2023-10-27

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:

Categories:

2023-10-26

Problem Power - Tips and Training about Problem Lists

Connect Care Problem List management can seem daunting at first. With a little familiarity, however, problem skills can improve the Connect Care user experience, while reducing information burdens and increasing patient safety.

Consistent problem list management is a Connect Care minimum use norm. It is also a prerequisite for problem-oriented charting, which further promotes efficient and effective clinical documentation.  

In tandem with Launch 7, the "Problem Power" tips series (problemlists.connect-care.ca) will re-post daily. Short tips illustrate little things that can make problem list management easier and more impactful.

A full list of all Problem Power tips, in order, is maintained in the Clinician Manual:

Categories: , ,

Between the Charts: CMIO Newsletter for Prescribers

We're happy to announce that we have started a monthly newsletter for prescribers, called "Between the Charts". This newsletter will summarize key news items, Epic system updates, efficiency tips and extras that will help prescribers optimize their Connect Care user experience, all in two pages!

The first issue is now out, available at the below link. Each new issue will be announced here, and an archive will be made available in the Connect Care Manual. 

If you have any feedback on this issue or have a suggestion for content you'd like included in a future issue, please send us an email.

Categories: ,

2023-10-24

Ambulatory Tips, Tricks, and Traps - Launch 7 Prescriber Support Session

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 an additional ambulatory support session. 

This 1-hour Zoom session is 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 join, click the Zoom link below; if you are unable to attend, a recording will be posted here.

Note that there are also still a few upcoming support sessions for Launch 7 prescribers regarding therapy plans (October 27 and 31). These sessions demonstrate the process of ordering therapy plans, and will prepare you for entering orders post-launch and when asked to review converted legacy orders prior to launch. For more information on the therapy plan support sessions, see this post.

Categories: , , ,

2023-10-23

Important Updates to Referral Workflows

As of October 27, 2023, updates will be made to outpatient referral orders in Connect Care, including a requirement in the order composer for referral reason details to be entered in the "Comments" section. Details of the enhancements are described in a Support posting.

The change could affect prescribers who have already saved personalizations of referral orders. Any saved personal defaults for the Comments field in specific referral orders will need to be redone. Users with Order Sets and Smart Sets with customized documentation in the Comments section of the referral orders can save their current customizations and re-enter these after the October 27 change. Customized referral orders in preference lists are not affected. 

Why are we making these changes? 

Referral triage and management are key to ensuring timely access to services. We have received important feedback from prescribers that both order and receive referrals. Many referrals are being entered that do not have enough clinical information to be useful. For those receiving referrals, the information that they require to make triage, scheduling, and treatment decisions is not always available to them in a useful format. 

A group of prescribers with representation from surgical and medical specialties, as well as primary care, were consulted about improving referral management. Additional enhancements are planned in the future.

Categories: ,

2023-10-20

All User Bulletin - Internet Security Certificate Update

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

Internet Security Certificate Update - Personal devices may require user action

On October 19 and 20, 2023, AHS IT Identity and Directory Services will renew its Public Key Infrastructure (PKI) certificate servers. This PKI service manages electronic security certificates and unique electronic keys that verify end users, devices, systems and servers throughout AHS and its affiliates. AHS devices and personal devices enrolled in the AHS Bring Your Own Device (BYOD) program will not be impacted, but personal devices not enrolled in BYOD may be impacted and require user action.

  • AHS devices and personal devices enrolled in BYOD: No action is required by users if their computer or mobility device is enrolled in BYOD. PKI certificates will be automatically updated.
  • Personal devices not enrolled in BYOD:
    • Android devices: Will not be impacted, with the possible exception of Google Pixel devices. Google Pixel users experiencing issues following the PKI update should call the IT Service Desk (see memo for more details).
    • Windows and Apple devices: May be impacted with this change. Users may see warnings to the effect that a security certificate cannot be verified, and will then need to follow a few simple steps to restore AHS Restrict wireless connectivity following the PKI update (see memo for more details).

For instructions for affected Google Pixel, Window, and Apple device users on what actions may be required on or after the PKI update is completed, see the memo.

Categories: , , , ,

2023-10-13

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:

Categories:

2023-10-03

Connect Care Staff and Prescriber Engagement Session - Follow-Up

As previously posted, AHS recently hosted a session for AHS staff and prescribers to discuss the findings of the Connect Care satisfaction survey conducted earlier this year, and to hear thoughts on the actions that are being taken to address the feedback received through the survey.

