Tuesday, April 23, 2019

AHS IT Re-aligning for Connect Care

Our medical informatics leads can anticipate some organizational changes coming to AHS's Information Technology department.

Where the organization has been well served by IT structures aligned with specific health information systems, zones or facilities, the move to a fully integrated provincial clinical information system requires a different structure. Accordingly, some re-aligning will promote sustainable support for provincial programs and for the Connect Care initiative.

The associated change management places a very high value on preservation of expertise, relationships and client services. More details will emerge in the coming weeks.

Wednesday, April 17, 2019

Back again!

Outward facing Connect Care communications took an (invited) break during the weeks immediately leading up to today's provincial election. We've missed sharing through this blog!

Back again, we'll resume postings about topics of interest to clinical informaticians contributing to the Connect Care initiative. Remember that there are other communications channels more attuned to specific interests; including medical leadership, clinical system design, medical informatics, primary care and clinical builders.

Monday, April 1, 2019

Twitter Parodies Vent Physician EHR Frustrations

A recent Internet "happening" involves spoof Electronic Health Record (EHR) vendor twitter accounts exposing attitudes that frustrated physicians project onto EHR vendors. Parody accounts for two of the biggest companies include:
The phenomena is explored in a recent editorial:
Though tongue-in-cheek, the tweet-storm is important for medical information lead reflection. The tweets resonate with physician concerns about increased screen time at the expense of patient and personal time. 

We recognize that a wide range of pressures affect informational burdens, and frustrations, among our American colleagues. We have committed to digital information management strategies -- including shared notes, charting by exception, lean order-sets, and speech recognition -- that could free up clinician time for what matters most. We also recognize that EHR harms-reduction demands radical change from typical paper-based workflows. Change management, not computer technology, is our challenge. 

Best to anticipate frustrations in order to better help our colleagues win informational efficiency!

Saturday, March 16, 2019

Alberta Health Personal Health Record Public Release

Please see our BytesBlog posting about "MyHealth Records", now released to Albertans. It is important for medical informatics leads to be prepared to answer colleague and patient questions about this initiative.

Wednesday, February 20, 2019

Updated Connect Care Bridges for Patients & Providers Bytes

Alberta Health (AH), Alberta Health Services (AHS), the Alberta Medical Association (AMA) and other stakeholders continue to deliberate how best to bridge digital health record divides in Alberta.

Connect Care will ease the work by fully integrating health information wherever AHS is responsible for the record of care. However, many primary care and specialist clinics will continue to use independent electronic medical records, or even paper-based processes. A variety of "bridging" services will help to cross the divide between the Connect Care record and non-Connect Care records.

We are gradually updating Connect Care communications to fit our emerging understanding of stakeholder-endorsed bridging strategies. This can help conversations between Medical Informatics Leads and clinician communities. Alerts to new versions and locations will be posted here.

The following 'Byte' 1-pager has been revised:

Tuesday, February 19, 2019

Connect Care Bridging Solution Presentation Materials Domesticated

We previously posted about updates to presentation materials (in the presentation repository) about Patient and Provider Bridges (portals). As of today, these are further updated to include screenshots with Connect Care colour and branding; as the source is now the AHS configuration instead of Epic Foundation Hosted.

Wednesday, February 13, 2019

New Portal Information and Handouts

We have updated backgrounders, bytes and overviews that describe Connect Care patient and provider portals.

There are sensitivities about the relative positioning of Netcare and Connect Care portal offerings. While strategic planning continues, we suggest referring to the Connect Care portal functions as "bridging" services. The idea of a bridge is more consistent with Connect Care visual metaphors. It also encompasses a broader range of capabilities and more clearly grounds the services as part of clinical relationships enabled by a clinical information system.

Content changes clarify what the bridges are configured to support, without committing to what we will be supported to deploy.

Please use the following, remember to work from the online versions, and retire any older handouts:

Wednesday, February 6, 2019

New Presentation Template - Connect Care Timelines

A new Connect Care Vlog posting gives a short introduction to Connect Care stages, sequencing and start-up timelines, with links to the Connect Care presentation repository where a slide template can be downloaded for further use.

Friday, February 1, 2019

Moving Physician Training Forward

Connect Care success will pivot on effective physician training, competency and, over time, proficiency. All members of the medical informatics community have a role to play. This needs to be a priority in the coming months

Although we are currently recruiting for Physician Area Trainers, we'll soon be seeking Super Users and already need help reviewing training curriculum content.

Some new presentation materials are available in our repository. Consider the video (10 min) and how you can promote training engagement opportunities to physicians in your communities.

Thursday, January 31, 2019

Hey Epic!

We saw a preview of this at the Epic User Group Meeting in autumn 2018... an intelligent voice assistant supporting conversations with a clinical information system. As with Siri (Apple) and Alexa (Android), one can hail ("Hey, Epic") the Epicare software and ask for information using plain language. Common tasks, such as recording vitals, are also possible.

An article describes early adopter evaluations at Vanderbilt: