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Auto-expiry of Additional In Basket Message Types
- Auto-expiry of Additional In Basket Message Types
- Appointment Notification
- Case Message
- Covered Work
- Media Manager
- OOC Notification
- BestPractice
- Addendum Notification
- Rx Response
- Pt Admitted/Discharged
- Canceled Orders
- Tip: With the recent Fall Upgrade, users are now able to opt in/out from many more message types. In In Basket, click on "Preferences", then "Message Settings", and then select or deselect the message types you want or no longer want to receive.
COVID-19 and Connect Care - Hospital Vaccinations Order Set Updated
- COVID-19 and Connect Care - Hospital Vaccinations Order Set Updated
Enhanced Discharge as Deceased Navigator
- Discharge as Deceased Navigator Enhancements
As of October 1, 2024, there are significant enhancements to the "Discharge as Deceased" navigator within the "Discharge" activity available to patient charts opened to an inpatient encounter.
The prescriber navigator has been simplified and provided with brief instructions highlighting tasks for prescribers. Data entry is streamlined, making it easer to complete organ and tissue donation criteria checks. A standardized pronouncement of death note (charting requirement) is generated with a single click. And there is easier access to discharge summary templates that meet provincial documentation requirements.
The deceased navigator update matches recent enhancements to admission and discharge navigators.
Inpatient Order Set Updates - Swallow Screen and Bronchiolitis
- Inpatient Order Set Updates - Swallow Screen and Bronchiolitis
- Stroke Order Set - Nursing Swallow Screen - In the "Diet and Nutrition" section of stroke order sets (Acute Ischemic Stroke [Thrombolysis and EVT] Adult - click on first camera icon below for screenshot; Acute Intracerebral Hemorrhage Adult - click on second camera icon), prescribers can easily order a swallow screen to be completed by nursing, to ensure any swallowing difficulties are identified prior to any oral intake.
- Bronchiolitis Deterioration and Heated Humidified Highflow Nasal Cannula Pediatrics - This order set has been developed to support the additional guidance for heated humidified high flow nasal cannula (HHHFNC) in bronchiolitis that has been added to the Bronchiolitis, Infant – Emergency & Inpatient Clinical Knowledge Topic. The Bronchiolitis ED/UCC Pediatric and the Bronchiolitis Admission and Maintenance Pediatric have also been updated.
Optimization Training - Classes in October
The CMIO Training team offers Optimization classes (previously called 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 60 minutes in length each and focus on completing common workflows more efficiently.
Below are the Optimization classes scheduled for October 2024.
- Notes and Documentation SmartTools
- October 2, 12:00–13:00
- October 9, 12:00–13:00
- Orders Optimization
- October 9, 10:00–11:00
- October 28, 13:00–14:00
- In Basket Management
- October 8, 13:00–14:00
- October 9, 11:30–12:30
- October 15, 09:00–10:00
- October 15, 12:30–13:30
- October 17, 12:00–13:00
- October 24, 08:30–09:30
- October 29, 15:00–16:00
- Anesthesia (These classes do not have to be done in chronological order, and each covers different topics)
- Anesthesia 1 - Intraprocedural Workflows
- October 3, 16:00–17:00
- Anesthesia 2 - Working with Anesthesia Records
- October 14, 19:00–20:00
- Anesthesia 3 - Personalizing Macros
- October 29, 19:00–20:00
- Anesthesia 4 - Haiku Personalization
- October 4, 16:00–17:00
- October 11, 17:00–18:00
- October 16, 17:00–18:00
- October 24, 17:00–18:00
Prescribers can register for these Optimization classes at the below link. Classes will be added regularly, so please continue to check back. 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.
New Outpatient/Ambulatory Interventional Radiology Panel
- New Ambulatory Interventional Radiology Panel
- Radiology procedure order - Radiology procedure goes to the Radiant workqueue at the location stated in the order.
- Labs ordered on the body fluid - Orders to be released by radiology staff, then collection documented and sent to lab.
- Blood tests for the patient to have collected on the day of procedure at a lab collection site - Paper requisition will print for blood tests ordered.
