I am in the beginning stages of testing V10SP2.5.2 in my test environment.
On the right chart panel the is a warning - Problem List SNOMED. What exactly is this??
I know the SNOMED codes works like the ICD10 and I am having to click on the link and SAVE for the warning to go away.
Could this be that all my patients in my test environment have ICD 9 codes?? Will I see this in my production when we upgrade?
How can I get it to go away for all patients?
Jan 1, Medicare approved billing for Chronic Care Management. One the requirements is a care plan. I’m surprised that hardly a single person has remarked on how to use (or more importantly how poorly developed ) this module is. You must have a Care plan to show medicareincase of audit. Isn’t anyone having trouble using this module or is it just me? If it is jsut me, please help me.
How many questions and section must be answered on each problem in the care plan? ECW tells me ALL which is nonsense.
How do you handle chronic conditions that ECW has not created themseleves. I created my own problem like Chroinc urinary incontinence but ECW states that does not count and work in the care plan. Why the hell not?
How do I delete a problem from the careplan once added by mistake?
How do I create/use the CCM module problem template?
Can I manually shorten the Default questionnaire for Hypertension?? If so, how do I do it and how do i save it to use a s a CCM problem careplan?
I’m doubtful anyone has answers but I’m skeptic anyone is using ECW to do the careplan portion. Users here are too smart to just follow ECW laborious steps
I have connected my home with the office (where the server is) via VPN and this was fairly fast on V9. My upload speed is only 768 kbps at the office, but for V9 this seemed to be plenty.
Now with V10 eCW is painfully slow. Loading patient progress note can take up to 30 second (or it feels like it). My router shows the traffic to be at 750kbps right after the patient name is clicked till the note loads. Other than increasing bandwidth, are there any tweaks or settings I can do get rid of this issue?
Does anyone have Commonwell Health Alliance or Care Quality working yet on your systems? We had a patch for Care Quality installed and have selected Epic hospitals in our state but haven’t seen anything pop up in eCW yet. Was just curious to see if others had any success with either interopertability options.
Thanks,
Dave
We are building schedules for our community health workers. We also want them to document in the note however since they are not licensed we need to be careful what they enter in the chart.
Is there a way to remove portions of the SOAP note when building a template? For example, this group would never need to document under assessment and it is safer if it is not on the progress note/template.
Thanks
We have an extremely large database of referring providers (20,000+) and I have a provider that wants a list of favorites to choose from when sending referrals. We went to MySettings - Configure Favorites and had him choose a list of providers. He has access to those when faxing, but in referrals he still gets the entire database and has to type the name each time.
Am I missing something here or is there no way to have a defined list of favorites in the outgoing referral area?
Thanks!
We’re having trouble processing new providers in a timely fashion. We use single sign on for our eCW access, so we can’t create an account until the HR department creates the employee. They, understandably, want to wait until all pre-employment paperwork and testing is complete.
So we’re getting our eCW username the day before the provider’s start date, at best.
Does anyone have any tips or tricks to get a license and SPI number processed quickly?
Not sure I have seen it anywhere yet, sorry if repost. Has anyone had an issue with using the popup windows to adjust Duration, Dispence, Refill etc in a TE? I can click on a few of them, like Comments, Auth, and Stop date but these others do nothing when clicked. I can turn off the popup check box and type in there and it seems ok…. Any ideas? Already have a ticket in, just wondering if we are alone on this one.
We had the eCW performance utility on a desktop as we had some slowdowns. A few days ago we were unable to connect to the internet with google chrome on that desktop. I was told by my IT guy that the performance utility changed the installed proxy settings and google chrome will not connect to the internet any more. We uninstalled the performance utility and the problem was solved.
Has anyone had success with using the Care Plan in Version 10. I am interested in learning what your workflow is and if you have had any successes. We are a PCMH - family practice with integrated behavioral health, pharmacy, and community resource liaisons. WE are working to document patient treatment plans and goals in one centralized location. Is the Care Plan the spot?
Does anyone else meet this criteria? We are new to eCW and need help with our financial reports.
Anyone else experience this? I know I spoke to a few folks at the conference who were…
Randomly (of course), a user will open a TE and the radio button will be on Addressed or Addressed and Docs Reviewed. If caught, they can flip it back to Open. If not, it never goes where it’s sent. Sometimes, they’ve opened the TE (from their list of TEs) and it’s already had Addressed in red at the top, with no way to open it again. See the weirdness there? It’s not that the mouse is over-clicking; I trained and watched users do this by clicking all the way to the left, away from those radio buttons. We even turned on an Item Key so they have to click on the Reference Number to open the TE (except in the Encounter list.) It seems to plague only certain users and randomly, maybe 1-2 times a day or so. We’ve lost notes, missed meds, not returned calls. It’s less than lovely and eCW isn’t able to help.
