2022-09-30

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 36: Get Ready for Mobility

Continuing our list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Get Ready for Mobility and Speech Recognition
Connect Care mobile apps (Haiku, Limerick and Canto) allow access to the patient chart on personal devices anywhere there is Internet access. Dragon Medical One transforms Android or Apple smartphones into transcription devices for dictation directly into the medical record. 

AHS uses the "Workspace ONE" application to distribute these clinical applications to mobile devices, while ensuring the devices work with Connect Care to protect patient information.
  • Haiku – Connect Care for iPhones or Android smartphones.
  • Limerick – Installs on Apple Watches and works with Haiku alerting functions.
  • Canto – Connect Care on iPad tablets.
  • PowerMic Mobile – Installs to iPhones or Android smartphones for speech recognition (allowing in-system dictation and voice commands to Connect Care).
Mobile apps have proven very popular with prescribers. They simplify anywhere/anytime access to lists, patient information, dictation, notes, orders and communications. Clinicians will want to set these up as soon as basic training is complete:

2022-09-28

Countdown Checklist L5, T-minus 38: Check AHS Security Profile

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Update Your AHS Security Profile
This task anticipates future calls to the AHS IT HelpDesk or Connect Care Solution Centre. Among other things, prescribers may need help with login credentials or remote access FOBs.

HelpDesk must confirm the identity of callers. This is done with a security profile, including special questions and answers, that the prescriber can set up independently, as explained in the Connect Care Manual.

All Launch 5 prescribers are asked to check and possibly update their security profile: Upon authenticating to the IAM user section, look for a "Update Security Questions" in the bottom-left column. You will set a secret word and answers to a series of security-prompt questions. Remember the answers! (Note: You must have a FOB for external access or do this from within AHS networks.)

2022-09-27

Super User Development Sessions - A chance to learn new skills

Super Users help peers by promoting readiness activities, supporting training and providing “at the elbow” help prior to, during and immediately following launch. Super Users grow their own capacity through supplemental training, self-help resources and participation in a Community of Practice.

A series of Super User development sessions is offered in the weeks leading up to Connect Care Launch 5, beginning September 29, 2022. These 1-hour webinars are offered twice each (12:00 and 16:00) to help with scheduling. The sessions are also open to any interested Connect Care user who might like to pick up some new Connect Care skills.

For more information:

2022-09-26

Countdown Checklist L5, T-minus 40: Complete and Close Legacy Charts

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Complete and Close Legacy Charts
Incomplete charts at Launch 5 sites need physician attention pre-launch. Moving to a new clinical information system (CIS) is hard if pre-existing records are not tidied up.

Physicians must attend to ALL incomplete Launch 5 AHS health records by November 5, 2022. This includes outstanding dictations and signatures for inpatient and day surgery health records, not just those that are overdue. (Note: For Calgary Zone, Sunrise Clinical Manager [SCM] PRD will still be available for documentation of encounters preceding conversion to Connect Care.)

After 05:00 on November 6, 2022, records will be completed through the Connect Care CIS rather than external dictation or eScription. Any outstanding incomplete records that exist at cutover will not be transitioned into Connect Care. Any incomplete health records on inpatients discharged on/after November 6, 2022 will be completed in Connect Care. 

Physicians can contact Health Records at the Launch 5 sites Monday to Friday 07:45-16:00 to obtain a list of incomplete charts requiring attention.   

2022-09-23

Countdown Checklist L5, T-minus 43: Get Ready for Clinical Data Conversion

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Anticipate Clinical Data Conversion
Manual Clinical Data Conversion is the process of manually transcribing existing clinical patient information that is required to ensure patient safety or continuity of care into Connect Care, and/or manually reconciling information that was electronically transferred into Connect Care from legacy records. This information may include allergies/adverse reactions, active problem list, past medical history, etc. Ambulatory clinic managers and prescribers collaborate to determine if their area needs to participate in this activity. 

Manual Clinical Data Conversion occurs October 11–November 4. Departments that have decided to participate will have their regulated healthcare professionals manually enter and/or reconcile clinical patient information in Connect Care. If data conversion is not done pre-launch, departments may have regulated healthcare staff enter/reconcile the information during the patient's first appointment after launch. Three essential prescriber actions for Manual Clinical Data Conversion are
  1. Collaborate with ambulatory clinic managers to assess which data elements (if any) must be manually converted into Connect Care. 
  2. Assist with manual clinical data conversion activities as needed. 
  3. Provide quality review of converted data as needed.
For more information on Manual Clinical Data Conversion, see below. Information on Manual Clinical Orders Conversion is in an earlier Checklist post. For information on oncology conversion activities, see the earlier Checklist post.

