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!
Showing posts with label Readiness. Show all posts
Showing posts with label Readiness. Show all posts
2019-10-28
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.
The 10 minute video is visceral. Well worth watching! You'll need to use your Epic UserWeb logon credentials.
2019-09-14
Patient Movement Day Info for Wave 1 Medical Informatics Leads
A head's up for our clinical informaticians, especially those most affected by Wave 1: Patient Movement Day (PMD) occurs this coming Wednesday September 18, 2019 and is an important readiness event.
The PMD demonstrations in the morning may not cover new ground for folks already trained in things like admission navigators and transfer orders. However, the afternoon demonstrations could benefit from more physician resources. These are important workflows to review and we can help answer questions from participants.
Lots of information, including schedules, has been posted to the general interest Connect Care blog (Bytes) and can be pulled with this link:
The PMD demonstrations in the morning may not cover new ground for folks already trained in things like admission navigators and transfer orders. However, the afternoon demonstrations could benefit from more physician resources. These are important workflows to review and we can help answer questions from participants.
Lots of information, including schedules, has been posted to the general interest Connect Care blog (Bytes) and can be pulled with this link:
2019-08-10
Where are physicians in the Connect Care readiness playbooks?
Alberta Health Services (AHS) leaders have a major role to play in supporting staff and helping prepare for Connect Care’s launch. They, in turn, are supported with guidance, resources and facilitation by a Connect Care Readiness Team. This is a systematic process, tapping change management best practices and the accumulated experience of many organizations that have implemented large-scale clinical information systems. The steps, actions, tools and expected outcomes at each stage of preparation are detailed in a "Readiness Playbook", with sequential chapters covering what is needed for each Connect Care wave leading up to launch.
The Connect Care Readiness Playbook is rich with wisdom and pragmatism. However, the readiness needs of physician and non-physician staff have important differences. Physicians skimming the Playbook may find it hard to see themselves in the prescribed work, or find it hard to imagine how to translate tasks when they work in settings that are not staffed by AHS employees.
The AHS Chief Medical Information Office is mindful of such differences. Playbook-compatible readiness supports are adjusted to suit the different circumstances of different physician communities.
The Connect Care Readiness Playbook does contain a lot of physician-appropriate information and physician informaticians can better help their leaders when aware of readiness constructs. Physician leader considerations in the Playbook are marked with a physician tag. The CMIO team additionally summarizes Playbook deliverables for physicians, keyed to each chapter.
Physician reporting is also handled differently. The CMIO portfolio facilitates use of surveys that are disseminated directly to affected physician leaders.
The Connect Care Readiness Playbook is rich with wisdom and pragmatism. However, the readiness needs of physician and non-physician staff have important differences. Physicians skimming the Playbook may find it hard to see themselves in the prescribed work, or find it hard to imagine how to translate tasks when they work in settings that are not staffed by AHS employees.
The AHS Chief Medical Information Office is mindful of such differences. Playbook-compatible readiness supports are adjusted to suit the different circumstances of different physician communities.
The Connect Care Readiness Playbook does contain a lot of physician-appropriate information and physician informaticians can better help their leaders when aware of readiness constructs. Physician leader considerations in the Playbook are marked with a physician tag. The CMIO team additionally summarizes Playbook deliverables for physicians, keyed to each chapter.
Physician reporting is also handled differently. The CMIO portfolio facilitates use of surveys that are disseminated directly to affected physician leaders.
2019-08-09
Please Promote Patient Movement Day
Patient movement day offers a unique opportunity for clinicians to take a practical look at what in-patient journeys will look like in Connect Care.
All physicians, prescribers, nurses, allied health and other staff are encouraged to attend. They can see and learn about how complex patient movements are coordinated with clinical information system (CIS) tools and workflows. Morning demonstrations illustrate how Connect Care will facilitate the sequence of events that must occur for patients to flow safely and efficiently from emergency to ward, critical care, surgery, diagnostic imaging and other investigation and intervention venues. In the afternoon, drop-in practice centers (including a physician practice center) allow participants to dig deeper, view more specific workflows, ask questions and practice different patient movement scenarios.
