My office is server hosted and we had started using 10e but noted that information that was put in to 10e was not showing up in the corresponding note in the patient’s chart if opened in version 10 at a later time. Specifically we put in vitals and they did not show up when the patient returned and was seen by a provider using version 10. Also, I have noted on the OB flowsheet side that if I put anything on the yellow sticky note for the OB flowsheet it will not show up, I cannot add new problems to the OB problem list (but when I go back to version 10 the problem shows up as many times as I clicked the + sign in 10e). I have told my staff only to use version 10 at this time because we are losing data. I will be opening a ticket but I wanted to see if anyone else had any issues - especially with the OB flowsheet portions
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Disappearing information from 10e to v10
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Commonwell Health Alliance and Care Quality
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
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Version 10e
Hi
We just upgraded to Version 10e. Here are our observations
• Medication summary shows all medications including discontinued medications. This causes confusion in prescribing.
• SNOMED is causing problems with sending referrals out.
• When we add any historical findings, we see a pop up coming up – annoying! (See screen shot enclosed)
Anyone having similar experiences? Being able to add a referring Physician’s info from the notes fax screen is a welcome change.We used to have it before it was gone for some time now we are glad it is back
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Immunization Barcoding
Good morning. I am an interested physician utilizing immunization barcoding through eClinicalWorks. Previously, I had received word through one of its technical members that this functionality should exist in 10e. We currently are in the process of updating and I was wondering if anyone could comment if they have tried this functionality, and if it is working as planned.
Thank you,
Scott
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10e OB Flowsheet
Is anyone using the OB Flowsheet in 10e yet?
We are still testing 10e, but I am running into a slew of minor issues and annoyances, particularly on the OB Flowsheet.
Examples:
1. The gestational age doesn’t appear on the header.
2. When I unlock a section of the flowsheet to update info, the window closes and the provider must reopen it to make changes.
3. When adding data for today’s visit, I can’t Tab to advance to the next field.
4. I can’t use the number pad on the keyboard to enter vitals.
5. When I open an Order Set from the Care Graph, the linked assessments do not appear. However, that same order set, when opened from the right chart panel, does show the linked assessments.
I’m in the process of entering tickets to eCW for these and other issues to see if fixes are available, but I wanted to see if other practices are using the 10e OB Flowsheet with much success. I would love to hear any lessons learned 
We currently have version 2.2.6 in our Test environment.
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Bump List
Does anyone have successful use of the Bump List on the resource schedule? We are looking to keep our appointments filled and currently using a piece of paper for patient call back if we get appointments. If the bump list is not a good solution, is there something else in eCW that allows us to do this electronically?
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How do your providers catch up on unlocked Progress Notes?
What process do your providers use for catching up on unlocked Progress Notes, making sure they don’t have any outstanding? I am coming most recently from a practice that used Allscripts and then Athena, each of which had a single screen with all incomplete notes. I would just go to that screen and click on each chart, working my way down the list.
I haven’t found a streamlined way to do that in eCW without a lot of clicking between screens. So far what I have tried is:
-viewing Unlocked Only in Office Visits and clicking back through recent weeks
-generating an Unlocked Visits Report which thankfully doesn’t include Cancelled, No Shows, and Rescheduled visits, but requires looking up each patient on the list rather than being able to click to open the chart
-searching Progress Notes Incomplete under Encounters which gives the same list as an Unlocked Visits Report, which also can’t be clicked on to open the chart
-selecting Review Progress Notes next to the S jellybean, which is even more clicking to populate the search fields, and then to sort through the unlocked charts that were Cancelled, No Shows, Rescheduled. I haven’t found a way to sort that list by Visit Status so I can see Checked Out in one group, but I can click to open the chart
Is there a single screen where I can see unlocked Progress Notes that *are* Checked Out *and* click on it to open that note?
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unable to verify Current Medications when there is another appt that day
Some of our providers have run into this issue noted in the Version Notes, but even in situations where the Current Medications have NOT been accessed/verified by a provider in a future visit and the provider is NOT attempting to delete a medication (our providers select Not Taking or Unknown). For example, one of our pediatricians sees a patient who also has a Behavioral Health appointment later that day. The pediatrician is unable to verify the meds, and the Behavioral Health clinician has not accessed the patient’s chart let alone verified medications since that is not done by a LCSW.
Our IT department hasn’t been able to replicate the issue and is aware of the product key provided in the notes.
Has anyone else had this issue?
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Place Duplicate Lab Orders
Is there a way to place a duplicate lab order?
We perform in-house labs that sometimes are invalid for a variety of reasons. In that case, we mark the original order with an invalid result so we can track them. Afterwards, the techs need to rerun the test. At this time, eCW is telling me that our providers need to create a new encounter, which make no sense to me. Providers should be able to order a duplicate order. Any ideas?
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Sending reminders
Good morning Eclinifolks!
I have been tasked with providing a method of sending reminders to patients that have not been scheduled for 1 year follow ups. More specifically, patients that have not scheduled 1 year follow ups following either a hearing exam or allergy testing. I think we would want the reminders to be sent out at least 60 days prior to the 1 year mark to allow enough time to get scheduled as close to 1 year as possible.
What would be the easiest, but most thorough way of setting this up?
Buc
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Questionnaire Designer
Does anyone know why the existing questionnaires are not ordered alphabetically? Also, has there any request to add the ability to deactivate old questionnaires?
We update questionnaires often based on reporting needs and have a huge list of questionnaires in a random order, which makes it difficult to sift through.
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Flowsheet: How to change default time to other than “1 year”
I am using the flowsheet extensively and it is quite helpful. However, if I see patients only once a year, the flowsheet by defaulting to a 1 year period will show no previous visit making it useless. Also happens if I see patients twice yearly as it will just maximally show the last 2 visits. So I routinely manually change the period to the last 5 years.
Is there any way to change the default period to, say 5 years to avoid that extra work. It costs me about 10 minutes useless work every day which adds up.
Any input is appreciated.
BTW, consider clicking “show future labs” on the flowsheet settings. Unfortunately the results are displayed by date ordered and not date obtained (which would make sense). This means if the “preclinic” lab was ordered for, say May 15 but the patient obtained it on May 5 and you see them May 10 it will not show up in the flowsheet. I found this out by happenstance and it makes my life easier.
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Macros Issues?
Anyone ever have any issues with Macros?
I have a psych practice using this feature, only two docs, but my pedi practice doesn’t so I haven’t played enough to know of any issues. One of the docs says Macros stops working sometimes but when she leaves the note and comes back, it’s fine. It’s not something I can troubleshoot or pinpoint, so I haven’t opened a ticket. The other doc hasn’t had issues and I’ve followed along with the one who has and it’s not her. She also only works once a week, which makes troubleshooting hard. I’m hoping it’s not one of those things that follows certain users.
Thoughts? TIA!
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Commonwell Health Alliance and Care Quality
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
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“Medical History Will Not Be Updated in the Right Panel”
As of a few days ago we suddenly have the above show up randomly in the Medical History section. I can update the Medical History in the progress note but it will not be updated in the right chart panel and more importantly not carried forward to the next progress note. This happens only in every 5th patient encounter or so. Support called and seems stunned. They say it has to do with the fact that a future appointment is already scheduled but we have not had this problem ever before and I have been with eCW for more than 10 years!
Anybody else having this issue? Any suggestions/help?
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Forms - filling out
How are folks handling the filling out of lengthy forms? Our doctor would like to do everything electronically. Ink edit is clumsy and clicky but seems to be our only option (we do not have touch screens).
And, is it true that Modi does not exist in 10e?
TIA,
Lizbeth
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HPI - Custom Structured Fields Disappeared
For some reason, the structured fields in one of sections of the HPI have all been disappeared. I checked the Access Logs to see if anyone updated anything with T,TEMPLATES but nothing was there. Does anyone have any advise on how to potentially find who may have done this?
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New 10e Implementation
Hi All,
I’m an EMR Manager overseeing my organization’s implementation of eCW 10e (web version on Chrome, not the .exe). We are migrating from Allscripts to eCW. Looking to network with any other existing/new clients that have rolled out 10e and are in the process of going live or are already live. Looking to share lessons learned, etc.
As a general background, I come from a consulting background where I have implemented eCW across the country for a number of clients dating back to V9. This however, is my first time implementing 10e and we’re encountering some issues given our set up (self-hosted, virtual set up).
Welcome any/all feedback, also willing to share my war stories.
Thanks
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P2P Admission Discharge Transfer Messages or Regular HL7 ADT interface
Hi all
I am curious if anyone is receiving admission, discharge, and transfer notifications automatically into eCW from a hospital.
I have heard this is possible through p2p and / or an HL7 ADT interface. What does the information look like in eCW / how much info do you receive?
Thank you
Tyler
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Disappearing information from 10e to v10
My office is server hosted and we had started using 10e but noted that information that was put in to 10e was not showing up in the corresponding note in the patient’s chart if opened in version 10 at a later time. Specifically we put in vitals and they did not show up when the patient returned and was seen by a provider using version 10. Also, I have noted on the OB flowsheet side that if I put anything on the yellow sticky note for the OB flowsheet it will not show up, I cannot add new problems to the OB problem list (but when I go back to version 10 the problem shows up as many times as I clicked the + sign in 10e). I have told my staff only to use version 10 at this time because we are losing data. I will be opening a ticket but I wanted to see if anyone else had any issues - especially with the OB flowsheet portions
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