2020-02-08

Health Professions Education Summer Studentships - Consider Applying

The HPE Summer Studentship grant is a competitive program sponsored by the University of Alberta Faculty of Medicine & Dentistry that can help support students and faculty proposing a summer education research or curriculum evaluation project.

With Connect Care launched and spreading in Alberta, questions about about the best way to provide trainees with initial and ongoing skills training and, more importantly, eHealth literacy and professionalism training.

Medical informaticians with faculty appointments may want to consider this opportunity. We have already reached out to see if there are students likewise interested.

2020-01-17

Waves 2 & 3 Training Dates - Latest Update

We are pleased to be on track for recruitment of the Connect Care Physician Area Trainers and Super Users who will focus on the needs of Waves 2 & 3, both launching May 30, 2020.

Key training-related dates (subject to change) are as follows (all 2020):

Jan 06-17Area Trainer online learning
Jan 20 - Feb 21Area Trainer formal training
Feb 24 - Mar 13Super User training
Mar 16 - Apr 24User Basic Training
Apr 20 - May 15User Personalization Training
May 18 - Jun 12Launch prep and support (e.g. conversion)
Jun 15 - Oct 15User Optimization training

2020-01-10

Connect Care and AHS Travel Restrictions

Recently, travel restrictions have been implemented across Alberta Health Services and this has generated concern about how Connect Care needs are to be addressed. While Connect Care is aligned with AHS’s overall fiscal constraint, the project is at a critical stage when launch preparations, post-launch troubleshooting, training and other needs require direct face-to-face interactions, especially when these activities directly impact clinical practice.

Connect Care will approve travel expenses, as before, when these are necessary to the successful completion of the project. Examples include:
  • To train for an approved Connect Care role when training must be in-person;
  • To support end-user communities where in-person interaction is needed (e.g., equipment, space or shadowing or where hands-on technology access is essential);
  • To trouble-shoot and intervene with high-risk, high-stress, or escalating challenges where in-person discussions and expertise could more effectively remediate;
  • To support end-user groups through new challenges (e.g., first scheduled downtime);
  • Where new technology is being introduced and the support expertise comes from another location.
Patient care and safety, along with the needs of staff and physicians, is at the forefront of all planning decisions for Connect Care. The successful implementation of Connect Care remains an organizational priority.

Thanks for your understanding of the need to be vigilant about both the effectiveness and efficiency of interactions requiring travel.

2020-01-06

Webinar about Clinician Burnout - January 23, 2020

A number of recent articles associate digital health records with clinician burnout. We've previously noted that the obvious observations are important but possibly more important is the "backstory" about contextual drivers. An "Arch Collaborative", involving many organizations like ours, has studied the concerns with a view to finding solutions.

An upcoming webinar will explore the insights and data gathered through the Arch Collaborative initiative that bring greater clarity to why electronic record usability continues to frustrate and what can be done to reduce burnout.

2019-12-18

Connect Care Builder Club Master Class - Meeting #1

On behalf of the Connect Care Builder Program, we would like to invite clinical informaticians who are part of the builder community to participate in a first Builder Club Master Class. Through these builder-lead sessions, we will cover tools available to certified Connect Care Physician Builders and Clinical Content Builders. A portion of the meeting is allocated to open discussion of the builder program and related questions.

Many builders are focusing on best practices with Smart Tools. For our first Master Session, please join Dr. Devin Nielsen as he begins our journey covering "SmartLinks and SmartTools for Smart AHS Clinician and Physician Builders".

Register in advance for this meeting: ahs-cis.ca/builderclub
  • After registering, you will receive a confirmation email containing information about joining the meeting.
  • If you’ve never used Zoom, we highly recommend you do a test call prior to the class here: zoom.us/test
  • Short demo videos on how to join a call can be found here: zoom.us/resources
Part 1: SmartLinks Overview and Search – December 19 – 1600 to 1645
  • Overview
  • SmartLink parameters: none, user, system
  • System-level SmartLink build review
  • SmartLink Search engine
  • SmartLink search and build examples 
Part 2: SmartLinks for FlowSheets & Print Groups – January 2020
  • Basic review of Flowsheets and Print Groups
  • Flowsheet & Print Group search engine
  • Report Assistance (Report and Print Group IDs)
  • Data Handbook (UserWeb)
  • Build examples of how-to have a SmartLink pull a Flowsheet or a Print Group into a note

2019-11-06

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.

2019-11-01

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.

2019-10-31

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.

2019-10-30

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.

2019-10-29

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.


2019-10-28

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!

2019-10-27

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.

2019-10-25

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:

2019-10-18

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.

2019-10-17

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.

2019-10-16

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:

2019-10-12

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.

2019-10-11

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

2019-10-10

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.

2019-10-08

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: