Connect Care Bytes Blog
Health informatics briefs for clinicians; from the Alberta Health Services Chief Medical Information Office (cmio@ahs.ca).
2024-11-19
Netcare Scheduled Downtime - Thursday November 21, 2024 at 20:00 to Friday November 22, 2024 at 04:00
2024-11-18
BBHR: Exceptional Care Plan Improvements
As part of our documentation quality improvement initiative, we promote practical ways for clinicians to provide clear and actionable communication at transitions of care.
Some patients suffer from chronic or recurring conditions that may present in settings where staff are unfamiliar with a patient's specific treatment requirements. Examples include rare bleeding disorders, complement deficiencies, and complex metabolic disorders, as well as multi-emergency department users requiring a consistent approach to management that may differ from typical practice.
Clinicians managing such patients may have devised individualized treatment plans that work best for a particular patient with a particular health condition. These "Exceptional Care Plans" (ECP) are documented in Connect Care using a workflow that ensures that the existence of the plan is highlighted for others.
ECP workflows have been enhanced to streamline and simplify the work of creating, updating, inactivating, reviewing and sharing for authorized providers. Workflow descriptions, tips and demonstrations are updated:
2024-11-15
On Other Channels...
Thank you for continuing to check the Connect Care update blog for prescribers (ideally, subscribe to multiple channels; see instructions). Recent additions to this blog and its various channels are listed below. Reminder that a camera icon in a blog post on any of our channels indicates that there is an accompanying screenshot - just click the icon to view.
- Support
- Launch 9
- Launch 9 Supports for Prescribers
- CMIO Prescriber Virtual Drop-In Centre - Updated Hours
- Hot Topics
- Week 2: Computerized Prescriber Order Entry (CPOE) ordering norms for verbal/telephone orders, update on Dragon Medical One pixelation issue
- Tips
- Manual
- See What's New (updates and additions)
- Between the Charts: CMIO Newsletter for Prescribers
CMIO Prescriber Virtual Drop-In Centre - Updated Hours
After this weekend, hours for the Virtual Drop-in Centre (virtualhelp.connect-care.ca) will slightly decrease. It remains open 7 days a week for another week, and then will be open weekdays into December. Below are the hours for the remainder of the month:
- November 15 (today): 07:00–20:00
- November 16–22: 08:00–20:00
- November 23–24 (final weekend): 09:00–17:00
- November 25–29: 08:00–18:00
More information on the Virtual Drop-in Centre (including how to access and a full schedule of hours during the launch support period) can be found at launchhelp.connect-care.ca.
2024-11-08
On Other Channels...
Thank you for continuing to check the Connect Care update blog for prescribers (ideally, subscribe to multiple channels; see instructions). Recent additions to this blog and its various channels are listed below. Reminder that a camera icon in a blog post on any of our channels indicates that there is an accompanying screenshot - just click the icon to view.
- General
- Launch 9: We are GO!
- Phased Replacement of IMPAX Viewer - Starts November in North Zone
- Building a Better Health Record: Expanded Access to Improved Transition Planning Tools
- Launch 9
- Launch 9 Supports for Prescribers
- CMIO Prescriber Virtual Drop-In Centre - Updated Hours
- Improving Issue Reports and Help Desk Interactions
- Hot Topics
- Day 1 and 2: workflow updates, Dragon Medical One pixelation issue
- Day 3 and 4: external medication cutover at Continuing Care facilities with external contracted pharmacy
- Day 5: referrals to Home Care
- Day 7: patient transfers (IFTs) to Continuing Care/Long-Term Care, prescriber support over long weekend
- Tips
- Tippy - MD Notifications in Patient Lists
- Tippy - Simple Patient List Reports
- Tippy - Custom Schedules
- Manual
- See What's New (updates and additions)
- Between the Charts: CMIO Newsletter for Prescribers
2024-11-07
Improving Issue Reports and Help Desk Interactions
Problem reports (help.connect-care.ca "tickets") have been well within expectations so far with Connect Care Launch 9. Of course, more tickets are expected as clinical volumes ramp up. The good news is that tickets are resolved quickly, with critical tickets resolved within minutes to hours.
Helpdesk tickets route most efficiently when the user provides clear information at the right level of detail. See our tips for impactful issue reports:
2024-11-05
BBHR: Expanded Access to Improved Transition Planning Tools
As part of our documentation quality improvement initiative, we promote practical ways for clinicians to provide clear and actionable communication at transitions of care.
Connect Care provides a set of integrated supports that can help clinicians anticipate and plan for a patient's discharge from hospital. Designed to facilitate multidisciplinary collaboration, the Transition Planning Package improves communications within and across encounters.
Recent enhancements expand access to a common set of standardized discharge planning tools for all participating disciplines, including transition coordinators, physiotherapy, occupational therapy, recreation therapy, psychology, spiritual care, respiratory therapy, speech language pathology, dietetics and social work. Care teams can customize the planning tools to adjust which discipline "readiness" statuses are tracked. A new rich text field allows teams an easier way to capture and continually update narrative planning considerations that arise in Rapid Rounds and are helpful to track.
In addition to full access to Rapid Rounds supports, all team members can view and interact with a patient's transition plan through an inpatient chart sidebar, summary activity index and/or summary activity "patient story" display. All have been enhanced in response to user feedback.
Finally, the current and discharge target "safe handling status" (SHS, a simple measure of requirements for things like patient transfers, correlating with functional mobility required for discharge readiness) is now incorporated into Connect Care transition planning tools. A SHS column can be added to Rapid Rounds (and other) patient lists. SHS current and target status is incorporated into the integrated readiness ("traffic lights") tool as well as chart sidebar, storyboard and other planning reports.
2024-11-04
Phased Replacement of IMPAX Viewer - Starts November in North Zone
Provincial Enterprise Imaging (PEI) is replacing the IMPAX system as the new Picture Archive and Communication System (PACS). Implementation of PEI will be phased, starting with North Zone on November 12, 2024. The remaining zones will implement PEI between January and May 2025 (see this poster for a timeline). Note that, for North Zone's implementation, OrthoView will also be replacing MediCAD as the orthopedic templating software.
- PEI Implementation
- PEI is replacing the IMPAX system. PEI integrates into Connect Care and will help streamline workflows by providing convenient access to imaging data and reports.
- After PEI implementation, many medical staff will view diagnostic images and reports via the XERO Viewer in Connect Care.
- Tip: Launching Xero Viewer (note this workflow is the same as currently used to launch IMPAX)
- Training for PEI is through MyLearningLink. Medical staff who require PEI access will be given training information before implementation in their zone.
- In scope roles for access include radiologists, emergency prescribers, and orthopedic surgeons. For other prescribers who believe they may need access to PEI, please contact ProvincialEnterpriseImaging@ahs.ca.
- OrthoView Implementation (North Zone)
- OrthoView will replace MediCAD. OrthoView is an advanced orthopedic planning tool integrated within PEI.
- Training for OrthoView is available on request. For any prescribers who require training, please contact DIBusinessSupport@ahs.ca.
For more information, see the posters. Reminders for the remaining zones will be posted here closer to their respective implementation dates.
2024-11-02
Launch 9: We are GO!
As of 05:00 today, Connect Care welcomes 155 sites from across the province into the family; with this launch, Health Link and Correctional Health facilities are now on Connect Care, as well as additional Population and Public Health programs, and Continuing Care sites including Home Care, CapitalCare facilities and Covenant Health sites! The first few days will be intense, but with lots of help at hand we are confident that progress will be fast.
Prescribers, please make use of the Virtual Drop-in Centre and other launch supports (launchhelp.connect-care.ca). Watch this channel for any updates, as well as the Support channel for information on "hot topic" common issues that have been flagged for Launch 9 prescribers. A Launch 9 Updates section in the Connect Care Manual also flags the largest system updates and workflow changes to be aware of (for prescribers in all launches).
2024-11-01
Countdown Checklist L9: Drop In
- Drop In
Of course that's only the start. We'll have a working system but we'll need to grow it, and grow with it, to fulfill its potential.
- Virtual Drop-in Centre help is available via virtualhelp.connect-care.ca.
