It is happening more and more in which patients complain that Healow Open Access is saying there are no available appointments when in fact there are appointments. We often do not know until a patient complains.
Have any one else experienced this? We have to open a ticket to have the Open Access team for them to push the appointments.
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,
On several of our computers we have tried to download the new cloud based version and get some error about ERS services and then although it says it has down loaded there is no icon on the desk top. Has anyone found a way around it? I don’t want to have to put a ticket in for every computer. That would take a lifetime. Thakns.
In the treatment screen, there are two Notes boxes. By default, “Notes” is shown whenever the treatment window is opened. Next to the Notes tab is a Clinical Notes tab. Anything written in the Notes tab goes to the clinical summary and the progress note. Anything written in the clinical notes tab doesn’t go to the clinical summary, but does go to the progress note.
Often, our providers will write something in the notes tab, click the Clinical notes tab and then write more info there. Is there a setting that will make the last tab selected remain as the sticky choice?
For example, is it possible to have the clinical notes tab selected by default whenever I open the treatment window? One of our providers is convinced that, up until this weekend, she would always have clinical notes open by default. Since yesterday, the treatment screen always defaults to Notes.
I don’t recall ever seeing Clinical Notes as the default and it’s never been a sticky setting that I’ve seen. But this provider is absolutely convinced that this was the case and we must’ve changed something.
Does anyone know of a way to have a sticky setting on these tabs?
It has been two weeks since our upgrade and I wanted to give some advice/input. This is a long read but probably worth the time.
Have someone login as soon as the upgrade is complete and uncheck all boxes “Allow user to access 10e”. Also, make sure the box in file > Settings > Practice Default > General > “Show 10e URL Browser Dialog” or users will get a pop up advertising 10e. Ours was already unchecked but I recommend verifying yourself.
The upgrade itself went smooth as far as the client side upgrading on each computer. We didn’t have to manually install the MSI file on any computer. I researched the upgrade for months and thought I was prepared for what could come but boy was I wrong. There were so many issues I can’t begin to list them here but a few main ones on the EXE. version: ERA’s combined per patient, fixed with item key. Security attributes galore (progress note accessibility and many others), eMessenger stopped working completely, some printers stopped working (in eCW only), concurrency lock mess but I was prepared for it thanks to this forum, and many other things I can’t think of at the moment. I’ll post the other issues as I recall.
Like many others i’m sure, we have been excited about 10e and all the potential it brings. So far it has been a complete nightmare. If we went directly to 10e the morning after the upgrade our clinics would had to have closed the doors. The required plug-ins wouldn’t download and eCW had to send them (took 3 days) to be manually installed on every computer using 10e. Luckily only three users are trying to use 10e at the moment. We still get a “failed to update plug-in” error every time we login. The way our infrastructure is set up I will have to physically go to each computer and install these plug-ins.
Eprescription Log didn’t work - was told it was a bug. Was fixed days later
Labs received electronically are coming back and you are unable to change the Results field, it is greyed out. You can’t uncheck received then change the result. eCW said it was a bug.
Lab interface completely stopped working with 10e. Haven’t had time to troubleshoot this yet.
The batch scanning issue made an MA laugh and walk away.
Document management screen was different depending on how you opened the browser. Did you open it from Help > Launch 10e or copy paste the URL into a previously opened window of Chrome. This issue needs it’s own topic which i’ll make later. It was a disaster.
Get ready for Chrome troubleshooting, every time support would remote in it was all about clearing cache/history over and over and making sure you were using Windows Basic theme.
There are too many other things to list but overall I’m disappointed. There are some things the provider using it liked, and I can see the potential. Unfortunately it comes at a bad time and there are already mumblings here from the higher ups of using the free data switch to another EMR. I’m staying out of that conversation but I truly want eCW to work. The reality is it simply doesn’t on so many levels.
Thanks,
Tim
Have you updated to eCW version SP 2.5.12
If so
Why did you do it?
*bug fixes
*patient safety
*eCW recommendation
Are you locally hosted or on the cloud platform?
When did you do it?
In hindsight was it worth updating from the mandated C20.8 release?
If not
Why are you not updating?
Are you planning to update to SP 2.5.12 or wait for version 11?
On the re-cert exam, I got a question about a security right that will no allow the REMOVE insurance button to work in the info screen.
I can not locate that security setting. Is it an item key first?
Also, the disabling of the POP-Up message for Non- billable appointments. I see it under Practice defaults/Options.
I checked it and I still get the message.
Has anyone else experience this issue? I am testing in V10SP2.5.12.
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?
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
We have used DARTNet in the past for PQRS reporting. We recently saw a demo of the eCW product, as well. Does anyone have experience with other PQRS registries? We want to explore other options before we decide.
Thanks
We have been working with our SAM to attempt to schedule an update to V10 SP2 since May and have not yet been able to even get a date set! Has anyone else encountered this issue recently? I can understand being a month or so out for scheduling but taking this long just to get on the schedule is nothing short of complete failure from a support and customer service perspective.
It appears that since eCW is now expecting sites to use the APU tool to manage their own updates they have decided our updates are no longer their priority…. The kicker in our situation is that we have never used the APU tool and are in a multi-server environment so simply firing off the APU tool and seeing how it goes as our SAM has recommended is an unacceptable approach especially since we do not have a test environment to practice in.
With everything going on you would think that eCW would be working a little harder to take care of their customers. Unfortunately my experience so far has been the opposite.
When we receive labs electronically the check box “Received” is already checked and you are unable to change the “Results” field. The cursor turns red when you try to click on it. In the EXE. version you are able to simply change the results whether the “Received” box is checked or not.
The new workflow eCW has told us: The provider must uncheck the “Received” box > close box/click save > click back into the lab screen > change the result > click received > click save.
At first we were told this was a bug and now this is the “new” workflow. Again, eCW has left me speechless.
Is this how your lab interface and workflow are functioning? Thoughts?
Thanks,
Tim
Has anyone started using eCW’s new Televisit product yet?
If so, how are you billing for for the visit?
Thanks,
Dave
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?
The dust has settled and multiple letters of encouragement have been sent out from eCW. Our CEO has asked me to reach out to the eCW community and get your thoughts on the viability of eCW. I understand eCW monitors these posts and don’t want to put anyone in a bad situation but a discussion can’t hurt. Feel free to PM me if you want to stay anonymous.
Has your clinic considered changing EMR’s since news of the settlement? Were you considering changing beforehand and this news was the catalyst?
What are your thoughts?
Thanks,
Tim
Hello,
I was wondering if anyone was sharing batch CCDA’s with payors? We have been asked by a payor to share this information and can only generate pt by pt. I am looking for a way to pull for a DOS. Any information would be helpful.
Hi I just moved to the cloud. went very well, small glitches but migrated nicely over 2 days w/o any significant headaches and excellent communication with the ECW side as we did so. I’d give it a 4/5 star experience
1) Does anyone know if I install the ECW client on a employee’s laptop and laptop get’s stolen. Is that a reportable HIPAA violation even though no data on on the laptop and the access is protected via username/password. This hasn’t happened but before I allow my NP to install the client app on her home laptop, I’m curious. Essentially there is no data, just a client that points towards the cloud which has the data and cannot be accessed with the user credentials.
2) Anyone know what ECW is doing to protect versus malware and ransom ware now that more of us are moving to the cloud. Right now, Nuance hospital dictations systems are down across hospitals nationwide, as well as Merck was frozen and Fed Ex deliveries. So all of cloud is vulnerable (almost feels more vulnerable than if I kept hosting it myself). I’ve asked ECW but no response yet.
one of my providers is out of the country, in Ireland and he is getting an error trying to access 10E on the web. The error is as follows. The Request could not be served due to an internal processing error
The incident ID is N/A / #############
please report this issue on the eClinicalWorks customer care portal
I am going to put a support request in but it is friday afternoon and will not hear back until monday.
Hopefully someone has had this issue before and can assist.
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
Moved to the cloud went very well. Couple major pitfalls you should be aware of that ECW did not notify me of prior.
All CCM patients will get dis-enrolled and you will have to manually re-enroll them. I was not told of this by ECW prior and hence lost CCM revenue for the month of June. Now having to re-enroll every patient, back date it and re do documentation is a huge time consuming pain in the ass.
Also they disabled permanently the POP UP check box by putting a check and gray it out under treatments. Now I can’t manually enter data and have to use their clumsy Dosage calculator/edit Rx which is more clicks. This is a major pain when you want to write multiple months of scripts at once like ADD drugs. ECW says it can’t be undone and is described as a “Patient safety” feature even though I am the licensed doctor to prescribe with power given by the state, not ECW to dictate how I can write my prescriptions.
Other issues were small. Still can’t access RDP via a macintosh even though I have the asp address from them. Remote client installs have been with occasional glitch that rapid response ticket fixes right away. Overall, 9/10 score except 0/10 for the CCM part. I recommend doing the move the early days in the month whne all you have to do is reenroll since you won’t have much CCM time to replicate.