Continuing Care Update - Renaming of LTC Admission Order Sets

Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
  • Continuing Care Update - Renaming of LTC Admission Order Sets
To align with updated provincial terminology and provide additional clarity around Continuing Care order sets, as of July 28, 2026, the following long-term care (LTC) admission order sets will be renamed:
  • Long Term Care Admission will be "Continuing Care Home Type A and Type B Admission – with inpatient orders and ePrescribe (fax)"
  • Supportive Living and Long Term Care with Contract Pharmacy Admission will be "Continuing Care Home Type A and Type B Admission – with community pharmacy
Users will still be able to search for the order sets using familiar terms like "LTC" and "SL". 

        Tool Tune Up: July 2026 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 calendar 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 - July 2026 [updated July 23]
          • If you get an error clicking the above link, please right-click to copy the link, and then paste into your browser.
          • Tip: See the first "READ ME" tab for an explanation of the spreadsheet's tabs and columns. 

        Anesthesia Update - Outpatient Morphine Milligram Equivalents Per Day

        Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
        • Anesthesia Update - "Outpatient Morphine Milligram Equivalents Per Day" Now in Desktop Connect Care
        Previously, the "Outpatient Morphine Milligram Equivalents Per Day" section only appeared for Anesthesia users when accessing a patient's chart through the Haiku mobile app (under "Summary"). As of July 24, 2026, the section can also be found in the desktop version of Connect Care, in the Preprocedure navigator for Anesthesia, under the "Anesthesia Review" section (click the camera icon below for a screenshot)

              Anesthesia Update - ECT Enhancements

              Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
              • Anesthesia Update - ECT Enhancements
              As of July 21, 2026, a few enhancements will be made impacting the ECT Anesthesia documentation workflow:
              • A new "Prev ECT" column will be added to the ECT Status Board.
                • Lightning bolt icon will indicate patient had previous completed ECT visits (in last 2 years), hovering over icon will display details including information pulled from the ECT Anes Memo comment.
              • Updates will be made to the anesthesia documentation workflow:
                • Intraprocedure Memo now the recommended method for documenting additional clinical details, so they can be pulled and visible in the new ECT Status Board column and the ECT Treatment Report. 
                • This replaces the previous practice of recording information in the Blue Sticky Notes (which are not for clinical documentation and cannot be pulled into the ECT Status Board or Treatment Report).
              See the updated tip sheet for details:

                    APS Prescribers - Dual Signoff Summary Not Functioning As Expected

                    An issue has been identified that may impact prescribers who use the prepared medication workflow on the MAR to administer High Alert Medications (HAMs), such as those with Acute Pain Service (APS). 

                    When multiple HAMs requiring Independent Double Checks (IDCs) are administered at the same time, the system does not behave as expected at the Dual Signoff step if the medications were previously Prepared:

                    • The Dual Signoff Summary shows only one of those medications. 
                    • If the Dual Signoff is completed for the medication that does appear, the system applies that action to the other medications as well. This also applies to changes made to the dose, action, rate, or dosing parameters.
                    • The second healthcare provider then can not perform all steps of the IDCs for all medications from the Dual Signoff Summary.
                    A fix is being developed and is expected to be implemented August 13, 2026. In the meantime, impacted prescribers can avoid this issue by administering HAMs requiring IDCs one at a time, and can submit a ticket to the Service Desk if any additional issues arise.

                    Home Care Update - CAM Phase of Care for Medication Administration Program

                    Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                    • Home Care Update - CAM Phase of Care for Medication Administration Program
                    To support medication safety for the Health Care Aide (HCA) Medication Assistance Program (MAP), a Phase of Care has been implemented to be added to all Clinic Administered Medication (CAM) orders. Adding the Phase of Care to CAM orders will ensure that HCA MAP medications are appropriately filtered for HCAs in the MAR, for a streamlined view of medications they are responsible for. When prescribers encounter this Phase of Care in a CAM order, it should be left in the order if Home Care has the client on a MAP with HCAs. 

                    All clients are expected to have the Phase of Care implemented by July 17, 2026 (for sites using Connect Care Rover for HCA MAP) or September 30, 2026 (for sites not yet using Connect Care Rover).

