2021-04-17

Handout Reminder for Wave 3 Supports

For those helping prescribers joining Connect Care at the Wave 3 launch, a business card format (easy to reprint) can be an easy handout. 

2021-04-12

Learning Better Outpatient Workflows with "Efficiency Hour"

"Efficiency Hour" sessions are offered by Epic at multiple times between April 14-22, 2021. These can help physicians become more effective and efficient with in outpatient settings.

  • Session 1: Placing and Managing Outpatient Orders (April 14, multiple times)
  • Session 2: Documentation (April 15, multiple times)
  • Session 3: Reviewing Information (April 21, multiple times)
  • Session 4: Managing In Basket (April 22, multiple times)
The sessions are open to any Connect Care prescriber. Super Users and Medical Informatics Leads are encouraged to take advantage of the sessions, as well as promote the opportunity to clinical colleagues.

2021-04-11

Resources for Super Users and Area Trainers on Launch Support Issues

To access support information on common issues arising post-launch, there are two easy options:

  • Subscribe to the Wave 3 Super User and #bytesblog Slack channels
  • Subscribe to the Connect Care Support and Bytes blog channels
    • New posts are emailed to you as soon as they are published.
    • Support channel has:
      • Hot topics – a list of common issues that have been flagged (e.g., dose ranges, printer mapping), posted daily for the 1st week after launch and then weekly for the remainder of launch support.
        • These posts include links to relevant support information (e.g., Connect Care Manual page, tip sheet, blog post).
      • Alerts on new/fixed/improved Connect Care functions (e.g., new SmartText).
    • Bytes channel has general update posts for Connect Care end users (e.g., downtime notices, launch support changes).
    • To subscribe, go to the blog channel and enter your email address in the ‘Follow (subscribe)’ box, found under the ‘About’ blurb on the right-hand side of the screen. 
      • Note: You have to subscribe to each channel (e.g., Bytes, Support) separately. 
      • Tip: Use your preferred email address to make sure you see new posts when they go up.
    • For further support, also subscribe to the Tips and FAQ channels:
      • Tips channel has daily postings, starting with simple and progressing to more advanced suggestions about how to get more from, and enjoy, Connect Care use (e.g., new series on Problem List management).
      • FAQ channel records issues arising, with suggested workflows, from prescriber use of Connect Care.

2021-04-07

Key Resource for Wave 3 Launch Supporters

Super Users, Medical Informatics Leads and others supporting prescribers at Wave 3 launch will find the "Connect Care Launch Incident Management Branch" (CCLIMB) shared workspace an invaluable resource. Although many entries relate to operations supports (and the Manual launch support page remains a go-to for prescriber supports), the CCLIMB information is particularly useful for discovering meeting and on-call schedules.

2021-03-29

Super User Development Session #10 - User Support Tools

We've previously posted about Super User development sessions offered in the weeks leading up to Connect Care Wave 3 launch.

This week's Wednesday session is facilitated by David Pincock and Pavel Medvedev, focusing on launch supports and tools that Super Users can take leverage to help Wave 3 users.

Participants may want to check some related resources:
Participants may wish to review past presentations, available via:
Questions and requests for Zoom links can be directed to cmio.nz@ahs.ca.

2021-03-24

Provincial Physician Trainer Opportunities

The CMIO is looking to fill three Provincial Physician Trainer positions for the PICU, NICU and Surgery training streams.

Ideally, applicants will already be aware of Connect Care and the work of the CMIO portfolio.

For more information:

2021-03-22

Super User Development Session #9 - Navigators and Complex Workflows

We've previously posted about Super User development sessions offered in the weeks leading up to Connect Care Wave 3 launch.

This week's Wednesday sessions are facilitated by Stuart Rosser and Tim Chan, focusing on complex workflows (esp., referrals and consultation), as well as admission discharge and transfer navigators.

Participants may want to check some related resources:
Participants may wish to review past presentations, available via:
Questions and requests for Zoom links can be directed to cmio.nz@ahs.ca.

2021-03-19

Documentation Quality Improvement - Work Package #3 - Problem Management SmartTools

The Connect Care Documentation Quality Improvement initiative seeks to enhance the utility of summative documentation templates for history & physical, consult, discharge, transfer, deceased and operative notes. Oversight is provided by the Clinical Documentation Quality Improvement Workgroup, reporting to the Clinical Documentation Committee.

An early task is to improve building blocks used by summative document authoring tools, including the Navigators, SmartForms, SmartLists, SmartLinks and SmartPhrases that facilitate problem list management, problem reconciliation and problem-oriented charting... collectively "Problem Management SmartTools". 

While Builders and Analysts are the first work package review participants, any Connect Care user is welcome to learn about the work and offer feedback. Start by viewing the presentation. 

Builders can follow instructions provided in the presentation for working with SmartTool prototypes in the Connect Care POC environments. Users can also use screenshots provided in the  presentation. All can share feedback and suggestions using an online survey.

2021-03-17

Documentation Quality Improvement - Rethinking Problem Lists

The third work package (coming soon) in the Documentation Quality Improvement initiative focuses on tools to support effective Problem List Management, Problem-Oriented Charting and representation of patient problems in summative documentation (e.g., history & physical, consult, discharge summary).

Examining Problem List workflows also gives opportunity to revisit Connect Care's documentation norms, problem list norms and user supports for inpatient and outpatient charting. Recognizing that new guides and tips relate to improvements not yet in production, and there is much work yet to be done, feedback on the emerging descriptions would be most welcome:

2021-03-16

Super User Development Session #8 - Patient Movement and Phases of Care

We've previously posted about Super User development sessions offered in the weeks leading up to Connect Care Wave 3 launch.

This week's Wednesday sessions are facilitated by Alan Sobey, focusing on patient movement and phases of care.

Participants may want to check some related resources:
Participants may wish to review past presentations, available via:
Questions and requests for Zoom links can be directed to cmio.nz@ahs.ca.

2021-03-15

Documentation Quality Improvement - Work Packages #1 and 2 in SUP for Clinical Testing

Documentation Quality Improvement work packages #1 (Medication SmartTools) and #2 (Identity SmartTools) are now in the SUP environment and ready for testing by interested Builders, Super Users and other clinical stakeholders. Testing in SUP is available 09:00-23:00 weekdays this week only.

The last slide in the presentation handout (see the linked work packages) contains instructions for testing. In brief:

  • Medication SmartTools
    • Open patient chart(s), start a documentation note (any type, but progress note is easy for testing) and then try to replicate a post-admission, inpatient, discharge and outpatient context.
    • Inpatient
      • Open a chart from a patient list for current inpatients.
      • To replicate an admission context, consider selecting an ED patient and initiating an admission with the admission navigator. Do admission medication reconciliation, being sure to review home medications. Then test the MedList SmartLinks (use ".DQIMEDLIST") SmartPhrase.
      • To replicate an inpatient context, select any current inpatient.
      • To replicate a discharge context, select any current inpatient and use the discharge navigator to access discharge orders and perform discharge medication reconciliation. Then test the MedRec SmartLinks (use ".DQIMEDREC" SmartPhrase).
      • NOTE: are aware of a problem with medication reconciliation reports where the dose frequency is not specified. This issue is fixed with an update to the Epic software coming in June 2021. The listing of a discharge med list (take home meds) mitigates this problem when combined with the flagging of meds (by name and form) that have changed, stopped, started, continued.
    • Outpatient
      • Open a chart and select an outpatient encounter, which you may need to reopen through the "addend" workflow.
      • Check the current med list, then test the MedList SmartLinks (use ".DQIMEDLIST" SmartPhrase).
    • Provide feedback via: Medication SmartTool Survey.
  • Identity SmartTools
    • Open any chart and then experiment with demographic (patient preferred/affirmed name) and SOGIE SmartForm (accessed by clicking on gender information in StoryBoard) values while using ".DQIIDENTITY" SmartPhrase to test relevant SmartLinks and SmartPhrases. 
    • Note that it will be necessary to switch from the SOGIE form to a different activity (then back again) to refresh the SOGIE values before retesting with DQIIDENTITY by deleting the former note content and re-entering the test SmartPhrase.
    • Provide feedback via: Identity SmartTool Survey.


