Countdown Checklist L9, T-minus 11: Anticipate Post-Acute Cutover

Continuing a list of essential actions for Connect Care Launch 9 prescribers readying for launch November 2, 2024...

• Anticipate Post-Acute Cutover

Cutover for post-acute care is a process through which key pieces of information about admitted patients are entered into Connect Care prior to launch. The primary concern for prescribers will be the management of medication and non-medication orders, and the translation of important information about patients’ clinical status from a paper record to Connect Care.

Prescribers facilitate six key tasks as part of post-acute cutover processes:

• Pre-Launch (October 23–November 1)

1. Clean up medication orders in legacy systems. Remove unnecessary orders or unused PRNs.
2. Fill out or review and sign Non-Medication Order Forms for each admitted patient. Should be found on the front of charts. Deadline is end of day October 30 for post-acute care teams. Ensure the orders are predictive of the patient needs as of November 2 at 05:00.
3. If Best Possible Medication History (BPMH) was NOT done on the legacy BPMH form at admission, it will have to be done. Prescribers must review/complete and sign an AHS-approved BPMH form. (If BPMH was done on admission, there is nothing to do for this step.)
4. Optional: Create list of all patients the team is following by November 1 at 23:30, to ensure smooth creation of provider specific and specialty lists.
5. Optional: Summary Migration and Problem List entry can occur October 31–November 1 if teams wish to do this work ahead of time. 

• Reminder: All team members should be logged out of the legacy and Connect Care systems by November 1 at 23:30, and remain out of the system until November 2 at 05:00.

• Post-Launch (November 2)

1. Compare legacy Medication and Non-Medication orders to Connect Care orders. Orders that will be missing include but are not limited to: 
• Ongoing lab orders, only the first 24 hours worth of lab are being brought over.
• Reoccurring medications that were ordered after pharmacy closure time. 
• Wound Care orders. 
• Area specific orders.
• Orders that have changed since cutover occurred for patient.
2. Optional: If teams have decided to utilize patient lists, create provider specific and specialty lists by finding their patients on the individual units throughout the site. Once patients are located, attach your service provider team to the patients’ Current Encounter Treatment Team.

The following resources can help prescribers prepare for post-acute cutover activities (for long-term care/Continuing Care activities, see this post):

• FAQ: Post-Acute Care Prescriber Role at Cutover - Launch 9 
• Checklist: Post-Acute Care Prescriber Checklist for Cutover – Launch 9
• Manual: Cutover
• Form: Cutover Non-Medication Orders (example)
• Tip: Medication Reconciliation at Cutover