2022-09-21

Countdown Checklist L5, T-minus 45: Get Ready for Clinical Orders Conversion

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Anticipate Clinical Orders Conversion
Manual Clinical Orders Conversion is the manual entry into Connect Care of scheduled patients’ recurrent/standing clinical orders in advance of launch. Outpatient clinics (day medicine, MOU) and some ED settings that deliver recurrent, scheduled therapies must complete this activity to ensure orders can be actioned by department staff, blood bank, and pharmacy at launch. 

Four weeks before launch, outpatient treatment departments will begin the process, entering orders from the legacy system into Connect Care for patients scheduled for treatments from launch onwards. Only patients who have been prescribed treatments from prescribers who have completed basic training will be able to have their orders active in Connect Care. This is a system requirement when selecting an ordering prescriber responsible for treatment.

For prescribers who have patients scheduled for treatment as described above, there are three essential actions for Manual Clinical Orders Conversion
  • Complete your basic training and EUPA, to ensure you have Connect Care access 4 weeks prior to launch. Even if you are not personally participating in Orders Conversion, these prerequisites are necessary for clinicians to be able to transcribe your orders. 
    • Note: Once you have completed your EUPA, you may begin receiving In Basket messages in Connect Care. This is how the departments will send orders to you for clarification and, if necessary, for signing. 
  • If participating in entering your patients' orders, connect with the department(s) where your patients are receiving treatment, arrange to access your patients’ orders, and schedule time. 
  • If participating in Orders Conversion pre-launch, or if you plan to order recurrent therapy plans, attend a prescriber-facilitated session for additional training in therapy plans
Information on Manual Clinical Data Conversion will follow in a later Checklist post. For information on oncology conversion activities, see the earlier Checklist post.

2022-09-19

Countdown Checklist L5, T-minus 47: Complete Basic Training

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Complete Basic Training
All Connect Care users must demonstrate basic proficiency (based on basic training) before gaining access to the Connect Care clinical information system (CIS) and undertaking personalization and mobility training.

The EUPA ("End User Proficiency Assessment") is used to assess basic proficiency. It becomes available in MyLearningLink (MLL) with basic training registration, and is to be completed after basic training is complete. The assessment is done online. It is not hard and is "open book" alongside a Connect Care environment (practice in PLY, check EXAM while assessment is in progress) with access to training guides. To prepare, practice in addition to basic training is recommended.

Don't procrastinate! It is better to take the EUPA, not get the needed 80%, and then re-take. Delaying only keeps one from progressing to personalization. And there is no access to the full production CIS unless both On Our Best Behaviours (OOBB; Privacy & Confidentiality Training, InfoCare) and EUPA are complete (note that it may take up to 12 hours after passing the EUPA to gain access).

After completing the EUPA, check to see if it shows under your "Completed" tab in MLL. If not, don't worry! Use the following link to affirm that you have completed, and you will be moved to pass.

2022-09-16

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 50: Consider UserWeb Access

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • (Optional) Register for UserWeb Access
While Epic Systems software is but one part of the Connect Care clinical information system, it provides essential database, integration, and all user interface functions. 

Understanding the Epic ecosystem can make a difference to Connect Care users who wish to become a resource to their peers (e.g., Super User). A wealth of information is available through Epic's "UserWeb". 

Connect Care Manual and blog postings may reference UserWeb resources, available only to those with UserWeb login credentials. These are easy to obtain (be sure to use your AHS email when registering):

2022-09-12

Countdown Checklist L5, T-minus 54: Register for Personalization Training

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Confirm REGISTRATION for PERSONALIZATION
Successful personalization of the Connect Care clinical information system has a big impact on prescriber success at launch. It is very important to take advantage of personalization workshops pre-launch. Among other things, these introduce many tips that make Connect Care use both efficient and enjoyable.

Personalization training begins September 19. Make sure that you are already registered or take advantage of self-registration via MyLearningLink (supported on a first-come-first-scheduled basis).

Personalization objectives, pre-requisites and preparation are all described in the Connect Care Manual.

2022-09-09

Countdown Checklist L5, T-minus 57: Get Ready for Oncology Conversion

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • CCA Prescribers - Anticipate Oncology Conversion
Oncology conversion is the manual entry of oncology-related orders and information into Connect Care in preparation for launch. This includes chemotherapy treatment plans, therapy plans, cancer staging, oncology history, radiation therapy events, and bone marrow transplant episodes. Prescribers, nurses and pharmacists will be working together to convert information from the patient’s current electronic or paper chart into Connect Care. Nursing conversion begins September 5; Prescriber & Pharmacy conversion begins October 3.

There will be Conversion Walkthrough sessions between September 19 to 29 to support prescribers in preparation for oncology conversion activities. Conversion of treatment and therapy plans will be reviewed with an opportunity to ask questions. The below linked document contains the details for these sessions; clicking on the hyperlinked date for a session will open a calendar invitation, which you can then respond to and receive the meeting information.

Oncology Supported Workflow Practice (SWP) sessions for prescribers are also coming in late September to October for "hands to keyboard" practice to Cancer Care Alberta (CCA) sites, where end users can put into practice what they have learned during their in-class training. All 17 CCA sites will be offered this opportunity. See the below linked document for links to register for these SWP sessions.

2022-09-07

Countdown Checklist L5, T-minus 59: Get Ready for LTC Cutover

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Anticipate LTC Cutover
Cutover for long-term care (LTC) is a process through which key pieces of information about LTC residents 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 to an electronic one.

Prescribers should anticipate, and mobilize resources for, two key tasks as part of LTC cutover processes near launch:
  1. September 19–October 4: Please support the LTC teams by signing non-medication orders forms and Facility Living medication order forms (replaces standing orders) when requested. This information which will be entered by the cutover nurses and dieticians October 17–29.
  2. October 31–November 5: Validate entered orders the week before launch.
The following LTC FAQ can help prescribers prepare for LTC cutover activities:

2022-09-05

Countdown Checklist L5, T-minus 61: Get Ready for Billing

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Get Ready for Billing with Connect Care
In getting ready to launch, you have likely heard that Connect Care can do billing. While true, access to full billing management in Connect Care, i.e., Resolute Professional Billing, is limited to the cohort of physicians who have a pre-existing billing arrangement, as well as all nurse practitioners (NPs) once their site launches Connect Care. Most prescribers then will not use Resolute, but can use the "Service Code Capture" activity in Hyperspace to assemble the information needed to support a billing claim.

The table below highlights the difference between billing from within Connect Care (i.e., using Resolute) and using Service Code Capture to submit claims from outside of Connect Care, just like you do now. Contact servicecodecapture@ahs.ca with questions; for NP-specific billing questions, contact Provincial NP Services at advancedpracticenursing@ahs.ca.

Service Code Capture (SCC)
with external billing management

Connect Care Billing Management
using Resolute Professional Billing

Available to any prescriber documenting in Connect Care.

Not an option for most prescribers who use Connect Care due to Alberta Health directive. Includes all NPs.

No change to the billing software prescribers or their billers use. No change in who prescribers engage to assist with billing for their services.

The Professional Billing Office (PBO) has full-time billing specialists.

Several Alberta billing software vendors and private billing services have built functionality to support importing of SCC data into their systems.

AHS will send bills to all third-party payers and collect payments.

Payments flow directly to prescribers’ bank accounts.

Any payments billed by AHS are payable to AHS, so there is a delay in payment disbursement.

Prescribers have full control over billing decisions and effort taken to collect payments.

All self-pay patients are billed by AHS and decisions about payment collection are according to AHS Finance policy.

2022-09-02

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 64: Plan Meeting Adjustments

Continuing a list of essential actions for Connect Care Launch 5 prescribers readying for launch November 6, 2022...
  • Adjust Meeting Schedules in your Clinical Area
A prior item encouraged advance planning for clinical service impacts at the time of Connect Care launch. Similar planning is needed to adjust clinical business and other meetings to fit with launch needs.

Many Connect Care launch-related meetings fill the weeks just before and after launch. Some of these are prescriber-focused, including daily meetings to capture emerging issues, assign resources and review remedies. There are lots of opportunities for prescribers to have input.

Given inevitable launch demands, it is recommended that all non-essential other meetings be deferred to protect the week before and at least 3 weeks after the launch date.

This is a good time to look ahead at meeting schedules for October 30-November 30 and identify sessions that could be cancelled or rescheduled.