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Clinicians will continue to use familiar devices such as desktop computers, workstations on wheels, and laptops.
New devices will be added where needed, including barcode scanners to support medication and blood product administration.
Additional devices added for Physicians and other specific roles consist of Dual Monitors and Microphones for Front End Dictation.
Wall Mounted computers with barcode scanners will be installed for various use cases. Wall mounts will flatten to the wall or on an articulating arm so computers can be positioned as required.
Off-site access to the system will continue to be available through Citrix. All organizations, including their local IT teams, leadership, and clinicians are being engaged to ensure there are enough appropriate devices to support the safe and effective use of Expanse.
A coordinated training plan is being developed by Training Leads at both Bridge Northwest and ONE HITS.
Super Users and Train-the-Trainer staff are expected to be identified throughout Summer of 2026 and then trained in the Fall of 2026.
Broader staff training will begin in early 2027 ahead of Go-Live.
Training will include a mix of virtual, and in-person sessions as well as written reference materials.
That is the expectation in many cases.
SMEs are well positioned to become “Super Users” because of their involvement and knowledge. This will depend on individual interest, availability, and local resourcing decisions.
If you’re interested, letting your manager know early is encouraged!
Super User definition: A trained departmental expert who provides frontline support, workflow guidance, and peer-to-peer assistance before, during, and after Go-Live
This happens, especially as work evolves. It is never too late to add or change SMEs or bring in additional expertise.
If representation feels off, your Working Group Lead and Change Specialists can help adjust participation to better match the work.
The best place to start is the Q&A log in your working group.
Your Working Group Leads or Change Specialists can help direct concerns related to other working groups. If you are not part of a working group, have a local concern, or are not sure where to turn, you can ask your Change Specialist or Expense Lead for advice.
All issues that are raised, through any method, are reviewed by the appropriate teams to understand the scope and impact of the concern and deal with it accordingly.
You can support coworkers by listening and acknowledging their concerns, without trying to convince them the change is “good”. Validating how disruptive the change feels often reduces frustration more than explanations do. When helpful, share clear, accurate information, point out how their roles remain valuable, even if some tasks are changing, and help them think about ways the change might help them in their role. Encourage them to raise concerns through the appropriate channels and model a calm, supportive approach.
It’s understandable to ask this. While some current workflows function well, the existing system cannot support important safety requirements, regional integration, or new tools. Organizations across the province that have already gone live report the transition is difficult – but ultimately beneficial, and they wouldn’t go back!
Expanse will change how you do parts of your job and what tasks you perform, but not why you do it.
Many core responsibilities will stay the same, but workflows such as documentation, order entry, medication administration, and accessing patient information may look different or be more standardized across sites. Some tasks may take more time initially as you learn the system, but most will become more efficient once you are familiar with it.
The goal of Expanse is to support safer, more consistent care and better access to information across the region. Training, support, and time to adapt will be built in to help you transition successfully.
We understand that the future state can be difficult to envision. At this stage our test environment is our build environment. This is normal in large, multi-organization implementations as even limited “hands-on” access can create unintended issues. When users explore or “play” in a shared test environment, it can disrupt other teams’ work or create confusion about what is accurate or final. To avoid this, implementations often limit open access and rely on structured walkthroughs facilitated by a Change Specialist, ensuring the environment remains stable and reliable for everyone. Hands on access will be available to those who participate in integrated systems testing, parallel testing, and super user training. These activities will commence in September 2026.
A working group is currently reviewing what dictation tools will be available within Expanse. These options are being assessed to support different clinical workflows and documentation needs, including options for front-end dictation and exploring AI scribes.
Information about available tools and how they will be used will be shared as decisions are finalized. Training and support will be provided for all dictation users as new options become available.
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