Connect Care Support Forum

Anesthesia Plan Notewriter Updates

Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...

Anesthesia Plan Notewriter Updates

As of October 7, 2025, the following questions in the Anesthesia Plan Notewriter, "Informed Consent" section have had their answers updated to align with the Consent to Surgery/Invasive Procedure form (click the camera icon for a screenshot):

“Anesthetic plan and risks discussed with”
“Use of blood products discussed with”

Rourke Baby Record SmartTexts Updated

Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...

Rourke Baby Record SmartTexts Updated

As of October 9, 2025, the Rourke Baby Record SmartTexts have been updated in Connect Care to reflect the most recent version available of the Rourke Baby Record tool. The changes are primarily an improved look and feel. For details of the changes, see:

Resource: Rourke Baby Record - Highlights of Revisions

Anesthesia Updates - Upcoming Changes to TCI Medications

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Anesthesia Updates - Upcoming Changes to Target-Controlled Infusion (TCI) Medications

As of October 2, 2025, the following changes will be made to the TCI Medications workflow within the intraoperative setting for Anesthesia users.

TCI Medications will now appear as a dedicated item within the Meds toolkit, rather than as a separate toolkit item.
Three medications will be available: propofol, remifentanil, and sufentanil (click the camera icon for a screenshot).

Each medication will have its TCI Model prepopulated appropriately, with the TCI Target set to "Plasma" by default.
When adding TCI medications or new bags, users must manage weight and dosing hardstops.
Additional options such as linking the medication to a line and adding comments are available to support documentation and workflow clarity.

We encourage users to submit enhancement requests via ServiceNow tickets to help refine and improve the workflow for Anesthesia.

Tool Tune Up: September 2025 Order Tool Updates

The spreadsheet linked from this post will be updated throughout the month as needed.
Consider looking back each week.

The spreadsheet linked below details recent or upcoming changes to order tools (e.g., order sets, SmartSets, therapy plans) that may impact prescriber personalization. Note that the link to the spreadsheet remains the same for the year, with a new tab added for each month.

The spreadsheet is typically updated at the end of each week if any new changes are confirmed/implemented. If the spreadsheet has been updated, a note with the date will be added after the spreadsheet link.

Spreadsheet: Order Tool Updates - September 2025 [last updated Sep 25]

Tip: See the first "READ ME" tab for an explanation of the spreadsheet's tabs and columns.

Optimization Training - Classes in October

The CMIO Prescriber Experience team offers Optimization classes (a.k.a. Thrive classes), where Connect Care prescribers can learn how to take full advantage of the features of the clinical information system, to help maximize their productivity and spend more time with patients. Classes are typically 60 minutes in length each and focus on completing common workflows more efficiently.

Below are the Optimization classes scheduled for October 2025:

Dragon Medical One (DMO) Advanced

October 9, 12:00–13:00
October 28, 12:00–13:00

In Basket Management

October 1, 10:00–11:00
October 7, 12:00–13:00
October 21, 14:30–15:30
October 24, 09:00–10:00
October 29, 13:30–14:30
October 30, 12:00–13:00

Lab Ordering

October 8, 12:00–13:00
October 22, 12:00–13:00

Mental Health Act Forms

October 8, 12:00–13:00

Notes

October 9, 12:00–13:00
October 14, 12:00–13:00

Orders Optimization

October 1, 12:00–13:00
October 7, 10:00–11:00
October 14, 12:00–13:00

SmartTools

October 7, 12:00–13:00
October 17, 12:00–13:00

Therapy Plans

October 10, 13:00–14:00
October 21, 12:00–13:00

Prescribers can register for these Optimization classes at the below link (clicking the “Optimization” button at the bottom of any page in the Connect Care Manual will also take you to the booking page). Spots are limited to ensure trainers can address individual questions. Please ensure that you review your confirmation email from "Bookings CMIO Thrive" for the class link, and requirements for the session.

Normal Newborn Order Set Changes

Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...

Normal Newborn Order Set Changes

As of September 18, 2025, a number of changes will go live that affect Normal Newborn order sets. The changes will break existing personalization, so prescribers will need to re-personalize their affected order sets.

