I am really disliking the new modern view of the support portal!  I’ve been working with eCW for 8 years and all of a sudden they throw me for a loop!  Anyone know if we can continue to see the classic view?  We could at first, but I am not seeing the option any longer.  Thanks

Most of us know the issue about accessing eCW SaaS from outside the US doesn’t work… unless you let eCW know, and they can create a temporary rule to allow access, or a perm rule.  Recently, for our practice, we have patients who go back home or on vacation, but want to keep their Televisit appointment (outside the US).  This is fine as I prefer and respect the added security eCW puts to the general access form the Internet, but it does pose some challenges.

So far, there are only three ways I know of to get this to work:
1) Using a VPN, and connect to a US Server, which would then allow the access - preferred
2) enter a My.eCW Case for a temporary rule to allow that particular country, for a specific date - works well, eCW is responsive and prefers this, but I feel it also adds a risk
3) Using a remote desktop session to some VM or other machine (not using a VPN) within the US and using that to connect

Obviously a combination of 1 and 3 would also work.  In addition, providers who go on vacation can also do the same (its the same for both patients and providers).

My questions is: does anyone else have this same requirements, and if so, did I miss anything or wereare you aware of the options?

In addition, I’m familiar with myself and other patientsproviders using PureVPN, and PIA (Private InternetAccess), anyone have success with others? recommend others?

Hi all,

Does anyone know if it’s possible to manually clear the cache in the browser version of ecw? It does seem to clear automatically periodically, but I’d like to see if clearing it manually a little more often can help it continue to run more quickly.

thanks,
Nathan Kung, MD
Blue Sky Neurology

Hi all,

In the chrome version of ecw, is there a way to default the number of results in the T and D jellybeans to be 100 rather than 15 or 20?

thanks,
Nathan Kung, MD
Blue Sky Neurology

Is there a way to get the CPT code associated with a radiology order to appear on the order itself in a printed or faxed form?

The reason I ask is that we often have the scenario of generating a DI order, such as “CT Urogram”, which is associated with a CPT code such as “CT abd with/without contrast”, but the code does not appear on the order.  This creates call backs from radiology to the front desk of our office as radiology tech is confused about what is specifically being ordered. This happens over and over and…

Any suggestions?

Thanks

And they want us all to rush in and upgrade? See screen shot from the Support Portal. Or am I reading this wrongly?

E.g., “Copy and paste causes data loss.” See what the Portal says below. One hopes they don’t think data loss is of “Low” clinical risk in their inpatient product (emphasis mine).

“Date Published
12/17/2020
Impacted User
All Users  

Problem
There will be Data Loss when Data are Copied and Pasted into Some Fields in the eClinicalWorks Application  

Clinical Impact
The data truncation and data loss results in missing information that will impact care decisions. This presents a patient safety issue. 

Clinical Risk
Low  

Mitigation
The users are recommended to refrain from copy-pasting data and instead type the data manually. 

Action Taken by eClinicalWorks (Resolution)
T.B.D  

Pre-Requisite
T.B.D  

Steps to Reproduce
Step 1
eClinicalWorks has identified the following scenarios of data loss due to data truncation when a user copies and pastes more data that exceeds the allowed number of characters.

Scenario 1:
a. EMR > Labs/DI/Proc > Labs > Attribute Codes > Edit > Add Reference Range > Normal range > From
b. EMR > Labs/DI/Proc > Labs > Attribute Codes > Edit > Add Reference Range > Normal range > To
c. EMR > Labs/DI/Proc > Labs > Attribute Codes > Edit > Add Reference Range > Normal range > Units

Scenario 2:
EMR > Labs/DI/Proc > Lab/DI Alias > Add > Labs Alias Name

Scenario 3:
a. EMR > Search ‘Configure Lab Letters’> Add > Display name
b. EMR > Search ‘Configure Lab Letters’> Add > Short Result Text

Scenario 4:
Progress Notes > Vision Examination > Contact Lens > click ‘Presenting/Trial/Final Rx’ grid > Comments Field

Scenario 5:
Progress Notes > Vision Examination > Contact Lens > click ‘Presenting/Trial/Final Rx’ grid> Fitting Comments

Scenario 6:
Progress Notes > Vision Examination > Contact Lens > click ‘Presenting/Trial/Final Rx’ grid > click the plus sign (+) to add an additional Contact Lens Rx

Scenario 7:
Progress Notes > Vision Examination > Contact Lens > click ‘Presenting/Trial/Final Rx’ grid > Care Regimen

Scenario 8:
Progress Notes > Vision Examination > Contact Lens > click ‘Presenting/Trial/Final Rx’ grid > Wear Schedule

Scenario 9:
Progress Notes > Vision Examination > Contact Lens > click ‘Presenting/Trial/Final Rx’ grid > Replenishment

Scenario 10:
Progress Notes > Vision Examination > Contact Lens > click ‘Final Rx’ grid > Rx Notes

Observation
In these scenarios, the individual fields are not saved in their entirety. 

Date identified
12/15/2020 12:00 AM

Affected Versions
All general release versions  

JIRA ID
PE-120121,PE-120124,PE-120132,PE-120169  

Patch Available for Fix
T.B.D  

Tags
Multiple Workflows,
data truncation  

Fixed In
T.B.D”

Random users and machines get this pop-up.  Anyone have any tips on how to get this setting to stick?

Always allow ‘ecwhostname’ to open links of this type of in the associated app

Plug-in is the latest version for our host.  Right now it says version 3.3.2

Can someone help me figure out how to view/edit my favorite meds list?  I know how to add them, but I really need to clean up my list.

Thanks

With the mandatory reporting of the vaccine, we’re trying to get our workflow figured out and the consent box in demographics for transmission to state registries (one of the states we do business in does not have automated reporting) is presenting a dilemma.

To transmit, the box must be checked. But checking the box will also push all existing vaccines for which the patient did not give consent. I know the feature has been designed around the assumption that consent would always be voluntary and not imposed as in our current environment, so I’m not blaming eCW for the way this works. We do, however, have to deal with the fact that if a patient hasn’t consented otherwise, they haven’t consented.

Could we obtain consent for all past vaccines as well? Yes, but what about the patient who says, “No” to all past vaccines? We could bypass the interface and enter all the COVIDs manually into the Registries… but that’s decidedly less than optimal.

What are you doing for this?

How is everyone using the Message and Notes sections of Order Sets? (ie - what is the point of these sections?)

Thank you!

Hi all,

Where in the chrome ecw can I set my favorite labs/DI so that it comes up under the quick-orders box at the top of the progress note window?

thanks!

Nathan Kung, MD
Blue Sky Neurology

Hi all,

Where in ecw can I enter custom options which can be chosen through the click-box when trying to make prescriptions? Is there a way to set them practice-wide? Or does it have to be set for each user one at a time.

thanks,

Nathan Kung, MD
Blue Sky Neurology

Just as a heads up to other practices, we are earnestly requesting a COVID-19 Vaccine Screening Smart Form from eCW.  As we have been informed for the last ~1.5y eCW is not accepting external requests for Smart Forms, but we are making the case that just as the Respiratory Illness Screening Smart Form was developed in response to the pandemic, the Vaccine Screening Smart Form is the next feature needed by many eCW practices.

Our SAM has escalated the request to the FQHC Biz Development Lead.  We eagerly await a response as we are confident the Smart Form will help with the safety and efficiency of administering and documenting the vaccine, and will be a welcome addition to the Order Set we are building.

I’m trying to figure out how to setup our COVID vaccines in eCW and running into walls.  We have the Moderna vaccine and the first dose has admin code 0011A and the 2nd dose is 0012A.  These admin codes are not insurance specific…

eCW told me to go in and put the admin code on the vaccine (new immz screen) but it’s still dropping the primary/secondary admin codes and not the ones on the immz. 

How do we do this without billing changing the admin code on every dose?

Received vaccine today and they are wanting to starting giving doses on Thursday…

This relates to the letter we all recently received from eCW concerning patient safety. It was quite broad, vague and made it look like there is nothing going on. The letter was a result of an October 2020 communication from the OIG (Office of Inspector General) to eCW (full document can be viewed here: https://oig.hhs.gov/fraud/cia/agreements/eCW_10-30-20.pdf) stating the OIG is not particularly happy with the resolution to the issues in the 2017 Whistleblower Settlement. One element in the letter of interest is our friend the “special character.” We all know the havoc these can cause in our documentation. Well, the October letter says this about special characters (emphasis mine):

“Monthly Progress Reporting

For the remainder of the CIA, OIG will require eCW to submit monthly progress reports on the status of its implementation and completion of remediation and corrective action on certain critical issues relating to the safety of eCW’s Electronic Health Record
Software. Monthly progress reports must include, among other information, specific and measurable items to determine progress toward full implementation and completion of remediation and corrective action. Monthly progress reports will be due to OIG, ONC
and the SQOO on the first business day of each month. The specific issues that will be the subject of monthly progress reporting are:

1. Identification and repair of all special character, incorrect data type, and data truncation problems in all eCW products by January 31, 2021.”

We also all know from many “resolved” Patient Safety Alerts on the Portal that the “resolution” to an issue is “don’t do it/use it, because it doesn’t work rightly.” That wouldn’t fly if your mechanic told you that when your car won’t start, and it shouldn’t be the resolution for features which don’t work either.

January 31, 2021 is right around the corner. We shall see what happens. It’s almost 2021. A software product shouldn’t break if you use a quotation mark.

Most of us know the issue about accessing eCW SaaS from outside the US doesn’t work… unless you let eCW know, and they can create a temporary rule to allow access, or a perm rule.  Recently, for our practice, we have patients who go back home or on vacation, but want to keep their Televisit appointment (outside the US).  This is fine as I prefer and respect the added security eCW puts to the general access form the Internet, but it does pose some challenges.

So far, there are only three ways I know of to get this to work:
1) Using a VPN, and connect to a US Server, which would then allow the access - preferred
2) enter a My.eCW Case for a temporary rule to allow that particular country, for a specific date - works well, eCW is responsive and prefers this, but I feel it also adds a risk
3) Using a remote desktop session to some VM or other machine (not using a VPN) within the US and using that to connect

Obviously a combination of 1 and 3 would also work.  In addition, providers who go on vacation can also do the same (its the same for both patients and providers).

My questions is: does anyone else have this same requirements, and if so, did I miss anything or wereare you aware of the options?

In addition, I’m familiar with myself and other patientsproviders using PureVPN, and PIA (Private InternetAccess), anyone have success with others? recommend others?

Going through the release notes for exe and browser, and just thought it would be a good idea to share what’s new in the upcoming client upgrade. Not everything but at least the major ones.

This is what I have so far:

What’s new: EXE

• Some new security attributes, many of them I already see, like deleting a pt, setting favorites for race/ethnicity/lang, etc

• Additional print/fax/lock print settings for consult notes.

• Absolute Session timeout, can now force a user to log off if they’ve been logged in for X amount of hours. Cannot disable.

• Disable user access to EXE, enabled by item key, disabled by default, pg 34

• Updates to Patient Merge window, pg 38

• New items added to safety and compliance report in report console, pg 47

• Special Character & character limit alert, only works in certain sections, pg 54

• Draggable pop-up windows, popups throughout ecw have been enhanced to be draggable or moved around. Enabled by itemkey, 4318_VAA, pg 57

• Birth Sex and Gender identity added to configure demographics mandatory fields section, you can now also hover over SOGI button on pt info window to display tool tip w/ sex orientation, gender id, and birth sex, pg 60

• Add an expiration date to document folders, this prevents the document from showing up on the DRLTA tab on the pts RCP, enabled by itemkey 1950_AOOAOO, pg 62

• You can now deactivate AOEs, pg 75

• You cannot delete a pt if they have any pt docs, pg 114

• Enhancements to the appointment log (more details), enabled by itemkey 4242_VAA, pg 129

• Adding expiration dates to Global Alerts, pg 132

• Visit type Charge: new feature, allows clinic to bill pt w/ a flat fee based on visit type, pg 135.

