I thought I recalled that eClinicalWorks was going to incorporate technology to have real time virtual visits with patients via video such as secure Skype or something similar. Is anyone aware of where we are with that technology? We are going to be participating, hopefully, in CPC plus and are wanting to develop more non-face-to-face visit capabilities.
↧
Virtual Visits
↧
“Scribe server not available”
Anyone else getting this message when using scribe? I’m dictating my entire note, and then when I try to scribe it I’m getting this error message.
↧
↧
Scanning - Patient Documents
When you scan, users cannot default assigned to and facility. Have any others asked for this functionality?
↧
Add New Rx favorites
I would prefer to enter a single drug name into My Favorites in the Add New Rx section, and would like to add different doses and directions which would be visible once the drug name was clicked on. Instead, when a drug is accessed now, there are multiple entries of the drug that I have saved prior, and I must click on each to find the formulation and dose, etc., that I wish. So, is there a way to enter the different preparations under a single name?
↧
Prescription drug rebate codes
One of our drug reps gave us a discount code to be supplied while sending a prescription to the pharmacy. This is supposed to enable patients to get this particular drug at a discounted rate. I was told that this code could be applied to the drug in the form of a template so that each time the drug is sent for any patient, that the code would be applied without having to add it individually each time the drug is sent to the pharmacy. Has anyone set this up before?
↧
↧
Workarounds for histories automatically pulling forward and having to access for pre-visit prep
The medical history is pulling forward automatically into future encounters when we open the encounter. The other histories are not designed like this. We have several workflows built around going into the progress notes in advance in order to prep for visits. With the medical histories automatically pulling forward, there is not a way for us to up-date the med history in the present encounter. Can anyone offer any workarounds for this?
↧
Dragon Medical Edition and eCW
Hello again,
I have a few providers who use Dragon to dictate in their progress notes. One provider says that whenever hightlighted text is blue, he is unable to use Dragon to either clear all the text, capatilize all the text, etc… When he highlights certain text and the highlight is black, then he can say something like, “delete that” or just dictate over the highlighted text and it will be replaced with whatever he dictates. My question is, whats the difference between blue and black highlights that makes text able to be modified with Dragon vs not being able to. Are there some areas of the progress note that are unable to be used with Dragon? Again, the key difference he said he noticed is when the text gets highligted in black vs blue. Whats the difference?
WUG?
↧
Multum Database Corruption
I have been struggling since early October with a corrupt Multum database. I have been told it is a system wide issue and be patient but each week it gets worse. I am missing simple drugs Doxycycline and Cipro. I am missing simple dose of medications morphine sulfate. And since October the NDC codes have gone missing from my narcotics or aren’t matched. It is now getting worse. Rx’s that were fine 30 days ago are no longer able to be sent. I can look up with Rx eligibility and still they fail. Multiple tickets and nope now where. Does anyone know if we can switch databases to Medispan?
↧
telephone encounters - order of messages
I noticed that the telephone encounters are always ordered according to the date that the message was created. This is a problem for me, because I may have 10-15 messages in my inbox, and if I assign an older message to my assistants, and get a reply back, the message shows up in order according to the original encounter creation date, which may be near the bottom of the list, rather than showing up at the top. In other words, it is not always evident that there is a new reply or message that requires action to be taken. It would be best if the messages were ordered according to the most recent response, rather than the date of original creation.
I just made a patient mad for not calling her back because I did not realize there was a new response to a telephone encounter at the bottom of my encounters list.
↧
↧
Telephone Encounters Self-Addressing
Anyone else experience this? I know I spoke to a few folks at the conference who were…
Randomly (of course), a user will open a TE and the radio button will be on Addressed or Addressed and Docs Reviewed. If caught, they can flip it back to Open. If not, it never goes where it’s sent. Sometimes, they’ve opened the TE (from their list of TEs) and it’s already had Addressed in red at the top, with no way to open it again. See the weirdness there? It’s not that the mouse is over-clicking; I trained and watched users do this by clicking all the way to the left, away from those radio buttons. We even turned on an Item Key so they have to click on the Reference Number to open the TE (except in the Encounter list.) It seems to plague only certain users and randomly, maybe 1-2 times a day or so. We’ve lost notes, missed meds, not returned calls. It’s less than lovely and eCW isn’t able to help.
Sorry to vent, just at a loss.
↧
NEW MANDATORY DOWNGRADE????? (RANT WARNING!!!)
We have been forced into a feature called“CONCURRENT LOCK” (part of the new “MANDATORY UPGRADE”)
This means that now “ONLY ONE PERSON CAN USE THE CHART AT A TIME”.
This lock defaults to 15 minutes between users. That means each person who touches a patient chart must wait 15 minutes after the last user of that patient chart is finished with it.
We have been quite charming the past 2 days yelling up and down the halls
“Hey, are you out of there yet, so I can do my work?”
Our SAM has gotten us a concession with the programming gods to only make us wait 2 minutes between users.
Now we have at least 8 minutes added on to the time it takes to see a patient.
If you aren’t lucky to have a good SAM, you may have an extra HOUR added to the care of each patient.
INCREASED TIME TO SEE A PATIENT WITH CONCURRENT LOCK OF ONLY 2 MINUTES
+2 MINUTES CHECKIN
+ 2 MINUTES MA
+ 2 MINUTES DOCTOR
+ 2 MINUTES CHECKOUT
8 EXTRA MINUTES PER PATIENT!!
GOOD GOING!! GREAT PATIENT SAFETY AND EFFICIENCY MEASURE!!
A really “special feature” is the NASTYGRAM that is flashed saying so and so is already in the chart. Then, at times, the program just crashes after the NASTYGRAM. We work on screens that are visible to the patient. When all this occurs, it is very embarrassing.
It is ironic, that one of the biggest selling features in moving from AMAZING CHARTS to ECW for us was that more than one
person could be in the chart at the same time.
There are some instabilities to ECW that have been there long before we ever started experiencing loss of HPI or treatment data. We have for a LONG LONG TIME, only used one section at a time because of this instability.
Just admit that this is not an increased “patient safety” feature, it is a way of decreasing the program’s instability (not losing data the way it has for years)
What about this from your the information page:
Recommended User Action
£ Contact eClinicalWorks Support to enable the Item Key called EnableConcurLock if your practice does not allow connectivity to APU. This Item Key prevents simultaneous access to the blue links on the Progress Note (Chief Complaint, HPI, PMH, ROS, Vitals, Exam, Assessment, Treatment, and Billing).
Action Taken by eClinicalWorks
þ eClinicalWorks has an Item Key called Item Key (EnableConcurLock) that provides a series of pop-up access warnings to users who are attempting to access a portion of a chart that is being used by another system user. The user can then make an informed decision on whether to continue to access that area of the chart.
þ eClinicalWorks has enabled the Item Key (EnableConcurLock) for all eCW Cloud customers.
þ eClinicalWorks has enabled this update to all APU-connected client/server practices.
Note: The Auto-Practice Upgrade tool (APU) will be enabled by default. If you choose to not have this capability enabled, contact eCW Support to disable this feature.
If Admin wants to move this to the Watercooler, feel free. This is such a significant step backwards in the name of an upgrade, I thought it should at least start out here.
↧
Locking other users to see your schedule
Hi I hate to post this question, but I have very unfriendly and jealous colleague who tracks what patients I see and creates big fuss everyday in clinic about everything starting from how I have more patient referrals, and what type of patients I am seeing, etc. Is there a way in eCw that you can block other physicians to see your schedule or block certain people from looking at your schedule. I would truly appreciate if someone can give idea on how to do this? Thanks.
↧
Home Health Billing
Hi All,
For those of you that are billing for home health, how do your billers know when to bill? Do you send them a copy of the 485s? For G0181, do you keep a paper log and send to the billers? Do you document somewhere in eCW?
Thanks!
↧
↧
Surprised by lack of CCM users on forum
Jan 1, Medicare approved billing for Chronic Care Management. One the requirements is a care plan. I’m surprised that hardly a single person has remarked on how to use (or more importantly how poorly developed ) this module is. You must have a Care plan to show medicareincase of audit. Isn’t anyone having trouble using this module or is it just me? If it is jsut me, please help me.
How many questions and section must be answered on each problem in the care plan? ECW tells me ALL which is nonsense.
How do you handle chronic conditions that ECW has not created themseleves. I created my own problem like Chroinc urinary incontinence but ECW states that does not count and work in the care plan. Why the hell not?
How do I delete a problem from the careplan once added by mistake?
How do I create/use the CCM module problem template?
Can I manually shorten the Default questionnaire for Hypertension?? If so, how do I do it and how do i save it to use a s a CCM problem careplan?
I’m doubtful anyone has answers but I’m skeptic anyone is using ECW to do the careplan portion. Users here are too smart to just follow ECW laborious steps
↧
DI Orders and Notes Output
Every now and then we have a need to print an order for the patient to take with them. Our providers are add any necessary “notes” to the order.
When we print out the Order document, the [Notes] section includes 1) the providers time stamp and 2) the information they entered. The pressing issue for us is that the ‘Notes” are NOT word wrapping at all and so the information looks unprofessional. Don’t even get me started on the time stamp being printed. Spoke with eCW support who stated “that is the way it is and there is no fix”. Seriously?? this is basic Word/Notepad functionality. Is every customer just accepting this as is?
Hopefully not and someone will respond with a solution. Thank you.
↧
Alert - Substance Abuse no RX
Looking for some creative wording for an alert pertaining to patients who should not be receiving any prescriptions due to their substance abuse history. If anyone has phrasing they would like to share we would appreciated it.
↧
Release of information
We have some clinics that we need to get “Release of Information” on patients. Such as wanting to allow husband, wife, mother, father, aunt, etc to be able to communicate about their health or get results.
#1…Do you have them sign a separate form for that, is there already a form like the hipaa form in eCW?
#2…Where in the Patient Information box do you place that information? I know there is emergency contact section but I don’t see a box that states that you can release information to that person.
Thanks in advance.
↧
↧
Multum Database Corruption
I have been struggling since early October with a corrupt Multum database. I have been told it is a system wide issue and be patient but each week it gets worse. I am missing simple drugs Doxycycline and Cipro. I am missing simple dose of medications morphine sulfate. And since October the NDC codes have gone missing from my narcotics or aren’t matched. It is now getting worse. Rx’s that were fine 30 days ago are no longer able to be sent. I can look up with Rx eligibility and still they fail. Multiple tickets and nope now where. Does anyone know if we can switch databases to Medispan?
↧
What do you find the most nonsensical/frustrating quirk of eCW?
There are many that drive me nuts, mostly UI issues:
- Tab key not following conventions and moving the cursor to the next column in areas where it definitely should, like Surgical History or Hospitalizations when you enter a date and want to enter what the procedure was.
- Text size changing when you click on a field to enter text, so you can never actually place the cursor where you want it. This should be an easy fix.
- No standard hotkey to move to the next popup in the Progress Note. Instead you have to memorize a code of Alt-M, Alt-P, Alt-U, Alt-F, Alt-S, Alt-V, Alt-A, etc., which I’ve never even attempted to do. The button should read “Next - Prior Medical History” or “Next - Medication Reconciliation” with Alt-N being the shortcut to go forward, and the same being done with “Previous” and the back button.
But by far, the one that tries my patience the most:
- The back button on the Vitals popup takes you to Medication Reconciliation, even though the previous popup was Social history. Every time I am working through a note and want to go back to review a previous section, only to have it skip me all the way back to Medication Reconciliation, a part of me dies inside.
Maybe the UI is better on the HTML5 based version?
I don’t know that venting will change anything, because I imagine these UI changes would have happened years ago if that were the case. But it may be a little therapeutic to know I’m not alone.
↧
Concurrent Lock Issue- Wiping out provider notes
Ever since the version 10 update we have been having intermittent issues with what we think is a concurrent lock problem. After the upgrade we of course noticed the new pop-up that advises users that someone else is in the chart. Our staff have been advised if they receive this pop up to click “no” and go back in and enter the data later. A good example of this is the treatment window. However, if the staff click on a lab within the treatment section of the note (clicking directly on the lab order for example) they are able to document and review a lab/procedure/rad. If they do so when a provider is in the treatment window the providers notes are intermittently being erased. The staff do not get a warning pop-up that another user is in that section of the note so they are not aware of what they are doing. This is happening to multiple users, multiple providers, but not consistently. I have yet to be able to replicate the problem on demand for a tech so every ticket I open is closed without any resolution. Is anyone else out their experiencing this issue? If so, have you found a solution? Thank you for the help.
↧