Connect Care FAQ

How do I resend a letter to another clinician?

Question: I received a message in my In Basket that a note I had sent to a community provider through Connect Care was not delivered and that I would have to resend it. How do I do that?

Context: Similar to faxes, there are some rare scenarios where letters or summative documents sent from Connect Care fail to successfully route via eDelivery (i.e., the system responsible for electronically delivering clinical information to community clinic electronic medical records [EMRs]), due to issues with how that provider is set up in the system. When that happens, the communication may need to be resent ("re-routed") via another method (fax, mail, or In Basket, depending on the receiving provider's preference). Because these communication workflows are clinical in nature and the user who sends it is recorded as the author, resending cannot be done automatically by IT.

Answer: Any Connect Care documentation object (e.g., notes, letters, laboratory results, procedure reports) can be manually shared with other clinicians, and the manual document sharing workflow is the same as that for re-routing communications that previously failed. Notes (e.g., progress notes, discharge summaries) can be manually shared from the "Notes" activity of a chart opened to an inpatient encounter, and notes and all other documentation objects (e.g., laboratory results, imaging reports, procedure reports, letters, attached media) can be manually shared from any of the tabs (e.g., Lab, Notes, Letters, Referral, Media) within the "Chart Review" activity of an opened patient chart.

To manually share/re-route documentation objects from Notes or Chart Review:

Open the Chart Review or Notes activity.
Browse to and select (click on) the documentation object of interest (e.g., consult letter).
Select the "Route" button (in Notes, is above the selected note's preview report; in Chart Review, is in the button bar at the top of the current activity tab).
Within the routing pop-up that appears, enter:

One or more recipient names. These are checked against the Connect Care provider registry. It may be necessary to select a specific address when recipients have many. Hovering over a selected recipient name will expose the routing methods (e.g., In Basket, fax) available for that person, with the default (preferred) method selected and alternate(s) selectable.
Optional comments about the intent of routing the selected information.

Click "Send" when ready. A "Preview" button allows the proposed routing to be examined before sending.

For more information, see:

Why did my Pulmonary Function Test request not go through?

Question: How do I order a Pulmonary Function Test (PFT) correctly to make sure it goes in the PFT Lab's scheduling workqueue?

Context: There have been a few recent incidents where a patient called the PFT Lab about a PFT ordered by their provider, but the request was not on their workqueue. After some investigation, it was found this was due to details selected in the order composer.

Answer: There are two separate Connect Care orders for PFTs, based on the software that the particular PFT Lab uses (Sentry Suite or Ascent). The sites that use each software are listed in the "Process Instructions" of the appropriate order and are selectable from the "Preferred site for this order" field within the appropriate order. For both orders, in the "Status" field, "Normal" should NOT be selected, as this will result in the PFT request not appearing on the PFT Lab's scheduling workqueue. In addition, note that "Non-Connect Care – Req to Print" should only be selected for PFTs being requested at private, non-AHS PFT Labs; the request will then need to be printed and manually faxed.

See the Quick Start Guide for screenshots and more information.

Guide: Pulmonary Function Test (PFT) Quick Start Guide

How can I report an adverse effect following immunization?

Question: How can prescribers satisfy requirements for reporting an adverse event following immunization (AEFI)?

Context: In a separate post, we describe how to report a patient safety event and how to report serious adverse drug reactions. There is another process for reporting an adverse event following immunization (AEFI), defined as an unfavourable health occurrence experienced by a patient that:

follows immunization
cannot be attributed to a pre-existing condition
is determined by a health practitioner to be one or more of the following:

a life-threatening health occurrence requiring hospitalization or urgent medical attention
an unusual or unexpected health occurrence not previously identified, or previously identified but of increasing frequency
a health occurrence that cannot be explained by the patient's medical history, recent disease, illness or use of a medication

All AEFIs must be reported to the AHS Provincial AEFI team. By completing the AEFI form within Connect Care, the team is automatically notified; no further notification to the team is required.