• Allergies no longer viewable on RCP, pg 149

• Lab/DI that has a document associated to it now displays w/ a gray paperclip on DRLTA tab, 150

• Labs on RCP now display in two sections: Outstanding orders, and Resulted orders. Also more filtering options for labs in RCP, ie ordered in the last 3/6 months, pg 150

• Scan button at bottom of prog note relabeld to Attachments button, pg 162.
Jpg/Gif images scanned into a PN will now also get printed/faxed when printing/faxing the PN note. Tiff and PDFs do not get printed/sent, pg 165

• Additional info required when setting a med as discontinued under Current Medications in PN, enabled by itemkey 1895_AOOAOO, pg 171

• New (U) icon for uncoded allergies throughout ecw, enabled by itemkey 4262_VAA, pg 177

• Mapping uncoded allergies (security attribute required), you can run report to check for uncoded allergies, that searches for the drug db to find a match to convert it to a structured allergy, pg 182

• Report Console report for deleted allergies, Allergy Report, pg 185

• Icons for allergy classification, enabled by item key 4262_VAA. Pg 187

• NKDA verification checkbox is never automatically checked, enabled by itemkey 4024_VAOE and 0292_HOAOO. If checked, making any changes to allergies will uncheck NKDA box, pg 188

• SO/GI button added to social history, you can hover over button for add. Info, pg 191

• Enhancements to down syndrome percentile charts on vitals, pg 192

• New popup window warning for improper spacing or decimal placements on Rx formulary screen, ie [1 . 5 mg ]instead of [1.5 mg], pg 208

• Pt Rx education now considers the route of administration, pg 210

• Accessing inj/t inj from progress note will now show “Today’s Immunizations”, there is a separate tab now for historical immunizations. If accessed through pt hub will show historical immunizations/inj. Pg 213

• If there are immunizations/inj marked as pending for pt, and the note can no longer be locked until imm/inj have been completed, pg 216

• Free text lot #s must be in the system, or an error will prompt to add them to inventory, cannot save otherwise, pg 217

• You can now setup therapeutic injections for allergy/drug interactions checks, each injection needs to be mapped individually, (Once mapped, you cannot remove the mapping if it’s associated with a pt encounter), pg 219

Will update this throughout the day. Pls feel free to add anything you come across.

Greetings eCW Users!  A new ‘feature’ in eCW has been provided that needs more attention as eCW claims it is not happening to anyone else.  When ePrescribing, sometimes you get “A network issue has occurred…” message and defaults to Print.  This is because something inside or on the back-end of eCW triggered a “System Outage” and as per DEA requirements, defaults to paper.
The system outage is on eCWs end, but is not a real system outage, its just bad error coding and troubleshooting inside eCW; however it falsely triggers the eRx as sent, locks it, and defaults to Print, and can’t retransmit because of this.  Interesting thing is we Do Not Print Scripts.  We get the error while on a Televisit and eRx with the patient on the call, in Web Encounters, all in the Web or Plugin versions, very random.  However, all default to a print, and we cancel but the trigger is already set and locked…. then have to create a new encounter to eRx since we can’t do it on the original.  Obviously a patient safety issue, and as per eCW, this is a System Outage which should require a separate eCW case.

So there are few issues here, but the one I’d like to poll the community is: Have you ever received this error message?

If so, please let us know when, where, and how often.  We can then work on escalation and workflow improvements.

Hi all,

Where in ecw can I enter custom options which can be chosen through the click-box when trying to make prescriptions? Is there a way to set them practice-wide? Or does it have to be set for each user one at a time.

thanks,

Nathan Kung, MD
Blue Sky Neurology

Hello Everyone,

I wanted to create this area for Televisit related updates which I post in periodically. I have been posting updates in all the other threads and will attempt to consolidate it here. Depending on views here, I may also duplicate efforts and post in the other threads.

I will start by informing you about content you can access on support portal which you will definitely find helpful. In addition to all the documents and videos previously published on my.eclinicalworks.com, there are now two new short videos on how get your patients started with healow Televisits. There is one video in English and one in Spanish.

When you log-in to the the client portal, follow this path:
1)Click on Knowledge Tab
2) Documents and Videos
3)Expand Patient Engagement - Healow Core, Healow Telehealth Solutions, Healow Televisits, Televisits - Patient
4) you will find both videos here