The following changes apply to the Normal Newborn Nursery Admission order set and, for the last two changes, also to the Normal Newborn Nursery Medications and Immunizations order set (click here for screenshots):

Admit Order: Updated to “Admit to Nursery” with "Level of care" defaulted to “Newborn Healthy”, to support hospital billing processes.
Vital Signs – Assisted Birth: Renamed to “Vital Signs for Infants at Risk of Subgaleal Hemorrhage”, to align with the new guideline Monitoring Infant for Subgaleal Hemorrhage.
Vital Signs Frequency – All Vital Signs: All references to “Every Shift” have been changed to “Every 8 Hours”.
Vital Signs – Infants less than 37 Weeks Gestation: This order is now pre-selected if the patient is less than 37 weeks gestation.
Weight Orders: Simplified to two options:

Weigh at birth. Switch to daily weights if the newborn is at risk (e.g., SGA, less than 37 weeks, hyperbilirubinemia/ phototherapy, feeding difficulties beyond typical newborn feeding).
Weigh at 48 hours of age if the infant remains admitted.

Head Circumference Orders: Updated to align with the Monitoring Infant for Subgaleal Hemorrhage guideline.
Glucose Meter POCT Orders: Split into two separate orders, to clarify testing for symptomatic vs. at-risk neonates.
Congenital Heart Defect Screening Order (optional order): Updated for clarity.
EHDI Hearing Screening Order: Removed due to an alternate workflow for identifying infants needing screening.
Oral Sucrose Dosing: Changed from 1 mL to 0.2 mL.
Hepatitis B Vaccine Orders: Frequency changed to “during hospitalization”, to align with pharmacy workflow and prevent automatic dispensing. “Administer as soon as possible within 12 hours of birth” has been added to the comments.

For questions or concerns regarding these changes, contact ClinicalSystemImprovement@ahs.ca. Note parallel changes will also be made to the Nursing/Allied Health – Well Newborn Admission Protocol order set.

If you need help re-personalizing the order set, please call the AHS Help Desk or submit a ticket within Connect Care requesting assistance.

Med Pass Nutrition Orders Replaced with NutraPass Orders

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Med Pass Nutrition Orders Replaced with NutraPass Orders

As of September 16, 2025, Med Pass orders will be replaced with two NutraPass orders: NutraPass: Ensure Advance and NutraPass: Resource 2.0. Order sets will be updated with the new orders and defaults maintained, and the old Med Pass orders will be automatically removed from preference lists. Relevant synonyms are also set up to guide users to the new orders.

Prescriber actions for this change:

Favourite the new NutraPass orders to add to preference lists.
Delete any active Med Pass orders and enter NutraPass orders.

For more information:

Updates to Inpatient Consult to Physical Medicine and Rehabilitation Order

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Updates to Availability of Inpatient Consult to Physical Medicine and Rehabilitation Order

To align the Inpatient Consult to Physical Medicine and Rehabilitation order with areas where services are provided and ensure that inpatient consult orders only exist in facilities where that service is provided using the consult order process, as of September 16, 2025, there will be two versions of the order:

Inpatient Consult to Physical Medicine and Rehabilitation – specific services

Populates a patient list monitored by the service
Available only at locations where services are offered
Available orders (click the camera icon below for an example screenshot):

Inpatient Consult to Physical Medicine and Rehabilitation – Amputation
Inpatient Consult to Physical Medicine and Rehabilitation – Brain Injury
Inpatient Consult to Physical Medicine and Rehabilitation – Burns
Inpatient Consult to Physical Medicine and Rehabilitation – General Neurorehabilitation
Inpatient Consult to Physical Medicine and Rehabilitation – Musculoskeletal
Inpatient Consult to Physical Medicine and Rehabilitation – Spinal Cord Injury
Inpatient Consult to Physical Medicine and Rehabilitation – Stroke

Inpatient Consult to Physical Medicine and Rehabilitation – General

Populates a patient list monitored by Rehab Navigators in all zones
Available at all locations where services are not offered orders are monitored by Rehabilitation Navigators’ Team

If any issues related to this change arise, please log a Service Now ticket.

Updates to Inpatient Adult CVAD Locking Order Panel and CVAD Care Therapy Plan

Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...

Updates to Adult CVAD Locking Order Panel and CVAD Care Therapy Plan

To support consistent practice and reduce variability in vascular access device management, AHS is transitioning from the standardized use of medicated locking solutions to Sodium Chloride 0.9% lock solution as the preferred locking solution for Central Vascular Access Devices (CVADs). As of September 16, 2025, the Adult CVAD Locking Solution Order Panel and the CVAD Care Therapy Plan are being updated to incorporate the following changes (click the camera icon below for a screenshot):

Prescriber guidance has been added to the Adult CVAD Locking Solution panel to support transitions to medicated locking solutions (plus clinical guidance and algorithm links).
The Sodium Chloride 0.9% flush order has been removed from the CVAD Care Therapy Plan.
A new pre-selected nursing communication order has been added to both ordering tools, supporting the use of Sodium Chloride 0.9% flushes without a prescriber order. (Additionally, a link to the CVAD Medicated Locking Solution Algorithm has been included to support nurses' decision-making when transitioning to medicated locking solutions.)

These updates aim to streamline workflows, support nursing autonomy, and ensure alignment with best practice standards.

Taming In Basket - Removal of Messages Older Than 90 Days

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Taming In Basket - Removal of Messages >90 Days

Clinical information systems have increased the volumes of messages prescribers and other users need to manage, and AHS is committed to making adjustments to reduce clutter and increase In Basket message relevance. The "Taming In Basket" project was launched to identify In Basket messages that can be safely auto-expired, to reduce the volume of existing In Basket messages and to empower users to use In Basket efficiently.

As previously posted, in June 2025 the second batch of In Basket message types were set to auto-expire after 90 days but, at that time, messages older than 90 days that were already in users' In Baskets were not removed. As of September 17, 2025, messages of the following types that are older than 90 days will be removed from users' In Basket view in Hyperspace. The decluttered view will make it easier for users to action new and task-oriented messages.

Chart Correction Requests
Letter Queue
Note Routing - IP ROUTING
Overdue Rslt
Patient Clinical Update
Patient Questionnaire Submission
Radiology Messages
Referral Message
Referral Notification Letter
Result Notes
Staff Message

Please note that while the messages are removed from users’ In Basket view, they are still retrievable for 60 days (i.e., until November 17; see the FAQ blog post on how to retrieve) before being purged from the system. Afterward, all messages will still be retained in databases in case they need to be retrieved in the future for legal/privacy/etc. investigation, but messages cannot be retrieved this way for individual users.

Furthermore, any messages that users postponed utilizing "Follow up" functionality will be included in the auto-expiry rule only after the date the message comes back to the My Messages space.

For more information on In Basket, please see the CMIO's In Basket Management Guide:

Guide: In Basket Management - CMIO

Massive Hemorrhage Protocol (MHP) Order Sets - Updates

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Updates to the Massive Hemorrhage Protocol Order Sets

As of September 16, 2025, there will be several improvements made to the Massive Hemorrhage Protocol (MHP) order sets in Connect Care, including revised naming and application of site restrictors.

Updated Naming: Massive Hemorrhage Protocol Adult and Pediatric order sets will now be named:

Massive Hemorrhage Protocol (Greater than or equal to 50 kg)
Massive Hemorrhage Protocol (Less than 50 kg)

Updated Availability:

Both order sets will be fully available at the 16 sites across the province that support the Massive Hemorrhage Protocol.
At all other sites, if the order set is selected, only guidance text will be visible, indicating that the site does not support the Massive Hemorrhage Protocol. There will be a link directing prescribers to Managing a Hemorrhaging Patient Protocol – Rural and Suburban Sites.

Lab Order Update - Expiring Lab Orders [Updated]

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Lab Order Update - Expiring Lab Orders

As of July 17, 2025, expiring repeating inpatient lab orders will now show up in the "Expiring Orders" section of the Orders activity 3 days before they expire. Quick buttons can be used to renew, modify, discontinue, or let expire these orders (click the camera icon below for a screenshot).

As before, any lab orders expired TODAY will show under the "Expired Orders" section. These expired orders will have quick buttons for reordering or discontinuing.
All other expired lab orders will require a new order.

Update (Sep 10): There is now a column available in Patient Lists that displays repeating labs that are expiring within 2 days, "Expiring Repeating Lab 2d".

Hazardous Medication Alerts for Ambulatory Patients

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KNOWN Hazardous Medication Storyboard Alerts

As previously posted, an alert was recently introduced in Connect Care to identify non-ambulatory patients receiving hazardous medications, as phase 1 of integrating hazardous medication identification into Connect Care. As of August 26, 2025, phase 2 has expanded the KNOWN hazardous medication alert to ambulatory settings.

The KNOWN Hazard Medication Storyboard Alert informs healthcare providers that the patient has received a KNOWN hazard medication, and they are within the precautionary period. This alert enables healthcare providers to be aware that PPE will be required based on the task they are performing.

Providers should consult the AHS/COV Hazardous Medication PPE Guide to determine the type of PPE required.

The alert will appear on the patient's Storyboard given one of the following scenarios:

A KNOWN hazard medication has been administered on the patient’s MAR.
A KNOWN hazard medication is identified on the patient’s home medication list.

The alert will remain active until:

the indicated precautionary period has passed (if the medication was administered through the MAR); or
the medication has been discontinued, cancelled, or expired.

The Provincial Hazardous Medication Committee (PHMC) plans to send out a survey in the fall to allow healthcare providers to provide their feedback on the alert and whether the alert meets their needs, especially those who do not have access to the MAR. In the interim, any questions about the alert can be sent via a Service Now ticket.

For more information, see:

Tool Tune Up: August 2025 Order Tool Updates

The spreadsheet linked from this post will be updated throughout the month as needed.
Consider looking back each week.

Spreadsheet: Order Tool Updates - August 2025 [spreadsheet last updated August 28]

Tip: See the first "READ ME" tab for an explanation of the spreadsheet's tabs and columns.

Results Routing Change for After-Discharge Orders Placed During an Inpatient Encounter

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Results Routing Change for After-Discharge Orders Placed During an Inpatient Encounter

As of August 28, 2025, results for after-discharge ambulatory orders placed during an inpatient encounter (e.g., in the Discharge navigator or External Orders) will route to the Authorizing Provider instead of the last Attending. There is no change to results coming back post-discharge that were collected during the admission.

If the Authorizing Provider is also the Attending, there will be no change observed.
Other prescribers placing orders to be performed and followed up after discharge will now receive results directly.

For more information about the ongoing Connect Care Results Routing Optimization, see the 1-pager.

Optimization Training - Classes in September

Below are the Optimization classes scheduled for September 2025:

Dragon Medical One (DMO) Advanced

September 16, 12:00–13:00
September 24, 12:00–13:00

In Basket Management

September 11, 08:00–09:00
September 16, 10:00–11:00
September 17, 13:00–14:00
September 23, 14:30–15:30
September 25, 11:30–12:30

Mental Health Act Forms

September 10, 12:00–13:00
September 29, 12:00–13:00

Notes

September 9, 12:00–13:00
September 24, 12:00–13:00

Orders Optimization

September 16, 11:30–12:30
September 18, 12:00–13:00
September 22, 10:00–11:00
September 25, 10:00–11:00
September 29, 10:00–11:00

SmartTools

September 8, 12:00–13:00
September 23, 12:00–13:00

Therapy Plans

September 11, 11:00–12:00
September 23, 14:30–15:30

Anesthesia (These classes do not have to be done in chronological order, and each covers different topics)

Anesthesia Optimization 1 - Intraprocedural Workflows

September 12, 11:00–12:00

Anesthesia Optimization 2 - Working with Anesthesia Records

September 18, 12:00–13:00

Anesthesia Optimization 3 - Personalizing Macros

September 24, 15:00–16:00

Outpatient Dobutamine Stress Echocardiogram Order - New Hard Stop

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Outpatient Dobutamine Stress Echocardiogram Order - New Hard Stop

As of August 18, 2025, a new hard stop question will be added to the outpatient Dobutamine Stress Echocardiogram (DSE) order. The ordering provider will be prompted to review the patient's current medications and, if they determine that any of those medications should be held prior to the exam, they will then be prompted to provide a list of those medications as well as a time frame of when the patient can begin to hold those medications (click the camera icon below for a screenshot).

Inpatient DSE orders will not include this hard stop.

