Cutover Processes
Cutover is a process through which key pieces of information about admitted patients are entered into Connect Care prior to launch. Cutover includes both technical and clinical elements. The primary concern for prescribers will be the management of medication and non-medication orders, and the translation of important information about patients’ clinical status from a paper record to an electronic one.
Prescriber Cutover Tasks
Prescribers facilitate six key tasks as part of cutover processes (dates are specific to Launch 8):
Pre-Launch (Long-Term Care [LTC]/Designated Supportive Living [DSL]: March 4–27, 2024; Post-Acute: April 22–May 3, 2024)
Clean up medication orders in legacy systems. Remove unnecessary orders or unused PRNs.
Fill out or review and sign Non-Medication Order Forms for each admitted patient. Should be found on the front of charts. Deadline is end of day March 27 for LTC/DSL teams, May 1 for post-acute teams. Ensure the orders are predictive of the patient needs as of May 4 at 05:00.
Optional: Create list of all patients the team is following before May 3 at 23:00, to ensure smooth creation of provider specific and specialty lists.
Order Validation and Problem List confirmation starting on April 1. Clinical teams will be entering orders at the same time, so please be patient as information is entered into the system. Note this step can also be done post-launch, if teams are not able to do it ahead of launch.
Reminder: All team members should be logged out of the legacy and Connect Care systems by May 3 at 23:30, and remain out of the system until May 4 at 05:00. Being logged in during this time can interfere with the Connect Care launch. Netcare is available during this time.
Post-Launch (May 4, 2024)
If not done pre-launch and required for area, create provider specific patient lists.
Compare legacy Medication and Non-Medication orders to Connect Care orders. Orders that will be missing include but are not limited to:
Reoccurring medications that were ordered after pharmacy closure time.
Wound Care orders.
Area specific orders.
Orders that have changed since cutover occurred for patient.
The following resources can help prescribers understand and participate in cutover activities, which can vary by launch wave and by level of care (e.g., continuing care vs. post-acute care):
Continuing Care:
Post-Acute Care:
Optional Pre-cutover Problem List Reconciliation
For those planning to pre-document problem lists for complex patients who are anticipated to continue in hospital post-launch:
Legacy Clinical Document Access
Some clinical documents stored in prior (legacy) paper or digital records may be scanned or copied and attached to the new Connect Care record at cutover. These may include exceptional care plans, chronic disease management plans, transfer summaries or other documents important to ongoing patient care.
Clinical documentation added to the Connect Care record at cutover can be found using the "Chart Review" activity within a patient chart opened in Hyperspace. Within the Chart Review "Media" tab, look for entries where:
"Clinical Document" appears in the "Document Type" column.
"Patient Cutover Record" appears in the "Description" column.
It is possible to use the Chart Review media tab "filter" function to restrict the view to only those documents with "Cutover" in the row description. It is also possible to use the global chart search function using the keyword "cutover" to find this content.