Countdown Checklist L8, T-minus 11: Anticipate Post-Acute Cutover

Continuing a list of essential actions for Connect Care Launch 8 prescribers readying for launch May 4, 2024...

• Anticipate Post-Acute Cutover

Cutover for post-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 to Connect Care.

Prescribers facilitate six key tasks as part of post-acute cutover processes:

• Pre-Launch (April 22–May 3)

1. Clean up medication orders in legacy systems and fill out Facility Living Order Forms. Remove unnecessary orders or unused PRNs.
2. Fill out or review and sign Non-Medication Order Forms for each admitted patient. Should be found on the front of charts. Deadline is end of day May 1 for post-acute care teams. Ensure the orders are predictive of the patient needs as of May 4 at 05:00.
3. Optional: Create list of all patients the team is following before May 3 at 23:00, to ensure smooth creation of provider specific and specialty lists.
4. Order Validation and Problem List confirmation starting on April 30. Clinical teams will be entering orders at the same time, so please be patient as information is entered into the system. Note this step can also be done post-launch, if teams are not able to do it ahead of launch. 

• Reminder: All team members should be logged out of the legacy and Connect Care systems by May 3 at 23:30, and remain out of the system until May 4 at 05:00.

• Post-Launch (May 4)

1. If not done pre-launch and required for area, create provider specific patient lists.
2. Compare legacy Medication and Non-Medication orders to Connect Care orders. Orders that will be missing include but are not limited to: 
• Reoccurring medications that were ordered after pharmacy closure time. 
• Wound Care orders. 
• Area specific orders.
• Orders that have changed since cutover occurred for patient.

The following resources can help prescribers prepare for post-acute cutover activities (for long-term care/Continuing Care activities, see this post):

• FAQ: Post-Acute Care Prescriber Role at Cutover - Launch 8 
• Checklist: Post-Acute Care Prescriber Checklist for Cutover – Launch 8
• Manual: Cutover
• Form: Cutover Non-Medication Orders (example)
• Tip: Medication Reconciliation at Cutover