Chart Review Notes - New "Prescriber Only" Filter
- Chart Review Notes - New "Prescriber Only" Filter
- Clinical Assistant, Physician Assistant
- Dentist
- Indigenous Healthcare Provider
- Medical Student
- Midwife, Midwifery Student
- Nurse Practitioner, Graduate Nurse Practitioner, Nurse Practitioner Student
- Optometrist
- Pharmacist, Pharmacist Student
- Physician
- Podiatric Physician
- Resident
SnapShot Report Modifications
- SnapShot Report Modifications
- Recent Events:
- Gives clinicians a better view of relevant information by showing a vertical timeline view of the patient's recent encounters. For example, they can see if the patient was recently in the ED, visited a specialist, or had other interactions with their care team. From Recent Events, clinicians can:
- View who the visit was with and the primary diagnosis or other relevant reason for visit.
- Open an encounter summary.
- Jump to the Encounters tab of Chart Review to do a more thorough review the patient's recent encounters.
- If the patient hasn't seen the clinician before (or hasn't seen the clinician recently), Recent Events will show recent events in the clinician's specialty or all recent events up to a maximum of 4 in the last 3 years.
- Note: The header for the Recent Events content depends on the user and the specialty of the logged in department; click on the camera icon below to see possible examples.
- Patient’s Last Relevant Note from My Specialty:
- Will show the last Progress Note from the specialty of the logged in department.
- "My Last Note" will still be accessible via the “Last Progress Note” report available in the "Schedule" activity for ambulatory departments.
Glucose Management Tool Improvements
- Glucose Management Tool Improvements
This update makes it easier to identify patients who need diabetes medication review and titration, with colour-coded visual cues and logbook formatting of last/current day POCT glucose results as well as last HbA1C. Double-clicking on the column displays the patient’s Glucose Management Report without exiting out of the Patient List. The report will also be updated to have the logbook formatting.
New CMIO Operational Training Sessions - General Personalization
Starting in October, the CMIO will provide General Personalization sessions for prescribers who have completed their Basic training and End User Proficiency Assessment (EUPA) in previous launches but did not complete a Personalization session or are interested in a Personalization refresher. This general session would most benefit prescribers from Inpatient, Ambulatory, and Surgery specialties; it is not geared towards Anesthesia or Radiology prescribers.
The session will be 2 hours in length, and will help you to be more efficient and organized in the clinical information system (CIS) where appearance, menus, lists, orders, and text automations can be personalized. Covered topics will include personalizing workspace and wrenches, patient lists, orders, SmartPhrases, and In Basket.
Below are the General Personalization sessions scheduled for October 2024:
- October 8, 08:00–10:00
- October 24, 13:00–15:00
To see all dates and to register for a session, visit Bookings - CMIO Operational Training and select “General Personalization“.
Heparin Infusion Order Panel Improvements
- Heparin Infusion Order Panel Enhancements
- Cardiology indications
- Venous thromboembolism (VTE) indications
- Stroke indications
Admission and Discharge Notification Updates
- Admission and Discharge Notification Updates
- If a prescriber already has notifications turned on for IP Admission or External Outpatient Visit (i.e., has "Yes" selected under "Receive Message Notifications by Default"; click the camera icon below to see the screenshot), notifications for these additional patient movement events will be turned on by default.
- If a prescriber does not already have notifications turned on for IP Admission or External Outpatient Visit (i.e., has "No" selected under "Receive Message Notifications by Default"), notifications for these additional patient movement events will not be turned on by default.
Clinical Terminology Update - ICD-10 Codes Column [DATE UPDATED]
- Removal of ICD-10 Codes Column in Search
This change is made in alignment with the use and purpose of the terminology content and endorsed by HIM Data Collection, the subject matter experts for ICD coding. The ICD coding information has not been removed from the system and is still accessible as an administrative tool.
Order for Pathologist Consult
- Order for Pathologist Consult
In the order composer, in the "Requested tests" field, click on the search icon and select “Pathologist Consult” (click on the below camera icons to see screenshots). Once the order is entered, a task goes to a pathologist to review the requested pathology case. The pathologist then may add a new consult number or amend the current pathology report. This test will be resulted with the approval or denial of the pathologist consult.
