Second Sign Updates - Requisition Printout

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

• Second Sign Updates - Requisition Printout

We previously posted about the Second Sign workflow for clerical/Medical Office Assistant (MOA) ambulatory orders. As of October 27, 2022, enhancements to the automatic printout process of Second Signed orders will be available. 

In the Second Sign workflow, once the order has received the second signature by the responsible prescriber, the requisition is often automatically printed off. Non-AHS MOAs are able to submit a ticket to suppress automatic printing of Second Sign orders, and AHS MOAs can submit a ticket to have print settings adjusted if requisitions for Second Signed orders are going to the incorrect printer (see tip sheet).

If the MOA or prescriber is unsure of the requisition print location, or whether the requisition was printed, two new features are available:

• Additional information available in Chart Review: In the "Chart Review" activity, if the requisition was printed, the "Order Parameters >> Sign transmittal event" section now displays the destination printer ("Destination Workstation"), and whether it was a mapped printer or an alternate Virtual Local Printer (VLP) destination (workstation ID would begin with "VLP"). If the requisition was not printed, it will say "This order was not sent to a printer."

• New Reporting Workbench report: In the Reporting Workbench workspace, a new report, "Second Sign Status", can be run that shows existing Second Sign orders. This report will indicate whether a Second Sign has been completed; if completed, an MOA can then find out if a requisition has been printed or not via the Chart Review activity as detailed above. If additional copies of requisitions are needed, MOAs can use "Reprint" from the Chart Review activity.

For more information:

• Support: Second Sign for Clerical/MOA Ambulatory Orders
• Tip: Second Sign Requisition Print Suppression
• Tip: Virtual Local Printing
• Tip: Finding Reporting Workbench Reports

Second Sign for Clerical/MOA Ambulatory Orders

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

• Second Sign for Clerical/MOA Ambulatory Orders 

As of April 28, 2022, orders placed in ambulatory settings by AHS clerical staff and non-AHS Medical Office Assistants (MOAs) for medications, procedures, laboratory testing, diagnostic imaging, and cardiology and surgical procedures (with some exceptions listed below) must be "Second Signed". 

With Second Sign, orders are not visible and cannot be carried out until the second signature is obtained electronically from a responsible prescriber. Once the second signature is applied, the affected orders can be acted upon.

Why is this change being made?

• This change was reviewed by eSafety, AHS Legal, CCEC and Zone Medical Leadership, and was determined to be required for patient safety when delegating order entry to unit clerks/MOAs.
• Compared to verbal orders needing co-sign, second sign ensures that orders entered by the ambulatory unit clerk or MOA are reviewed, approved and signed by the authorized prescriber prior to being visible in the patient chart and actionable by other healthcare providers.
• It assists with prescriber and patient care workflow efficiency by allowing clerical staff and non-AHS MOAs, within their scope of practice, to enter certain order types on behalf of the prescriber.
• Use of the second sign order entry workflow allows the order entry process to be transparent and auditable via reporting tools in the reporting workbench.

What else you need to know 

• When booking urgent cases, prescribers should enter orders themselves.
• Approved exceptions to second sign are as follows:
• Paper orders with a wet signature can be transcribed by unit clerks and MOA’s into Connect Care, provided all order components align from paper to Connect Care format. 
• PLEASE NOTE:  Providers with Connect Care (CC) access are expected to place orders within CC and orders submitted on paper by these providers will be returned.
• Orders to schedule a procedure may be entered by an ambulatory unit clerk or MOA as an active order, so that scheduling/booking can proceed without need for second sign.
• Second Sign orders can be found in the authorizing prescriber’s "Second Sign Needed" In Basket folder, which can be "favourited" to ensure visibility.
• Order printing:
• Orders with requisitions will not print until the second sign has been completed by the prescriber.  Upon second sign, requisitions will print to the location that the current workstation is mapped to; alternatively, prescribers can use Virtual Local Printing (VLP) to choose another destination for the order to print. Information around virtual local printing can be found in the Connect Care Manual.  
• MOAs can use Reprint from Chart Review if additional copies of requisitions are needed.

For more information:

• Manual: Delegated Orders
• Tip: Second Sign Orders for Prescribers
• Tip: Second Sign Orders for Clerical Staff
• Manual: Printing Tips
• Tip: Virtual Local Printing

WCB and Connect Care - Updates

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

• WCB Form Submission and New Reports

As of October 19, 2021, a Workers' Compensation Board (WCB) form can be completed within Connect Care and submitted to WCB directly from Connect Care. 

The new WCB SmartForm replaces an existing WCB SmartLink available in the "Wrap-Up" tab for ambulatory charts (last section), and can be found in the "Dispo" tab for emergency charts. The "WCB Form" can be completed in steps, with a final validation step confirming presence of all required information as well as the type of submission (direct or via third party). 

Current and previously completed WCB forms, related to any ambulatory or emergency visit, can be viewed in Chart Review under the "Encounters" tab, and easily found by filtering for “WCB Visits”.

There are also two new WCB reports found in "Print Documents", as well as a third-party billing report in the reporting workbench.

For more information, new tip sheets are provided for ambulatory and emergency department contexts.

• Tip: WCB Documentation for Ambulatory Clinics
• Tip: WCB Documentation for ED
• Tip: WCB Billing Reports
• Manual: Charge Capture