                          Taming In Basket Reminder - Removal of Results Messages Older Than 180 Days

                          As previously posted, for Phase 3 of the Taming In Basket initiative, as of January 2026 In Basket messages of the "Results" type are set to auto-expire after 180 days. On July 13, 2026, the first batch of Results messages older than 180 days will auto-expire and be removed from users' In Basket view. 

                          Messages removed from users’ In Basket view are still retrievable for 60 days following removal (in this case, until September 13, 2026) before being purged from the system; see the FAQ blog post on how to retrieve. 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.

                          Note that any messages that users postponed utilizing "Follow up" functionality are excluded from the auto-expiry rule until 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:

                          Updates to Bone Marrow Exam

                          Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                          • Updates to Bone Marrow Exam
                          As of July 9, 2026, the following updates will be made to the Bone Marrow Exam (click the camera icon for a screenshot):
                          • Bone marrow specimen source questions have been consolidated into one order-specific question.
                          • A laterality question is now available (with selections "Unilateral" or "Bilateral"), which will automatically populate the sources in the correct order. 
                          • New left and right Bone Marrow Biopsy sources have been created to make the source selections consistent for both aspirate and biopsy.

                                New Neurosurgery Order Sets

                                Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                • New Neurosurgery Order Sets
                                To address a recognized gap in clinical workflows, as of June 23, 2026, the following new Neurosurgery order sets are available for use by both the Neurosurgery and Spine teams:
                                • Spine Surgery Preprocedure Adult Order Set
                                • General Neurosurgery Cranial Admission Adult Order Set

                                      Updates to Paraneoplastic Syndrome Plus Order (NEW DATE)

                                      Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                      • Updates to Paraneoplastic Syndrome Plus Order
                                      As of July 7, 2026, changes will be implemented to optimize the Paraneoplastic Syndrome ordering workflow within Connect Care including updated process instructions, new mandatory questions, order validation (hard stops), and updated ordering guidance based on selections in the Paraneoplastic Neurological Syndrome Plus order composer. These changes support improved clinical and operational consistency by aligning ordering workflows with updated clinical and lab requirements, improving clarity and accuracy of test selection, and supporting standardized ordering across prescribers. Any previous personalization of the order will need to be updated after the change; tips on re-personalization following the change are below.
                                      • New ordering question added: "Does the patient have one of the following high or medium risk paraneoplastic clinic syndromes (if yes, select the corresponding phenotype)?"
                                      • Additional cascading questions: If "None of the Above" is selected in the new question, a question will then appear to indicate the ordering decision for testing outside of high or medium phenotypes. Further questions will then cascade depending on the selection (click the camera icon to see screenshots of different ordering scenarios).
                                      • How to re-personalize the order: Re-personalization will be required to incorporate updates made to the order: 
                                        • Locate the order in the Preference List under the "My Favorites" section.
                                        • Right-click the order and select "Edit Preference List Entry".
                                      For assistance or additional training, please contact the CMIO Prescriber Experience Team at help.cmio@hssab.ca.

                                            ED/UCC Adult Sepsis OPA Improvements

                                            Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                            • ED/UCC Adult Sepsis OPA Improvements
                                            Following changes implemented in November 2025, feedback was received that the prescriber-facing ED/UCC Adult Sepsis OPA was firing inappropriately and too often. Review showed that the alerts were being chronically dismissed rather than actioned, causing them to continue to fire. To address this issue, as of July 7, 2026, the Adult Sepsis OPA will have the following improvements implemented: 
                                            • Changed to a passive, non-interruptive alert (viewable in ED prescriber workspaces - Triage, Workup, Dispo).
                                            • Will no longer have required action, allowing the user to exit the chart without a hard stop.
                                            • Updated verbiage in banner and text display for clarity and consistency.
                                            • Decreased documentation options to two items: "Sepsis not suspected" or "Patient is palliative/comfort care".
                                            • Improved acknowledge reasons with descriptions added to buttons.
                                            For more information on sepsis workflows, see:

                                                  Update to Gemcitabine/Docetaxel Complex Therapy Plan

                                                  Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                  • Update to Gemcitabine/Docetaxel Complex Therapy Plan
                                                  As of June 30, 2026, the "Treatment Appointment Request" appointment type will no longer be available for maintenance of the Gemcitabine/Docetaxel complex therapy plan, as this was an incorrect appointment type that triggered provider-restriction pop-ups and prevented staff from properly booking patients. The "Injection Appointment Request" appointment type will instead be available, correcting the workflow and making it easier for staff to complete bookings (click the camera icon to see a screenshot).

                                                        Optimization Training - Classes in July 2026

                                                        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 currently scheduled for July 2026. 

                                                        • AMH Neuromodulation
                                                          • July 15, 12:0013:00
                                                        • Dragon Medical One (DMO) Advanced
                                                          • July 15, 12:0013:00
                                                          • July 30, 12:0013:00
                                                        • In Basket Clean Up 1:1
                                                          • July 13, 11:0011:30, 13:0013:30
                                                          • July 14, 09:0009:30, 10:0010:30
                                                          • July 15, 12:3013:00
                                                          • July 16, 10:0010:30
                                                          • July 28, 12:0012:30
                                                          • July 29, 12:0012:30
                                                          • July 30, 09:0009:30
                                                          • July 31, 09:0009:30
                                                        • In Basket Management
                                                          • July 14, 08:0009:00, 11:3012:30
                                                          • July 17, 11:0012:00
                                                          • July 22, 14:3015:30
                                                          • July 23, 11:0012:00
                                                        • Lab Ordering
                                                          • July 10, 12:0013:00
                                                          • July 15, 11:0012:00
                                                        • Notes
                                                          • July 13, 12:0013:00
                                                          • July 28, 12:0013:00
                                                        • Orders Optimization
                                                          • July 7, 13:0014:00
                                                          • July 13, 12:0013:00
                                                          • July 22, 11:0012:00
                                                        • SmartTools
                                                          • July 7, 12:0013:00
                                                          • July 21, 12:0013:00
                                                        • Therapy Plans
                                                          • July 9, 12:0013:00
                                                          • July 13, 09:0010:00
                                                          • July 22, 12:0013:00

                                                        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); a tip sheet provides help navigating 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.

                                                        New Transfusion Appointment Request for PRN Blood Transfusions

                                                        Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                        • New Transfusion Appointment Request for PRN Blood Transfusions
                                                        As of June 23, 2026, there will be a new standalone "Transfusion Appointment Request" order available for sites that require an appointment request for a PRN blood transfusion ordered via a SmartSet or Therapy Plan. Prescribers can use this order either during an appointment with the patient, or in an unscheduled Orders Only encounter. If sites have an alternative method for scheduling PRN blood transfusions such as a phone call, no change in practice is required.

                                                        The new order can be found off the browse. Be sure to fill out the following fields (click the camera icon to see a screenshot):
                                                        1. "Expected Date"
                                                        2. "Schedule patient at" (department the transfusion will be given in)
                                                        3. "Please identify the ordering tool that was used to place the blood administration orders" (select the "Therapy Plan" or "SmartSet" button) 

                                                        For more information, see the the tip sheet and updated guide.

                                                              Enhancement to Death Certification Workflow for Unidentified Patients

                                                              Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                              • Enhancement to Death Certification Workflow for Unidentified Patients
                                                              In response to prescriber requests, an enhancement has been made to the workflow for completing a Medical Certificate of Death (MCoD) in Connect Care for patients who were unidentified at the time of admission.

                                                              The ideal is still to wait for an unknown patient (UNK-) chart to be merged with the permanent chart with corrected patient demographics prior to creating a MCoD. However, if waiting for a chart merge is not possible, certifiers will now be able to manually enter discovered patient names, age at death, and legal sex in the unidentified patient's MCoD. 

                                                              See the updated tip sheet for details.

                                                                    Tool Tune Up: June 2026 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 calendar 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 - June 2026
                                                                      • If you get an error clicking the above link, please right-click to copy the link, and then paste into your browser.
                                                                      • Tip: See the first "READ ME" tab for an explanation of the spreadsheet's tabs and columns. 

                                                                    Lab Results Review Update - Microbiology

                                                                    Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                                    • Lab Results Review Update - Microbiology
                                                                    With the aim of improving lab results review for microbiology, as of June 11, 2026, tests will be reorganized into the following folders (click the camera icon to see an example screenshot):
                                                                    • Bacterial 
                                                                    • STI
                                                                    • Viral: HIV, Hepatitis, Viral - Respiratory, Viral - Other 
                                                                    • Fungal 
                                                                    • Parasitic 
                                                                    • Serology 
                                                                    • Other Microbiology (includes prions, e.g., CJD, unclassified new/emerging pathogens)

                                                                    If you see microbiology tests that appear to be in the wrong section, please put in a Connect Care ticket and forward to help.cmio@hssab.ca.