Answer [updated January 2025]: AEFI reports can be completed entirely within Connect Care. From within an opened patient chart, seek the "Serious Adverse Drug Reaction Form" (SADR Form) activity by using Chart Search with "serious" or "reaction" as a keyword. Note the "AEFI Criteria" tab at the top of the SADR Form activity. Select (click on) the “Complete an AEFI report form in Connect Care” link; a “Flowsheet Pop-Up” form will appear. Fill in the form, ensuring the “Patient Aware of Notification” questions are both answered. Add a brief note in the “Notes” sidebar activity.

Once completed and signed, the report is automatically directed to the Provincial AEFI team for review and reporting.

For screenshots, see the tip sheet.

Tip: Adverse Event After Immunization Reporting

Email Subscription Service Ending for Connect Care Clinician Blogs

Effective end of this month (December 31, 2024), we will be discontinuing our current email subscription service for all our Connect Care clinician blog channels. At this time, we do not have an alternate email subscription service available, but will continue to look for an appropriate service that meets our readers' needs.

In the meantime, the blog channels do each support “subscribing” to their RSS (Really Simple Syndication) feed, for those who use newsfeed readers - see the tip sheet for more information. For others, perhaps consider bookmarking the main Bytes channel (bytes.connect-care.ca) and checking in on Fridays and the end of each month. Digests of new blog posts across all Connect Care clinician blog channels are published most Fridays on Bytes under the title "On Other Channels". Also, our monthly prescriber newsletter, Between the Charts (news.connect-care.ca), highlights key blog posts from the previous month; issues are typically published in the last week of each month, and a notice is published on Bytes as soon as the next issue is available. Both of these updates are gathered under the same tag, and so can be directly bookmarked via ahs-cis.ca/cmioupdates.

Why is there a delay in being able to view diagnostic images if the exam was completed at a Connect Care site?

Question: Why is there sometimes a delay between completion of an imaging investigation or intervention ordered in Connect Care and availability of associated images for viewing in Connect Care?

Context: Diagnostic images are not instantly available to the ordering provider when an imaging exam is marked complete in Connect Care by a Technologist. The imaging workflow involves a number of steps that may not be apparent to all users:

A Technologist facilitating the intervention or investigation completes their documentation in Connect Care.
"Picture Archive and Communications System" (PACS) receives an "End Exam" message from Connect Care and generates a unique identifier for the exam.
The identifier initializes archiving of the diagnostic images and data to a storage system ("Impax Data Center", IDC).
IDC generates a message when all of the images for that diagnostic imaging procedure have been received, which then makes the images available to be viewed in Connect Care and Netcare.

Answer: A number of steps occur behind the scenes once an imaging investigation or intervention is marked complete in Connect Care by the performing Technologist. These steps are usually fast but can trigger a perceptible delay when a diagnostic imaging procedure generates many images, large images or image transfers when network traffic is high. These variables are outside of the control of the Technologist.

If diagnostic images are taking longer than expected to appear for clinical use, or if the images are critical to provide urgent patient care, please call the IT Service Desk (1-877-311-4300) to report a high priority ticket, or email Imaging Apps Support (ImagingAppsSupport@ahs.ca; available Monday–Friday, 07:45–16:00). In critical situations, the images can be viewed in the imaging department if there is an unexpected delay with image transmission to Connect Care.

Do I use a Recommendation or Referral to send a patient to an allied health provider?

Question: Is entering a Referral order appropriate to send my patient to physiotherapy or another allied health provider?

Context: If a provider does not require closed loop referral management (i.e., confirmation that the patient was seen by the specified allied health provider and the outcome of that appointment), this is considered to be a Recommendation rather than a Referral. If a Referral is instead placed in such a situation, the provincial standard agreed upon is to confirm with the ordering provider that the Referral was intended to be a Recommendation rather than a Referral order. A comment can then be added in the Communication section summarizing the discussion, and the referral can then be closed with the "non-clinical flag".

Answer: If a provider does not require closed loop referral management, a Referral order should not be entered. Instead, a Recommendation can be made via a Communication letter, or, if a prescription is required by insurance, it can also be made via a Patient Care Order. See the tip sheet for further details and screenshots.

Tip: Prescriber Allied Health Recommendations vs. Referrals

How can I review and edit key patient preferences?

Question: Can key patient preferences be viewed and managed with a unified Connect Care tool?

Context: The Alberta Health Services (AHS) "Shared Commitments" initiative aims to improve healthcare experiences for patients, families and healthcare providers through inclusive approaches to learning about, respecting and promoting patient agency. One shared commitment is to ask about and respond to identity, language, religious, spiritual and other support interests in a compassionate and confidential manner.

Answer: While patients' identity and preferences are captured and used throughout the Connect Care information space, key indicators are gathered in a "patient preferences" patient list template that can be used to configure any "My List" patient list.

The list columns are "active", providing extra information on hovering and relevant editing tools on double-clicks. They include representations of:

Patient identity, preferred name and preferred pronouns
Patient goals for the encounter
Spoken and written language preferences, including any translation or interpreter requirements
Self-reported relationship and religious affiliations, plus spiritual support requests
Indication of whether a consent to release of personal information has been filed
Indication of whether AHS Shared Commitments teaching has occurred
Communication preferences
Patient portal status

This patient preferences list functionality can be replicated in ED trackboards, L&D greaseboards and outpatient schedules. Reporting Workbench (My Reports) templates (under the same "patient preferences" title) can facilitate quality improvement efforts for facilities, services or departments.

How do I reorder parenteral nutrition (PN) to ensure the order stays active?

Question: Why are the PN orders for my patient no longer visible in active orders?

Context: Recently there have been a few tickets related to PN orders no longer being visible as active orders. This appears to be due to the Order Frequency not being changed as needed when a PN reorder is placed. The PN Order Frequency determines when and how long the order will be active for; if the Order Frequency is not changed, the field will default to the number of doses/days for which the previous order was active. There is currently no technical solution to prevent this from happening but can be prevented by following the workflow.

Answer: Each time PN is reordered, review the Order Frequency field. If it is not changed, the field will default to the number of doses/days for which the previous order was active, which may not be appropriate for the reorder.

If you anticipate updating the PN prescription daily, use a frequency of "1 day". This will populate a start time of 18:00 and an end time of 17:59. The reorder button will appear to easily update the next order’s prescription.
If you anticipate updating the PN prescription less frequently (i.e., stable patient), consider entering the PN order with a frequency for a specific duration (i.e., 7 days).

For more information, see the Quick Start Guide (page 9).

Guide: Parenteral Nutrition Ordering for Dietitian Prescribers

How is COVID-19 Testing Ordered? - UPDATED

Question: How can a prescriber order COVID-19 laboratory testing in Connect Care?

Answer: Ordering of rapid COVID-19 PCR occurs using the "Respiratory Infection (incl. COVID-19) NAT" order. Connect Care prescribers can enter "COVID" when searching for an order in ER, outpatient or inpatient contexts. Any physician can order the test. If the "Respiratory Infection (incl. COVID-19) NAT" test does not immediately appear in one's department preference list, be sure to click on the "Facility List" tab to find the order. This order is also used to order rapid influenza/RSV PCR and the respiratory pathogen panel (RPP); rapid COVID-19 testing will be automatically selected by default.

Be sure to indicate the reason for testing (symptomatic, infection control screen or pre-transplant testing) and then patient location/disposition (not required for outpatient orders). As resources for rapid on-site testing are limited, answering accurately whether the patient is admitted or is likely to be admitted is very important to ensure the sustainability of the rapid COVID-19 testing program.

For more information, see the tip sheet and lab bulletin.

[Note: This post was updated May 13, 2024]

Can I get tap-badge access for Connect Care as a consulting prescriber to EDs?

Question: Can consulting prescribers in the Emergency Department get tap-badge access to Connect Care like other ED prescribers?

Context: Tap-badge technology supports faster network access to computing devices by eliminating the need to manually enter a username and password. As the use of Imprivata tap-badge technology (i.e., tap-badge access for Connect Care) requires a user license, only select AHS departments have been approved for deployment of this technology.

Recognizing the need for consulting prescribers in the ED to have more rapid access to Connect Care, any physician, physician assistant, resident, fellow or nurse practitioner who logs into any AHS ED computer at least 15 times per month is eligible to request Imprivata access.

Please note that obtaining Imprivata access for EDs will not enable tap-badge access for workstations on other clinical units where tap-badge readers are not available.

Answer: Yes, any physician, physician assistant, resident, fellow or nurse practitioner who logs into any AHS ED computer at least 15 times per month is eligible to request Imprivata, including consulting prescribers. See the tip sheet for instructions on how to request Imprivata access.

Tip: Consulting Prescribers to EDs – Requesting Connect Care Tap-Badge Access

How do I manage orders for Long-Term Care/Supportive Living patients on dialysis?

Question: How do I manage orders in Connect Care for Long-Term Care (LTC) and Supportive Living (SL) residents requiring hemodialysis (HD), peritoneal dialysis (PD), or an Alberta Kidney Care (AKC) clinic appointment?

Context: If an LTC/SL resident requires HD/PD or an AKC clinic appointment, there is a specific workflow that needs to be followed so that information flows appropriately through Connect Care. This will allow medication orders to work correctly and help to mitigate patient safety concerns. The specific workflow is dependent on whether the facility is on Connect Care, and, if it is, whether the facility has an on-site pharmacy (e.g., CareWest or Capital Care facilities) or uses a contracted/community pharmacy.

Answer: For HD, PD, or AKC clinic appointments, the LTC/DSL Prescriber and Nephrologist must follow the workflow specific to the whether the facility is on Connect Care (as this will determine whether the resident is considered an outpatient or an inpatient) and whether the facility has an onsite vs. contracted/community pharmacy, with the following considerations in mind:

Connect Care facilities with on-site pharmacy: Medications are ordered in the inpatient "Orders" activity.
Connect Care facilities with a contracted/community pharmacy: Medications are ordered in the "External Orders Community" tab.
For HD: Ordered via the Hemodialysis Therapy Plan, with any changes to be made by the Nephrologist. The "Dialysis Treatment Orders", "Hemodialysis-Anemia Management Protocol" and "Hemodialysis-Intradialytic Anticoagulation Protocol" medications are already included in the Hemodialysis Therapy Plan. It is important for the LTC/DSL Prescriber to ensure there are not duplicative orders for medications, as duplicative orders may lead to patient safety concerns.
For PD: Ordered via the Adult Peritoneal Dialysis Order Sets, with any changes to be made by the Nephrologist.

Please see the memo and tip sheet for further details.

Can I suppress or filter a medication warning?

Question: Is it possible to suppress or filter a particular Medication Warning?

Context: Alert/pop-up fatigue is a concern for prescribers. While some alerts such as Best Practice Advisories (BPAs) are important to fire each time and cannot be turned off, Medication Warnings can be suppressed or filtered, if a prescriber does not think it is necessary to see the warning again for their patient(s).

Answer: To suppress a particular warning, when it fires, click "Don’t Show This Warning Again" (click on first camera icon below for screenshot), and then choose to suppress it for just that patient or for all your patients (click on second camera icon for screenshot).

FAQ Blog - Maintenance Complete

Many thanks for your patience while maintenance of this blog channel was performed. All posts have now been restored.

You will notice that Connect Care screenshots are now behind an icon. Whenever you see the below camera icon in other blog posts on this channel (or any of our other blog channels), this indicates that there is an accompanying screenshot. When you click on the icon, it will take you to an Insite page with the relevant screenshot.

Which Encounter Type should be used for Specialty Outreach Services?

Question: Which ad hoc (unscheduled) outpatient encounter type best fits the needs of patient visits (virtual or in-person) that are part of a specialty outreach service?

Context: Specialty health services may be based in an organization using Connect Care as the record of care, yet provide consultative services to community or facility locations elsewhere. Services might include telephone consultative support to clinicians at other (usually rural) facilities, telehealth virtual visits, or drop-in in-person visits to assist with the care of selected patients; all as part of outreach from the central service requiring service documentation in Connect Care.

Outreach appointments may be scheduled or otherwise organized by the remote location (e.g., primary care network) and so not involve Connect Care support staff for appointment management. In such cases, ad hoc (unscheduled) outpatient visits are needed and clinicians may wonder which visit type to select when creating a new encounter in their specialty department.

Answer: If Connect Care is the record of care for part, but not all, of an integrated health service program, it may be appropriate to use Connect Care integrative charting tools (e.g., therapy plans, care paths, disease management documentation, SmartSets) to manage and document related care. A "Documentation" visit can be created if the outreach support need is limited to generating and sharing a consultation letter. More commonly, the "Telemedicine" visit type works best for outreach services because it benefits from specialty-specific visit, order and documentation tools in Connect Care.

How do I manage orders for admitted patients on dialysis?

Question: How do I manage orders in Connect Care for admitted patients on hemodialysis (HD) or peritoneal dialysis (PD)?

Context: If an admitted patient requires HD/PD, there is a specific workflow that needs to be followed so that information flows appropriately through Connect Care. This will allow medication orders to work correctly and help to mitigate patient safety concerns. (Note: There is a separate blog post for managing orders for Long-Term Care/Supportive Living patients on dialysis.)

Patients receiving dialysis have their dialysis treatment and associated intradialytic medications ordered via the Hemodialysis Therapy Plan or Peritoneal Dialysis Therapy Plan. When a patient with a Hemodialysis/Peritoneal Dialysis Therapy Plan is admitted to the hospital, the Therapy Plan is automatically placed on hold so that the Nephrology team can adjust the prescription and intradialytic medication orders. Once the prescription and orders have been adjusted, the Therapy Plan is available for the duration of the admission.

Answer: For HD and PD, to ensure information flows correctly and medication and blood product orders function properly in Connect Care, a non-nephrologist admitting prescriber should first place a consult order to Nephrology. Then there are specific workflows for medication and blood product ordering, including (but not limited to) the below:

For HD: The dialysis treatment prescription, anemia and intradialytic medications are already included in the Hemodialysis Therapy Plan, and changes are to be made by the Nephrologist. It is important to ensure there are not duplicative orders for medications, as duplicative orders may lead to patient safety concerns.
For PD: All PD treatments and medication orders are ordered via the Peritoneal Dialysis Adult Order set and inpatient orders by the Nephrologist.

Please see the memo and tip sheet for further details.

How can I refer a patient to the FAST program?

Question: How do I refer a patient to the Facilitated Access to Specialized Treatment (FAST) program?

Context: As part of the Alberta Surgical Initiative (ASI), a central access and intake program called Facilitated Access to Specialized Treatment (FAST) has been implemented across Alberta. The FAST program is responsible for reviewing referrals for completeness and assigning them to a next available provider with the shortest waitlist, a specific provider, clinic or site, or an out-of-zone provider.

Not all specialties have implemented FAST. Previously, a customized FAST referral order was available for each relevant specialty. Now, to both accommodate a growing number of specialties using FAST and reduce confusion, FAST referrals are placed via the standard specialty-specific referral order. If that specialty uses FAST, a question will be available in the order where the prescriber can indicate that the referral should be directed to FAST and include any FAST specialty-specific questions that may need to be answered.

Answer: To submit a FAST referral, search for the standard specialty-specific referral order (e.g., "Referral to Orthopedics"), and then add a specialty reason of FAST. Searching for "FAST" referral orders will bring up specialties that are FAST-eligible.

How can clinicians control whether patients can contact them via secure messaging?

Question: How can a clinician determine whether, and for how long, a patient can send them messages via MyAHS Connect (Connect Care patient portal)?

Context: Patients who have activated MyAHS Connect are able to securely communicate with healthcare providers via Connect Care. This does not mean that they can initiate communication with any provider. Four tests determine whether a patient is able to send a message to a Connect Care clinician:

Recipient - If a provider initiates a secure patient message to an individual active on MyAHS Connect, that patient will be able to respond to the sending provider.
PCP - If the patient's primary care provider (PCP) uses Connect Care as their record of primary care services, then that provider can be messaged directly (if so configured by the provider) or via a clinic-managed message pool.
Consultant - If the patient has been seen by a consulting (specialist) clinician within the prior 90 days in a facility where Connect Care is the record of care, then the patient can send a message to the clinician (if configured to accept personal-direct messages) and/or the clinic patient message pool.
Clinic - If the patient's clinic (primary care or specialty) has a patient message pool configured, and the patient was seen in that clinic within the last 90 days, then appointment request and some other message types can be initiated with the clinic via its managed message pool.

Patients are offered three options when generating a new message:

If the "Ask a medical question" option is selected, additional options appear. These will be seen by receiving clinician(s) as patient messages categorized by the request reason.

If there is no active patient-clinician messaging relationship for the option selected, the patient is immediately informed that there are no providers assigned for that type of question, and they are directed to contact their clinic for assistance.

Most Connect Care outpatient clinics are configured by default to route incoming patient messages to a clinic message pool for monitoring, screening and forwarding. This can help shield physicians from excess In Basket messages, or delays in answering messages when physicians are busy. However, sometimes physicians will want to send and receive a patient message without anyone else being part of the communication loop.

FAQ: How can MyAHS Connect patient messages be restricted to specific patient-provider contexts?

Answer: Patients with active MyAHS Connect accounts can receive and respond to patient messages sent directly from any clinician. Patients can also use the patient portal to communicate with their primary care provider, or with a provider seen in a Connect Care clinic within the last 90 days, but in most cases the messages will go to a clinic message pool for screening and review before possible redirection to the individual provider.

If a provider does not want to receive messages from one or more patients, the following options should be explored:

Outpatient clinic messaging protocol - Work with clinic colleagues to confirm an agreement respecting whether the clinic maintains an incoming patient message screening process and ensure that the responsible support staff know that the particular provider does not accept patient messages.
Patient-provider relationship - If a provider will not participate in any ongoing care of the patient, or will not offer any further post-visit communications, then the "Care Team" activity can be opened in Connect Care and the provider can "end" any existing primary or specialty care relationship, thus removing the provider from communication availability.
Direct communication - Clinicians can always respond (or have their messaging pool respond) to a patient message with a request to not use MyAHS Connect for communications with a particular provider.

For more information:

How can I resend a prescription via direct electronic fax to a community pharmacy?

Question: How can I “reprint” or refax a prescription that was originally sent via direct electronic fax?

Context: Prescriptions sent directly from Connect Care via electronic fax to a community pharmacy are handled by the RightFax application. In the “My Printouts” activity, the “Printer Used” column will show “RIGHTFAX”.

If the initial fax fails, the RightFax application will attempt to send the fax a total of five times, every 5 minutes. After that, the message goes into a failure queue in the RightFax application. Similar to community EMRs that fax prescriptions, the pharmacy or patient would need to request a reprint from the prescriber if the fax does not come through.

If a prescriber receives such a reprint request, or if the original pharmacy information was incorrect, there are a few different ways to reprint/resend, depending on the context. Note that the usual method for reprinting prescriptions, via the My Printouts activity, will not work, and the only option in some cases will be to print, sign, and manually fax.

Answer: For ambulatory encounters, the following options can be used to resend/reprint a prescription that was originally sent via direct electronic fax:

If the patient’s preferred pharmacy is still the same, from the relevant encounter, the prescription can be resent via direct electronic fax using the “Reprint Meds” link.

If the original electronic fax was sent to an incorrect pharmacy/fax number, contact the pharmacy that was sent the prescription in error to cancel the original prescription, and then either:

Print on paper by going to Chart Review >> Meds, selecting the medication, scrolling down to “Reprint Prescription”, and clicking the link. Then sign and manually fax to the correct number.
Cancel the original order and reorder with the correct pharmacy information. Follow the steps in the tip sheet to send via direct electronic fax.

For inpatient encounters, the following options can be used to resend/reprint a prescription that was originally sent via direct electronic fax:

Print via one of the below methods, then sign and manually fax:

In the “After Visit Summary” section of the Discharge Navigator, click the add icon ("+") found beside "Discharge Medications".

In the “Discharge Status” section of the Discharge Navigator, click the “Reprint” link next to the relevant medication.

If the original electronic fax was sent to an incorrect pharmacy/fax number, contact the pharmacy that was sent the prescription in error to cancel the original prescription, and then either:

Print on paper by going to Chart Review >> Meds, selecting the medication, scrolling down to “Reprint Prescription”, and clicking the link. Then sign and manually fax to the correct number.
In Discharge Med Rec, click on the pencil icon next to the medication and modify/reorder with the correct pharmacy information entered for the patient’s preferred pharmacy. If “Fax” is selected for the order class (as detailed in the tip sheet), it should send via direct electronic fax.

Information on reprinting discharge prescriptions that were originally printed out can be found in this FAQ.

Can I use Z-codes to change the status of a patient to Alternate Level of Care?

Question: Can I enter Z-codes to indicate the barriers to discharge that cause my patient to remain in hospital as an Alternate Level of Care (ALC) patient?

Context: When inpatients no longer need the intensity of care or level of service provided by their admitting acute care facility, it is important for the Most Responsible Provider (MRP, usually the attending prescriber) to change their "patient status" to "Alternate Level of Care" (ALC). The ALC designation effectively stops the clock measuring a patient's actual length of stay (LOS). Recognizing when medical management has finished and switching to ALC status is among meaningful use norms expected of prescribers.

The easiest way to make changes to the inpatient status is to use the "Level of Care" column in patient lists. This is built-in to the Rapid Rounds patient list template. Double-clicking on the LOC row value for a patient opens a pop-up editing tool where the "ALC - TBD" button should be used.

Prescribers can also initiate an ALC status using the "Orders" activity, by using an "Initiate ALC" order or a "Patient Status" order, then using the "ALC - TBD" speed button.

It is important that prescribers ONLY select "ALC - TBD" and not Z-codes. Transition coordinators and/or nursing staff take care of more detailed (Z-code) ALC statuses. Selecting Z-codes too early can trigger direct charges to the patient.

Note: If a patient already has an ALC status and an "Initiate ALC" order is entered with "ALC - TBD" selected, any Z-codes assigned to that patient will be overwritten.

Answer: To change the status of a patient to Alternate Level of Care, the MRP should use the "Level of Care" patient list column or enter an "Initiate ALC" order. Either way, it is important to use the "ALC - TBD" quick-button, and to NOT select ALC statuses with Z-codes. Prescribers can document barriers to discharge using the Expected Date of Discharge (EDD) comment field and the Discharge Planning report built-in to the inpatient sidebar.

For more information:

What happens when a Restricted Medication Therapy Plan has a date change?

Question: Why do I need to re-sign a Restricted Medication Therapy Plan when only the date has been changed?

Context: Therapy Plans can be entered in advance and expected dates may change. While nursing can make changes to Therapy Plans, plans with Restricted Medications cannot be signed by nurses. Therefore, if there is a date change to a Restricted Medication Therapy Plan, the plan will then have to be re-signed by the prescriber. (Note that Connect Care is continuing to look at options to reduce this workload on prescribers.)

Answer: If a date has been changed in a Restricted Medication Therapy Plan, you will receive a notice in your In Basket indicating that review and re-sign is required.

In the "Recurring Treatments" folder of your In Basket, select the relevant patient.
Click on the 3 dots icon above the message and select "Open Plan" from the dropdown menu that appears.
Review and edit, if necessary.
Sign the plan.

For more information: