Launch 4 Support Hot Topics - Week 2

This combined posting is updated throughout the second week of launch support, accumulating needs raised in prescriber huddles, with links to support information. Consider looking back each day. 
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    • Calgary Zone – Add-on Labs
      • Add-on labs cannot be ordered in Calgary Zone through Connect Care. 
      • Inpatient clinicians should continue using the legacy process of calling the Lab Information Centre to request add-on tests to existing specimens.
    • Calgary Zone – Endocrinology Central Access & Triage (CAT) Workflows
      • There were concerns around CAT workflows due to some incorrect messaging. The original issue was determined to be an isolated event specific to end-user behaviour.
      • The CAT workflows are performing as designed, but users are encouraged to submit a ticket if investigation is needed.
      • See a memo for further details.
    • Delivery of Summative Notes and Results to Community Providers
      • With Launch 4, there have been changes to how Connect Care summative notes and results are distributed to community providers, including those who work both within AHS and at community-based or private practices (“mixed-context” providers). 
      • A memo summarizes how these changes affect mixed-context providers, whether they are identified as the Primary Care Provider (PCP) or are the authoring provider.
    • Mixed-Context Prescribers - Diagnostic Imaging (DI) Report Delivery
      • For prescribers who work both within AHS and at community-based or private practices (“mixed-context” providers), some DI reports will be received twice - both in their Connect Care In Basket AND at a community/private clinic.
      • See this memo for more information.
    • Ambulatory Clinic Consult Notes
      • In addition to the communications workflow taught during training (selecting template that goes to Netcare and AHS referring provider), a new simplified "quick click" function makes it easy to rapidly route notes to a patient's primary care provider (PCP) and referring provider for outpatient encounters. When selected, a tick box above the note will automatically send your note to Netcare as well as the PCP and referring provider (if known). 
      • Note the quick click function does not work for hospital outpatient department encounters (HODs).
      • For more information on this quick click function, see this blog post, demo, and the Shared Documents section of the Connect Care Manual.
    • Computerized Prescriber Order Entry (CPOE) and Allowed Exceptions
      • Information on CPOE can be found in a Countdown Checklist post, a general blog post, and the Clinical Ordering Norms section of the Connect Care Manual.
      • There will be situations when prescribers cannot be expected to place time-sensitive orders directly and require the assistance of a qualified healthcare professional to transcribe important clinical instructions. Allowed exceptions to prescriber order-entry fall into three categories, each explained and exemplified in FAQ and Order Norms documents: protocolized orders, urgent verbal orders, and urgent telephone orders.
      • In ordering – as in all other clinical activities – patient care and safety come first. If there is an urgent or emergent circumstance affecting a patient’s care, verbal or telephone orders may be appropriate and can be allowed. See this memo for further details. For additional information on team collaboration for verbal and telephone orders, see the work package for prescribers and nurses, and, for nurses and allied health professionals, the decision-making guide and paging etiquette guide.
    • Emergency/Urgent Care - Ordering Acetylcysteine for Acetaminophen Overdose
      • Please note when ordering acetylcysteine for acetaminophen overdose, there are order sets to support ordering the appropriate infusions. Recommended order sets for ED: 
        • Overdose / Toxic Ingestions (Acetaminophen, Salicylates, Toxic Alcohols) Adult ED/UCC
        • Overdose Acetaminophen ED/UCC Pediatric 
      • The "Acetylcysteine Infusion (Pediatric/Adult)" order does not follow the protocol to treat acetaminophen overdose, it only orders a continuous infusion.
    • New Inpatient Consult to Pediatric Respirology
      • A new inpatient consult to Pediatric Respirology has been created that replaces "Inpatient Consult to Pediatric Pulmonology" and "Pediatric Respiratory Medicine".
      • The new order is available in production, and Order Sets and system preference lists have also been updated. Please update in your personalized ordering tools and preference lists as needed.
      • If you have questions, please reach out to terri.mcneill@ahs.ca.
    • Calgary Zone - Microbiology Antibiotic Susceptibilities not Matching the Organism
      • An intermittent issue has been identified with microbiology antibiotic susceptibilities either being delayed or mapping to the incorrect organism since launch in the Calgary Zone sites. 
      • The laboratory will continue to call positive cultures and susceptibility results from blood cultures and sterile sites. In the event of a discrepancy between that verbal notification and the results in Connect Care, Netcare should be used as confirmation of the accurate results and for confirmation for cultures from all non-sterile sites.
      • Lab is continuing to monitor and fix the issues as they are found, and will have provided notice to those prescribers who may have had errors.   
    • Referrals to External Clinics
    • Intra-facility Direct Admit
    • Interfacility Transfers (IFTs) - Connect Care to Connect Care Sites
      • Reminder that all users should now be using the IFT workflow when moving patients from a Connect Care site to another Connect Care site. See the Connect Care Manual section for more information.  
    • OR Scheduling and MOA Workflows
      • There has been some lack of clarity between OR scheduling workflows and MOA workflows. A memo has been communicated.
    • Secure Chat and Sticky Notes
      • The Secure Chat and Sticky Note functions in Connect Care should only be used for non-urgent communication and reminders, not for urgent messages or clinical documentation.
      • Secure Chat messages and Sticky Notes are purged after 30 days. Sticky Notes do not form part of the chart.
      • See the Secure Chat and Sticky Notes Manual sections for more information, as well as the Communication Norms.
    • Astraia and Connect Care Integration
      • Astraia is a specialized perinatal documentation system used in conjunction with Connect Care to provide comprehensive Maternal Fetal Medicine (MFM) assessment and consultation.
      • Challenges with the Astraia interface to Netcare and Connect Care impacted prescribers and staff this past week. 
      • Due to the efforts of the MFM team working together with the Astraia vendor and AHS IT, all results from Astraia are now successfully flowing into Netcare and Connect Care. 
    • Virtual Drop-In Support
      • The Virtual Drop-in Centre is available, to both end users and Super Users requiring additional support, 24/7 until June 10. To access, go to virtualhelp.connect-care.ca using a computer or smartphone, or via the QR code found on the Launch Supports posters up in sites (or launchhelp.connect-care.ca) using a smartphone camera for audio-only help.