                                                                    The Lab team is working hard to re-organize the remaining sections of lab results in the Results Review tree in the coming months.

                                                                          Updates to Pain Management Lidocaine and Ketamine Infusion Orders

                                                                          Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                                          • Updates to Pain Management Lidocaine and Ketamine Infusion Orders
                                                                          As of June 9, 2026, safety changes will be made to the Adult Lidocaine Infusion order set and orderable ERX as well as the Adult Low Dose Ketamine Infusion order set and orderable ERX (click the camera icon to see screenshots). Note that these changes are only for Pain Management infusions – they do NOT affect Pediatric orders nor Cardiac Lidocaine orders (for ventricular arrythmias). 
                                                                           

                                                                                Update for Personalized Notes Speed Buttons

                                                                                Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                                                • Update for Personalized Notes Speed Buttons
                                                                                Users can create speed buttons in the Notes activity for personalized SmartPhrases and SmartText that can help speed up documentation and reduce the number of clicks. A recent update to this feature allows users to now also select a Service type and add NoteWriter Macros when creating a Notes speed button. Note that previously created speed buttons will need to be edited/re-personalized to include the Service type and/or Macros. 

                                                                                For steps on how to create, edit, or delete a Notes speed button, see pages 10 and 11 of the new CMIO SmartTools Quick Start Guide.

                                                                                      Updates to Iron Ferric Derisomaltose Therapy Plan

                                                                                      Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                                                      • Updates to Iron Ferric Derisomaltose Therapy Plan
                                                                                      To address prescriber workflow concerns and increase efficiency, as of June 9, 2026, the Iron Ferric Derisomaltose Adult Therapy Plan will be separated into two separate therapy plans, based on medication dose and patient weight:
                                                                                      • Iron Ferric Derisomaltose 1000 mg – Adult OR Greater than or equal to 50 kg
                                                                                      • Iron Ferric Derisomaltose 500 mg – Adult OR Less than 50 kg
                                                                                      When a prescriber searches for the therapy plan after the change, they will see both options (click the camera icon for a screenshot), and each will have the relevant medication order preselected. 
                                                                                       

                                                                                            Optimization Training - Classes in June 2026 (Updated)

                                                                                            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 currently scheduled for June 2026 [edit May 29: updated with more classes]

                                                                                            • Dragon Medical One (DMO) Advanced
                                                                                              • June 11, 12:0013:00
                                                                                              • June 25, 12:0013:00
                                                                                            • In Basket Clean Up 1:1
                                                                                              • June 2, 08:3009:00, 10:0010:30
                                                                                              • June 3, 08:0008:30
                                                                                              • June 4, 12:0012:30, 13:0013:30
                                                                                              • June 8, 09:0009:30
                                                                                              • June 9, 08:3009:00, 10:0010:30
                                                                                              • June 10, 12:0012:30
                                                                                              • June 11, 14:0014:30, 15:0015:30
                                                                                              • June 15, 08:0008:30, 09:0009:30
                                                                                              • June 22, 12:0012:30, 13:0013:30
                                                                                              • June 24, 12:0012:30
                                                                                            • In Basket Management
                                                                                              • June 3, 09:0010:00
                                                                                              • June 4, 15:0016:00
                                                                                              • June 11, 11:0012:00
                                                                                              • June 12, 14:0015:00
                                                                                              • June 17, 09:3010:30
                                                                                            • Lab Ordering
                                                                                              • June 5, 10:0011:00
                                                                                            • Notes
                                                                                              • June 1, 12:0013:00
                                                                                              • June 15, 12:0013:00
                                                                                            • Orders Optimization
                                                                                              • June 9, 11:0012:00
                                                                                              • June 11, 09:3010:30
                                                                                            • SmartTools
                                                                                              • June 10, 12:0013:00
                                                                                              • June 22, 12:0013:00
                                                                                            • Therapy Plans
                                                                                              • June 2, 12:0013:00
                                                                                              • June 9, 11:0012:00
                                                                                              • June 18, 12:0013:00
                                                                                              • June 30, 12:0013:00

                                                                                            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); a tip sheet provides help navigating 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.

                                                                                            New Leuprolide/Lupron Order Panel

                                                                                            Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                                                            • New Leuprolide/Lupron Order Panel
                                                                                            As of June 2, 2026, a new order panel for leuprolide/Lupron will be available for ambulatory prescribers (click the camera icon to see a screenshot). Note that, for Oncology patients, prescribers should continue to order leuprolide via Complex Therapy Plans and Treatment Plans only. 
                                                                                             

                                                                                                  New "This Visit" Activity for Orthopaedic Ambulatory Clinics

                                                                                                  Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                                                                  • New "This Visit" Activity for Orthopaedic Ambulatory Clinics
                                                                                                  As of June 9, 2026, Orthopaedic ambulatory clinics will see an enhancement in Connect Care that brings key workflows into one place. The workspace will move from the Plan and Communications activity tabs to the "This Visit" activity tab, creating a more streamlined experience for completing patient encounters (click the below camera icon to see a screenshot). This Visit builds on Plan by going beyond order-focused tools to include everything needed to document, manage orders, and wrap up the visit. 
                                                                                                  • Clinicians can access problem lists, visit diagnoses, medications, smart sets, patient instructions, service codes, and follow-up steps all in one view, reducing the need to switch tabs.
                                                                                                  • With the widescreen view in This Visit, clinicians can also benefit from a more efficient layout with less scrolling and fewer screen changes. 

                                                                                                  The new layout is now available in training environments for teams to preview and practice ahead of implementation.

                                                                                                  For more information, see the updated Exercise Booklet.

                                                                                                        Update to Therapeutic Drug Monitoring Orders

                                                                                                        Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                                                                        • Removal of Order Questions from Therapeutic Drug Monitoring Orders
                                                                                                        As of May 28, 2026, therapeutic drug monitoring (TDM) outpatient orders will be updated to remove certain order-level questions. The removed questions cannot be reliably answered at the time of ordering and are more appropriate to complete at the time of specimen collection. While the changes are for outpatient orders, after this update prescribers who have personalized outpatient or inpatient TDM orders may see changes when opening these orders and will need to re-personalize particular fields. The same questions had already been removed from inpatient TDM orders in an earlier update, but those changes may not previously have been fully reflected in all personalized inpatient orders.

                                                                                                        The following order questions will be removed from the Order Composer for TDM orders in outpatient contexts: 
                                                                                                        • Dose Regimen 
                                                                                                        • Drug dose route 
                                                                                                        • How long on current dose regimen?
                                                                                                        • Date of Last Dose (or IV Complete)
                                                                                                        • Time of Last Dose (or IV Complete)
                                                                                                        • Date of Next Dose (or IV Start)
                                                                                                        • Time of Next Dose (or IV Start)
                                                                                                        Any existing personalization for the "Frequency" (inpatient only), "Specimen Type", and "Specimen Source" fields in TDM orders will be removed. Prescribers will need to re-personalize these fields after the update. Click the below camera icon for details on how to re-personalize these fields.


                                                                                                        For detailed guidance on TDM workflows, see the Manual. If additional support is needed for re-personalization, please email help.cmio@hssab.ca.

                                                                                                              Postpartum Caesarean Order Set Update - Suture/Staple Removal Order Change

                                                                                                              Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                                                                              • Postpartum Caesarean Order Set Update - Suture/Staple Removal Order Change
                                                                                                              As of June 2, 2026, the previous inpatient mode Staple Removal order will be removed from the Postpartum Caesarean order set, as that order was discontinued when patients are discharged, leaving Public Health without the order they need. An ambulatory order for Suture/Staple Removal will instead be added, along with an inpatient Nursing Communication order (click the camera icon for a screenshot). The Suture/Staple Removal order will persist post-discharge and so will be accessible by Public Health.

                                                                                                              Note that prescribers will need to update personalized versions of the order set to reflect the new order.

                                                                                                                    Fixative Warning in Specimen Navigator for Non-Pathology Specimen

                                                                                                                    Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                                                                                    • Fixative Warning in Specimen Navigator for Non-Pathology Specimen 
                                                                                                                    As of June 2, 2026, a new pop-up alert will appear in the Specimen Navigator when a fixative (e.g., Formalin or Other fixative) is selected for non-pathology tests, including Microbiology, Molecular diagnostics, and Cytogenetics. This pop-up will appear in the Intraprocedure and Postprocedure navigator, where the Specimen Navigator is embedded. Additionally, the field previously labelled "Non-Frozen Attributes" will be renamed to "Pathology/Cytology Attributes."
                                                                                                                    • Why: Fixatives are only appropriate for Pathology and Cytology specimens. Selecting a fixative for non-pathology tests can compromise specimen integrity and affect results. The alert prevents errors at the point of order entry before labels are printed. 
                                                                                                                    • What: When a non-pathology test is ordered with a fixative selected, a pop-up warning will appear prompting correction (click the below camera icon to see a screenshot)
                                                                                                                    •  How to resolve the alert:
                                                                                                                      • Scenario 1: Pathology and non-pathology tests ordered together – Edit the order, remove the non-pathology test, and reorder it without fixative to create separate specimens. 
                                                                                                                      • Scenario 2: Non-pathology test with fixative selected – Edit the order, remove the fixative selection, and accept changes. 
                                                                                                                    For assistance or additional training, please contact the CMIO Prescriber Experience Team at help.cmio@hssab.ca.

                                                                                                                          Adult Enteral Feeding (EN) Order Changes

                                                                                                                          Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                                                                                          • Adult Enteral Feeding (EN) Order Changes
                                                                                                                          As of June 2, 2026, adult enteral nutrition orders will be changing to improve patient safety, reporting, and operations, impacting all inpatient and Continuing Care settings. The orders are being updated with new content, display, and functionality. Any previous personalization of these orders will need to be updated after the change. Following the change, please do not modify or re-order old orders but instead place a net new order.

                                                                                                                          Key changes include:
                                                                                                                          • The name of the orders will change to Adult Enteral Feeding with Tray, Adult Enteral Feeding without Tray, and Adult Enteral Feeding Safe Start.
                                                                                                                          • Hard stops will be added for several items to ensure Patient Food Services teams have the necessary information to deliver enteral feeds (e.g., "Formula" and "Formula Volume to Prepare"). Other hard stops will be added that are dependent on administration and modular entry.
                                                                                                                          • Modules/Additives will be renamed to "Modular", and a second modular option will be available.
                                                                                                                          • Safe Start order will be restricted to Peptamen AF 1.2 (Semi-Elemental) and with limited rate options. If other formulas or rates are desired, please use the Adult Enteral Feeding with/without Tray order.
                                                                                                                          • The Adult Enteral Nutrition order set will be revised and will require re-personalization.
                                                                                                                          • System order sets will require re-personalization of any adult EN orders.
                                                                                                                          Dietitians will cutover diet and nutrition orders, and old orders will be replaced with new orders within 1 week (goal by June 9). 

                                                                                                                          For more information, see:

                                                                                                                                New Adult Surgery Preprocedure Order Sets with Preselected Orders

                                                                                                                                Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                                                                                                • New Adult Surgery Preprocedure Order Sets with Preselected Orders
                                                                                                                                As of May 28, 2026, two new adult preprocedure order sets for surgical patients will be available, one for elective cases and one for emergent procedures (click the camera icon to see a screenshot). The order sets will include preselected orders to support more efficient ordering, and are intended to streamline preprocedure workflows, support consistent practice, and reduce the risk of order entry errors. They are designed to support clinical care while still allowing for prescriber judgment. 


                                                                                                                                The order sets are expected to be available in the system on May 28, 2026. Use of these order sets is strongly encouraged to improve efficiency and reduce the need for personalization before order entry.

                                                                                                                                      Anesthesia Update - New Chart Correction Tool

                                                                                                                                      Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
                                                                                                                                      • Anesthesia Update - New Delete Documentation from Deleted Record Chart Correction Tool
                                                                                                                                      As of May 26, 2026, a new Chart Correction Tool, "Anesthesia - Delete Documentation from Deleted Record", will be made available to Anesthesia users. This tool will allow users to delete incorrect documentation (e.g., medications from the MAR, LDAs, flowsheet entries) from a record that has already been soft-deleted. 

                                                                                                                                      For details, see the updated guide (page 4). 

                                                                                                                                            Tool Tune Up: May 2026 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 calendar 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 - May 2026 [updated May 21]
                                                                                                                                              • If you get an error clicking the above link, please right-click to copy the link, and then paste into your browser.
                                                                                                                                              • Tip: See the first "READ ME" tab for an explanation of the spreadsheet's tabs and columns.