Ketorolac Injection/Oral Ibuprofen Drug Stewardship Initiative - Connect Care Changes

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Ketorolac Injection/Oral Ibuprofen Drug Stewardship Initiative - Connect Care Changes

A drug stewardship initiative aimed at reducing the unnecessary prescribing of ketorolac injection for pain management in adult patients who can tolerate oral medication was implemented July 29, 2025. This initiative also promotes the use of lower ketorolac injection and oral ibuprofen doses. Although this initiative primarily targets EDs and urgent care centres, there are a few associated changes in Connect Care that will impact other programs as well, as listed below:

Key points of initiative:

Ketorolac injection is associated with higher risks and costs than oral ibuprofen, without providing better pain relief.
Oral ibuprofen 400 mg instead of ketorolac injection should be used in adult patients who can tolerate oral medication.
If ketorolac injection is required, a 10 mg to 15 mg dose is recommended as higher doses do not improve pain relief but can cause more adverse effects.

Associated Connect Care configuration changes:

Changes to medication (ERX) records, when searching from browse/quicklist:

Ketorolac injection: The default dose has changed from 30 mg to 10 mg. The 30 mg dose button has been removed and an 10 mg dose button added.
Ibuprofen oral: The 600 mg dose button has been removed. The default dose will continue to be 200 mg.

Changes to order sets that currently have a default dose for ketorolac injection or oral ibuprofen:

ED order set authors have been notified of the above ketorolac injection and oral ibuprofen ERX record changes, and requests have been made for them to update their order sets as appropriate.
Surgery order set authors will be notified of the above ketorolac injection and oral ibuprofen ERX record changes and will be asked to update their order sets as appropriate.

For more information, see the below resources from AHS Pharmacy Services:

UPDATED: Hazardous Medication Alerts for Non-Ambulatory Patients

Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...

Hazardous Medication Storyboard Alerts

On May 5, 2025, an alert in Connect Care was introduced to identify patients receiving hazardous medications. This alert was available to inpatient departments and multi-function departments that serve both inpatient and outpatient contexts. Since the alert was launched, feedback has been received requesting streamlined workflows, reduced alert fatigue, and visibility of the KNOWN hazard medication alert in non-encounter views.

As of August 6, 2025, the following changes will be made to the hazardous medication alert:

Storyboard will now display only KNOWN Hazard Medication alerts, visible in both encounter and non-encounter views (click the camera icon to see screenshots).

POTENTIAL and REPRODUCTIVE hazard medication alerts will no longer be identified on the Storyboard.

When handling blood or body fluids from patients receiving POTENTIAL or REPRODUCTIVE hazard medications, refer to the AHS/COV Hazardous Medication PPE Guide to determine the required personal protective equipment (PPE).

For patients admitted to inpatients and who had received a KNOWN Hazard Medication at home or in the community, the system will use the admit date as the assumed last dose date to calculate the precautionary period timeline.

KNOWN hazard medication alerts will remain active until: the indicated precautionary period has passed (if the medication was administered through the MAR); the medication has been discontinued, cancelled, or expired (by a patient report or an authorized community prescriber); or the admit date to calculate the precautionary period has passed. Non-prescribers will continue to be able to see the KNOWN, POTENTIAL, or REPRODUCTIVE hazardous medication alerts in other locations, including lab specimen labels.

This change is phase 1 of integrating hazardous medication identification into Connect Care; phase 2 will expand identification to all other departments, with implementation planned for a future date.

For more information, see the FAQ:

FAQ: KNOWN Hazard Medication Storyboard Alert

New Ambulatory Feature - Common Diagnosis Quick Buttons

Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...

New Ambulatory Feature - Suggested "Perfect Fit" Visit Diagnoses

Epic has an available feature called "Perfect Fit" that is a machine learning engine which, over time, analyzes users' patterns so it can then update various areas of the system to give the users easy access to the values they select most frequently. Currently, this feature is seen in In Basket, when it makes suggestions of message recipients based on the most common recipients a user has previously sent messages to.

Starting in August 2025, the Perfect Fit feature will be implemented in Connect Care specifically in the area of ambulatory visit diagnoses. When turned on, it will begin to "learn" what an individual ambulatory prescriber's most common visit diagnoses are, and then will make diagnosis suggestions specific to that prescriber in the "Visit Diagnoses" section via a list of quick buttons (click the camera icon below for a screenshot). This feature will improve prescribers' user experience by helping them quickly complete visit documentation, and will decrease the need to build and maintain preference lists that might be too generic for some prescribers.

New Referral Reject Reason - Collateral Visit

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New Referral Reject Reason - "Collateral Visit Provided"

As previously posted, "Collateral Visits" are visits with a person other than the patient (e.g., parent, partner, caregiver, provider, multidisciplinary team) regarding the health care of the patient. The appointment is scheduled to the patient but attended by the collateral person, and the encounter is on the patient’s health record. These visit types should not be used to link referrals to.

As of August 7, 2025, to support proper workflows for referrals, if a referral request is actioned by the referred-to provider through a Collateral Visit, when the referral is triaged it will be rejected with the new reason of "Collateral Visit Provided" and the referral record will show as closed. If the referring provider has follow-up questions about the Collateral Visit, they should communicate with the referred-to provider who provided the Collateral Visit.

For more information on Collateral Visits and referrals, see:

Anesthesia Users - Handoff Activity Update

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Anesthesia Users - Handoff Activity Update

The "Handoff" report(s) can be accessed from Patient Lists within an open chart. Previously, anesthesia users were able to view but not update existing Handoff reports. As of August 5, 2025, anesthesia users will see a "Write Handoff" button in the Patient List toolbar. When this button is clicked, updates can be written within the text fields of the Handoff tab in the right sidebar (click the camera icon below for a screenshot).

Note that only one Handoff report will be kept for users from the same specialty, the next provider from the same specialty will be updating the same Handoff report.

Tool Tune Up: July 2025 Order Tool Updates

The spreadsheet linked from this post will be updated throughout the month.
Consider looking back each week.

Spreadsheet: Order Tool Updates - July 2025 [spreadsheet last updated July 30]

Tip: See the first "READ ME" tab for an explanation of the spreadsheet's tabs and columns.

Changes to Microbiology Orders

Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...

Changes When Ordering Testing for Stool Parasites and Urine Schistosomiasis

As of July 22, 2025, there are a few changes affecting the process of ordering testing for stool parasites and urine schistosomiasis:

Testing for Giardia, Cryptosporidium, or Entamoeba histolytica:

Continue using the “Stool Parasite Screen” order to test for stool parasites via PCR and microscopy. By default, only the PCR test will be performed unless additional clinical history is provided.

Testing for Parasites Beyond Giardia, Cryptosporidium, or Entamoeba histolytica:

New instructions and clinical history questions have been added to the “Stool Parasite Screen” to help ensure the correct test is ordered for the clinical scenario.
If other parasites are suspected, select “Other” in the order and complete the mandatory questions that appear. If sufficient clinical history is provided, both “Stool Parasite Screen (PCR)” and “Stool Parasite Microscopy” (formerly “Ova and Parasite, Stool”) will be performed and reported separately.

Urine Schistosomiasis Testing:

A new order, “Urine Schistosoma Microscopy”, has been created. Use this order when testing for urine schistosomiasis and provide relevant clinical history.
Discontinue using “Ova and Parasites, Tissue and/or Fluid” (now renamed “Tissue/Fluid Microscopy”) for this purpose.

Specimen collection procedures and testing modalities remain unchanged. For more information, refer to the APL Test Directory.

Optimization Training - Classes in August

Below are the Optimization classes scheduled for August 2025:

In Basket Management

August 12, 12:30–13:30
August 19, 08:00–09:00
August 21, 10:30–11:30

Lab Ordering

August 6, 12:00–13:00
August 20, 12:00–13:00

Mental Health Act Forms

August 12, 12:00–13:00
August 27, 12:00–13:00

Notes

August 8, 12:00–13:00
August 20, 12:00–13:00
August 27, 12:00–13:00

Orders Optimization

August 13, 12:00–13:15

SmartTools

August 5, 12:00–13:00
August 18, 12:00–13:00

Therapy Plans

August 11, 12:00–13:00
August 28, 12:00–13:00

UPDATE: DI Interventional Radiology Order Sets - Temporary Inactivation

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New Ambulatory/Inpatient DI Interventional Radiology Order Sets - UPDATE

New diagnostic imaging (DI) order sets for guided procedures were released June 26, 2025 (see posting). These are temporarily inactivated to allow for additional validation work. We will re-post when the order sets are again made available.

The independent DI orders remain and should be used until new order sets are reactivated in Connect Care.

Updates to Anesthesia Difficult Airway Documentation and Reminders

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Updates to Anesthesia Difficult Airway Documentation and Reminders

As of July 17, 2025, a number of improvements will be implemented related to Anesthesia difficult airway documentation and difficult airway reminders, to ensure documented difficult airways are reflected in key places on the patient's chart.

Difficult Airway Documentation

When a difficult airway is documented in the Procedure Note, it will automatically be reflected in Notable Events.
When a difficult airway associated complication is documented in Notable Events, the relevant diagnosis will automatically be added to the patient Problem List (see below diagnosis mapping):

Unable to intubate complication --> Failed or difficult intubation diagnosis
Difficult to intubate – expected or Difficult to intubate – unexpected complication --> Difficult intubation diagnosis
Difficult mask airway complication --> Difficult airway diagnosis

Document Difficult Airway Reminder

While documenting a difficult airway in a Procedure Note will not make it automatically flow to the patient Problem List, a "Document Difficult Airway" reminder will fire if the below conditions are met (click the camera icon below for a screenshot):

One of the following exists in the Notable Events:

Difficult mask airway
Unable to intubate – expected
Unable to Intubate – unexpected

AND none of the following diagnoses exist under the Problem List:

Difficult airway
Difficult intubation
Failed or difficult intubation

Clicking on the Document Difficult Airway reminder will then launch a Notable Events window. From there, the difficult airway notable events can be reviewed and manually added to the Problem List if appropriate, by clicking the "+ Add Problem" button.

Once the difficult airway notable event has been added to the Problem List, it will automatically be reflected in the Storyboard's hover bubble and Airway Alert, and the status board Difficult Intubation column.

Change to Ambulatory Referral to Continuing Care Access and Home Care Order

Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...

Change to Ambulatory Referral to Continuing Care Access and Home Care Order

All Home Care referrals must be triaged through the Continuing Care Access (CCA) departments, and so CCA is pre-filled in the "To Department Specialty" field of the Ambulatory Referral to Continuing Care Access and Home Care order. Previously, however, some referral orders have been signed with that field changed, causing delays in the requests being processed.

To ensure the CCA is not bypassed, as of July 8, 2025, users will not be able to change the "To Department Specialty" field on the Ambulatory Referral to Continuing Care Access and Home Care order. This is noted in the "Process Instructions" at the top of the order (click the left camera icon to see a screenshot). If the pre-filled field is changed, an error message will appear, indicating that a CCA department must be chosen before the order can be signed (right camera icon).

Changes to Immunosuppressant Medication Ordering

Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...

Changes to Immunosuppressant Medication Ordering

As of July 8, 2025, a combined dose for the following immunosuppressant medications is to be entered as one order rather than placing multiple orders for different strengths of dosage:

Cyclosporine
Mycophenolate Mofetil
Mycophenolate Sodium
Tacrolimus (Short- and Long-Acting)

An “Alternative Selection” window will appear when needed to guide prescribers to use the appropriate medication record and total dose, and Pharmacy will know what to dispense depending on the order.

For more details, see the 1-page summary and full guide:

Upgrade to Dragon Medical One (Action May Be Needed)

Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...

Upgrade to Dragon Medical One (Action May Be Needed)

On July 7, 2025, Dragon Medical One (DMO) will be upgraded, as the current version will no longer be supported. Unfortunately, after the upgrade, some users may experience pixelation or blurriness when using DMO in Connect Care. This is due to Citrix display settings that can affect image quality when navigating screens. If this occurs, users can opt into the “DMO Citrix Lossless” access group, which will disable display compression and improve visual clarity. For details on how to request this access, see the tip sheet linked below (takes approximately 3 to 5 minutes). If you have any difficulties requesting access, please contact the AHS Help Desk at 1-877-311-4300.

If you do not experience any issues with your DMO display in Connect Care, no further action is required on your part.

Tip: How to Request Access to DMO Citrix Lossless Group

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