2021-03-31

Countdown Checklist W3 L-09: Complete Login Lab

Continuing a list of essential actions for Wave 3 physicians readying for Connect Care Launch April 10, 2021...
  • Complete CMIO Login Lab
It is essential that all Wave 3 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:

2021-03-30

Countdown Checklist W3 L-10: Identify Launch Supports

Continuing a list of essential actions for Wave 3 physicians readying for Connect Care Launch April 10, 2021...
  • 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 Wave 3 Virtual Drop-in Centre and the Grande Prairie in-person drop-in centre.

2021-03-29

Countdown Checklist W3 L-11: Check In Basket

Continuing a list of essential actions for Wave 3 physicians readying for Connect Care Launch April 10, 2021...
  • Check In Basket
Wave 3 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. 

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, other Connect Care users can send messages to the prescriber via In Basket and new test results will route to the prescriber's In Basket.

More information on managing results and reports is available in the Connect Care Manual. A Results Management Toolkit has been prepared (and 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.

2021-03-28

Countdown Checklist W3 L-12: Anticipate Computerized Physician Order Entry (CPOE)

Continuing a list of essential actions for Wave 3 physicians readying for Connect Care Launch April 10, 2021...
  • Anticipate CPOE
Computerized Prescriber (or Physician or Provider) 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, Wave 3 launch 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:

2021-03-27

Countdown Checklist W3 L-13: Anticipate Cutover

Continuing a list of essential actions for Wave 3 physicians readying for Connect Care Launch April 10, 2021...
  • Anticipate Cutover
Cutover is a process through which key pieces of information about admitted patients are entered into Connect Care prior to launch. The primary concern for physicians 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.

Physicians should anticipate, and mobilize resources for, three key tasks as part of cutover processes near launch:
  1. Validating continuing medications to be entered by pharmacists 48 hours prior to launch.
  2. Documenting continuing non-medication orders to be entered by the cutover nurses and dieticians starting 72 hours prior to launch.
  3. Validating entered orders on the launch morning.
The following FAQ can help physicians prepare for cutover activities, which can vary by facility (e.g., long-term care vs. acute care):

2021-03-25

Countdown Checklist W3 L-15: Know Where to Get Downtime Help

Continuing a list of essential actions for Wave 3 physicians readying for Connect Care Launch April 10, 2021...
  • 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 Thursday morning (e.g., sometime between 00:30 and 04:30). 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.

Obviously, clinicians need to continue to work, even at odd hours. Accordingly, a variety of backup systems ensure that things like test results, order sets, documentation and other key tools remain accessible.

Most clinicians rarely, if ever, experience a downtime. 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 links and form an impression of what the Manual covers, and how to check the working status of Connect Care systems:

2021-03-24

Countdown Checklist W3 L-16: Confirm Dual Roles

Continuing a list of essential actions for Wave 3 physicians readying for Connect Care Launch April 10, 2021...
  • 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 physicians 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 physicians 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 physician record.

Connect Care has made these configuration changes for dual-role physicians 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 to request adjustments to your profile.

2021-03-23

Workspace ONE Outage - Thursday March 25, 2021, 00:30-08:30

There will be an outage of the Workspace ONE application that AHS uses to manage clinical mobile applications Thursday March 25, 2021 between 00:30 and 08:30, to perform a patch. 

During the patching process, the Connect Care mobility apps Haiku and Canto will be unavailable or might respond slower than normal. PowerMic Mobile, the dictation application for Dragon Medical One, should be unaffected. Most services should be restored to a functional level by 04:30. Device owners are not required to keep their devices turned on during the outage.

For more information, please contact the AHS Service Desk at 1-877-311-4300.

2021-03-22

Important Updates to Home Care Referral Workflows

Referrals for home care services are managed in Connect Care as part of “Continuing Care Access” (CCA), with workflows introduced late last year.  

Growing experience with Home Care orders has helped identify opportunities for improvement, especially the creation of a new Home Care orders panel with more embedded guidance.

Prescriber tips and resources have been updated to reflect changes that will be in production as of April 1, 2021:

2021-03-21

Countdown Checklist W3 L-19: Follow the Tippies

Continuing a list of essential actions for Wave 3 physicians readying for Connect Care Launch April 10, 2021...
  • Follow Connect Care Tippies
With most Wave 3 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 will be re-released approximately daily 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).

2021-03-20

Countdown Checklist W3 L-20: Check Provider Registry Entry

Continuing a list of essential actions for Wave 3 physicians readying for Connect Care Launch April 10, 2021...
  • 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. 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.

2021-03-18

Countdown Checklist W3 L-22: Confirm PRD Access

Continuing a list of essential actions for Wave 3 physicians readying for Connect Care Launch April 10, 2021...
  • Check your PRD (Production) Access
All physicians 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 Wave 3 users who somehow got missed in access provisioning. Do not expect access if OOBB (InfoCare) or EUPA is not complete.

2021-03-17

When Will Prioritized Order Sets Be Ready?

Order sets help organize diverse actions pertinent to a clinical need. Admission order sets, for example, coordinate instructions for goals of care, vitals, fluids, nutrition, activity, investigations and treatments. 

Order sets can help providers align their choices with best available guidance while dramatically reducing the time taken to coordinate many related actions. Personalized order sets, configured with common choices already selected, speed workflows even more.

Connect Care Area Councils set priorities for order set development, with the majority of requests designed, built, validated and implemented at or immediately after the Wave 1 launch. Some gaps remain, with the following summary of current progress:
  • 453 order sets have been successfully deployed in support of Connect Care Waves 1 and 2.
  • Since Wave 1, 769 of 807 order set related enhancement requests have been fulfilled.
  • Approximately 130 of the Wave 1 prioritized order sets did not deploy in time for launch. The majority have since been built, 36 are in production but the remainder await validation, with delays incurred by all the work associated with pandemic urgencies. Additional resources have been allocated to overcome bottlenecks, with expectation that built order sets will be fully validated and released to production this summer.
  • Over 30 optimization order set projects (urgent need related to post-launch discoveries) have made it through design, build, validation and implementation.
  • All order set deliverables for Wave 3 have been met.
  • A number of new order sets are in the works for Wave 4, with build underway, validation scheduled for the late spring and launch to production expected in early summer.

2021-03-16

COVID-19 and Connect Care - Variant of Concern Test Results

Starting March 18, 2021, COVID-19 positive samples will have variant of concern information reported to the ordering clinician following current result-routing (In Basket) protocols. The information will be available within Connect Care results displays, appearing as "COVID-19 Variant Nucleic Acid Test". Variant of concern testing is done on all positive COVID-19 samples.

Variant of concern results will be reported separately from routine COVID-19 test results (e.g., NAT nucleic acid tests, ID NOW test, antigen-based tests), to be interpreted as follows:
  • Negative - No variant of concern, but patient is still COVID-19 positive
  • Positive - A variant of concern is detected and the strain is specified
  • Unresolved - The viral load is too low to confirm variant testing
Both "Positive" and "Unresolved" results should be treated as positive when considering infection prevention and control precautions, cohorting and isolation.

2021-03-15

Countdown Checklist W3 L-25: Confirm Connect Care Access and Login Role

Continuing a list of essential actions for Wave 3 physicians readying for Connect Care Launch April 10, 2021...
  • Confirm Access and Role(s)
Do you, or could you, have clinical duties April 10, 2021 or following at a Wave 3 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" allows Wave 3 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., North Zone Cardiology, North 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:

2021-03-14

Anticipating a Move?

Prescribers may change or leave a clinical practice. Typical reasons include a move to a different jurisdiction with a different record of care, promotion or retirement. Indeed, many trainees transition to new roles and locations in the coming months.

For those changing roles and also moving away from where Connect Care is the record of care, off-boarding protocols must be followed. 

Clinical privileges are handled through Zone Medical Affairs Intake. In addition, specific Connect Care off-boarding tasks require attention. These include ensuring that In Basket is assigned to a responsible provider or group, Provider Team relationships are updated, the Phone Book (provider registry) is corrected, Therapy Plans are re-assigned, and Secure Chat settings are updated.

2021-03-13

New 'Day at a Glance' View in MyAHS Connect for Inpatients

Hospitalizations offer an important opportunity to introduce the MyAHS Connect patient portal to patients and families, and to promote its use as an aid to care, discharge planning and follow-up. Ward staff (inpatient) can build MyAHS Connect activation into patient education activities, and prescribers can routinely check whether their inpatients are aware of portal options.

Starting March 16, 2021, active MyAHS Connect users are automatically presented with a "Day at a Glance" display when admitted to a healthcare facility using Connect Care as its record of care. This includes information about the patient's:
  • Inpatient healthcare team
  • Diet
  • Medications
  • Upcoming interventions (imaging, tests, procedures)
  • Consultations
Effective use of MyAHS Connect during hospitalizations can engage patients and their families as active members of the healthcare team. Research and experience shows that timely patient information access actually decreases clinician information burdens, as patients and families ask more focused questions and have easier independent access to answers. Also, families can do better when timing visits to fit with inpatient activities.

2021-03-11

All User Bulletin - Daylight Savings Time (March 14 at 02:00)

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

Daylight Savings Time

On Sunday morning March 14, 2021, clocks turn forward 1 hour at 02:00 to become 03:00.

While ambulatory care is little affected by what happens in the early hours of the morning, emergent, inpatient, surgical and critical care contexts can be sensitive to the loss or gain of small time intervals. The Connect Care Manual lists key considerations:

2021-03-10

Impact of System Changes on Personalizations

"Personalization" tools help Connect Care users to streamline workflows, increase efficiency and decrease information burdens. It is possible to save groups of orders (with all desired settings) as a personal panel, for example, and reduce a multi-step process to just a few clicks the next time it is needed. Personalization tools can also be used to record common documentation, billing and other tasks for quick recall. Full order sets can be saved with one's usual choices.

So, what happens if one of the pieces of a saved personalization is changed system-wide? A specific medication may be discontinued, new data might be required for a laboratory test requisition, and building blocks used in text automations (e.g., SmartPhrases) may be updated.

Most system updates do not affect personalizations that users may have saved. Others, such as changed medications or tests, could have a significant impact. We are working on a simple guide to help users anticipate impactful changes. We are also working on an online listing of all system changes that might affect personalizations.

In general, changes are made obvious to users. Where possible, users are alerted to the changed object with a hard stop when trying to use a personalization containing the object. The personalized preference list can then be updated to again use the prescriber's default answer, and the hard stop will be removed.

2021-03-09

Countdown Checklist W3 L-31: Get Ready for Mobility

Continuing our list of essential actions for Wave 3 physicians preparing for Connect Care Launch April 10, 2021...
  • 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 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:

2021-03-08

Connect Care Scheduled Downtime - Thursday March 11, 2021, 00:30-04:30

The Connect Care clinical information system will be taking the scheduled maintenance window Thursday, March 11, 2021 between 00:30 and 04:30. Connect Care PRD SRO will require a short pause at the start of downtime, less than 5 minutes, between 00:30 and 00:45. Please use BCA Web North if you need to view and print patient information during the pause. 

This downtime window will also be used to update Connect Care mobility apps (Haiku, Canto) and the Workspace ONE application that AHS uses to manage clinical mobile applications. Haiku and Canto will be unavailable or might respond slower than normal for a period between 00:30 and 08:30. PowerMic Mobile, the dictation application for Dragon Medical One, should be unaffected. Most services should be restored to a functional level by 04:30. Device owners are not required to keep their devices turned on during the night to allow for the upgrade to complete on time.

Connect Care uses a Transparent Lockdown process during upgrades. This helps prepare the system and reduces the upgrade workload resulting in a shortened downtime window. During this Transparent Lockdown period, occurring from March 10 at 12:00 to March 11 at 04:30, users will be unable to customize certain aspects of their workflows. This may include adding a new filter to a work queue or Chart Review or trying to edit an existing filter. 

For those seeking details, a comprehensive list of changes is available, as well as the limitations during the Transparent Lockdown period:

2021-03-07

Countdown Checklist W3 L-33: Meet the Connect Care Concierge

Continuing our list of essential actions for Wave 3 physicians preparing for Connect Care Launch April 10, 2021...
  • Meet your Connect Care Concierge! 
A unified intake portal for Connect Care user support, the "Concierge", is at your service!

Check it out and familiarize yourself with methods for seeking help when you need it.

A unified intake process allows user needs to be captured, channeled and tracked. All users, Super Users and helpers can enter requests and suggestions. The Connect Care “Concierge” service offers a single point of capture for help, feedback and requests (help.connect-care.ca is easy to remember).

2021-03-06

Countdown Checklist W3 L-34: Check AHS Security Profile

Continuing a list of essential actions for Wave 3 physicians readying for Connect Care Launch April 10, 2021...
  • 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 clinician can set up independently, as explained in the Connect Care Manual.

All Wave 3 physicians 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.)

2021-03-05

Patient Movement Presentations

We've previously posted about the Patient Movement Readiness Series, which has now ended. Almost 300 operational staff attended the Patient Movement Fundamentals and Live System Demonstrations over the past two weeks. In case you missed these events, you can access recordings of the sessions at the following links:

2021-03-04

Results Management Toolkit

Connect Care promotes quick access to new and past test results so that all providers participating in the care of a patient are informed and can take appropriate action. Effective results management is essential to patient safety. 

Results management includes not only the return of test results for review but the documentation and communication of actions taken on those results and the safeguards in place to ensure that test results are not missed in day-to-day workflows.

A Results Management Toolkit has been prepared (and will be continually enhanced) to help prescribers hone effective and efficient results management habits. The toolkit provides links to training materials, tip sheets, frequently asked questions and other helpful tools in one convenient location.

2021-03-03

Netcare Scheduled Outage - Thursday March 4, 2021, 21:00-03:00 Friday March 5, 2021

Alberta Netcare Portal will be unavailable for up to two 45-minute durations between March 4, 2021 21:00 and 03:00 March 5, 2021, to accommodate system maintenance and upgrades. 

Users who are logged in during this time will be disconnected and will need to re-authenticate following each outage period. 

If urgent access to results is anticipated during these periods, please refer to and complete the ANP Downtime Contingency Kit in advance of the maintenance. 

For any questions or concerns, AHS employees please contact 1-877-311-4300, while Community Alberta Netcare users (outside AHS) can contact the Provincial Helpdesk at 1-877-931-1638.

2021-03-01

Patient Movement IFT Demonstration - Tuesday March 2, 2021

We've previously posted about the Patient Movement Readiness Series, with live system demos of patient movement workflows happening this week. The next Patient Movement Demonstration, occurring March 2, 2021 from 12:00 to 13:00, is dedicated to interfacility transfers (IFT). Topics include:

  • Transfers to a Connect Care site
  • Transfers to a non-Connect Care site
  • Leave of absence (LOA) for procedure
Use the link below to register for this one-hour event. The remaining sessions are described in a Patient Movement Readiness Handbook, and a self-guided learning video series with area-specific videos is available via a guide, both linked below.