- HelpDesk is always open via help.connect-care.ca.
On Other Channels...
Thank you for continuing to check the Connect Care update blog for prescribers (ideally, subscribe to multiple channels; see instructions). Recent additions to this blog and its various channels are listed below. Reminder that a camera icon in a blog post on any of our channels indicates that there is an accompanying screenshot - just click the icon to view.
- General
- Seeking Site Medical Informatics Leads (North, Central, and South Zones)
- Important Updates for All Connect Care Prescribers (Launches 1-9)
- Between the Charts: CMIO Newsletter for Prescribers - Issue 12 Now Available
- All User Bulletin - Dragon Medical One Issues
- All User Bulletin - Daylight Savings Time and Scheduled Outages (November 3, 2024)
- AHS Digital Scribe Project
- Launch 9
- Launch 9 Supports for Prescribers
- CMIO Prescriber Virtual Drop-In Centre Now Open
- Countdown Checklist
- T-minus 6: Follow the Tippies
- T-minus 5: Find Help at the Virtual Drop-In Centre
- T-minus 4: Unburden as Possible
- T-minus 3: Buddy Up, Team Up
- T-minus 2: Catch Up Dictations
- T-minus 1: You've Got This!
- T-minus 0: Share and Learn
- Launch 9 Supporters
- FAQ
- Support
- Discharge Dispositions - Simplified Options
- New Order Set - Cystic Fibrosis Admission Adult
- E0 Workflow Updates
- New Pediatric Dosing Weight BPA
- Laboratory Results Review Update - Cord Blood Gases
- Advanced Care Planning and Goals of Care Designation Updates
- Optimization Training - Classes in November
- Tips
- Manual
- See What's New (updates and additions)
- Between the Charts: CMIO Newsletter for Prescribers
Countdown Checklist L9, T-minus 0: Share and Learn
- Share and Learn
Super Users are widely distributed. Look for yellow and orange lanyards (prescriber supports; pink caps in the OR). Don't struggle. Ask for help.
- Late breaking tips and gap-fillers will be added to the Connect Care Manual. System/workflow updates and training addendums to be aware of around launch are also flagged on the Launch 9 Updates page of the Manual.
- The Connect Care Prescriber Updates will focus on pointers to new material, key developments, tips, tricks and FAQs. Use the buttons at the top, especially Tips, FAQ and Support.
- Ask a Super User or call the IT Service Desk with urgent needs: 1-877-311-4300.
- Request non-urgent (not addressed by peers and Super Users) needs, ideas and suggestions at help.connect-care.ca.
- Use the Virtual Drop-in Centre (virtualhelp.connect-care.ca).
2024-10-31
AHS Digital Scribe Project
An exciting Quality Improvement project is about to launch in three emergency departments within AHS. Starting November 5, an artificial intelligence (AI) digital scribe application is going to be trialed by a small group of emergency physicians at the University of Alberta Hospital, the Royal Alexandra Hospital, and the Red Deer Regional Hospital Centre (RDRHC).
The project is a collaboration between AHS, the University of Alberta, and the Canadian Medical Association. Created initially by RDRHC emergency physician Dr. Mike Weldon with subsequent development by an in-house AHS team, the app, called AHS Digital Scribe, records and transcribes conversations between doctors and patients, and translates relevant details into medical notes. Once they review the notes, physicians can then copy and paste that information into Connect Care. The patient data are kept private and secure, within AHS.
The hope is that the AHS Digital Scribe will reduce the administrative burden on physicians, while improving the care experience for both patients and their healthcare providers. With this technology, providers can hopefully focus more on direct patient care than on typing or dictating notes.
Initially, there will only be a small number of physicians in each designated emergency department using the digital scribe technology, but the intention is to increase the number over the coming months. We want to gather their feedback to better understand how this works in our healthcare environment and the impact it has on the clinician and patient experience. If it is shown to be successful, we will investigate the feasibility and cost of a larger project that could be integrated with Connect Care.
More information on the AHS Digital Scribe project is available at the Canadian Medical Association site: University of Alberta | CMA. It’s expected the 2-year pilot will be complete by June 2026.