2021-03-11

Health Evidence Exchange - Information for Builders and Analysts

Clinical content (documentation, decision and inquiry supports) within the Connect Care clinical information system (CIS) can include "resource links". These serve users who, for example, are able to jump to a different section of the chart (internal links) or open an external information resource that explains a new task (Internet links). 

When designers insert Internet links (external URLs) into clinical content, it is important to take advantage of link management tools. The Health Evidence Exchange (HEE, ahs-cis.ca/hee) is used for link management in Connect Care. It makes it possible to insert a standardized link into new content. That link points to the HEE, which in turn redirects to the desired external Internet resource. 

2021-03-10

Documentation Quality Improvement - Progress Report #1

We've posted previously about the Documentation Quality Improvement Initiative. 

Work is progressing well:

  • Two work packages have been developed, posted, presented to stakeholder groups, subjected to testing and improved after feedback:
    • Medication SmartTools - With clinical and stakeholder review/optimization complete, the new SmartLinks, Print Groups and SmartPhrases will move to the SUP pre-production environment next week for testing with a wider range of patient charts. If all goes well, the goal is to have this package moved to production by the end of the month. The Documentation Quality Improvement Workgroup has forwarded its recommendation to the Clinical Documentation Committee that the new products be approved.
    • Identity SmartTools - This work is at a similar stage of development. Subject to final SOGIE workgroup endorsement, a recommendation to ClinDoc will be made for approval to move to production. Testing and optimization has been completed. An end-of-month goal for move to PRD also applies.
  • Work progresses on two new work packages:
    • Problem-Oriented Charting Tools - With improvements to navigators, editing tools, progress note templates and text automations for streamlining summative documentation when problem-oriented charting processes are followed. Other tools (e.g., hospital course) facilitate preparation for discharge summaries. The work package will be posted next week.
    • Laboratory Data SmartTools - Text automation tools that facilitate succinct prose-friendly inclusion of laboratory data in clinical documentation are the focus of this work package, expected to be available next week.
  • Remaining Phase 1 work packages:
    • History SmartTools - Prose-friendly inclusion of medical, surgical, family and social history information in summative documentation. 
    • Objective Data SmartTools - Include those that pull vital signs, physical exam, lines and other observed information into summative documentation.
    • Transition Planning SmartTools - Representation of information key to discharge and transition planning.
    • H&P Summative Documentation - Building blocks assembled to form new H&P templates for conventional as well as problem-oriented charting.
    • Consultation Documentation - Building blocks assembled to form new consult templates for conventional as well as problem-oriented charting.
    • Discharge Documentation - Building blocks assembled to form new discharge and deceased templates for conventional as well as problem-oriented charting.
    • Transfer Summative Documentation - Building blocks assembled to form new interfacility transfer templates for conventional as well as problem-oriented charting.
    • Operation Summative Documentation - Building blocks assembled to form new operative note templates for conventional as well as problem-oriented charting.
  • Sequencing of remaining Phase 1 work packages:
    • The Documentation Quality Improvement Workgroup will consider how best to sequence remaining work packages needed to deploy new summative documentation templates, seeking to first release components most helpful to the Wave 3 launch.

Super User Development Session #7 - Charting Etiquette and Minimum Use Norms

We've previously posted about Super User development sessions offered in the weeks leading up to Connect Care Wave 3 launch.

This week's session is facilitated by Echo Enns, focusing on prescriber expectations of one another for a safe, efficient and effective clinical information system experience.