For those who were not able to attend, or for those wanting to revisit the discussion, both a recording of the session and the slide presentation are available. Below is also an outline of the key themes captured at the session:

  • Decision Making
    • Empower Clinical System Design (CSD) groups and councils to be more to implement workflow redesigns
    • Integrate multidisciplinary care team access and alignment with scope of practice, community provider access
  • Optimization
    • Improve ticket response times
    • Enable specific workflows to improve efficiency
    • Improve consistency and ease of referrals inside and outside of AHS
    • Create a more user-friendly Medical Administration Record (MAR)
  • Education
    • Provide more training and access for administrative staff to support providers
    • Provide greater support and education for optimization in specific care areas
    • Improve broader understanding as to how different care areas intersect in Connect Care
    • Provide additional support needed for ongoing staff training and education through clinical nurse educators where there is capacity to do so
  • Support & Communication
    • Include administrative staff in surveys to get an understanding of their experience using Connect Care
    • Provide more ongoing support at the elbow or through regular scheduled interactions
    • Provide more downtime support
    • Expand the use of reminder emails, texts or phone calls

AHS will continue to have open dialogue with AHS staff and prescribers on the findings of the Connect Care satisfaction survey and next steps, including through future sessions. We will post information on these sessions here, once they are confirmed.

If you have feedback regarding the themes listed above, or any other questions or comments about your experience with Connect Care, please email ConnectCare@ahs.ca.

Categories:

2023-09-29

Update Your Applications to Protect Yourself and AHS

AHS has recently learned of a global security flaw found in numerous applications and services.

This vulnerability (found in an image library called “libwebp”) affects several well-known applications, including many you may use on your personal devices such as Skype, Slack, Discord, Twitch, Microsoft Teams and Adobe Photoshop. A list of currently known applications can be found here.

As soon as possible, please update all browsers and applications on your personal devices. As a best practice, you should always keep your browsers, applications and operating systems up-to-date. This will be particularly important over the coming days and weeks, as applications discover whether they are vulnerable to this security flaw and apply fixes. 

AHS is taking steps to mitigate any risk to this threat and taking similar actions to protect our systems and devices. We are sharing this information with all staff so you can help us keep AHS secure and ensure your own devices are protected.

For more information on how to protect yourself and AHS online, visit Infocare for resources.

Categories:

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:

Categories:

2023-09-15

All User Bulletin - Issues with Links to AHS MS Office and SharePoint Files

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

Links to MS Office and SharePoint Assets
Many users have noticed broken links to resources like training demonstrations, workflow guides and other Connect Care information and support resources. Others are having difficulty with the logon step presented when accessing Alberta Health Services (AHS) Office or SharePoint applications, especially on mobile and Apple devices.

A recent update to the authentication step in Microsoft file links may relate to these difficulties.

Links and logons are usually re-established with the following corrective:
  • Close all Internet browsers (Safari, Edge, Chrome, Firefox, etc.) on the local device.
  • Open a preferred browser (Chrome recommended).
  • Clear the Internet cache (history), paying particular attention to include "Cookies" and Internet history for "all time" (i.e., not just the last day or so).
  • Close the browser.
  • Reopen (possibly reboot the computer first) the browser and re-navigate to the resource of interest.
Categories:

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:

Categories:

2023-09-14

All User Bulletin - Change to Calgary Historic Patient Data Viewer

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

Changes to Calgary Historic Patient Data Viewer
We previously posted about a read-only Connect Care viewer for digital health record information previously managed through the Calgary Zone SCM clinical information system (CIS). Access was provided via a main-panel or sidebar display within opened Connect Care charts.
Changes to the Calgary CIS viewer break compatibility with in-system displays. Accordingly, as of 11:00 on September 14, 2023, the viewer will open in a pop-up window. This will continue to automatically synchronize with the current patient. The window will close when one navigates to a different patient within Connect Care.
Restoration of an embedded viewer is anticipated for first quarter 2024.
Categories: ,

2023-09-01

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:

Categories:

2023-08-26

AHS Expands Use of Multi-factor Authentication for Information Access

We've previously posted about the introduction of a multi-factor authentication (MFA) requirement when accessing AHS email from outside AHS facilities and networks. 

AHS is expanding MFA requirements to increase protection from growing cyber security threats. MFA is a security measure that requires the user to verify their identity during login by using a mobile device app or phone call to a cellphone or landline.

Starting September 13, 2023, users logging in to AHS Insite or SharePoint on a personal device or an AHS device externally without a virtual private network (Netmotion or Forticlient app required) or Citrix Workspace connection will be prompted to authenticate using one of the MFA methods they have already set up. Users are advised to set up at least two MFA access routes, as explained in the following resources:

Categories: ,

2023-08-25

Using Third-party AI at AHS

Artificial intelligence (AI) can refer to any attempt to simulate human thinking with software. This can include generative AI, large language models (such as OpenAI’s ChatGPT), speech-to-text dictation, and analyzing trends from data sets.