All User Bulletin - Dragon Medical One Issues
Dragon Medical One Issues
Users are experiencing pixelation of text in Connect Care when Dragon Medical One (mobile dictation, DMO) is active. IT is actively troubleshooting the issue.
Update (Oct 31): The issue seems to be due to the upgraded version of DMO that went live October 9. IT will be rolling back to the older version of DMO until the issue is fixed. This roll back, however, cannot be done prior to Launch 9, and is expected to be completed by mid-November.
Between the Charts: CMIO Newsletter for Prescribers - Issue 12 Now Available
Our monthly newsletter for prescribers, called "Between the Charts", summarizes key news items, Epic system updates, efficiency tips and extras that will help prescribers optimize their Connect Care user experience, all in two pages. The next issue is now out, available at the below link! This issue includes information on:
- Prescriber Virtual Drop-In Centre for Launch 9 and Arthur Child prescribers/consultants
- Workflow updates for all launches due to Launch 9
- Daylight Savings Time on November 3
- MyAHS Connect access changes and referral information
- Simplified discharge dispositions for IFTs
- H&P lookback setting extended
- Op Notes in Prep for Procedure navigator
- Advanced Care Planning/Goals of Care Designation updates
- E0 Case Scheduling workflow updates for all STAT surgical cases
- SMAT changes in pediatric/neonatal order sets coming soon
- AHS Digital Scribe Project
- And more!
The previous issues can still be accessed, via the archive in the Connect Care Manual.
If you have any feedback on this issue or have a suggestion for content you'd like included in a future issue, please send us an email.
Important Updates for All Connect Care Prescribers (Launches 1-9)
To prepare for Launch 9, there have been a number of system updates and new or changed workflows that affect both new and previously launched Connect Care prescribers.
A new section in the Connect Care Manual flags the largest updates and changes to be aware of - Launch 9 Updates. It includes the following topics:
- Changes relating to admitting from/discharging to Continuing Care facilities launching in North and Edmonton Zones
- Changes to disposition selection in the Discharge order for all IFTs
- Changes related to Population and Public Health programs joining Connect Care, including Health Link
Countdown Checklist L9, T-minus 1: You've Got This!
- You've Got This -- And We've Got Your Back
- There are approximately 285 CMIO end users across the North, Edmonton, Central, Calgary, and South Zones who are part of Launch 9.
- 20 CMIO Super Users are deployed across the province, for CMIO end user support totalling over 720 hours of scheduled availability (this is expected to increase in the coming week).
- 1127 hours of virtual drop-in support are scheduled for prescribers during the pre- and post-launch period.
2024-10-30
Countdown Checklist L9, T-minus 2: Catch Up Dictations
- Dictate any pre-launch admission or transfer notes
Succinct initial progress notes become possible in Connect Care if they can refer to an existing digital admission or transfer record and simply note any changes since. The same applies for Consults performed in the coming week for patients expected to still be in-hospital post-launch.
- Take advantage of eScription to facilitate easier Connect Care cutover this weekend!
2024-10-29
Seeking Site Medical Informatics Leads (North, Central, and South Zones)
Alberta Health Services is seeking passionate leaders to fill multiple available positions as Site Medical Informatics Leads (SMILs) in the North, Central, and South Zones (positions for Edmonton and Calgary Zones will be posted and advertised soon). The SMILs will collaborate closely with their Zone's Medical Leadership team and work together with leadership and healthcare practitioners at assigned facilities/site(s) to ensure the seamless integration and optimization of Digital Health. The SMILs will:
- directly engage site leadership;
- establish and maintain effective communications;
- identify workflow and tool gaps;
- contribute local/specialized knowledge;
- be a visible champion for clinical systems; and
- be involved in enhanced local decision-making.
The SMILs will be seasoned physicians within the province of Alberta who understand the complexities of large-scale transformational change, have experience in clinical operations, are committed to continuous quality improvement, and can contribute to the innovation, integration, and consistency of patient-centered clinical care. The successful candidates would report to the Chief Medical Information Officer.
The postings will remain open until suitable candidates are found.
For a full description of the positions and to apply, see the relevant zonal posting:
Countdown Checklist L9, T-minus 3: Buddy Up, Team Up
- Buddy-Up and Team-Up
There are valuable human resources embedded in Launch 9 sites and others flowing in from Zone sites already on Connect Care. Pre-socialize your Super Users, Medical Informatics Leads, Area Trainers and other specialty, ward or clinic informaticians. Create and share a launch contact list that fits your local group needs. Prescriber launch supports (launchhelp.connect-care.ca) link to a Super User schedule - good contacts to start with.
This is also a good time to consider how clinical information system adoption work can be divided and shared. Some personalization tasks, for example, can dramatically improve the user experience but take time to set up. Many can be initiated by a team member who understands the preferences of colleagues then shared for adoption by a larger group. Examples of allocatable personalization tasks are listed in the Connect Care Manual.
Consider devoting group, division, or other business meetings to identifying, and sharing, remaining team readiness tasks.
2024-10-28
Countdown Checklist L9, T-minus 4: Unburden as Possible
- Unburden where and when Possible
- Identifying and flagging complex continuing patients who may need more cutover attention during the pre-launch week (see previous posts on pre-launch cutover tasks here and here).
- Printing patient lists the evening before launch to ease populating provider care team lists on launch day.
- Protecting time before launch to confirm access to the Connect Care production environment for re-familiarization with training activities and high-value personalizations.
2024-10-27
Countdown Checklist L9, T-minus 5: Find Help at the Virtual Drop-In Centre
- Take advantage of the Prescriber Virtual Drop-in Centre
The Virtual Drop-in Centre is already open! More information on the Virtual Drop-in Centre – including how to access and a full schedule of hours during the launch support period – can be found in the Connect Care Manual (launchhelp.connect-care.ca).
2024-10-26
Countdown Checklist L9, T-minus 6: Follow the Tippies
- Follow Connect Care Tippies
Tippies are published on our "Tips" channel (button above or tips.connect-care.ca) and are re-released approximately twice a week in the peri-launch period. Please consider subscribing to the Tips channel.
The entire Tippies collection can be viewed via tippies.connect-care.ca or tippy.connect-care.ca (worth bookmarking).
2024-10-25
On Other Channels...
Thank you for continuing to check the Connect Care update blog for prescribers (ideally, subscribe to multiple channels; see instructions). Recent additions to this blog and its various channels are listed below. Reminder that a camera icon in a blog post on any of our channels indicates that there is an accompanying screenshot - just click the icon to view.
- General
- MyAHS Connect - Access Update [updated with resources]
- Launch 9
- Launch 9 Supports for Prescribers
- CMIO Prescriber Virtual Drop-In Centre Now Open
- Handout Reminder for Launch 9 Supports
- Countdown Checklist
- T-minus 18: Identify Launch Supports
- T-minus 16: Check Provider Registry Entry
- T-minus 14: Confirm Dual Roles
- T-minus 13: Get Ready for RAAPID
- T-minus 12: Know Where to Get Downtime Help
- T-minus 11: Anticipate Post-Acute Cutover
- T-minus 10: Anticipate Computerized Prescriber Order Entry (CPOE)
- T-minus 9: Check In Basket
- T-minus 8: Complete Login Lab
- T-minus 7: Support Cutover Activities
- Support
- Tips
- Tippy - Time Shortcuts
- Tippy - Changing Jobs
- Tippy - Changing Context
- Tippy - Linking Personal to System Patient Lists
- Manual
- See What's New (updates and additions)
- Between the Charts: CMIO Newsletter for Prescribers
Countdown Checklist L9, T-minus 7: Support Cutover Activities
- Support Cutover Activities
- General inpatient: Make sure that all dictations are complete and signed; use dictation (eScription) for all admissions, transfers and consults between now and launch, if possible, so that transition notes at launch can refer to recent documentation in Netcare.
- Outpatient: Make sure that all clinic documentation is complete, signed and routed, while also taking care to close any charts still open in legacy systems.
- Long-term care (LTC): Review orders entered into Connect Care for LTC residents to ensure accuracy of medication and non-medication orders.
- Complex patients: Consider pre-launch problem list documentation to support easy transition note generation at launch. Please be aware that clinical teams may still be entering information up until November 1 at 23:30.
- Post-acute: Please ensure all forms are reviewed and signed by October 30. All new patients admitted from October 31 to November 1 will need cutover forms signed.
- FAQ: Prescriber Role at Cutover – Launch 9 Post-Acute Care
- FAQ: Prescriber Role at Cutover – Launch 9 LTC
- FAQ: Prescriber Role at Cutover – Launch 9 DSL and LTC with Contracted Pharmacy
- Checklist: Prescriber Checklist for Cutover – Launch 9 Post-Acute Care
- Checklist: Prescriber Checklist for Cutover – Launch 9 Continuing Care
- Manual: Cutover
2024-10-24
Countdown Checklist L9, T-minus 8: Complete Login Lab
- Complete CMIO Login Lab
In addition, all prescribers are required to complete a "CMIO Login Lab" found within Connect Care Hyperspace. This checks that the right tools are assigned to the user in the right way.
Step-by-step instructions are provided in a tip:
2024-10-23
Countdown Checklist L9, T-minus 9: Check In Basket
- Check In Basket
Some prescribers participate in or are affected by early cutover and conversion activities; they can line up orders that need to be ready in the system at launch. There may be communications that relate to setting up surgical cases or outpatient encounters that will occur post-launch. In addition, once a prescriber's account is activated in PRD, new test results will start to automatically route to the prescriber's In Basket, and other Connect Care users can send messages to the prescriber via In Basket.
More information on managing results and reports is available in the Connect Care Manual. A Results Management Toolkit has been prepared (and is continually enhanced) to help prescribers hone effective and efficient results management habits. Prescribers with "mixed-context" practices need to be aware of situations where results might route to both their Connect Care and external EMR systems.
For these and other reasons, it is best to start regular In Basket checks now. A useful In Basket personalization sends alerts to an email of one's choice when there is new In Basket content.
2024-10-22
Countdown Checklist L9, T-minus 10: Anticipate Computerized Prescriber Order Entry (CPOE)
- Anticipate CPOE
CPOE offers an important means by which health processes and outcomes can improve. Entered orders trigger clinical decision supports that can help avoid unsafe medications, promote best practices and improve system performance. Studies show that the move from paper to CPOE decreases common medication errors by 50% or more.
Accordingly, it is a Minimum Use expectation that all tests, interventions and medications that can be ordered in Connect Care must be ordered in Connect Care. Very few exceptions are acceptable.
Connect Care provides tools that make CPOE as easy as possible. Indeed, with the convenience of ordering personalized favourites on any computer or mobile device, anywhere, anytime, ordering is easier to do, and do well, than when constrained by paper. Still, Launch 9 will bring significant change for many providers at facilities moving from paper to computerized order entry. This is a good time to anticipate and prepare for CPOE. Launch 9 prescribers should discuss with their medical leadership about expectations of CPOE as well as their department’s non-urgent communication tools pact.
2024-10-21
Countdown Checklist L9, T-minus 11: Anticipate Post-Acute Cutover
- Anticipate Post-Acute Cutover
Prescribers facilitate six key tasks as part of post-acute cutover processes:
- Pre-Launch (October 23–November 1)
- Clean up medication orders in legacy systems. Remove unnecessary orders or unused PRNs.
- 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.
- 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.)
- 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.
- 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)
- 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.
- 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.
2024-10-20
Countdown Checklist L9, T-minus 12: Know Where to Get Downtime Help
- Know where to get Downtime Help
Most clinicians rarely, if ever, experience a scheduled downtime, and unscheduled downtimes are even rarer. The key is to know where to find just-in-time information and support.
The Connect Care Manual is hosted on separate servers not affected by AHS infrastructure, and so remains available during downtimes. In preparation for launch, check out the following link to see what the Manual covers. Essential information on downtime procedures is covered in a 1-page tip sheet, worth bookmarking. The first downtime scheduled after launch will be in February 2025, so there will be plenty of time to prepare.