Sorry to vent, just at a loss.
Hello All,
I’ve received a request from our clinical staff for a Fall Risk Assessment for patients 65 and older. They would like some kind of alert letting the nursing staff know the patient is 65 and needing the assessment as well. Maybe a global alert for the 65 and older patient?
A search on this forum yielded some great results but I would like some further input from the community. (The posts were from 2013 as well) I’ve read that some users used structured data and mapped it to a flowsheet?
I talked to eCW and a $5,000 SF is out of our budget so we’re going to have to look at other options.
Thank you,
Tim
At a recent meeting we were discussing ways to follow up with patients/families who are late for well visits and vaccines.
Currently if the patient misses a scheduled well visit (or any visit) staff members get in touch by phone and/or mail to reschedule. A problem is that if after, for example, the 2 month well visit the parent never schedules the 4 month well visit, we don’t have a way of knowing that patient is behind. Whenever possible at episodic visits, the provider will check if the patient is up to date on well visits/vaccines, and also if possible, change that episodic visit to a well visit to catch up.
Some strategies we are considering are:
1) Running reports on each provider’s patient panel to see which, for example, 4 month olds haven’t been seen in the past 2 months, which 13 month olds haven’t received their 1st MMR, etc. We imagine this would be time consuming and also would need to be done periodically.
2) Scheduling all infants’ 1st year visits at once, for example, at the newborn visit, booking their 1 month, 2 month, 4 month, etc. visits. We imagine this might be met with some resistance from parents (I resisted when my own kids’ pediatrician did this) but at least we would have appointments in eCW that the parent would get a reminder call for, and that if missed our staff would follow up on.
Interested to hear how other practices have used eCW to follow up on well visit and immunization schedules! (I am going to pose this question also to the pediatric specific group but am currently having technical difficulties with Google 
)
So we upgraded to 10e today and have put in the tickets to get the wrinkles ironed out. We have one big problem though, all of our in house labs don’t have reference ranges listed anymore. The below ecw response implies to us that we have to wait for next version to roll out. We have a COLA inspection coming up and we cant be running labs without reference ranges.
Do we need to revert back to the old 10? Did anyone else have this glitch show up and if so, was it fixed promptly? We replied to this, but cant wait a couple weeks to find out it is something that can be fixed promptly.
Thanks,
Chris
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Hello Customer,
We had received your request on 05/17/2017 for support via the case number 5573594 - Reference Ranges not coming up for labs. This has been identified as a bug in your current version and will be fixed in a future version.
Also, an electronic response on this case is now available on the customer support portal.
It will be sent to the R&D team for review. We appreciate your patience and cooperation.If you believe the issue may present a concern, please reply to this message to let us know.
Thank You,
We are starting to do the prep work to add substance use onto the EHR/CCMR. When we signed onto eCW, we were told there were security settings in place to ensure we meet our legal obligation (42 CFR). I am in conversations with eCW as there does not seem to be a solution other than a separate eCW for them. Do any of you have substance use or behavioral health on your EHR with other specialties?
The radiology department at the hospital we send orders to has asked me to find out what are eCW’s plan regarding the CMS Appropriate Use Criteria program. It is proposed to go live 1/1/2018. Has anyone heard any rumblings about this?
Is there anyone out there that manually has your office enter lab result data into the yellow grids? If you do, how well is that working for you?
We have an interface for labs done in our hospital but have chosen not to manually enter any results from rival lab companies. Our providers just reference the documents section for those.
Thanks,
Dave
Hi All,
According to our coders, there needs to be notations in the progress note indicating that the provider has reviewed the information. For example, Social History, ROS if the clinical staff entered it, etc.
Does anyone use this workflow? At the moment, we do not. I think the fact that the provider actually locks the note, it is assumed the information was reviewed, however, that doesn’t seem to be the case. Does anyone have canned statements built into sections of the note that the provider can timestamp and bring into the note? I know that there is a co-sign feature for mid-level to provider, however, this really doesn’t fall into the same category. This is just stating that the provider has reviewed the information in the note that the clinical staff entered. And also, we have recently hired a scribe so they want the provider to be able to indicate that the information was reviewed.
Thanks!
We are looking for an EMR solution for our Hospital’s Behavioral Health practice. We currently are using ECW in our Physician Practices and I have been asked if ECW would be a good solution.
I have read some past posts and it doesn’t sound promising, but i would like to hear from those that are using it in their Behavioral Health Practices.
What needs does it meet and not meet?
We have 2 providers, but several Counselors and Social workers. I was told i would have to purchase licenses for all of them if they document in the Chart. this will be quite costly, we have 15.
Thank you.