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V12 and Dragon Medical One Formatting

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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.


ecw freeze when user view patient doc in patient hub

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Hi,

we have an issue with ecw version 12.0.2 and the plug in we use is 5.6.1378 when user view the documents from patient hub and click patient doc plug in mode sometimes ECW frozen to where I couldn’t close down the application and had to restart my computer in order for the program to close.

we already choose the setting for
- microsoft edge webview2 = off
- Incognito mode = on
- Logout security alert settings = on

also, we already choose setting for pdf viewer settings with web browser and classic view for patient document.

any help appreciated.


Thank you so much. smile

ECW Freezing When Trying To Assign Doc

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Since V12, when I (and others) try to launch the “assign to” window, it often does not populate with any names, ECW freezes, and the app has to be relaunched. All entered text is lost.

-Anyone else seeing this?

-I have a ticket, but no resolution. Anyone that has addressed this?

v12 Messages JElly bean

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The new messaging system is better.  I think like AI, date triggers would be useful.  What is really annoying is these “high priority” messages I keep seeing in my inbox that makes it always RED.  Thereby making me ignore Red (Just like all these alerts).  I get notices from eclinicalworks, support spamming my inbox with useless info. .

1)EPCS Notification - Trigger integrity monitor services is started
2) from my MA,  Appointment canceled/reschedule/no-show notice since they were to have labs done (we have internal processes for that when they cancel. I don’t need a separate alert
3) Safety and compliance dashboard

On a daily basis, I’m cleaning my inbox of this junk so I can see truly Red messages from my staff.  How do I stop getting these as I am both physician and admin for my small practice.  At the very least, let me have a way to filter rule to send those messages to that subinbox.

Does anyone use Questionnaires through the Patient Portal?

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If so, have you run into a problem that if a patient is responding via free text that some special characters are not allowed?  But you wouldn’t know that until you try to import the questions into a progress note.

Anyone?

incorpating labs into HPI

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Anyone know how I can insert recent labs and diagnostics trends into the HPI section of a note.

not employed anymore staff workflow

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Does anyone know how to eliminate employees who are no longer employed by our practice from all the drop down screens and ebo reports?  Inactivate doesn’t remove them and ECW advised not to delete them.  The Star Favorite is only a work around and doesn’t apply to all areas where you have to select a user.  I’m only a staff of 5 but over 15 years I have a staff list that is well over 30.  I can’t imagine how places that have thousands user turnover handle it.  Especially when doing Ebo reports and you have to comb through all the inactive ones to find your active ones.  It also can lead to clerical reporting errors.

Behavioral with healow televisit issue in Patient Portal

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Hello All,

Based on my understanding, behavioral visits should not be displayed in the Patient Portal. However, we’ve noticed that healow televisits for behavioral visits are currently appearing in the patient portal. Additionally, the regular ‘Behavioral initial & follow up visit’ are being displayed in the portal too for some reason.

eCW support guided us on moving healow televisits to ‘Restricted Visit Types’ (healow > Patient Portal Settings > Appointment Visit Type Configuration) section to address this issue. However, doing so prevents patients from receiving televisit email & text reminders.

We are seeking insights on how other facilities are managing this issue.

Thank you.


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

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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

Prevent lab order with specific ICD Code

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Hi All,

Is there a way to prevent a provider from using a specific ICD Code for a Lab Order? Our coding department wants to prevent the providers from using Z00.00 for lab orders for Medicare and Medicare replacement plans. It seems logical that this should be doable but I’m not seeing how. I thought about using the clinical rules engine but that doesn’t get me what I want. We do have the ABN configured to pop-up for specific labs for Medical Necessity but it doesn’t work for all orders.

I feel like I am missing something really simple. Any suggestions or assistance would be appreciated.

Thanks!
Corrina

how to incorpoarte standard disclaimer

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Is there a way to incorporate a disclaimer on every progress note without using templates and macros on a note by note basis.  For example,  I want to insert this on every encounter moving forward. 

Disclaimer: This office employs the use of an Electronic Health Record that utilizes templates and speech-to-text dictation. There may be an occasional typo, syntax and/or punctuation error. Should the reader, consultant, and/or referring physician have a question regarding an entry, s/he should contact the rendering physician for clarification.

IPs/Ports to open

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We are hosted by eCW. Our network security team wants to implement a setup in which only the medical department’s computers have connectivity to eCW. To do this, they are asking for all the IPs/ports that need to be opened on our end so that these selected computers can reach the eCW cloud and other eCW-related services. Just allowing access only to the practice’s URL on our end is insufficient because there are other destinations that the user needs access to while using the EHR (ex. televisit module connects through Vonage/Tokbox).

I had a ticket opened since June (10936058). From the responses I have gotten so far, I am sensing that there is some level of communication issue and knowledge gap. I have asked to speak to someone on eCW’s network team to provide direct clarification, but that has unfortunately not happened. This case is dragging on for reasons that are not disclosed to me.

Are there any eCW cloud-hosted practices out there that have implemented such a network setup as what our team is trying to achieve? FYI this is not an IP restriction setup at the firewall on eCW’s side - we are looking to manage the access from our firewall.

Tracking Billing Units Used

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Wondering if anyone has a good way for tracking the number of billing units used in ongoing infusions, so that clinical staff are alerted to start a new precert when there aren’t enough billing units left for the upcoming infusion.

non-Production Testing instance of eCW with cloud hosting

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For those of you out there that are eCW cloud hosted, do you have a non-production testing instance as well? If so, how do you go about getting that instance “refreshed” from time to time? We have a non-production testing instance that we use for testing upgrades or other functionality. In the past, we would request a refresh of that system and generally it would go through fine (no PII data though). However, this last time we requested a refresh it has been a nightmare. None of our setup or users came over, no interfaces came over, nothing. It has turned into a long drawn out and exhausting process.

Just looking to see what others have done.

right pane problem list red arrows changing color with refills / labs

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The right panel arrows was a useful feature to track if a condition, particularly HCC conditions, had been addressed in the current calendar year.  Initially when introduced it was only a rolling 365, but after several discussions with Dr Raj, they added key item setting to allow the arrows to all set back to red color on Jan 1….just like Medicare does. It was a great way for providers to make sure they captured the codes each year or more importantly have addressed the items on the problem list for the patient.  It changed with OV, and Virtual appts, not with TE,s or labs orders.    With V12 in particular, the arrows now change with any refill or labs associated with that ICD.  so if a patient calls in with a medication refill, or with a side effect or inadequately controlled bp,  and the the provider makes a med change,  the code now changes from red to blue.  This makes the color change totally useless since a TE is not considered an encounter or visit per Medicare guidelines. and the do not count towards the RAF score except internally to ecw , not medicare.
when i created a ticket regarding this, the response was med changes should only be done through the e Jellly bean.  clearly a non clinician response.  I can think of so many scenarios where the patient initiates a call or encounter regarding a medication.
also if a patient comes in for a lab the week prior to a visit, it is linked to the icd and thus changes the color to addressed or used before the patient actually comes in for a visit.  I am trying to think of a scenario where the color change as set currently is utilized or even useful????  any responses I any not be thinking of?? They have taken a useful feature and made it a totally meaningless color change


am I the only practice that has complained about popup messages?

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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?

linking satisfaction survey to google reviews

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We have activated our satisfaction surveys and are getting many high ratings, which is terrific.  However, we would love if we could add a link to let people leave a google review.  We added the link to our survey, but it is not an imbedded link.  It is just the long string that a parent has to copy and then paste into a broswer to make it work.  So naturally we are having very few go thru the effort and leave a google review.  Has anyone gotten the satisfaction survey to also include an imbedded google link to help families leave a google review with more ease?

Reply to patient -sending reply to the portal

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I need a more streamlined way of replying to patients if I am to engage both them and myself in the portal. Right now when I send a message I have to uncheck the boxes to send a VM or SMS/text.
And then when I do send a message and the boxes are checked I get the above error messages. IF I don’t have the ABILITY to send SMS or VM via reply, then WHY even have it as an option?!

If eCW made cell phones if I wanted to send a text on my phone I would have to unclick Facetime and phone call. EVERY TIME. I’d never get anything done or ever want to talk to anyone. And now it’s like that, but medical… and patients count on me.

Is there a fix for this I’m not aware of?

Anyone else find the eClinicalTouch 4 iPad app completely unusable?

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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?

wound care

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hi, wondering if anyone out there is on V12 web and has the wound clinic platform i could reference? currently we have a wound clinic that uses eCW but nothing specific for them. we would like to help them optimize how they use eCW for wound care.

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