Wave 1 Patient Movement Day occurs Wednesday September 18, 2019 from 08:30 to 16:00, with scenario explorations and demonstrations in the morning and practice activities in the afternoon. A more detailed agenda will follow, allowing physicians to focus on the transitions most relevant to their practice.
Physician and Medical Informatics Leads should promote awareness of patient transitions as a high-risk readiness challenge. Some will help as Champions. All should be aware of the guide (see Byte below) and contemplate how to best prepare for smooth post-launch patient movement in their clinical area.
All physicians, prescribers, nurses, allied health and other staff are encouraged to attend. They can see and learn about how complex patient movements are coordinated with clinical information system (CIS) tools and workflows. Morning demonstrations illustrate how Connect Care will facilitate the sequence of events that must occur for patients to flow safely and efficiently from emergency to ward, critical care, surgery, diagnostic imaging and other investigation and intervention venues. In the afternoon, drop-in practice centers (including a physician practice center) allow participants to dig deeper, view more specific workflows, ask questions and practice different patient movement scenarios.
Wave 1 Patient Movement Day occurs Wednesday September 18, 2019 from 08:30 to 16:00, with scenario explorations and demonstrations in the morning and practice activities in the afternoon. A more detailed agenda will follow, allowing physicians to focus on the transitions most relevant to their practice.
Physician and Medical Informatics Leads should promote awareness of patient transitions as a high-risk readiness challenge. Some will help as Champions. All should be aware of the guide (see Byte below) and contemplate how to best prepare for smooth post-launch patient movement in their clinical area.
2019-07-20
Readiness Thinking: Command Centre Participation
A "Command Centre" will be established to activate at a Wave launch and then remain responsive for 4-6 weeks post-launch. This virtual centre ensures that the right leaders and supports are in easy and continuous contact during the time of greatest transitional strain.
All affected by launch are represented in the Command Centre, with 24/7 responsiveness. Physicians leaders will be accountable to the physician population, as well as coordination needs related to other clinicians and stakeholders.
The CMIO portfolio has specific responsibility to ensure that daily physician huddles are organized and that empowered physician leaders are available for trouble-shooting. Preparation tasks include:
All affected by launch are represented in the Command Centre, with 24/7 responsiveness. Physicians leaders will be accountable to the physician population, as well as coordination needs related to other clinicians and stakeholders.
The CMIO portfolio has specific responsibility to ensure that daily physician huddles are organized and that empowered physician leaders are available for trouble-shooting. Preparation tasks include:
- Prepare for all relevant meeting schedule, agendas, and communication processes at launch for physicians.
- Prepare physician/ACMIO rounding processes during launch
- Schedule Physician resources for Command Center time period 24/7
- Assign rounding physician SuperUsers, MILs and ACMIOs
- Prepare for running and supporting daily physician huddle
- Prepare for peri-launch communication strategy
- Prepare for end-user forums, help and sharing strategy (and social media tools)
- Anticipate and work with physicians who may resist system adoption
- Anticipate and enforce no-training-to-access policy
- Continually promote personalization
Good to be thinking of these needs now. Anyone who would like to contribute to the leadership needs, please get in touch with cmio@ahs.ca
2019-07-01
Workflow Walkthrough Videos Available
Workflow Walkthroughs occur before each wave of Connect Care implementation giving a tangible view of the CIS build can work with general as well as complex workflows.
Medical informatics leads may wish to skim recorded videos of Connect Care emergent build for a comprehensive patient experience and some focused ER workflows:
Medical informatics leads may wish to skim recorded videos of Connect Care emergent build for a comprehensive patient experience and some focused ER workflows:
2019-06-24
Launch Readiness Assessment 120 - Tomorrow
We've previously described Launch Readiness Assessments (LRA) and the importance of this readiness checkpoint.
LRA-120 occurs tomorrow. Medical leads and informaticians are encouraged to consider tapping into relevant parts of this overview.
LRA-120 occurs tomorrow. Medical leads and informaticians are encouraged to consider tapping into relevant parts of this overview.
2019-06-19
Understanding Implementation Activities
This is a busy time! While we have done well to design the clinical content to be used at Wave 1 launch, there are growing demands for stakeholder contributions to the testing and validation of that content. In parallel, demand grows for physician participation in a wide range of launch readiness activities.
We've already heard about Launch Readiness Assessments and Workflow Walkthroughs. In addition, implementation stream activities include a number of other practical tasks. Watch for more information about the following:
We've already heard about Launch Readiness Assessments and Workflow Walkthroughs. In addition, implementation stream activities include a number of other practical tasks. Watch for more information about the following:
- Launch Readiness assessments: Structured comprehensive reviews of each Connect Care project stream, identifying risks and mitigation plans. These occur at 150, 129, 90, 60, and 30 days pre-launch.
- Shadow Charting: Relevant to a limited number of complex or high-risk workflows and applications, users document cases in both legacy and Connect Care environments, providing an invaluable opportunity to check devices, interfaces, multi-disciplinary workflows, and information flows.
- Appointment conversion: The conversion of appointments, referrals, cases, and waitlists from legacy systems into Connect Care.
- Abstraction: Patient information not converted may be manually entered into outpatient charts ahead of launch.
- Cutover: Key information and orders for admitted patients is entered into Connect Care in the 24-48 hours prior to launch. Cutover includes both technical and clinical elements.
- Protocol Conversion: Many complex or timed protocols, primarily in Oncology and Research, will be converted for continuation in Connect Care.
- Command Centre: Safe and well-coordinated surveillance, leadership and trouble-shooting support rapid, efficient and responsive issues detection and resolution while deploying assets like Super Users to areas of greatest need.
2019-06-14
Complex Workflow Walkthroughs
With the Connect Care Wave 1 launch (November 3, 2019) getting closer, there are more opportunities to view and validate the emerging clinical information system. We can see and influence how information tools will affect and be affected by our work and workplace.
"Workflow Walkthroughs" allow street-smart clinicians to review exactly how Connect Care can support complex clinical activities. A Walkthrough event includes detailed demonstration of one or more high-risk, high-complexity, multidisciplinary or high-volume workflows. Patient journey videos are interspersed with feedback and discussion opportunities. The goal is to discover what more we need to do to get the system attuned to our biggest challenges.
The first Walkthrough event will be held June 26, 2019, at the Bernard Snell auditorium in the Mackenzie Health Sciences Centre (Edmonton) with options for telehealth remote access. Workflow Walkthrough videos will also be made available on Insite (details to come). The first Walkthrough will be most relevant to Wave 1 and 3 clinicians.
Although all interested physicians are encouraged to contribute, it is particularly important for physician leads and medical informatics leads to consider in-person or telehealth attendance.
The Walkthrough event spans an entire workday, clearly impractical for physician schedules. However, only some parts will pertain, given the clinical area focus of medical informatics leads. Please take a look at the tentative agenda (updates to come in future postings) and consider whether any of the 45 minute blocks offer an important feedback opportunity.
The CMIO portfolio is very keen to hear feedback about the event, with input collated through mip@ahs.ca.
"Workflow Walkthroughs" allow street-smart clinicians to review exactly how Connect Care can support complex clinical activities. A Walkthrough event includes detailed demonstration of one or more high-risk, high-complexity, multidisciplinary or high-volume workflows. Patient journey videos are interspersed with feedback and discussion opportunities. The goal is to discover what more we need to do to get the system attuned to our biggest challenges.
The first Walkthrough event will be held June 26, 2019, at the Bernard Snell auditorium in the Mackenzie Health Sciences Centre (Edmonton) with options for telehealth remote access. Workflow Walkthrough videos will also be made available on Insite (details to come). The first Walkthrough will be most relevant to Wave 1 and 3 clinicians.
Although all interested physicians are encouraged to contribute, it is particularly important for physician leads and medical informatics leads to consider in-person or telehealth attendance.
The Walkthrough event spans an entire workday, clearly impractical for physician schedules. However, only some parts will pertain, given the clinical area focus of medical informatics leads. Please take a look at the tentative agenda (updates to come in future postings) and consider whether any of the 45 minute blocks offer an important feedback opportunity.
The CMIO portfolio is very keen to hear feedback about the event, with input collated through mip@ahs.ca.
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