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Surprised by lack of CCM users on forum

July 21, 2016, 2:28 pm
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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

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V-10 SP2.5.2 10e

April 21, 2017, 9:17 am
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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.  grin

Thank you,

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Is there a way to pull a Global or Billing Alert report?

July 7, 2017, 2:26 pm
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Over the years, users have created the most ridiculous global alerts and I am trying to clean these up.  I cannot delete most of these because they are associated with patients (ex: Pt signed consents 2013, Pt is from Mississippi and Appointment).  Some are even spelled wrong! 
Primarily, I’d like to run a report of what patients have which Global Alerts so I can remove them and in turn delete some of these unnecessary alerts.
Thanks,
Karen

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Registry Release Lock

July 7, 2017, 7:57 pm
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As System Administrator can I kick someone out of the Registry?  One of our users ran reports in the Registry at the end of the day and left for vacation.  No one else can use it as she did not release the lock.  Can I release the lock, without hard resetting her password and signing in as her…I really don’t want to do that.
Thanks,
Karen

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Virtual Visits

September 8, 2016, 1:52 pm
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I thought I recalled that eClinicalWorks was going to incorporate technology to have real time virtual visits with patients via video such as secure Skype or something similar.  Is anyone aware of where we are with that technology?  We are going to be participating, hopefully, in CPC plus and are wanting to develop more non-face-to-face visit capabilities.

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Problem List SNOMED

July 10, 2017, 8:23 pm
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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?

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Viability of eCW

June 23, 2017, 10:49 am
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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

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Tutorial on NDC Errors, updating NDC codes for Favorites/Order Sets

July 12, 2017, 7:41 am
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As a dentist I typically only prescribe a few types of medications. However, it took my 5 tries to get around an ePrescription error the other day for acetaminophen, so I did some research. I tried to figure out what was causing the NDC validation errors, if it is possible to update NDCs, etc. I also noticed that ePrescription errors are pretty common for our medical providers.

I had a ticket opened up with eCW and went over the error with a few reps, and got a fairly unsatisfactory explanation and proposed solution. I found a helpful document on my.eclinicalworks.com, and also did some testing on my own. Overall, I found eCW’s handling of NDCs not very intuitive or well-documented, so I compiled a tutorial that covers the issue and current fixes/workarounds.

Here’s an overview:
- Explanation of NDCs and how they are handled in eCW.
- Instructions to set your default database for clinical users (especially those doing intakes) to Medispan or Multim both when adding medications and drug allergies
- How to manually view and correct the NDC on a single prescription
- How to create a Favorite with the proper NDC as a workaround since you can’t update the Medispan or Multim database manually
- How to update NDCs for Favorites, order set medications, custom medications, basically any meds other than those in the Medispan or Multim databse

I hope this helps! It drove me nuts the few times I ran into these errors, and I can’t imagine having them every day like you medical providers. Again, I don’t prescribe a lot, so if someone has a better understanding or correction to this tutorial, please post below. This post should probably be in the Treatment Screen and ePrescribing section, but I put it here due to how widespread of an issue this seems to be. Feel free to move it if needed.

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Charts unexpectedly showing up under S Jellybean’s “Review Progress Notes”

July 12, 2017, 11:36 am
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A week ago my S jellybean turned yellow and had an extra circle around it, even though no patients were checked in. Apparently there were progress notes for future appointments that are assigned to me for review. I am the provider for most of the notes, but others are for visits with other providers.

Now I have 107 progress notes sitting in that section. Any idea what is going on here? