2024-11-05

BBHR: Expanded Access to Improved Transition Planning Tools

Building a Better Health Record (BBHR)

As part of our documentation quality improvement initiative, we promote practical ways for clinicians to provide clear and actionable communication at transitions of care.

Expanded Access to Improved Transition Planning Tools

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.
    • 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

CMIO Prescriber Virtual Drop-In Centre - Updated Hours

As of Saturday, November 2, the Virtual Drop-in Centre (virtualhelp.connect-care.ca) will be open 7 days a week for the next few weeks. Below are the hours for the next two weeks (note this includes the November 11 stat):  

  • November 2–17, 2024 
    • Monday–Friday: 07:00–20:00
    • Saturday–Sunday: 08:00–20:00

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. Please also see this reminder of Daylight Savings Time on Sunday, November 3.

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).

All User Bulletin - Daylight Savings Time and Scheduled Outages (November 3, 2024)

All-user-bulletins highlight stumbling blocks that all prescribers need to be aware of when using the Connect Care clinical information system.

Daylight Savings Time - Fall Back

On Sunday morning, November 3, 2024, clocks turn back one hour at 02:00 to become 01:00, when Daylight Savings Time (DST) ends. 

While the Connect Care clinical information system as a whole will not be taking an outage, due to the unique challenges falling back poses with repeated time intervals, a safe approach to the end of DST is to schedule a downtime for specific applications.

The following applications will have an outage, each with its own time and length:

  • Transfusion (WellSky Transfusion Medicine System): Sunday, November 3, 2024, from 01:59 MDT to 02:07 MST (approximately 70-minute duration). During this outage, please limit non-essential transfusion activity in Epic and follow the Blood Product Administration Downtime Procedures as needed. 
  • Bridges Device Interfaces: Sunday, November 3, 2024, from 01:50 MDT to 02:10 MST (80-minute duration). Data that flows from medical devices into the patient chart in Connect Care will be impacted (impacted medical devices include: patient monitors, hemodialysis machines, dialysis machines, Continuous Renal Replacement Therapy [CRRT] devices, fetal monitors, ventilators/anesthesia machines, perfusion machines). For full details on DST procedures for affected areas, please refer to the Fall DST Guide.

A 1-pager summarizes other key considerations around DST for prescribers, and a guide provides further details. Additional instruction on downtime procedures is also available in the Connect Care Manual and linked resources:

2024-11-01

Countdown Checklist L9: Drop In

Continuing a list of essential actions for Connect Care Launch 9 prescribers readying for launch November 2, 2024...
  • Drop In
This ends our countdown checklist, with conversion of old to new charts well underway. We hope all goes well Saturday at 05:00 when the new charts become the official record of care!

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.
Informatics specialists, Super Users and physician informatics leads are eager to help. Reach out.

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. 

Countdown Checklist L9, T-minus 0: Share and Learn

Continuing a list of essential actions for Connect Care Launch 9 prescribers readying for launch November 2, 2024...
  • Share and Learn
We are down to the final few hours. Any preparations that could be, have been. Now we must turn to one another in a spirit of collaboration.

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).
Super Users use social media to rapidly share learnings so they can be widely applied... ask them for help. They can also way-find when they are unable to provide immediate help themselves.