Who relates to Who in AHS IT?

The Alberta Health Services IT department has put together a really useful cheat-sheet highlighting stakeholders working with a wide range of IT services. Useful to check when unsure about meeting invite lists!


Connect Care System Planned Outage - May 7, 2019

We are informed that Epic and third party information services that constitute the Connect Care clinical information system will undergo major infrastructure transitions on May 7, 2019.

This is a bigger shift than we've seen to date, as it involves movement of systems from temporary server hardware to the fail-over redundant data centres specifically established for Connect Care. Systems, such as the Nuance dictation products, will also need to be configured to point to the new server locations. Accordingly, third party systems can be affected by changes to Epic systems.

Please be aware of this date and avoid demonstrations or live presentations May 7 and the first few days post-shift.


eCLINICIAN CDS Project Published

The eCLINICIAN clinical information system (CIS) brought a large portion of Alberta Health Services ambulatory care clinics into a full digital health records. Many lessons were learned over a decade of growth. Indeed, some lessons prove interesting to clinical informaticians elsewhere.

"Utilization of computerized clinical decision support for potentially inappropriate medications" appears in this month's issue of Clinical Interventions in Aging. This work started as a Physician Builder project, benefited from an AHS clinical improvement grant, and empowered quality improvements in family medicine, geriatrics and internal medicine.

We hope to build upon clinical decision support innovations as we move from build to deployment of the Connect Care provincial CIS.


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.


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.


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!