I’m trying to set up a clinical rule engine that will trigger and drop a CPT code if pt has a high blood pressure entered into their vitals, but running across an issue where the BP is stored as a single value ie “120/80” and the rules engine is not triggering because of this I believe. Has anyone successfully setup a rule engine to trigger w/ high blood pressure? Is it possible to configure a rule to trigger on a BP vital?
Thank you
We’ve had issues for years with using Smart Search and the inaccuracies with the CODE/Description combination - the description doesn’t match at all to the actual code and we’ve gotten “dinged” during an audit by a payer because the description does not match the code at all. When I complain to IMO Vendor about this - they say basically they don’t care - their product isn’t meant for billing basically since the payer never sees the description just the code - well they see it during audits for sure!
When I turn smart search OFF and I search for an ICD10 code - I’m seeing quite a few variances in the description for 1 code as well - similar to what we see using Smart Search.
For example, if you look up M54.12 in both smart search and without - you get numerous descriptions - and some descriptions embellish far behind what the code actually is. We see this a lot with codes.
So here’s the dilemma, when we find these and want to inactivate wrong code/description combo’s I can do this in the regular ECW lookup - however this does not impact using Smart Search and everyone is enabled for it.
Has anyone else been dealing with this issue - have you moved away from using Smart Search - its an added cost - and maybe the regular DX codes out of the box from ECW are easier to find now than they were back in 2012 when we started using ECW (back in the day it was a nightmare to look up ICD10 codes which is why we went to Smart Search in the first place) .
Appreciate ECW user thoughts on this.
We’ve had issues for years with using Smart Search and the inaccuracies with the CODE/Description combination - the description doesn’t match at all to the actual code and we’ve gotten “dinged” during an audit by a payer because the description does not match the code at all. When I complain to IMO Vendor about this - they say basically they don’t care - their product isn’t meant for billing basically since the payer never sees the description just the code - well they see it during audits for sure!
When I turn smart search OFF and I search for an ICD10 code - I’m seeing quite a few variances in the description for 1 code as well - similar to what we see using Smart Search.
For example, if you look up M54.12 in both smart search and without - you get numerous descriptions - and some descriptions embellish far behind what the code actually is. We see this a lot with codes.
So here’s the dilemma, when we find these and want to inactivate wrong code/description combo’s I can do this in the regular ECW lookup - however this does not impact using Smart Search and everyone is enabled for it.
Has anyone else been dealing with this issue - have you moved away from using Smart Search - its an added cost - and maybe the regular DX codes out of the box from ECW are easier to find now than they were back in 2012 when we started using ECW (back in the day it was a nightmare to look up ICD10 codes which is why we went to Smart Search in the first place) .
Appreciate ECW user thoughts on this.
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!
Anyone on this version yet? Have it in our Test environment and I was looking for a user guide to check out the enhancements. I don’t know if such document exists.
Is anyone on 12.0.2? We are hoping to update soon, since we have some major bugs with V12.0.1.03007183.
Any bugs to note? Or fixes?
Anyone know a keyboard short cut to open a progress note from the Resource schedule page? And if you know any other useful keyboard shortcuts from a provider standpoint, feel free to share.
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?
Anyone have opinions on this topic
I am not sure if we should delete the addendum. its nothing that will affect the patient clinically. It was just some comments about the patient experience.
I don’t know if anyone has this problem but its occurred at least twice in the last week where a abnormal brain MRI and mammograms’ result “disappeared into neverland” because of the new v12 DI/LAbs noninterlaced test workflow. When we receive a new DI or labs via fax, the inbox management staff have to check a lot of boxes, including the received, assigned dates,etc. If they forget to check the received box and but complete the other boxes and assign it to a provider, the result “disappears into neverland.” Provider never gets it to review. We missed a brain tumor and abn monogram because of this patient safety design flaw.
Those buttons should be made mandatory BEFORE the test can be assigned to ensure proper delivery or results.
I’ve asked but its still has not happened and in the meantime, on going patient safety and liability and risk of patient harm continues.
Hello,
I was wondering if anyone else has had any issues with uploading their patient data for a custom campaign? I’ve started running into an issue where I upload the .xls file, and it tells me that the file is not supported, so I convert to .cvs file, and I get a server error. I submitted a ticket, and the solution was to get rid of any spaces in the patients’ names, and if that doesn’t work, remove any additional first/last names. Removing spaces didn’t work, and I don’t have time (nor does it represent some patient’s legal names) to go in and manually remove a 2nd (or however many) names from the various fields. I don’t really feel this is a feasible fix, but just wondering if anyone else has ran into any similar issues and have found any other solution?
Does anyone have a script that will return the Multum dnum code? I can’t figure out how to join OldRxMain to the multum tables (or any other table) to get the multum code.
If not the multum code, what about returning the RxNorm code?
Thanks in advance,
John
Is anyone using the credentialing modules? If you use it do you like it?
We have turned it on but eCW would like money for training and we are not sure this is what we are truly looking for.
Thank you
I’m trying to set up a clinical rule engine that will trigger and drop a CPT code if pt has a high blood pressure entered into their vitals, but running across an issue where the BP is stored as a single value ie “120/80” and the rules engine is not triggering because of this I believe. Has anyone successfully setup a rule engine to trigger w/ high blood pressure? Is it possible to configure a rule to trigger on a BP vital?
Thank you
Does anyone know how to get the RxNorm code or Multum code, linked to a medication, from the database?
Thank you in advance,
John
Here is example
Providers order Ceftriaxone Sodium (Rocephin) 1000mg—- we only have 500 mg vial with different lot numbers, how do other
document this in eCW? Right now MA has to ask the provider to re-order the therapeutic injection 500mg twice so they can document the correct information. We have the same situation with other in-house injectables like Depo-Medrol.
We feel there should be a way to document multiple vials when the Lot number is not the same because of a possible medication recalls.
What are others doing to have the correct documentation and not delay care?
Anyone else with medispan noticed an increase in meds not linked to an NDC??
Even linking them manually through the report console or clicking into the red triangle isn’t working (that in itself is a pain for a provider to have to do that but I’d overlook it if it actually worked)
Is anyone getting this issue? Where can we find the application key? I called the support number for healthwise and it’s not working. I also opened a case with eCW but no call yet.
Has anyone upgraded to V12 - the .04 version - and started using the Tigerview .ini interface configuration?
Thanks!
Lyn
Does anyone have a daily interface to their general ledger? We currently utilize Workday, and we interface data from eCW at the end of the month during the hard close process. I have been asked by administration to move this to a daily interface so they can better trend how things are looking for the month.
I have run into an issue being able to capture rendering provider changes/facility changes on the claim since there is no hard close that forces a void and re-create. Is anyone doing a daily GL successfully?
Thanks,
Kyle