I have a provider that when she tries to log into the application, she ends up in an endless loop of not letting her log in (just keeps going back to log in screen), and has to completely shut down and restart her computer before it will let her log in. Has anyone else ran into this issue and if so, any tips on how to solve the problem?
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Log in screen loop
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Click Through Freezes
V12.0.1.03007142 Plugin 5.3.4593
I have 1 provider (out of ~50) whose progress note click through will freeze up after several times clicking the next button. The number of click throughs he can get to is different number of times sometimes it happens after 4 screens other times it happens after 10 screens.
He has found when it happens the next button stays blue when the mouse hovers over the Next buttone. (instead of turning gray).
He is able to click the X button can close out of the Click Through screen, but this causes extra steps for the provider.
When I logged into eCW (under his windows profile) I had the same behavior.
Has anyone seen this behavior and know a solution to this issue or have any other troubleshooting ideas?
My provider has turned off edgeview as he uses Dragon.
Here is all the things we’ve tried so far:
I logged into the computer with a different windows profile both myself and the provider didn’t experience the freezing.
Under his windows profile:
Cleared Chrome Cache.
Reset Chrome
Allowed eCW to re-build the LocalAppDataeclinicalWorksPlugin files (by renaming the folder Plugin - Original)
Uninstalled EXE
Uninstalled Plugin 5.3.4593
Installed Plugin 5.6.1378
I’m trying to avoid the nucular option have to get a brand new Windows profile or getting him a new computer.
eCW—I haven’t submitted a ticket for this as the provider is out of the office for 2 weeks. I don’t want to be getting calls asking for times to connect with the provider while he is out. When he is working his time is devoted to seeing patients. He doesn’t have time to get eCW connected to his computer to watch someone click the same buttons we have already tried.
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Dymo 550 Turbo Network Printer
Has anyone gotten a Dymo 550 Turbo network printer to work with the plug in eCW? I can get it to run on a local machine, but I cannot get it to work networked so all our users can print to it. The program can see it as an option to print to, but when I go to print a label, it throws an error code “Please check if correct template (C:Program Files (x86)Common FileseclinicalworkspluginResourcesDymoTemplates1 x 2 in.lwl) path and format is selected. Please goto EMR—> Misc Config—> Device Configuration or Local Settings for templates” I’ve tried various different label formats, locally hosted labels, .dymo labels, all without success. I’ve searched the forums and haven’t come across this problem, and eCW support says they don’t support network printers.
Thanks!
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36415/99000 set up
Could anyone suggest how to set up venipuncture codes with 99000.
We want this to drop automatically when those particular labs are ordered, but only 1 unit of it
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We failed a VFC Audit. Need to include staffs credentials in name
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
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FAX inbox Plug-In Mode Vs Web Mode.
Good afternoon.
We are still on 11 305C. Yes we were told we needed to upgrade to 12 because our version of MYSQL was EOL.
Our issues are with 11E.
1 When in the fax inbox web mode you cannot delete the first page or current page. You can in plugin mode.
2 When in Plug-in mode you cannot attach a fax to a DI order. You can in web mode.
You have to bounce back and forth so you can delete cover pages in plug-in mode then move to web mode just to attach to a DI.
Of course we get the typical ECW answer “This is by design.”
They are designing a way to push customers to other EHR’s.
Frustrated in Florida.
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My pet peeves with eCW
2 things that have never been resolved and one actually got worse.
Why oh Why does eCW not allow patients to upload documents or images in patient portal. I asked Girish about this back in 2014 at a HIMSS conference and he said it was because images may have Macro viruses. Now, 9 years later and we still don’t have it and every other EMR has it. Please incorporate this ability. I would rather look at a rash or injury and quickly post a response without having to call patient or having them send it by email.
Other issue:
When a patient sends a message through the portal, there are 2 buttons for response. One says messenger and it takes you to the screen that you chose which modality you want to use, emessage, text or voice. By default, they are all checked but you uncheck what you don’t want to use.
The other button says “Reply to patient”, when you press it it takes you to the SAME MESSENGER SCREEN and all modalities are also checked. I would type my message and press send but would get an error saying, no text/voice messages to send. I then have to uncheck those and press send. When I am busy I get distracted and press send and ignore the warning message and close the encounter. Patient gets mad that they didn’t get a response.
When you “Reply to Patient then it should default to the same modality that the patient used. It used to work that way but not anymore.
This issue bothers me everyday, and it is finally off my chest.
eCW, please fix these issues.
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how to delete or inactivate a visit status code
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.
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fastest way to open progress note
I know this is a small detail but if your a physician and you use the resource screen to get to your progress notes, whats the fastest way top open the progress note. Double clicking the patient name takes you to the check in window, not progress note. Right clicking in version 12 now requires 3 clicks and scrolling. I know if you use only hte S jellybean, then its one click. For those of us physicians who run our onw practices, we want to see whats going on in our practice and not limit our view to just the S jelly bean.
It would be nice if there is a user specific mouse double click customization. Then providers can set it to get to current progress note while MA and front desk can get to the check in screen.
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Problems with Smart Search?
we are having issues with Smart Search. Any one else?
We opened a ticket and they say its only use
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Does anyone have opion of ECW vs other EMRs?
Didn’t know where to put this, so I put this question in this folder.
Anyone with any opinoin if there are better EMR options than ECW?
I have used Meditech, which is somewhat “better”, and interacted lightly with Epic.
At this point, I am ready to “jump ship”-it’s been a long nightmare.
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Click-choice options
Hi all,
Do you know where I can add custom click-choice options for use when prepping meds? e.g. once daily, twice daily, three times daily that can be clicked and used in the New Rx box.
thanks,
Nathan Kung, MD
Blue Sky Neurology
Denver, CO
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eCW Down?
9:34 AM: [First User Reporting Issues] All our users are pretty much unable to do anything in the EMR currently getting errors like this when attempting to login or navigate menus:
eClinicalWorks
Error
This request could not be served due to an internal processing error.
The incident ID on 42.10 is: 7218103754562217781.
Please report this issue on the eClinicalWorks customer care portal
https://my.eclinicalworks.com
or call eClinicalWorks Customer Support
If a user does happen to login they will be bombarded with errors like Access Denied: Invalid Input
Our eCW Nimbus also seems to be getting a similar Incident ID error and doesn’t work for a backup access.
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Anyone else find the eClinicalTouch 4 iPad app completely unusable?
We are a heavy eClinicalTouch practice (all clinical staff, 50% of providers) because of how efficient and simple the eClinicalTouch 3 app was. It achieved that by focusing on efficiency over features. The new and “improved” eClinicalTouch app is the opposite.
It seems designed to cram all the extra features (Sunoh.ai, insights, etc) with a fancy UI but it fails at being usable for day to day patient care. It is so bad all our providers are ditching their iPads and going back to laptops and clinical staff are much slower working up patients.
For example, the office screen shows appts in a narrow list (can only see 4 appts, with over 70% of the screen blank) and is missing key information (does not show how long the patient has been checked in, so no idea which patient should be seen first). There is no color coding of important information (checked in/out, visit type, etc).
The progress note refreshes with EVERY change, takes 2-3 seconds to refresh and moves back to the TOP of the progress note so you lose your place, which really slows down the workflow as each task takes 5-10 seconds longer to perform. It is a frustrating UI experience, especially when in the room working up a patient.
There is no way to move from one section to the next (left side visit button shortcuts are gone), so if you update the medications, the screen refreshes, then you have to scroll back down to go to Allergies. Medication reconciliation/verification is buried 2 menus deep (extra clicks) so it often gets missed.
ePrescribing medications has to be manually selected EACH patient (it doesn’t auto-select), and that setting is buried a few clicks deep.
I’m sure it will be worked out eventually, but we put a ticket in already to try to go back to eClinicalTouch 3 (Case # 11598046).
Has anyone else found a way to work with eClinicalTouch 4, or fix the major issues?
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Why does ECW have issues with certain keyboard symbols, ie. <?
I’ve never gotten a straight answer from ECW about this.
Why does it refuse, seemingly in only certain fields,common keyboard symbols such as “<”?
I’ve never seen any other application have this issue.
Does anyone know why?
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Log in screen loop
I have a provider that when she tries to log into the application, she ends up in an endless loop of not letting her log in (just keeps going back to log in screen), and has to completely shut down and restart her computer before it will let her log in. Has anyone else ran into this issue and if so, any tips on how to solve the problem?
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Did you all know that excluded/failed texts count as sent texts??
There’s a limit to 4 texts per day. We found out that excluded or failed texts COUNT AS PART OF THOSE 4.
In our case, we have school-based clinics, so we exclude certain providers and visit types from sending automated appointment reminders. The patient doesn’t receive the texts, and in their communication log, it shows as FacilityExclude (aka didn’t send). We tried to send a manual text to the patient regarding their care- lo and behold, it doesn’t send because we’ve met the message quota for the day WITH THE FAILED/NOT SENT TEXT MESSAGES.
Are we getting billed for these too, then??
Absolutely ridiculous. We already put in a case and got this information confirmed. Insanity.
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MSSQL how to find the super user account name and password
Need to upgrade to version 12. However need to know the superuser name and credentials so we can take care of items listed on the exceptions report.
—database user XXXDbUser need to have db_datareader, db_datawriter, db_ddladmin, db_owner and dbcreator role on EMR and ecwmaster DB
—shrink .ldf file size of EMR DB up to the initial size on the server XXXXX
I need to know how to find out which account is the super users account and what are its credentials.
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apparently I am the only practice that has complained about popup messages
I was told by eCW support today that I am the only practice who has complained about having excess popup messages in eCW? I was under the impression that others were not happy with unnecessary popup messages that have been added “for patient safety” reasons and that having an option to turn off specific popups was not needed.
Does anyone else have issues with excess popup messages throughout your workflow?
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Kiosk and Questionaire integration- poorly designed
Does the product development team or any of the users in ECW noted that putting questionnaires in the kiosk is a nonstarter and bad idea as it’s designed. I’ve stayed away form questionaires for 15 years and instead relied on paper forms due to flexibilty and ease. But since I got the Kiosky I figure let me try replacing my Chief complaint forms.
The fact that ECW designed Questionnaires so they have to be linked to a specific visit type is a horrible product idea. We have the 10 standard most common doctors office visit types like urgent visit, physical, routine fu visit, vaccine, ancillary etc.
But ECW has designed questionnaires in such a way in order to use them, we have to create a visit type for every chief complaint possible and link the appropriate chief complaint questionnaire to that visit type. Meaning a visit type for UTI, URI, DM, Fall, Dementia. Essentially for a PCP office, pretty much everything in Harrison’s text book which is hundreds of CC. How counter productive is that. And why have they not fixed this deficiency for 15 years.
Kiosk is good for front office with some minor short coming but it is USELESS for mid office. Some of the most critical and useful aspects to me would be collecting HPI from patient and verify medications, which the ECW kiosk can’t do. As a geriatrician, med verification is critical since my patients may be on15 meds prescribed by 5 different doctors.
The strongly feel the kiosk should replicate the sections in a providers note which the MA does during rooming. Verify meds, allergies, update surgical history, any new doctors, new hospitalization, new medical diagnoses, update social hx, update family hx and show their current problem list. Part of it is to save me time. But also ni this world of transparency, to educate the patient and be accountable for what is written in their chart for accuracy. But instead the Kiosk at best does a piecemeal job and in particular of the less medically useful parts. Meds and medical history need to be put into kiosk.
I brought this up to different people but the response has been flat and resistant to improving the features and functionality of kiosk. I gave the kiosk a try a couple years ago but gave up due to lack of these benefits. Now I am forced to use kiosk primarily to improve my patient collections. But it’s has the potential to be so much more if they redesigned it.
It should also be customizable. Put my brand, change colors, maybe even have a AI chat bot widget for patient to ask any questions about their medical chart or bill.
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