If not, see "CIS Access" in the Manual.


  3. Open PRD and log in with your AHS username and password. Can't get in? Contact AHS IT Service Desk or ConnectCare.SupportTeam.Security@ahs.ca
We are trying to identify Launch 4 users who somehow got missed in access provisioning. Do not expect access if OOBB (InfoCare) or EUPA is not complete.

2022-05-02

Countdown Checklist L4, T-minus 25: Confirm Connect Care Access and Login Role

Continuing a list of essential actions for Connect Care Launch 4 prescribers readying for launch May 28, 2022...
  • Confirm Access and Role(s)
Do you, or could you, have clinical duties May 28, 2022 or following at a Launch 4 site?

If so, it is essential that you confirm that you have access to the AHS Network (insite.ahs.ca), to the Unified Access Portal (myapps.ahs.ca) and to Production (PRD) Connect Care. A successful PRD login (using your AHS username and password) is just the start. It is also important that a PRD login opens a Connect Care environment appropriate to one's roles and duties. Best to sort out any problems now, well before launch.

A "virtual login lab", which occurs during personalization training, allows Launch 4 clinicians to confirm that they have access to the right tools in the right way. Follow these steps (in order):
  • Complete basic training, the associated end-user proficiency assessment (EUPA) and On Our Best Behaviours (InfoCare privacy training).
  • Login to myapps.ahs.ca with AHS network (HEALTHY) login credentials and launch Connect Care production (PRD).
  • At the Hyperspace login screen, enter your AHS username and password.
  • If multiple "jobs" are presented (multi-role physician), complete the rest of this process for each in turn.
  • When asked for a "Department", choose the appropriate zone virtual clinical department (e.g., Edmonton Zone Cardiology, Edmonton Zone Pediatrics).
  • Once opened into Hyperspace, use the search function (top-right corner), type "CMIO" and jump to the "CMIO Login Labs Info" activity. Alternately, select the top-left "Epic" button, then "Help", then the "CMIO Login Labs Info" submenu item.
  • Examine the information provided and complete the linked survey to indicate whether the physician roles and templates appear correct.
For more information: