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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Bump List
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Linking dual provider progess notes occuring within one visit?!?
Please see question from one of our clinical audiologists -
Currently, the Audiology staff completes progress notes in the Physician progress notes for a patient seen concurrently in ENT clinic on any given day. Then, the audiologist ALSO completes their OWN progress note as a separate provider. Very time-consuming…..
To simplify and speed up the process, and facilitate patient flow, we are wondering if there is a way to eliminate the dual entries by ONLY entering notes as the Audiology Provider BUT having both the MD and the Audiologist progress notes linked when reports are send to referring physicians by the MD’s., so that the description of the Audiology results would come with the report without having to be entered separately into the Physician note. If so, the Physician could lock his notes whenever convenient, but when sending reports the Audiology progress notes would link somehow, i.e. so if you open Physician progress note, the audiology note opens also.
Any insight on this is greatly appreciated!
Heather
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Dynamo Label Printers
We’re on 10e exclusively and interface with LabCorp. We’d like to use Dynamo label printers but can’t get a solid answer out of eCW if they will work. Has anyone used them with either 10e or V10?
If so, any tips on getting it to work?
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Portal Inbox/Outbox
Issue with Portal Inbox/Outbox
We just upgraded to C-20.8, now portal encounters are not being listed in the Portal Inbox or Portal Outbox except for the encounters of today?? We use these boxes to make sure a portal message has gone out or to make sure a patient read a portal message. We were surprised when we changed to eCW that there is not a report you can run to show all the portal encounters that are unread- does anyone know if there is a report? We have been saving important portal encounters in the nurses inbox until we could verify that the patient read the message. It takes a lot of time but we believed it was important for patient care and safety.
Now with the upgrade, eCW states this is a “bug” they are aware of and they are working on it. They hope to one day return the listing to include all the dates of messages. I know other practices upgraded last year to C20 so I am concerned that this is a bug they may not be able to fix??
Can anyone give me an idea if they have a way to track unread portal encounters other then the currently non-functional Portal Inbox? We send out messages about changing medication dosages or frequency, getting additional testing performed, etc and are very concerned we have no way to verify the patient received the portal information.
Please help
Thank you
Juliette
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Concurrect Lock
Good morning fellow eClinical-folks!
So, we recently installed the C-20.8 patch and this concurrent lock feature is a real pain. At first we had it set to a 0 timeout period and everyone was overwriting everyone else’s stuff. We knew this would be a possibility as explained by eCW and sure enough… Well, we then had them move the timeout up to one minute. Ive already had to talk one provider into not throwing a notebook and another into not retiring all together. Needless to say, they are not happy about this “patient safety” feature. There is absolutely no reason for a provider to ever be locked out of a patients chart, much less locked out by himself!
Those of you who have upgraded to the latest version, how have you gotten around this feature? What changes to your workflow have you implemented to minimize the effects of being locked out of sections of charts? Any advice would be greatly appreciated.
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iPad Kiosk Pilot
We have launched the Kiosk app using iPad Air 2 in three of our offices. Depending on the results/feedback from patients and staff, we may be launching it to our other sites.
Here are some things we have learned along the way:
- You must use the Charging Block that came with your iPad
- Enclosures are the way to go (we used Arete)
- You cannot print from iPad Kiosk (only Windows based Kiosk can print)
- Bug ID 15703 allows a patient to check in using Kiosk for non-Kiosk enabled providers (oops)
- Patients must enter their name into Kiosk exactly as you have it your system (Mary Ann Smith-Jones is going to have a difficult time using Kiosk depending on your standard for entering names with hyphens and/or spaces)
- The iPad Air 2 has a known issue with low sensitivity
- Local Settings for refresh time should be set to 1
- Multiple Co-Pay feature does not work with Kiosk (we use “Change CoPay for this Visit” feature in the Appt Window to work around this)
- Guided Access feature of the iPad is very useful
- The Shift button for the keyboard within the app is actually a Caps Lock (So users unknowingly can be typing in ALL CAPS)
- Around a third of our patients choose to use the Kiosk to check in
We are not utilizing questionnaires or appointment scheduling at this time. Overall we are pleased with Kiosk. Many of the features advertised are not actually available yet. We are considering upgrading to 1C7 and installing the Kiosk patch to get the other features they advertised.
I hope this info is helpful to other folks starting up with Kiosk!
“A computer lets you make more mistakes faster than any other invention with the possible exceptions of handguns and Tequila”
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Copy/Paste Resource Schedule
Reaching out to see if anyone has found a way to disable the copy/paste feature on the resource schedule? eCW says there are no security settings to take away this feature. I can subdue the scheduling security setting for staff but I want them to still be able to schedule, just not copy and paste.
Any input would be greatly appreciated! Thanks!!
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EPCS Module
Hello Everyone,
We just implemented the EPCS modules for our providers. We’ve had a few snags in implementation and the actual EPCS process. Does anyone else use this module and if so, what has your experience been?
Thank you,
Lindsay Gott
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External Rx History: Reliable or Simply Not Working
Anyone else have issues with External Rx History? It seems to work best the next day when I’m doing our daily chart audit, and not very well on the day of the visit when the MA needs it to work. Also, certain insurances seem to not pull anything, which leads me to think it’s on their end, but sometimes that same insurance will show info on another patient. Not sure if this is ticket-worthy as it’s not consistent, but I wondered what you all face. It’d be super helpful if this worked all the time and reliably!
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eCW Lawsuit
Has anybody else read about this lawsuit??
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PHM / CCMR for Narcotics Agreement Care Coordination?
Hi all,
Has anyone utilized the CCMR/PHM for tracking/coordinating patients with narcotics agreements? We would like to implement a 6 week program, and I am having trouble following the videos. I am unable to locate a document outlining set up.
Thanks in advance for any help you can offer 
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V-10 SP2.5.2 10e
Hello,
We are currently in the process of adding the fax portion of eCW within our system. One of our staff members discovered that the progress note information can be altered by staff before it is sent via fax. It’s my understanding that in order to resolve this issue, we will need to upgrade to V-10 SP2.5.2 which is based on 10e and the release notes are also based on the 10e.
We are not ready to give staff the ability to log in using the web browser as of yet for 10e.
To the users that have had this upgrade: are there any other changes for staff within this upgrade other than the 10e? We are really just looking for the bug fixes within this upgrade.
Also, our 3 servers are managed off site, can anyone advise of any major issues that they have encountered with the upgrade?
I appreciate all of your help. 
Thank you,
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ECW Scribe versus Dragon
Has anyone used ecw scribe yet? Our hospital implemented a fantastic ondemand dictation transcription application with Nuance service that made me curious to know how good ecw’s product SCRIBE is. How does it compare to Dragon Medical
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Physical Therapy Eval billing
We are new at Physical Therapy and billing has been a big problem. We are getting denials from Medicare for CPT 97162,97163 and 97164 ( billed with Modifier GP). Medicare Denial reason N572-“This procedure is not payable unless appropriate non-payable reporting codes and associated modifiers are submitted.”
These evaluation codes are billed with 97110 or 97112.
Is there other codes that need to be billed with the evaluation codes?
Help Please!!!
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Does disabling Common Send screen affect Meaningful Use?
I just located the setting location where you can turn off the Common Send screen after clicking Done on the Billing Details screen. Would disabling this have any impact on Meaningful Use? I see the Common Send screen mentioned in posts on Meaningful Use.
I’d love to get rid of that useless slow screen, but want to make sure we can do it. Thanks!
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Referral - Assigned To
When reviewing the referrals from the R Jelly Bean, I am noticing some referrals have the Assigned To listed by name (Last Name, First Name) and some have the eCW user name listed. Does anyone know why this occurs?
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not saving work
One thing that really is a problem for me is when I type data that I want to save, only to find that it does not save or does not allow me to save.
Two specific scenarios where this happens.
One is when using Browse function in certain sections, if I input some data, and X out instead of clicking on OK, then everything is lost. This is not acceptable. It should either save data when X-ing out, or it should warn that data will not be saved, and give you an option to continue (and lost data) or cancel (don’t close the window and keep data).
Another situation when this a problem… I usually have to eCW applications running simultaneously, side-by-side. When I have the treatment section open in one window, and inadvertently open the same treatment section in the other window, there is no warning that the section is already being accessed in the other application. So then if I type data and then close, I get an error message:
“Other use has changed data when you were working. For patient data consistancy (sic) this screen will be closed.”
Then data is lost. Would make sense for there to be a hard stop so that two users or application instances cannot access the same section at the same time. For some reason this problem did not happen before the most recent update to v10e SP2.5.12.
Let me know if my description is confusing or needs clarification.
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Version 10 work flow issue and “locked prescriptions”
When refilling prescriptions during office visits, we’re frequently asked by the patient to “send a local 30 day supply to a local pharmacy and in 90 day with refills for a year to their mail order pharmacy.” This would involve sending one prescription from the treatment prescription area and then altering the amounts and change in the pharmacy in the same treatment area. With V10, was prescription is entered, it is “locked” and can’t be altered in any way. Apparently this is controlled by an item key which I suppose we can turn off, though does anyone have a work around for the situation I described? What good is locking the prescription anyway?
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eCW Dental Route Slip
eCW Dental Route Slip - Does any have a good eCW Dental Route Slip?
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eCW performance utility interfering with google chrome
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.
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