The Connect Care clinical information system (CIS) has sophisticated printing controls. They are also complicated and can be confusing. This is because the CIS automatically routes label print-jobs to label printers, facsimile printing to RightFax, prescriptions to local printers, etc. Moreover, print tasks need to route to exactly the right printer for a particular computer or clinical area.
Physicians should not have to worry about printing from AHS workstations, as the mapping will be set. The tips below focus on how to initiate and control printing. Other tips advise about how to print from personal devices.
It is unlikely that a personal computing device (notebook, tablet or iPad) will be able to find or map to nearby printers in clinical practice areas. Even if a list of networked printers can be produced, it is unlikely that the necessary permissions or drivers will be available to BYOD users. There is a work-around if a report (e.g. After Visit Summary) needs to be printed or saved for printing:
- Initiate a print command.
- Look for the "Microsoft Print to PDF" printer name from the list of available printers.
- When prompted with a dialog seeking a location to save the pdf file, click on the drop-down list to the right of "Save in:" and select the storage device for your personal device, then seeking out the desired folder and giving the pdf file an appropriate name.
- The locally stored pdf file can be opened at an appropriate time and place and then printed to paper from the personal device.
- --> it is essential that this workflow only be performed with approved personal devices having encrypted storage; and that pdf files be deleted as soon as the purpose (e.g. billing data transfer) is complete.
- Tip: Printing from Personal Devices
Some physicians print labels to use with third-parting professional billing sheets, special consent forms, or other objects requiring patient identification.
Sometimes it is useful to print or save specific elements of a patient's chart, such as a medication and allergy list. Many such topic summaries can be printed directly from the Patient Lists activity. The sequence is similar for all chart reports that can be viewed in the lower panel of the list activity when a patient name is selected.
Clinical documentation objects (notes, reports, letters, media) are best printed from the various parts of the Chart Review activity (all contexts).
Normally, orders for more complex investigations (e.g., diagnostic imaging, stress test, echocardiogram, etc.) are placed within the clinical information system and automatically route to the correct department for scheduling and fulfillment. However, there will be testing facilities that are not linked to Connect Care during transition periods before Connect Care is fully implemented provincially. And there may remain independent facilities that do not support integrated ordering processes. Physicians need the equivalent of a print process so that the test requisition can be rendered to a form that can be hand-delivered, mailed, faxed or attached to secure email. Care must be taken if working remotely and the requisition needs to be directed to a local printer.
When ordering the investigation or intervention, possibly as part of an "Orders Only" encounter, look for part of the Connect Care order properties referring to where the order will be performed. Select "Other" or "External (Req to Print)" to enforce a workflow for printing the requisition. Complete the rest of the order elements and line up the order with any others pending signature.
Before signing the order(s), make sure that you have changed the default printer to be a local one or otherwise under your control (e.g. print to pdf). Upon signing, the requisition will be printed, faxed or saved as pdf for secure email attachment depending upon the printer configuration choice.