Where's my SUP?

The SUP instance of Hyperspace is a copy of PRD and so valuable when working through problem scenarios brought to us by users. It contains actual patient data. It can be used to test complex workflows, without actually altering any production records.

It is important that physician informaticians retain access to SUP.

There was a bit of a hiccup when SUP was removed from regular users. Post launch, it is no longer needed and it was causing some error when users were documenting in SUP instead of PRD.

The recent change caused all favoriting of SUP to disappear. So, if you had marked SUP as a favourite, you might think that your access was removed. You can re-favourite.

The other source of confusion is that SUP has been moved to the Training folder. Look there before reporting that you have lost access.

Let us know (CMIO@ahs.ca) if you have truly lost SUP access and we will ask (again) for it to be restored.


Super User Schedule and Area Mappings

Lots of logistics with launch!

One of many complexities is making sure that prescriber Super Users are well used and not over-used. Many spreadsheets have been collated to an integrated database and, better yet, visualization of who needs to be where for how long.


Super User Lanyards

Stand out!

It is important that Super Users be easy to find and recognize. Physician and resident SUs can be grateful that we're not asking them to wear aprons! Instead, we would be most grateful if all who will be helping on the front lines of Wave 1 Launch pick up a Connect Care lanyard.

These are available at the physician drop-in Centre (5G1.11 for Nov 1; thereafter WMC 4B1.39).

Resident SUs wear orange lanyards. Physician SUs wear yellow lanyards.


Drop-in Centre Volunteers - Please!

The CMIO portfolio runs a physician drop-in centre which is proving all-too-popular. Our colleagues come at a time that suits them and a place close to their work. We have dealt with a wide range of access, mobility, dictation and... anxiety needs.

This is a most rewarding way to help, with direct and immediate benefit to prescribers, and therefore patients.

We continue to look for prescriber Super Users, Area Trainers, Builders and Power Users to help us deal with increasing volumes and demand. Best is a commitment to a shift of at least 4 hours. A few brave souls are needed for the evening hours.

If open to chipping in, please contact david.pincock@ahs.ca.


Slack for CMIO Launch Support

Calling all physicians, trainees and learners supporting Wave 1 launch activities!

The CMIO portfolio is using "Slack" for launch support, internal team communication and rapid knowledge exchange.

What is Slack?
Slack is an Internet-based collaboration tool that can be used on desktops (slack.com) and all mobile platforms as a dedicated app (iPhone, Android, etc.). Slack brings communication, consulting and collaborating together in one place.

What is Slack to CMIO?
The CMIO portfolio has set up a Slack workspace (ahscmio.slack.com) dedicated to support of Connect Care physician informatics activities.

Teamwork in Slack happens in channels — a single place for messaging, tools and files — helping everyone save time and collaborate together. These conversations are divided by channels as well as direct messages to help streamline our work by combining all communication into one app rather than via text, email, docs, and etc. and accessible at computers as well as on phones. We have set up channels to facilitate those supporting Wave 1 launch.

How to Join?
You can join the CMIO Slack workspace through a simple link and easy process:

  • ahs-cis.ca/slackinvite
  • If not already a Slack member, then provide an email address, confirm via email, and create a username and password.

Key Slack Skills

CMIO Orientation 
We’re currently orientating our MILs and SUs to the tool. Folks are organizing conversations based on clinical departments.


Launch Orientation Manual Posted

Many physician informaticians are helping out with Connect Care's Wave 1 launch in Edmonton Zone, and many helpers are from out-of-zone or out-of-facility.

A new launch orientation manual has a wealth of information about the launch location, command structure activities, problem reporting protocols and other practical details. Worth a bookmark!


BBIT in Production

The Basal Bolus Insulin Therapy (BBIT) tools for glycemic monitoring and control are in production. A long gestation but excellent outcome.

Please take a look at the new manual section and consider how best to support colleagues with these workflows.


Which Order Sets are Released?

Lots of understandable urgency to get our validated and built Order Sets into production (PRD) where they can be reviewed and personalized!

The majority of Order Sets have been released to production by now, but significant numbers are still undergoing last minute medication and other fixes. They get moved into PRD as soon as the authors and accountable designers (e.g. Area Council) have signed off that fixes have fixed.

We'll update this spreadsheet tally of released Order Sets:


For our AI and Voice Recognition Enthusiasts

Reposting from Microsoft's AI Blog, there continue to be exciting developments with voice activated virtual-assistance and intelligent processing of clinical speech and dictation.

We are taking a great first step in moving from dictaphones to Dragon Medical One. We know that Epic will release its "Hey Epic" voice assistant for mobility soon. And we have hope of semantic reporting markup of narrative dictations within a few years.

For those interested:
Thanks to Steven Zachary for this posting.


Identity and Access Management Portal Downtime

An Alberta Netcare Portal (ANP) planned downtime for October 17 evening will impact the Identity & Access Management (IAM) portal for some hours between 2030 on 2019-10-17 and 0100 on 2019-10-18.

During this time, IAM will not be available for capturing network access requests, remote network access requests of updates to AHS users' information profiles. This is important because we've recently posted about use of IAM to check and correct physician information.


Launch Command Structure and Issue Intake Processes

Command Structure (how we are organized to help our users and organizations through the launch process), user supports and issue intake processes are hot topics right now. Most informaticians are involved in one way or another. Many of us seek specifics to help us plan our days in the critical launch window.

The implementation team has produced an excellent presentation that covers all we need to know about the Command Structure and Intake Processes. This continues to evolve, so best to use this link to the latest version, strongly recommended for all informaticians to peruse:


Connect Care Training Progress - and Needs

We continue at peak Training activity while rushing to ensure that physicians are prepared for Wave 1 launch 3 weeks from now.

There are notable accomplishments:
  • 89% of ~3,225 Wave 1 prescribers (physicians, residents, nurse practitioners, etc.) are registered for basic and personalization training.
  • 83% (2,753) have completed basic training and 35% have confirmed proficiency assessment completion (we are aware of many that are complete but not yet credited).
  • 15% of prescribers have already completed personalization training.
  • All medical learners have completed basic training.
  • 54 Area Trainers and 194 Super Users deliver on our commitment to have prescribers train prescribers.
We need help from the medical informatician community with some remaining gaps (please contact ConnectCare.PhysicianTraining@ahs.ca with suggestions):
  • Still looking for Area Trainers in Addiction & Mental Health (1), Inpatient Admitting (5).
  • Still looking for more Super Users in Addiction & Mental Health (11), Cardiology (1), Surgery (5)
A huge thanks to all the training team and all the prescribers who have been generously contributing at odd, and very long, hours.


Demos - Protecting Intellectual Property

Some of our medical informatics leads are producing excellent demonstration videos; a great way to share Connect Care tips with colleagues. These are especially useful when specialty build is not covered in Basic Training or Personalization Workshops.

The CMIO portfolio is eager to support those who wish to contribute in this way. A secure and approved video repository is available at demos.connect-care.ca. The demonstrations stored there can be linked and highlighted other locations and documents. The important thing is that the videos are protected. They cannot be seen without a valid Connect Care userid and password.

Privacy and Property Protection Reminders:

  1. Never make recordings of Production environments. The risk of inadvertently exposing personal health information is high.
  2. Never post demonstrations outside the tools provided by CMIO or Connect Care. Physicians must ONLY use demos.connect-care.ca. At this point, no other posting venue is approved.
Connect Care is committed to protect Epic intellectual property. The CMIO demos site is approved by Epic. Assume that nothing else is approved unless documented in a formal record of understanding with both AHS and Epic.

How to Post Demonstration Videos:

There are some simple tricks to producing demos that are dimensioned and compressed to be useful to most users. The CMIO portfolio arranges short sessions with interested authors to share video editing tips and secure upload process. Committed physicians can become editors on the demonstration site. Get in touch with cmio@ahs.ca


Living Through Go-Live - the Vanderbilt Experience

Vanderbilt University Medical Centre went live in 2017, and took the trouble to capture a fabulous video record of their launch experience. This was a large implementation, with many parallels to ours.

The 10 minute video is visceral. Well worth watching! You'll need to use your Epic UserWeb logon credentials.


First Looks: Serious Adverse Drug Reaction Reporting

The Protecting Canadians from Unsafe Drugs Act, also known as Vanessa's Law, strengthen's Health Canada's ability to collect information and take action when serious health risks are discovered in association with medications. All Canadian health care facilities must implement reporting processes later this year; indeed Alberta Health Services has to have reporting capacity in place the same month as Connect Care's first launch in the Edmonton Zone.

Epic has worked with AHS to develop an embedded serious adverse drug reaction reporting workflow that can work for all Canadian clients. This is ready for a first look, but will continue to be enhanced:


First Looks: Pharmacy Information Network integration

The Alberta Pharmacy Information Network (PIN) offers a fairly complete record of medications that may have been dispensed for a patient from an outpatient pharmacy. The dispensing information is not the same as prescribing (intended) or complying (actually taking) medication lists. It is most accurate for persons over age 65 who are Alberta residents. Still, PIN can be a valuable source of information when doing medication reconciliation.

Connect Care has an interface to the PIN dataset. It is possible to see and review medications that have been dispensed. It is particularly useful to be able to select from those to initiate a patient's medication history during admission or new outpatient review.

A short demonstration shows how PIN information can appear and be reconciled.


Area Trainer Opportunities for Waves 2 and 3

Connect Care will launch at several Calgary and Central zone sites in May 2020, and it is time to get ready!

There are opportunities for new physician Area Trainers, a role that has proven exciting and rewarding to physicians who currently help with Wave 1 preparations. Area Trainers deliver Connect Care training while also promoting transformation and clinical improvement at launch.

We've previously posted about Physician Area Trainers. Interested clinicians benefit from exceptional clinical information system orientation and change management coaching. Stipend-supported, Area Trainers can use the role to supplement their usual clinical activities, play a pivotal role at Connect Care launch and positively impact health care in Alberta. Area Trainers are critical to the success of Connect Care, and will champion the initiative in their teams.  There will be an opportunity to extend the role to subsequent waves of Connect Care in the zone.

For more information:


Key Messages as Launch Looms

As we near the launch of Connect Care in November, interest across the organization is growing. So too is general anxiety about how the launch and transition will go. All clinical informatics protagonists have a role to play in supporting clear messaging about what to expect during and after launch:
  • Together, we’ve been building a much-needed bridge between information, healthcare teams and patients. Thanks to your efforts, patients will be able to access to their AHS medical records through Connect Care’s patient portal, while all healthcare providers across AHS will have a central access point to up-to-date patient information.
  • Connect Care is all about improving patients outcomes and experiences. It provides common decision-making support for clinicians to ensure all our physicians and frontline staff have access to the same clinical standards and best healthcare practices. 
  • Connect Care is complex and so is its rollout. There will be thousands of issues as we transition – some will be urgent; some not. We have plans and supports in place to address these issues and ensure they don’t affect the high-quality care we provide to patients. At the same time, we know there will also be hundreds of thousands of things that go better than expected.  
  • Putting Connect Care in place will take time. We need to be ok with this. Resolution times for issues will vary. Sometimes solutions will require multiple steps and, in the end, won’t be perfect. We will get to where we need to be over the weeks and months ahead. 
  • Stay positive for your teams and our patients. Even in our most frustrating moments, we need to encourage each other and never share our frustrations with our patients. 


Connect Care Mobility Compact - Feedback Requested

Clinicians are free to bring and use personal devices in clinical settings. However, mobile devices also leave clinical settings and are vulnerable to loss, theft, hacking or eavesdropping. Accordingly, while Connect Care Mobility can be convenient for clinicians, it also exposes them and their patients to some extraordinary risks. Ensuring that mobile clinical applications are properly secured relates to Connect Care Mobility Management, as explained in:
Ensuring that mobile applications are used responsibly is a matter of professionalism, commitment and good habit. A "compact" is a clear statement of reciprocal expectations and accountabilities between two groups. Typically short and simple, it can be easier to action than complex legal terms and conditions. The Connect Care Mobility Compact summarizes rights and responsibilities related to health information sharing:
All clinicians who install and use Connect Care Mobility must abide by the Mobility Compact. The current version has been reviewed by a number of stakeholders. We would be most grateful for any additional feedback or suggestions from clinician informaticians.


First Looks: Connect Care Portals Interface Progress

Although the Connect Care patient and provider portals have been in working order for some time now, recent configuration has focused on look-and-feel, including colour schemes and branding that reflects the Connect Care identity.

The Connect Care patient portal should be referred to as "MyAHS Connect" going forward. The Connect Care Provider Portal retains its original name.

More "branding" continues. However, the portals are taking shape and worth a quick, interim, look.

Both demonstrations require an AHS network username and password: