I just did a clean reinstall of Windows 10 and then had eCW tech reinstall eCW version 11 on my laptop. One new issue I have noticed is that the ENTER key does not seem to work in the Treatment section, but works in all the other sections. In other words, when I hit the ENTER key, the cursor does not go down to a new line, and so the key appears to be disabled. In addition, within the Treatment section, if I click on Browse, which results in a separate pop-up window, then the ENTER key works as normal. As far as I can tell, this problem does not occur in any of the other sections, including HPI, Examination, Assessment. It also does not occur in any other program on my laptop as far as I know. Is this a known issue? Is there a fix?
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ENTER key does not work in Treatment section
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televisit problems - be careful
Ok I was ready to switch over to televisits today but it didn’t go as planed. Here are the problems I faced. Hopefully this makes sense.
Provider side: when installing the Healow agent on each provider laptop and desktop, there is a major glitch. The Healow agent install went well. Then you login to the agent, and it asks you to install a browser plugin and hit refresh. I installed but loops and keeps asking for the same download and install. It won’t let me “refresh” as it should. I had placed a ecw ticket the kind rep showed me how to “reset the cache” for the agent. Ctrl-alt-M when under healow settings screen. I did that and the result in out of 4 laptops it only worked on 1. 3 others laptops are stuck in this download browser plugin and refresh loop. I’ll have to place another ticket for this.
Patients side-
But for patients, the problem is on desktop version via the portal page. Once on patient portal, it has a button that says View Televisit FAQ and you can press a nice button that tests if the patient’s computer is compatible. It said no to me even though I have the latest chrome default browser and windows 10 operating system. The error says “healow TeleVisits use cutting edgebrowser technology to deliver a great experience. Unfortunately,your device is currently unsupported. Please use a laptop or desktop to access your TeleVisits”
So I bypassed that message and went straight to the “Join televisit”. It then did it’s own nice clean compatibility check and I got “its compatible for browser and audio.” That makes no sense if the other compatibility button said I failed. And evne though this says I’m compatible, at the bottom it said “My internet connection is only good enough for audio” which can’t be true. I can zoom and skype multiple visits on my business high speed internet and internal high speed network.
So then I went to the Healow app as a patient. Nice easy login and I can easily see I have 1 appointment pending. I click it’s twice then pressed “Start TeleVisit”. I entered the vitals (note text error - Heart rate and respiratory rate are labeled correctly) and was brought straight to virtual waiting room where it alerts me “waiting for Doctor to join.” After we connected. it was an excellent connection.
So to summarize, once I get ECW to correctly install the Healow agent on all our laptops error free, Televisit will work very well only if patient uses the Healow app. If they want to via the portal, there are risks patients will not connect and won’t be happy with the experience.
I do plan on asking ECW to credit these all test visits since they aren’t true visits.
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easily update e&m procedure codes under progress note
With the new billable e&m codes, telephone encounters 99441-99443, portal encounters G2012, online e/m encounters 99421-99423 - does anyone know a way I can update or customized the Procedure Codes Add E&M button, under the billing section of a progress note. It’s al ist of favorite EM like office, consultations, nursing home etc.
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Office 365 Migration
We are planning for an upcoming migration to Office 365. This includes both email and office products. If you have gone through this at your practice I’d love to have any feedback on lessons learned to insure a successful migration and minimize impact on eCW performance.
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Multiple Same Assessments in Previous Assessments
I’m not sure if this is recent but has anyone else noticed multiples of the same assessment when trying to add a Previous Assessments, from the Assessments window? If you scroll through the Previous Assessments each assessment shows up probably more than 2 dozen times. If a provider is trying to quickly add a previous code they’re having to scroll through this huge list unnecessarily.
Does anyone else see this too?
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V11.40.23.19 Upgrade
We upgraded to V11 last July and haven’t done any of the patches yet, we were planning it before COVID happened. We have 1 inhouse IT staff member and myself, i work remote 4 hours from the clinic, so I’m nervous about doing any changes when I can’t physically be on location.
Now with V11.40.23.19 available I’m curious if anyone has updated to this and how it went…any lessons learned, pros/cons, things to watch out for?
Thanks in Advance!
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Using Questionnaire in the portal for Patient Consent Forms
Hi,
We are trying to add a consent form to the portal, since 99% of patients are doing visits by phone and A/V (like everywhere else) and we were told to create a consent form as a Questionnaire. This would be for established patients whose consent form for treatment have expired. I even worked with a technician to make sure I was thinking of everything that needs to be done to ensure the patient will see it on the portal.
1. Built a category in HPI/Social/Patient Consent Form
2. Questionnaire Designer/ created the questionnaire with the consent form and Yes/No option for accepting the consent
3. Patient Portal Settings/Forms (Questionnaire) settings - selected the questionnaire
Questionnaire appears on the portal, it is appearing in Questionnaires tab under Medical History, but can be chosen. I opened it in the portal but did not click yes or no, and while we are not going to drive it by visit type, it did drop the patient consent form into my test patient’s note in the HPI section. eCW told us building it this way, will file the ‘signed’ document to the Chart Document folder. After discussing the the technician a third time, I was told that the provider or nurse would have to click a dropdown in the note and choose to pull into the note or send to the patient documents. Either way, I don’t think we would want those roles to have to work the consent form… clinical questionnaires, obviously they would.
Can someone give me a little insight into how you might be alternatively getting patients to sign new consent forms that are due, when they are not coming into the clinic and doing visits via phone or video?
Thanks,
Karen
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Use of EPCS Software token
We have always used the hard token for the EPCS. I have a provider that would like to use the software token on his phone. Is anyone else using this and are there any issues that I should be aware of before hand. It just seems whenever I try something new with ECw, I end up chasing my tail for several days , just want to know what I am getting into before hand. Thanks.
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Users are unable to add pharmacy to the patient demographics after last night’s upgrade/patch
All users are unable to add pharmacy to the patient demographics after last night’s upgrade/patch. Myself and another administrator can add the pharmacy. Any idea if this is a security setting change?
Thanks,
Karen
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Other user has changed data….
We keep getting the message “OTHER USER HAS CHANGED DATA WHEN YOU WERE WORKING.
FOR PATIENT DATA CONSISTENCY, THIS SCREEN WILL BE CLOSED WITHOUT SAVING”. I understand this is for patient safety and it serves a purpose but providers are being locked out for hours at a time. We were told by eCW support to go to File > Settings > Release Concurrency Lock, but it doesn’t help. Any ideas?
Thanks,
Tim
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telemedicine reimbursement
I keep seeing posts about providers adding a lot of telemedicine, especially during this outbreak. Can someone please explain the reimbursement to justify this? From what I’ve seen, the 99441-99444 codes reimburse anywhere from 12-30.00, the 99444 requiring more than 30 min of provider time. How are you able to keep your doors open with these types of visits seeing as that’s about 1/5 of face to face E/M codes. Am I missing something?
Thanks
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Social History not carrying forward
Has anyone struggled with social histories not carrying forward. We have weekly OB visits and having numerous issues with most of the history sections carrying previously entered data forward. We have been instructed by eCW to click on each history sections and that would populate the sections. However, that doesn’t work most of the time. Another tech said we should push the data over from the right chart panel. That also doesn’t work every time. Yet, another tech said we should use the Quick Merge option. Lastly, we were told this is a known issue and will be fixed in the next version. It’s so frustrating! The staff is sometimes having to ask numerous questions every visit. Any help is appreciated.
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Enrolling patient for h2h
I am testing h2h tomorrow with our group and I am having a tough time enrolling my test patient, which is web enabled. When I activate h2h, the patient is checked off for h2h in the air bubble/web enabling window., though says Not Enrolled in red. When I go into the Healow app and into settings, it shows that I am enrolled for h2h.
Anybody run into the same issue and am I missing a step to enroll the patient?
Thanks,
Karen
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browser vs exe cons and pros
what is better?
I was wondering if any of you could explain the differences between exe and browser version? I am familiar that there is a learning curve, some functionalities does not work in exe that works in browser and vice versa. There are multiple bugs and so fourth.
are there any other information i am missing.
in your opinion what are the pros and cons in going to browser version? thank you!!
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Authentication failure lock out
Not sure which exact server side patch changed this, but is anyone else getting tons more help desk calls because of eCW restricting the “Authentication failure lock out” to a maximum of 3 login attempts before locking the user out?
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Registration Rules Engine
Hello all! We have been exploring registration rules for some time now and have found them helpful for our scheduling staff. As we build more in the system, we are being cautious of the impact this could have on performance. When staff create appointments, so far we have not seen slowness from the system searching in the background to trigger the rules. Has anyone experienced registration rules slowing down the scheduling process?
Any input is appreciated! Thank you!
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“Check In/Out” Button in Schedule-does it do anything?
There is a “Check In/Out” button on the schedule-is it supposed to do anything?
I’ve tried to use it to check-out patients, but it does nothing.
Is this just another “who-cares” icon that ECW leaves lingering around the EMR?
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Add P2P provider as a favorite
Does anyone know how to add a provider who is registered for P2P to the my favorites list?
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How do I adjust remaining doses when medication expires?
We set up our medication inventory for eye injections as therapeutic injections and track our doses remaining by lot numbers. When a medication expires and we still have doses remaining in eCW, what’s the best way to adjust to reflect the meds we waste? I tried entering a line in Transactions (in the Lot Numbers screen) but it doesn’t decrease the Doses Remaining.
Thanks in advance 
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Is the “Gear-Floppy Disk” icon in this image supposed to do anything?
Since I am at it:
Is the “Gear-Floppy Disk” icon in this image supposed to do anything?
I click on it and nothing happens. I imagine a light might be going on and off at ECW when I click it..
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