Optimization Training - Classes in September
The CMIO Training team offers Optimization classes (previously called 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 60 minutes in length each and focus on completing common workflows more efficiently.
Below are the Optimization classes scheduled for September 2024.
- Notes and Documentation SmartTools
- September 4, 12:00–13:00
- September 11, 12:00–13:00
- September 17, 12:00–13:00
- September 25, 12:00–13:00
- Orders Optimization
- September 10, 09:00–10:00
- September 12, 12:00–13:00
- September 16, 08:00–09:00
- September 17, 12:00–13:00
- September 23, 15:00–16:00
- September 26, 15:00–16:00
- In Basket Management
- September 10, 12:00–13:00
- September 11, 15:00–16:00
- September 17, 11:30–12:30
- September 18, 09:00–10:00
- September 25, 09:00–10:00
- September 26, 12:00–13:00
- *NEW* Anesthesia 4 - Haiku Optimization
- September 24, 12:00–13:00
- Anesthesia Fall Upgrade Preview
- September 3, 16:30–17:30
- September 9, 12:00–13:00
Prescribers can register for these Optimization classes at the below link. Classes will be added regularly, so please continue to check back. 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.
Patient Lists Sortable by Location, Room, Bed
- Enhanced Patient Location Columns in Inpatient Lists
Location-type columns typically support sorting by room and bed. The naming convention for a room usually makes the associated unit obvious. However, some facility naming conventions have not embedded facility or unit acronyms and so users have requested enhancements to better sort lists by facility and unit.
Enhanced patient location columns now combine facility, unit, room and bed information in a way that works for all Connect Care facilities. In addition, users can sort lists at all three levels (e.g., facility/unit >> room >> bed).
Duplicate Insulin Orders - New BPA
- Duplicate Insulin Orders - Warnings Removed, New BPA
- The BPA is configured to use the type of insulin, type of order (i.e., bolus vs. correction) and frequency to meet the criteria to fire.
- The prescriber can choose to "Keep" or "Remove" the new order, and "Discontinue" or "Keep" the active order currently on file.
- The BPA cannot be suppressed, and will fire again if placing another true duplicate order.
New SmartLinks Available for Scores and Results
- New SmartLinks Available
Built on request of a Connect Care prescriber, other prescribers may find the below new SmartLinks useful to save as a personalization. To use in a note, ensure you type a dot followed by the token, as shown below; to use in a SmartPhrase, type an "@" before and after the token (no dot).
- AHS CIWA TOTAL SCORE LAST 5 READINGS
- SmartLink: .GIMCIWA72HRX5
- Description: Pulls in the patient's total score of the last 5 readings entered within the last 72 hours for the 10-item CIWA alcohol withdrawal assessment.
- AHS COW SCORE TOTAL LAST 5 READINGS
- SmartLink: .GIMCOWS72HRX5
- Description: Pulls in the patient's total score of the last 5 readings entered within the last 72 hours for the Clinical Opioid Withdrawal assessment.
- AHS BLADDER SCANS 72 HRS LAST 5 READINGS
- SmartLink: .RESIDUALURINEX5
- Description: Pulls in the patient's last 5 readings entered within the last 72 hours for bladder scans/post-void residuals.
- AHS LAB RESULTS 7 DAY LOOK BACK
- SmartLink: .LABRESULTS7D
- Description: Can be used to construct SmartPhrases to bring in specific last results from the last 7 days (e.g., a SmartPhrase to bring in Hepatic Panel Results from the last 7 days). Requires specifying the appropriate name of the lab wanted.
- AHS LAB RESULTS 3 DAY LOOK BACK
- SmartLink: .LABRESULTS3D
- Description: Can be used to construct SmartPhrases to bring in specific last results from the last 3 days (e.g., a SmartPhrase to bring in Renal Results from the last 3 days). Requires specifying the appropriate name of the lab wanted.
Referral Order Changes
- Significant Improvements to Referrals
- The Reference Links section has been organized to ensure only applicable links to referral criteria are listed.
- When a Resident is ordering a referral, they will see a new hard stop question that will require them to indicate who the referring provider is (click on camera icon to see screenshot). The answer will then auto-populate the "Referral - By Provider" field upon signing, if it had not already been filled out.
- A "Scheduling Instructions" section has been made visible and should be used by prescribers to communicate to clerical staff where they would like an outgoing referral sent. Staff processing referrals will be able to find these scheduling instructions in a new column in the Referral Workqueues and in the Workqueue summary report.
- Quality Referral Evolution (QuRE) content in the form of specific questions have been incorporated.
- Ambulatory referral orders for Neurology, Gastroenterology, and Colon Cancer Screening will be updated with various changes including custom specialty reference links, optimized speed buttons, and cascading questions specific to specialty criteria, to ensure the referral orders include required information for effective and efficient triaging. Users may be required to re-personalize preference lists and order/Smart sets containing previous versions of the ambulatory referral orders, to ensure the updated version is used.
Optimization Training - Classes in August
We previously posted that the CMIO Training team is now offering Optimization classes (previously called 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 60 minutes in length each and focus on completing common workflows more efficiently.
Below are the Optimization classes scheduled for August 2024.
- Notes and Documentation SmartTools
- August 8, 12:00–13:00
- August 13, 12:00–13:00
- August 20, 12:00–13:00
- August 28, 12:00–13:00
- Orders Optimization
- August 7, 12:00–13:00
- August 13, 12:00–13:00
- August 15, 08:00–09:00
- August 19, 09:00–10:00
- August 22, 09:00–10:00
- In Basket Management
- August 8, 12:00–13:00
- August 13, 09:00–10:00
- August 13, 11:30–12:30
- August 14, 10:00–11:00
- August 19, 11:00–12:00
- August 20, 11:30–12:30
- August 27, 08:30–09:30
- August 29, 16:00–17:00
- Anesthesia 3 - Macro Optimization
- August 1, 16:00–17:00
- August 13, 16:00–17:00
- August 20, 16:00–17:00
- Anesthesia Fall Upgrade Review
- August 27, 16:30–17:30
- September 3, 16:30–17:30
- September 9, 12:00–13:00
Prescribers can register for these Optimization classes at the below link. Classes will be added regularly, so please continue to check back. 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.
In Basket Update - Inpatient Cosign Notes Folder
- Removal of Defer Button from Cosign Notes Folder
If you receive a request for cosign in error, either reply to the sender to indicate you are not the appropriate cosigner, or forward to the appropriate provider (if known).
Medication Ordering Update - "In Dialysis" Frequencies
- Changes to "In Dialysis" Frequencies
- 3 times per week, in dialysis (for Inpatient Use ONLY)
- 2 times per week, in dialysis (for Inpatient Use ONLY)
- Weekly, in dialysis (for Inpatient Use ONLY)
- Every 24 hours, on unit or in dialysis on HD days (for Inpatient Use ONLY)
- Once, in dialysis (for Inpatient Use ONLY)
- Inpatient Orders:
- Supportive Medications (e.g., dimenhydrinate, diphenhydramine)
- Chronic medications scheduled in dialysis except anemia management medications (e.g., IV calcitriol or IV levocarnitine)
- Parenteral antibiotics
- Hemodialysis Therapy Plan:
- Anemia management medications (parenteral iron, epoetin and darbepoetin)
- Intradialytic anticoagulation (e.g., tinzaparin and heparin)
Ambulatory HOD Progress Note - Update to Display Time
- Ambulatory HOD Progress Note Display Time
Removal of Department Login Restriction
- Removal of Provider Department Login Restriction
- Inpatient and most outpatient prescribers should log on as usual, typically to a virtual department.
- Outpatient prescribers involved in department-dependent workflows (e.g., in-clinic biopsies) should confirm their local department name and log on to that context.
- All prescribers will encounter longer lists at logon... still searchable with completion matching.
- The most recently used department names will appear at the top of the search list, making it easier to quickly select the right context.
Lab Arterial Blood Gas Order Change
- Lab Arterial Blood Gas Order Change
- An "Oxygen Level" order question will be added, with the options being "On Current Therapy", "On Room Air", and "On Specified Therapy (Oxygen/Ventilation)" (click on below camera icon to see screenshot). This will let the Respiratory Therapist know what oxygen level the patient should be on when the collection occurs.
- If more information is needed, the "Comments" field underneath the question can be used.
- If “On Specified Therapy” is selected, a cascading question will appear, to add what the specified therapy should be.
- Two collection questions will be added, for the Respiratory Therapist to enter: "FiO2 level at time of collection (%)" and "Oxygen litre flow at time of collection (L/min)" (click on left camera icon to see screenshot). These values will then be reported as part of the ABG result (click on right camera icon to see screenshot).
Optimization Training - Classes in July
We previously posted that the CMIO Training team is now offering Optimization classes (previously called 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 60 minutes in length each and focus on completing common workflows more efficiently.
Below are the Optimization classes scheduled for July 2024.
- In Basket Management
- July 9, 12:00–13:00
- July 9, 15:00–16:00
- July 11, 10:00–11:00
- July 15, 12:00–13:00
- July 16, 09:00–10:00
- July 17, 08:30–09:30
- July 17, 12:00–13:00
- July 23, 08:30–09:30
- July 23, 15:30–16:30
- July 31, 11:00–12:00
- Notes and Documentation SmartTools
- July 3, 12:00–13:00
- July 9, 12:00–13:00
- July 19, 12:00–13:00
- July 24, 12:00–13:00
- July 30, 12:00–13:00
- Orders Optimization
- July 9, 10:00–11:00
- July 11, 09:00–10:00
- July 16, 12:00–13:00
- July 18, 08:00–09:00
- July 23, 12:00–13:00
- Anesthesia 3 - Macro Optimization
- July 2, 16:00–17:00
- July 14, 18:00–19:00
- July 23, 16:00–17:00
- July 30, 16:00–17:00
Prescribers can register for these Optimization classes at the below link. Classes will be added regularly, so please continue to check back. 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.
Updates to ERAS Major Head and Neck Cancer Surgery with Free Flap Reconstruction Postprocedure Adult Order Set
- Updates to ERAS Major Head and Neck Cancer Surgery with Free Flap Reconstruction Postprocedure Adult order set
As of June 25, 2024, there will be extensive changes to the ERAS Major Head and Neck Cancer Surgery with Free Flap Reconstruction Postprocedure Adult order set in Connect Care. These changes are the result of provincial Head and Neck SMEs and the ERAS team working collaboratively over the past 18 months.
The extensive changes will affect personalizations to the entire order set, including the "Diet and Nutrition", "Height and Weight", "Patient Care Assessments", "Patient Teaching", "Urinary Catheter", "Other Drains", "Tracheostomy Care", "Wound Management", "Notify", "IV Fluids", "VTE Prophylaxis", "Anticoagulants", "Analgesics and Antipyretics", "Antiemetics", and "Consults" sections.
Updates to Urology Postprocedure Analgesics
- Updates to Urology Postprocedure Adult order set - Analgesics
Moderate to severe acute postsurgical pain is best managed using a combination of scheduled non-opioid analgesics and PRN opioids. For further information about optimal pain management plans for surgical patients, see the following resources:
Now Available - Dragon Medical One Training Sessions
A new standalone, 1-hour training session on the Connect Care in-system dictation system, Dragon Medical One (DMO), is now available, for both new and active Connect Care prescribers.
- This session is for prescribers who have completed their Basic training (via Independent Learning or Instructor Led Training) as well as their End User Proficiency Assessment (EUPA) in their respective track (specialty), and therefore have access to the PRD (live) environment in Connect Care.
- The session will focus on opening DMO, pairing your Power Mic Mobile (PMM), using voice commands, dictating text into many parts of the chart, and triggering text automations that speed documentation processes.
Upcoming dates in the next couple of weeks are below; sessions in July and August are also already scheduled. To see all available dates and to register for an upcoming session, visit the Bookings - CMIO Operational Training page and select "Dragon Medical One (DMO) Basic".
- June 17, 2024, 07:00-08:00
- June 21, 2024, 12:00-13:00
- June 26, 2024, 16:00-17:00
For more information, see Connect Care Training - DMO.