As Alberta Health Services (AHS) considers how to approach the use of third-party AI tools, our workforce is asked to follow these preliminary guidelines for the use of AI at AHS:
  • Do not load any confidential AHS health, personal, or business information into unapproved AI programs or tools.
  • Use caution when accessing AI websites with AHS devices.
For more information:
Categories: , , ,

2023-08-18

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:

Categories:

2023-07-21

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:

Categories:

2023-07-20

Direct eFax of Prescriptions from Connect Care to Community Pharmacies

As of July 25, 2023, AHS and AHS partner facilities using the Connect Care clinical information system can send medication prescriptions directly to community pharmacies via an electronic fax ("eFax") process. This avoids the prior need to print, hand-sign, then fax a prescription. Community pharmacists receive these prescriptions via fax, following their usual procedures. The new Connect Care eFax workflow cannot be used for prescriptions for drugs classified as Type 1 under the Tracked Prescription Program (TPP); these prescriptions still require the use of a paper TPP secure prescription form. Note that the eFax option is available for medications only, not supplies such as diabetic supplies. 

This new service has many advantages:

  • Safety - reduced transcription and interpretation errors associated with traditional handwritten paper prescriptions
  • Convenience - prescribers, pharmacies and patients will no longer require manual paper processes, saving time and reducing the change of lost prescriptions
  • Choice - each patient can choose the pharmacy to which their prescription(s) will be transmitted
  • Security - the prescriptions transmitted from Connect Care include new verification features to ensure prescription authenticity
For security and safety, electronically faxed Connect Care prescriptions include an electronic signature linked to the unique username, password and professional registration number of each prescriber (such as a physician's College of Physicians & Surgeons of Alberta registration number). The electronic signature replaces a handwritten ("wet") signature; consequently, graphic signatures are not required and do not appear on direct-faxed prescriptions. Additionally, each prescription has a unique order number that is specific to that prescription. Community pharmacists have access to a new online real-time validation tool that can verify the authenticity of Connect Care electronic prescriptions.

After the initial go-live date of July 25, Hyperspace must be restarted once for the eFax functionality to be available.

How does this affect prescriber workflow?

To send a prescription via direct electronic fax to a community pharmacy, there are two steps for the ordering prescriber:

  1. Confirm or enter the patient's preferred pharmacy (or pharmacies); and
  2. Change the order class to "Fax" (the default is "Print", including for refills) and select the destination pharmacy (or pharmacies).

A tip sheet further explains these steps. (Note: This workflow should not be used for treatment [therapy] plan medications, as these have specific settings that should not be changed.) Information and resources for community pharmacists are available on ahs.ca.

Categories: ,

2023-07-07

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:

Categories:

2023-07-06

Ordering Therapy Plans - Launch 7 Prescriber-Led Support Sessions

Prescribers who order recurrent, ongoing therapies (IVIG, blood, antimicrobials, procedures, etc.) known as Therapy Plans (pre-defined collection of related/standing orders that apply to multiple/recurrent encounters over time) are invited to attend a prescriber-led demonstration of the workflow. The sessions demonstrate the process of ordering Therapy Plans, and will prepare you for entering orders post-launch and when asked to review converted legacy orders prior to launch.  

The following sessions are scheduled prior to Launch 7. Although important for Launch 7 prescribers who have current patients with scheduled therapies, it is recommended for any prescriber who anticipates using these ordering tools. All Connect Care prescribers and clinicians who order or action Therapy Plans are welcome and encouraged to attend.

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:

Categories: , , , , , ,

2023-07-05

All User Bulletin - Default Internet Browser for Connect Care Links

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

Default Internet Browser Change in Connect Care
Many workflows within the Connect Care "HyperSpace" workstation environment contain links to Internet resources that can assist users (e.g., Clinician Manual) or provide access to needed documents (e.g., MHA forms), guidance (e.g., eReferences) or decision supports (e.g., calculators). When these open in a pop-up window, they do so in an Internet browser. To date, the browser has been Microsoft's Internet Explorer (IE). However, many Internet resources are no longer compatible with IE. 
On July 6, 2023, the default Internet browser for pop-up links will be Microsoft Edge. Users will be aware of this change by noting the background colour of the browser window:
Prescribers do not need to take any action, but may notice slight changes in how some web pages display. Please alert the help desk if a previously working Internet resource fails in a clinically impactful way after this update.
Categories: ,

2023-06-28

All User Bulletin - Upgrade to Remote Access for Connect Care

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

Change to User Interface for Connect Care Remote Access
Clinicians can access Connect Care via Alberta Health Services (AHS) networks in AHS facilities (internal access) using the Unified Access Portal (UAP, myapps.ahs.ca). They can also use Connect Care when outside AHS facilities (external or remote access) via the same UAP link. The experience is similar with the exception that remote logons require a security code in addition to one's AHS user name and password.
On June 28, 2023, the externally accessible UAP is upgraded to a new "VMWare Workspace ONE Platform". This is a "like-for-like" upgrade with few changes to the user experience:
  • Instead of entering a user name, password and security code on a single logon page, the user name and password are entered on a first page, after which a prompt appears to enter the RSA SecurID code if required. This will allow for selective use of security codes in future, prompting only when needed for clinical applications.
  • Users may need to re-create personalized website bookmarks that may have been saved in the prior UAP environment.
  • In some cases, users may need to re-select favourite applications (most previously selected favourites should have ported over).
Categories: ,

2023-06-13

Dragon Medical One - Launch 6 Personalization Sessions

Personalization sessions for Connect Care's in-system dictation software, Dragon Medical One (DMO), are coming up for Connect Care Launch 6 prescribers. Those in previous launches (1-5) are also welcome to attend.

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

  • Thursday, June 29, 2023: 18:00-19:00
  • Wednesday, July 5, 2023: 12:00-13:00

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

Categories: , ,

2023-05-26

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:

Categories:

2023-05-25

Announcement: Calgary Zone Associate Chief Medical Information Officer, Dr. Karmon Helmle

Earlier this spring, Dr. Tom Rich, our ACMIO for the Calgary Zone, announced his retirement. We are pleased to announce that, as of May 24, 2023, Dr. Karmon Helmle has joined the CMIO team as the new ACMIO for the Calgary Zone. Dr. Rich will stay on until the end of June 2023 to support Dr. Helmle and the team during the transition.

Dr. Helmle is a Clinical Assistant Professor within the Division of Endocrinology and Metabolism at the University of Calgary and has been contributing to the informatics team in the Calgary Zone as a Medical Informatics Lead physician for over a decade. She has a Master of Science in Health Informatics from the University of Victoria, with a focus on the barriers and facilitators to electronic order set uptake and sustained use. Her research involves leveraging knowledge translation and quality improvement to develop, implement, optimize, and sustain complex practice change and informatics solutions within inpatient care settings.

Dr. Helmle values teamwork, and as she moves into the ACMIO role, she is looking forward to working collaboratively on the optimization work ahead, with an aim to improve the lives of both patients and healthcare providers.

Please join us in wishing Dr. Rich the best and in welcoming Dr. Helmle to our team!

Categories: ,

2023-05-24

All User Bulletin - Use of the Database Tab in Procedure (Lab) Orders

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

Use of Database Tab in Procedure (Lab) Orders
When prescribers enter orders to an inpatient, emergency or outpatient patient chart, they typically search for an order of interest and then select from the returned options. Order search results can be viewed in one of four "tabs", including "Browse", "Preference List", "Facility List" and "Database":
  • Preference List (usually the default) displays orders matching the search term as well as a preference list for the prescriber's specialty or department.
  • Browse can be selected to explore personal favourites previously flagged for frequent use by the prescriber.
  • Facility List can be selected to reveal orders (e.g., medications, laboratory tests, imaging) that are available for use at the current facility.
  • Database tab appears if the Facility List has been selected and reveals all orderables available throughout Connect Care (Alberta), even if those orders are not available in the current facility.
Prescribers should not use the "Database" tab for procedure (e.g., lab or imaging test) orders. This tab is used, for example, by laboratory staff when sorting out how to fulfill unusual requests. Some orders exposed through the Database tab may not be intended for prescribers or may not be actionable where the prescriber desires. The Database tab is appropriate for prescriber use when seeking medications that are not on the AHS formulary.
Categories: ,

2023-05-23

Community Providers - Important Information for Delivery of Lab Results

Providers in the community who order lab tests or submit specimens for testing need to take action to ensure they receive these results. If requisitions are incomplete, patients could receive results before their providers. 

Every requisition given to a patient or sent with a specimen (including microbiology and anatomic pathology) needs to contain the authorizing provider’s full name, the clinic name, address, and submitter ID, plus the provider ID for the authorizing provider. 

For more information see: 

Categories:

2023-05-12

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:

Categories:

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.
Categories: ,
Subscribe to: Posts (Atom)