Meeting
Date
Wednesday, July 23rd, 2014 - 3:00pm
Location
1.866.261.6767 OR 416.850.2050 / Pass Code 381 9852#
Centres: includes Chigamik, Gateway, Regent Park,
Attendees
AOHC: Catherine, Marc, Raj, Anne-Marie (Secretariat)
Nightingale: Leona
These weekly calls are to address any critical issues the sector faces with NOD performance. Any other
issues (e.g. operational, settings, training) can be brought to the Transition Coordinators.
Critical Issues include:
* Client safety risk
* Legal risk to Centre’s/Providers
* Regulatory risk for Providers
* Mandatory functionality
* Mandatory Report
* No known work-around
* Requires escalation to AOHC
* Threatens full adoption of EMR
For the Minutes, see SharePoint – go to the folder for that specific month:
http://sharepoint.dmcportal.org/emrdeployment/emrkbb/_layouts/15/start.aspx#/EMR%20Videos/Forms/Al
lItems.aspx?RootFolder=%2Femrdeployment%2Femrkbb%2FEMR%20Videos%2FNOD%20Issues%20Wee
kly%20Update%20Minutes&PageView=Shared&FolderCTID=0x0120004856F570F462114F9D04BE527FEE9
9FE&View={CFC9FB13-DB77-4A24-B674-BC339254A0B0}
Document1
1
For Closed items, see SharePoint folder:
http://sharepoint.dmcportal.org/emrdeployment/emrkbb/_layouts/15/start.aspx#/EMR%20Videos/Forms/Al
lItems.aspx?RootFolder=%2Femrdeployment%2Femrkbb%2FEMR%20Videos%2FNOD%20Issues%20Wee
kly%20Update%20Minutes&PageView=Shared&FolderCTID=0x0120004856F570F462114F9D04BE527FEE9
9FE&View={CFC9FB13-DB77-4A24-B674-BC339254A0B0}
MINUTES:
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1. General Update from AOHC
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2. Client Safety/Security issues:
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Centres getting access to Nightingale’s One World
Centres will be given access to see their own tickets once
Nightingale has fixed up the data – some of it got lost with the
migration to One World.
There will also be a link where you can see all client safety issues.
Ticket # 175306 - Missing lab results for an Alpha provider
(technically not client safety but the centre will not agree) –
Opened May 2014 – South Riverdale
July 18th: There are many tickets on missing lab results – overall
problem is in analysis
June 25th: Nightingale  to resolve.
June 18th: This is a set up issue.
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Ticket # 175347 - Gamma – Partials overwriting Final data
(Planned Parenthood)
July 7th: Nightingale has resolved the problem. AOHC  to get
root cause analysis from Nightingale.
June 25th: Continuing investigation of why partials overwrote the
final data.
June 18th: Met with the centre, and confirmed that the problem
exists. Nightingale  to do some analysis for problem resolution.
Ticket # 175905 (Opened in June 2014) – demographic info on
Requisitions for Public Health Labs and MDS Lifelabs is picked up
from Favorites screen rather than from new encounter
July 24th: Nightingale thinks that this problem may be related to
the eforms issue that their 3rd party group is working to resolve.
July 9th: To investigate.
Ticket # 177927 – Problems directing Life Labs for providers that
work at multiple centres. Mary Berglund says problem needs to
be resolved ASAP as it is now at least 6-7 weeks that they have
been dealing with this situation.
July 16th: Life Labs needs to use the appropriate code per
location.
March 23rd: Has been defined as Client Safety Issue
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Ticket # 178904 – text that is enclosed in quotes is not included
in the electronic lab result -(Pinecrest CHC)
July 23rd: Scheduled to go to Production tomorrow.
July 16th: Will remove quotes so lab results will flow – this is
temporary measure. For a permanent solution, Development will
implement a fix.
Ticket # 179064 – chart merge function does not merge all data
– some entries are dropping from the client chart
July 23rd: Has been coded. Scheduled to go to Production.
July 16th: Fix has been coded and is in QA.
Ticket # 179273 - Expiry date calculating incorrectly on some
medications
July 23rd: Leona  to write a blurb and put on Customer Central –
the prescription expires based on the last expiry date of
themedication on the prescription.
July 16th: The code is working the way it should. Leona has
escalated to Jeff, and asks if this is the correct logic.
Jul 9th - # 179273 – Centre Town – ticket opened in July. When
you open the prescription history, NOD indicates that medication
will expire in “n” days but medication date has already expired.
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Ticket # 179671 – dispensing calculation is not calculating
correctly – shows measurements as units and bottles rather
than droplets (N'Mninoeyaa)
July 23rd: Product Management is reviewing the problem.
Ticket # 121208 and 174545 - Alpha - Third party lab results –
not showing abnormal indicator when needed
July 23rd: Has been delayed going into product as there are other
Criticals need to go out before.
July 16th: Will be put into production either tomorrow or next
Tuesday (July 22nd)
July 7th: Nightingale Workaround failed so it is back in QA. Alpha
 to work on long term solution. Note: these results also do not
show up in OLIS – eHealth has been informed.
June 25th: Nightingale has a workaround (in QA) until Alpha Labs
can get the code changes done.
June 18th: a June 25th Meeting has been set up with Alpha
Labs/Nightingale/AOHC to discuss.
Ticket # 135196, related to 138863 - Security Issue – a NOD page
link that is inserted into an internal email (noticed at Four
Villages) is accessible to internal users even when they are not
logged into NOD
July 23rd: ETA of August 8th in production.
June 25th: Still in development.
June 18th: In development.
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Ticket # 172980, 171076, 176400 - Mappings of lab results to
flow sheets are randomly “lost” (LOINCIN) – lab results
therefore do not appear in trend graphs –July 17th: Analysis in
progress. Would like OLIS “missing button” issue to be resolved at
same time - # 179554
July 16th: Master Ticket has been created
July 9th: Somerset West has been told by Help Desk that this
problem has been happening for the past 3 years. Guelph has
noticed this. AOHC has been asking Nightingale of when this will
appear in a Release.
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ACTION ITEMS
#
Date
Added
95
Jul 23,
2014
94
Jul 23,
2014
93
Jul 23,
2014
92
July 16,
2014
Issue
When a user bring up an OLIS result,
they are not able to see trending.
Gateway – Centre monitors group
scheduling – However, schedules are
not lining up.
Grandbend,Ticket # 180669 – SOAP
note (entered in April 2014) is not in
encounter. Super User is able to see
the note in the Provider’s Activity Log.
De dwa da dehs nye>s Aboriginal
Health Centre – some records freeze
for Public Health and antenatal
records. Pinecrest has also
experienced this.
Action Item
July 23: OLIS trending
has been coded, and is
in QA.
July 23: Sees it as an an
enhancement. Does not
see it bring fixed in
NOD. It works better in
NEHR.
July 23: To Investigate
July 23: Nightingale
thinks that underlying
issue with eforms may
be causing problem with
freezing of antenatal
records
Assigned
To
Status
Leona
Open
Lena
Closed
Leona
Open
Leona
Open
Leona
Open
Gateway can replicate it.
July 16: To follow up
with Peter at Gateway
and replicate problem
91
July 16,
2014
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Pinecrest, Ticket # 179569 – User was
in Patient 1's unsigned encounter, then
July 16: To forward to
went to Patient 2's signed off encounter
Jeff – is it a NOD
and saw Patient 1’s data in Patient 2's
enhancement?
chart.
7
90
July 16,
2014
89
July 16,
2014
88
Jul 2, 2014
87
Jul 2, 2014
86
Jul 2, 2014
85
Jul 2, 2014
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Help Desk says it is known work flow
problem. To prevent this from
happening, user needs to click on
"Close Chart" (Registration > Close
Chart) before going to the next patient's
chart.
Belleville, Ticket # 178782 – Centre is
missing final results for Life Labs MDS.
Life Labs says they sent it to
Nightingale.
Stonegate, Ticket # 179144 – There
are some Alpha Labs that are missing.
Alpha says they re-sent it to
Nightingale.
Kitchener, Ticket # 178763 (Opened in
July) - Data Miner Report:
1) MISSING Medications
2) some medications are showing
TWICE
Kitchener, Ticket # 178808 (Opened in
July): - Data Miner Report – Data is
not being retrieved when you run a
report of the problem list in the CPP
Kitchener, Ticket # 178284 and 177486
(Opened in June):
- ID Clinic" Template was transferred
over to Guelph CHC. Dialogue "ID
Client" is missing from template
Manage Dialogue list.
N’Mninoeyaa – Ticket # 178790
(Opened in July):
1) need to show pharmacy name as it
July 16: To Investigate
Leona
Open
July 16: To Investigate
Leona
Open
July 2: To Investigate
Leona
Open
July 2: To Investigate
Leona
Open
July 2: To Investigate
Leona
Open
July 2: To Investigate
Leona
Open
8
84
83
82
81
is our preferred pharmacy
2) prints only dispensed amount for 1st
drug
3) needs to show generic and trade
name of drug
N’Mninoeyaa – to open ticket (opened
in July):
– problem “switching screens from one
location to another location”.
A
workaround is to log out and log back
Jul 2, 2014
in. Affects productivity at centre –
causes problems in workflow –
increases chances of errors occurring.
- Belleville says they have a similar
problem
Carlington – Ticket # 178797 (Opened
in July):
- provider masked some content in a
Jul 2, 2014 client chart but accidentally hit “Mask
All" – was not able to unmask. DMC did
a workaround with security rights. He
asks if this practice is allowed.
Flemingdon – Ticket #
178838 (Opened in July):
Spell check feature is not working.
Leona thinks it is not a function of NOD
June 25,
BUT rather a function of Explorer
2014
June 25,
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July 2: To investigate
once ticket has been
opened
Leona
Open
July 2: To Investigate
Leona
Open
Ali
Open
Leona
Open
July 2: Feature is part of
Internet Explorer 10.
Leona  to request Ali
to call Marcia at centre
and show what needs to
be done
June 25: Leona  To
Investigate
Regent Park – Ticket # 180742 – July 23rd: To follow up
9
2014
80
June 25,
2014
79
June 18,
2014
78
June 11,
2014
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Opened July 2014. Lab Requisition
Form freezes up when user tries to June 25: Get Regent
open from the encounter. There is no Part set up with a Go To
consistency as to when this happens.
Session for ½ day –
system will track day’s
Flemingdon, Four Villages, and North activities – if freezing
Toronto said they had similar problem. happens, Nightingale
can see the history
Four Villages – Centre reported
problem in Dec 2013. User cannot find
ticket #, so forwarded email to Leona.
One of the Lab reports did not get
populated in NOD until 1 month after –
the filing date was not incorrect when it
got into NOD. Nightingale did not get
back to user on a resolution.
North Lambton – Ticket # 172618. At
today’s call, Regent Park brought up
the problem – Auto Logout is not
working. User did not log out, and next
morning, NOD was still on, and other
users could get in under that user’s
access.
Guelph – Ticket # 176153 – Contents
of prescription are accurate when you
look at it online. However, when you
print the prescription, the contents are
wrong. The Centre has not been able
to duplicate the issue. Could it be a
training issue.
June 25: To investigate
Leona
Open
June 18: Try setting the
logout to last less than 1
hour
Regent
Park
Open
June 11: Will be
monitored.
If problem happens
again, Guelph  to
report the ticket. Same
goes for Woolwich
Guelph,
Woolwich
Open
Leona
10
76
June 4,
2014
75
June 4,
2014
74
June 4,
2014
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Woolwich reports that they have seen Leona out that if the
this happen once. They are not able to issue is coming up
re-create the issue.
regularly, Nightingale
can set up a recording
Galway is reviewing their prescriptions for the centre. They can
prior to faxing them.
then call the Help Desk
when the problem
happens.
Pinecrest – Ticket #114296 Ordering June 25: in Progress.
provider needs to be indicated labs Then put on hold
coming in to a provider as a cc from pending completion of
another providers order. See Item 66 – GAMMA HL7 Upgrade.
believe this is the same issue.
June 4: Catherine  to
add to Top 10 list for
weekly tracking with
Leona
Carlington (Peter Voth) and Pinecrest
(Kellie) – Ticket # 175898 There is a
June 25: In progress.
problem matching clients on first name,
Tested and confirmed to
last name and telephone number. NOD
be an issue.
is not finding the existing record and
clients are being duplicated in the
June 4: Catherine  to
centres. Pinecrest and other centres
add to Top 10 list for
are also experiencing this – client
weekly tracking with
safety as all client data is spread out
Leona
across multiple charts and critical items
can be missed.
Guelph - Karin Tremaine - Audit log – June 25: Jeff has
When you print off an entire chart via a confirmed it is a defect.
print button the action does not write to Nightingale  to fix.
the audit log – print button does not
Leona
Open
Leona
Open
Leona
Open
11
register. PHIPPA issue.
73
72
June 4,
2014
June 4,
2014
71
June 4,
2014
69
May 21,
2014
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Ticket # 20580 - Guelph – Last year
providers were not set up properly to
receive CML labs electronically. Paper
lab results were sent as a workaround.
Problem was resolved but centre has
been looking for a report of all labs that
were sent via paper so they can insure
that all client charts are up to date.
Patient Safety- don’t know for sure if
they are not missing something.
Raised multiple times since July 2013,
November
(ticket
not
recorded)
December, March # 20522
Gateway (Peter) – Experiencing a
problem that can be duplicated where
client demographics from a previous
client was saved and copied to new
encounter of a different client via
favorites option. New item and no ticket
has been opened yet.
June 4: Leona  to
follow up with Jeff
June 27: Catherine sent
follow up email to Karin
– has problem been
fixed.
Leona
Open
Access
rights of
receptionis
t – icon on
nod screen
– 175875 –
Noj –
ISS001123
Open
Leona
Open
Sue at
Langs
Farm
Open
June 4: Catherine  to
add to Top 10 list for
weekly tracking with
Leona
June 25: In
development. Has
advised the centre of a
workaround.
June 4: Peter  to open
a ticket, Catherine  to
add to the top 10 list for
discussion with NIC.
Regent Park (Wael) - Care Element June 4: Catherine  to
Reporting – impacting multiple centres. add to Top 10 list for
weekly tracking with
Leona
Old ticket # 139687 – new ticket #
June 25: Could be a
103936
Training Issue. Will ask
Ali to do a follow up next
Langs Farm opened the ticket in
week.
12
January 2014. The screen locks up
when you want to print the Prenatal
forms. This has happened to quite a
few users at the centre.
Cathy (South-East Ottawa) asked if
the fix, for ordering provider not
appearing on the Lab Reports, is in
Release 9.2.4.
68
May 14,
2014
66
April 30,
2014
57
February
19, 2014
51
January 8,
2014
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Update on Ticket #171339 (things
disappearing on the dashboard –
items being dropped)
Carlington CHC
Appointments disappearing from
schedules module. Mary Berglund
CHC and Wabano AHAC noticed this,
too.
Carlington CHC
Update on NOD automatic log out time
May 21: Latest entry on
the ticket - Sue
(originator)  to call
Nightingale.
June 25: in Progress.
Then put on hold
pending completion of
GAMMA HL7 Upgrade.
May 14: Leona  to
confirm, and inform
South-East Ottawa and
Chigamik:
- Is the fix in Release
9.2.4?
- Does the fix cover
Dynacare Lab Reports
as well?
June 25: In Progess.
Leona
Open
May 28: Leona  to
send update to Marc
June 25: Leona  to
follow up
Leona
Open
February: Leona  to
follow up on the ticket
#116016 = new ticket #
83277
June 25: no progress
Leona
Open
Peter
(Carlington
Open
13
issue?
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January: Peter to
send the ticket number
to Leona for follow up - #
172618 North Lambton
and # 171667 Stonegate
)
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Weekly Sector Meeting for NOD