Participants may want to check some related resources:

2021-03-01

Super User Development Session #6 - Dragon Medical One

We've previously posted about Super User development sessions offered in the weeks leading up to Connect Care Wave 3 launch.

This week's session, occurring March 1 at 12:00-13:00 and facilitated by Chris White, focuses on in-system dictation and voice-activation with Dragon Medical One (DMO).

Participants may want to check some DMO-related resources:
Participants may wish to review past presentations, available via:
Questions and requests for Zoom links can be directed to cmio-nz@ahs.ca.

2021-02-26

Documentation Quality Improvement - Work Package #2: Identity SmartTools

The Connect Care Documentation Quality Improvement initiative seeks to enhance the utility of summative documentation templates for history & physical, consult, discharge, transfer, deceased and operative notes. Oversight is provided by the Clinical Documentation Quality Improvement Workgroup, reporting to the Clinical Documentation Committee.

An early task is to improve building blocks used by summative document authoring tools, including the SmartForms, SmartLists, SmartLinks and SmartPhrases that reflect a patient's gender identity, pronoun preferences, date of birth and affirmed name... collectively "Identity SmartTools". 

While Builders and Analysts are the first work package review participants, any Connect Care user is welcome to learn about the work and offer feedback. Start by viewing the presentation. 

Builders can follow instructions provided in the presentation for working with SmartTool prototypes in the Connect Care POC or TST environments. Users can also use screenshots provided in the  presentation. All can share feedback and suggestions using an online survey.

2021-02-22

Super User Development Session #5 - MyAHS Connect

We've previously posted about Super User development sessions offered in the weeks leading up to Connect Care Wave 3 launch.

This week's sessions are facilitated by Steven Turner, focusing on prescriber considerations for the Connect Care patient portal, MyAHS Connect (MAC), provider portal (Link) and related In Basket activities.

Participants may want to check some MAC-related resources:

2021-02-20

Documentation Quality Improvement - Work Package #1: Medication SmartLinks

The Connect Care Documentation Quality Improvement initiative seeks to enhance the utility of summative documentation templates for history & physical, consult, discharge, transfer, deceased and operative notes. Oversight is provided by the Clinical Documentation Quality Improvement Workgroup, reporting to the Clinical Documentation Committee.

An early task is to improve building blocks used by summative document authoring tools, including the SmartLinks that pull in lists of medications. A presentation describes the design of new prototypes, now ready for validation and review. 

While Builders and Analysts are the first review participants, any Connect Care user is welcome to learn about the work and offer feedback. Start by viewing the presentation. 

Builders can follow instructions provided in the presentation for working with medication SmartLink prototypes in the Connect Care POC or TST environments. Users can also use screenshots provided in the  presentation. All can share feedback and suggestions using an online survey.

2021-02-19

Documentation Quality Improvement - You can help!

The Connect Care Documentation Quality Improvement initiative seeks to enhance the utility of summative documentation templates for history & physical, consult, discharge, transfer, deceased and operative notes. Oversight is provided by the Clinical Documentation Quality Improvement Workgroup, reporting to the Clinical Documentation Committee.

Builders, Power Users, Super Users, Informatics Leads and interested general users can help with this work. A presentation provides context and a plan. A #cdi-clindoc channel has been set up in our Slack community to facilitate sharing.

2021-02-10

Super User Development Session #3 - Outpatient Resources

We've previously posted about the current series of Super User Development Sessions offered in the weeks leading up to Connect Care Wave 3 launch.

This week's 1-hour webinar on Wednesday February 10, 2021 is facilitated by Stuart Rosser, with a focus on outpatient workflows and personalizations. Demonstrated tips include:

  • Hyperspace personalizations for outpatient work
  • Finding patients
  • Finding and using lab base names for personalizations
  • Understanding therapy plans
  • Exporting billing information
Participants wanting to follow-up on some of the inpatient topics are encouraged to check related resources: