Prescriber Roles

Most prescribers work within a primary care or specialty service and are well served by their assigned Connect Care department, role and user template. Their Connect Care logon will be straightforward. Their "department" will default to their usual choice, requiring only user name and password for a successful logon.

Some prescribers will need to provide more information at logon. They may require different user interfaces (e.g., emergency, operating room, etc.) at different times. And some Connect Care users additionally need to clarify both their role and who is ultimately accountable for the work they do in that role.

Multi-Department

Prescribers work who work in multiple facilities or specialties (e.g. Nephrology and General Internal Medicine) need to take care to ensure that their logon process includes selection of the correct department for the clinical work they anticipate during a specific Connect Care session. Their most frequently selected departments will appear on a quick-select list, sparing them from doing a system wide look-up after the first few department switches.

Prescribers have access to all the departments (contexts) that they might need. It is easy to change contexts, even after logon. This is done on the fly by using a "Change Context" option appearing in the Logoff (top right) drop-down pick-list.

Multi-Role

Some prescribers work in two or more specialty areas that use different CIS modules. The emergency module (ASAP), for example, is not like the critical care user interface. If one needs to switch between different modules for different roles, then more than one "sub-template" needs to be added to one's Connect Care physician record.

Connect Care has made configuration changes for multi-role physicians and all Trainees (rotate through many roles throughout a year). Still, some multi-role physicians could be missed. Medical Affairs facilitates changes to physician roles and profiles. Physicians concerned about the role(s) assigned should request clarification or correction through their Zone Medical Affairs, who take care of physician privileges and specialties.

Multi-Site

Some prescribers (physicians, nurse practitioners, etc.) see patients at more than one practice location. One or more locations may use Connect Care as the record of care. However, one or more locations may also be outside Connect Care and use a different health record. This can affect the best way to handle delivery of laboratory test results and clinical documentation. Connect Care is able to accommodate such complexities by associating more than one practice location with physician record.

Connect Care provider look-up tools may show a provider name, and within it one or more practice locations (sites). In general, this option only appears where the user's choice may matter. The site name and addresses appear next the provider name and the appropriate practice context can be selected when choosing the provider.

Multi-Record

There are many workflows where users may select provider names. Examples include copying test results, clinical correspondence and referral information. For these workflows to be unambiguous, it is important that each provider have but one provider record... and therefore appear only once in the pick-lists used to select providers for actions. In general, Connect Care follows a strict rule of one-provider-one-record.

There are some rare exceptions. Connect Care users may notice that a few prescribers (physicians, nurse practitioners, etc.) listed in the clinical information system phone book (and associated look-ups) more than once. Some health care providers care for patients in more than one province; most commonly affecting Connect Care when physicians perform clinical duties in both Alberta (AB) and the Northwest Territories (NT). The non-Alberta role is indicated by a two-letter provincial abbreviation in parentheses. Users need to take care when choosing a provider record to match the provider to the correct care context.

Multi-Supervisor

Prescriber Trainees, including medical students, residents and fellows, are “supervised” by a fully licensed prescriber who must co-sign or attest to at least some Trainee activities in the Clinical Information System.

All Trainees must identify a Supervising Prescriber when logging on to Connect Care. This Supervisor is automatically notified, when required, about documentation or orders requiring co-sign, while also receiving results of trainee-ordered tests when those are routed to In-Baskets.

Some Trainees find themselves in multi-supervisor contexts. They may, for example, serve in an outpatient clinic where they help with patients visiting different physicians. It may seem a hassle to have to change Supervisors when moving from patient to patient. However, this is one of the situations where it is especially important to know the most responsible provider for a particular patient, so that results get routed to the right person post-clinic.

It is very easy to switch Supervisors within Connect Care, without having to log off and on again.