Content in this section will evolve as optimizations via the Connect Care Results Routing Optimization project (2024-25) are made to the system. Please also note that the delivery information on these pages applies to mixed-context practitioners only, and in the majority of circumstances, but some exceptions may not be reflected here.
Delivery of Results, Clinical Documents & Referral Notifications to Mixed-Context Practitioners
Overview
With the implementation of Connect Care across Alberta, the delivery of clinical information to practitioners (including physicians, medical trainees, nurse practitioners, clinical assistants and other healthcare professionals – collectively referred to here as practitioners) has changed. Some laboratory and pathology results, diagnostic imaging and other procedure reports (for ECGs, endoscopy, and others) are now delivered to practitioners using Connect Care processes.
Connect Care also changes how certain clinical documents (e.g., discharge summaries, emergency practitioner notes), referral information and appointment notifications are received. Results, reports and other clinical documents continue to be available in Alberta Netcare, as previously.
This subsection of the Manual summarizes how many of these documents are made available to mixed-context practitioners (i.e., those who work both within Alberta Health Services [AHS] and at community-based or private practices). AHS continues to optimize the configuration of Connect Care and Epic, and to identify alternative workflows that promote patient safety. A Connect Care Results Routing Optimization project is currently underway (2024-25); see the overview for a roadmap with tentative dates.
Mixed-Context Practitioners
“Mixed-context” practitioners work in an AHS setting, using Connect Care, while also providing services in one or more sites that use an independent electronic medical record (EMR), AHS legacy computer information system, or paper records. How results or reports resulted or documented in Connect Care are returned for consideration by mixed-context practitioners depends on the context of ordering, the practitioner’s relationship with the patient or order, practitioner and location information associated with the order, the practitioner’s contact information and delivery preferences in Connect Care, and the type of result, report or clinical document.
Practitioners with Connect Care access will always have an active Connect Care In Basket to receive information that cannot be routed to external systems.
For information that can be routed externally, mixed-context practitioners can specify the primary/default location where, and how, that information should be sent. The default location can be the Connect Care In Basket or a community location. For community locations with eDelivery (independent EMRs appropriately configured):
Information that is supported by eDelivery will be sent directly to the EMR electronically.
Information that is not supported by eDelivery will be sent as a fax and may be received using a traditional fax machine, electronically with an online service (eFax), or in a digital document inbox in the EMR.
Community locations without a conformed EMR will be sent information via fax.
Information on delivery of information to mixed-context practitioners is organized into three subpages:
Delivery of Laboratory Results, Diagnostic Imaging, ECG & Endoscopy Reports
Delivery of Hospital and Outpatient Care Documents: Clinical Care Notes and Letters
Delivery of Referral Communications and Appointment Notifications
Viewing and Changing Primary/Default Location
Mixed-context practitioners can find out what AHS has recorded as their default location by emailing the IT Service Desk, or by using the self-serve look-up tool (Prac ID needed to log in).
To update their primary/default location, mixed-context practitioners can email the IT Service Desk, or email a completed Request for Provider/Prescriber Set-Up in Health Information Systems Form that confirms their results delivery methods and locations to AHS.Provider_Requests@ahs.ca.
Additional Resources
Notes
The information provided in this subsection of the Manual is specific to practitioners who work at AHS sites using Connect Care/Epic as the AHS Legal Record of Care, and who also work in a clinic or clinics with a private record of care.
Until Connect Care is fully implemented within AHS, the information and tables in this subsection of the Manual refer to results or reports that are routed through the Connect Care clinical information system, Epic. The information in this document does not suggest that other systems will manage information the same way. Some legacy systems still in use, like eScription, may continue to route information directly to private clinics in some areas, until all parts of the province are using Connect Care.
If there is information missing from an order/requisition or if a workflow is not followed, routing outcomes may not be as expected.