Handling multiple lab companies - all labs default to sending to company #1, even when configured to go elsewhere

February 13, 2024, 9:30 am

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We’re trying to make the move to e-faxing more lab orders. Our main lab is in-house and we print those orders. But we have certain tests that are sent to outside labs.

When we set up the outside lab company, the system now defaults to sending ALL labs to that company. Even if we set up multiple lab companies and designate tests to go to certain labs, it tries to send everything to the first company set up. You have to manually change the destination for every single lab order.

In the screenshot, I ordered a test that’s supposed to be sent to “Test Lab” and it even SAYS configured for Test Lab, but it’s trying to send it to Exact Sciences. You have to pick the right lab in the dropdown and apply it to the lab on every lab order to change it.

Is there a better way to do this?

ECW - I’ve had tickets and talked to support on this, so I do not need another contact. I was told by multiple people that it’s working as designed. I’m looking for how other practices are handling it because it’s a pain point for our users.

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eCW web pop-up message “license has expired”

February 13, 2024, 10:22 am

≫ Next: Automation??

≪ Previous: Handling multiple lab companies - all labs default to sending to company #1, even when configured to go elsewhere

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I have one physician who intermittently gets a pop-up at the top center of her eCW screen that says “License has expired”. After clicking “OK” she gets kicked out of eCW and it unable to log back in for ~10 minutes. Since it’s intermittent I cannot get any logs or an eCW tech connected fast enough when it happens. 
This started in August, 2023 when she began using eCW web (we were on V11.52 back ). The pop up still occurs even after upgrading to V12.0.1+ and plugin version 5.3.4593
Anyone else encounter this issue? If so how was it resolved?

*I do not need eCW to call me for this issue at this time.*

Automation??

February 14, 2024, 5:17 pm

≫ Next: V12 Provider workflow

≪ Previous: eCW web pop-up message “license has expired”

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I have been using ECw since 2009.

I know there are features that I might not have enabled.

So here is my request.

WIth all the insurance needing HEDIS codes, BMI, etc - is there anything that will automatically add some of these codes (CPT and ICD) for me?

I have templates created to assist and a superbill created however they want it to magically appear.

For example, MA enters ht, wt and BMI is calculated.
Is there anything that will automatically put the appropriate ICD code for that BMI?

I can create a clinical rules engine however it only activates after DONE and my database is shared amongst various practices that will not use this option. so they will have another click to by pass.

Another request is when the PHQ9 is completed for it to populate the CPT.

Just trying to save the docs some clicks!

V12 Provider workflow

February 16, 2024, 2:29 pm

≫ Next: Popup messages when adding histories

≪ Previous: Automation??

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If you have upgraded to v12 is the provider workflow much different? Any changes to be aware of that might throw them off? Did anything else in v12 confuse any of your departments?

Popup messages when adding histories

February 19, 2024, 6:55 am

≫ Next: how to delete or inactivate a visit status code

≪ Previous: V12 Provider workflow

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Can’t say when it started, but probably got worse when we went to 11e.
I notice it most when in documents and trying to update the ICW pane with surgeries/hospitalizations etc, but I also get alerts when working in a phone note from just the day prior.

If anyone at eCW is paying attention to this forum PLEASE stop informing me that anything I make changes to today is not reflected in prior notes. THAT’S HOW HISTORY WORKS.

Would you expect to find SpaceX missions in a history text book from 1985? No. Of course when NEW history happens it isn’t added to the prior notes. This ‘alert’ is not necessary. And if eCW says it’s related to HITECH or CMS or whatever alphabet soup, then give me a hotkey shortcut so I can bypass these unnecessary “warnings.”
Is there a setting to turn off these messages that I’m missing?

DOES ANYONE ELSE HAVE THESE ISSUES OR IS IT JUST ME?

how to delete or inactivate a visit status code

February 19, 2024, 12:57 pm

≫ Next: treatment notes - keywords search by “contains” rather than “starts with…”

≪ Previous: Popup messages when adding histories

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Is there a way to remove or at least inactivate a “visit status code” in eCW?

I have a list of like 20 visit status codes, many of which are duplicates or old codes we no longer use. (Someone created them at various times and we can’t edit them or delete them!) I can’t seem to delete any old codes because it says they have been used somewhere sometime.

“Could not delete this Visit Status as it exists in an encounters [sic]”

Every time we go to check out a patient, we have to scroll through a list of old visit status codes to find the right ones.

treatment notes - keywords search by “contains” rather than “starts with…”

February 19, 2024, 6:15 pm

≫ Next: medical history view when in progress note details

≪ Previous: how to delete or inactivate a visit status code

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I am referring to making a progress note, going to Treatment tab, selecting Add Notes for a problem.

In browser version, I have a list of all my keyword phrases. Some I use very commonly. But I am having an issue with the keyword search being only a “Contains…” search.

Is there any way to default this to “Starts with…” instead? I am having a hard time with having to type a large portion of the phrase I want to put in the note because so many other phrases share common words.

medical history view when in progress note details

February 20, 2024, 8:20 am

≫ Next: Failed Prescriptions

≪ Previous: treatment notes - keywords search by “contains” rather than “starts with…”

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I am in process of transitioning from EXE to browser version of eCW…

I am having significant problems when doing my progress notes, when I open up the “Allergies/Medical History” section, instead of seeing 8 lines of medical history with an easy to use scroll bar to the right, I am now only seeing 4 lines of medical history with a super-thin scroll bar to the right.

So 2 issues, which eCW is trying to convince me is NOT a worse version compared to the EXE version:

1) I can only see 4 lines at a time in this view? Why not 8 like it used to be? And why the scrawny scroll bar that is hard to click on when I’m using my laptop mousepad?

2) Really really hard for me to move a problem on the medical history up or down. Drop and drag sucks when you can only see 4 lines at a time. And I am physically unable to use the mouse scrollbar while holding left-click in order to scroll up or down when moving a problem to another location. Is this terrible ergonomics or is it just me?

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Failed Prescriptions

February 22, 2024, 12:01 pm

≫ Next: how to edit / customize the prescription fields for “take”“Route”“frequency”“duration”“Dispense” and “refills”?

≪ Previous: medical history view when in progress note details

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Does anyone know if there is an issue with eCW medication interface in the state of Michigan? We are getting a lot of failed electronic medications.

how to edit / customize the prescription fields for “take”“Route”“frequency”“duration”“Dispense” and “refills”?

February 25, 2024, 9:59 am

≫ Next: Confidential Visits

≪ Previous: Failed Prescriptions

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Greetings,

I am using the EXE version of eClinicalWorks.

In the prescription writing section I’ve previously customized the dropdown options/selections of these prescription fields that are required, but I’d like to customize them some more.

I cannot remember how I did it, despite looking all through the admin sections areas.

Can anyone tell me how to do it?

Thanks!

Jeff

Confidential Visits

February 26, 2024, 8:41 am

≫ Next: Custom Campaign

≪ Previous: how to edit / customize the prescription fields for “take”“Route”“frequency”“duration”“Dispense” and “refills”?

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Can anybody share their workflows for confidential visits for minors?  Do you create a separate account?  How do you link the account so the provider/staff know there are two accounts.

Don’t want to do alerts, etc., because not sure what eCW is planning for the future with Information Blocking - they basically say that nothing is sacred from being published to the portal.

I would appreciate any sharing of ideas or workflows? 

Thanks!

Custom Campaign

February 27, 2024, 11:33 pm

≫ Next: turn off P2P

≪ Previous: Confidential Visits

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Hi All,

Anyone else having issues with custom campaigns?

I have been trying to send out emails and nothing is being sent. Support tried to help and got the same result.

Thanks,
Allen

turn off P2P

February 29, 2024, 7:52 am

≫ Next: We failed a VFC Audit. Need to include staffs credentials in name

≪ Previous: Custom Campaign

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anyone know the setting how to turn off P2P so other providers can’t send consults to me via this method. I’ll stick with normal workflow of fax.

We failed a VFC Audit. Need to include staffs credentials in name

March 4, 2024, 8:44 am

≫ Next: V12 and Dragon Medical One Formatting

≪ Previous: turn off P2P

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We failed one our VFC audits sections because the name and credentials of the medical staff isn’t showing. eCW is not able to enable the credentials of the medical staff in the immunization section. Only providers credentials will show if needed (through an itemkey).

One suggestion is to enter the credentials of our staff in their last name. My supervisor says that they have done this in the past but it had brought up issues, although she can’t recall what issues stemmed from this.

Anyone know of any issues that would arise from entering credentials in last name? Or any other solution?

Thanks in advance

V12 and Dragon Medical One Formatting

March 5, 2024, 1:40 pm

≫ Next: Macros

≪ Previous: We failed a VFC Audit. Need to include staffs credentials in name

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After upgrading to V12.0.2.03003067 with plug in 5.3.4593, we are having issues with the text formatting of Dragon Medical One.  After transferring the dictation into the EMR (any box, any where) it loses all formatting.  New lines and New Paragraphs disappear along with any dashes or hyphens and smooshes the text into one long run on jumbled paragraph.

Does anybody know of a fix for this?

eCW:  Do not call, do not put in a ticket.  I am asking for help from the community…after all isn’t that what this forum is for?  If I wanted assistance from eCW I would have already put in a ticket.

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Macros

March 7, 2024, 10:12 am

≫ Next: Healow Check in - Multi Disciplinary Practice

≪ Previous: V12 and Dragon Medical One Formatting

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Has anyone encountered an issue where Macros that were created under Admin role and were marked as ‘Share with Others’ have been deleted?
eCW says there are no logs for Macros.
Any specific security items I should know of regarding Macros?

Healow Check in - Multi Disciplinary Practice

March 8, 2024, 12:36 pm

≫ Next: Electronic prescribing of diabetes supplies

≪ Previous: Macros

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Hi - we are a multi disciplinary practice with various discipline specific departments. I"m researching implementing Healow Check in - however it looks like you can’t customize sections by facillity - for example I wouldn’t want the “update history” to show for certain facilities - our behavioral health department would never ask for meds, allergies, hospitalizations, surgeries, etc.. our physical therapy clinic doesn’t ask about meds, allergies, etc… have other folks found away around that or tell patients to bipass sections that aren’t applicable ?  I’m anticipating pushback from depts that would never ask those history questions of their patients.  Our disciplines are primary care, physical therapy, dietician and nutrition education, and behavioral health.

Thanks for any advice.

Electronic prescribing of diabetes supplies

March 11, 2024, 7:27 am

≫ Next: Spell Check V12

≪ Previous: Healow Check in - Multi Disciplinary Practice

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After almost 20 years of of using eCW, we still struggle with electronic prescribing of glucometers, pen needles, and strips.

The Multum database is not complete.  Not every brand is not included.  We prefer to prescribe generically because we do not accurately know what is preferred by the insurance plan.  Making custom entries sometimes works but the NDC becomes an issue.

We sometimes end up faxing the order to the pharmacy but we should not need to do this in 2024.

I would like to hear what others are doing. 

(I do not want a call from support, my SAM, or a ticket created)

Spell Check V12

March 11, 2024, 2:54 pm

≫ Next: ECW made us switch payment processors and now our kiosk credit card readers don’t work - anyone else?

≪ Previous: Electronic prescribing of diabetes supplies

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How do we add words to the Spell Check feature in V12?
I do not see an option to add a word to the dictionary like in prior versions.

ECW made us switch payment processors and now our kiosk credit card readers don’t work - anyone else?

March 12, 2024, 9:47 am

≫ Next: Log in screen loop

≪ Previous: Spell Check V12

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Hello there, this has been a rather ridiculous issue.

Earlier this year we were informed by ECW that our credit card payment processor would be switching from Vantiv to Global Payments (formerly OpenEdge) - Global Payments shipped us new USB card readers for our desktop computers to collect payment at check out but apparently none of the project managers involved realized we also use eClinicalWorks Kiosk app on iPads with ID Tech iMag II card readers to collect payment at patient check-in.

The IDTech iMag II card readers were only compatible with Vantiv - at one point Global Payments compatible models were manufactured but have apparently been discontinued and are not available to purchase anywhere. The Global Payments models use a different encryption method compared to the Vantiv models which is why our old Vantiv models won’t work with Global Payments.

So now we are left in a useless situation where we cannot accept payment at our kiosks and the ECW/Healow team have no answers for us. They basically completely dropped the ball and I had to spend essentially several weeks gathering information from ECW, Healow, GlobalPayments, their old partnered kiosk vendor Vault Enclosures and their new partnered kiosk vendor Ledabour.

For weeks ECW/Healow team were insistent that Global Payments could provide compatible readers but that turned out not to be true.

After spending weeks consulting with all of the above I discovered there is no Global Payments compatible card reader currently available and all the Healow team could tell me after this was that they are working on a solution but it likely won’t be available for months.

We can’t be the only practice in this situation, has this happened to anyone else and did you get the same answers I did?

I just can’t believe they dropped the ball so hard and are now alienating our patients as patients are accustomed to paying at check-in on the kiosks and have been doing so for years at this point.

To ECW: I’ve already been in contact with my SAM, Healow lead and essentially anyone else involved, a case doesn’t need to be created for this as it would just waste the time of everyone involved. Thank you.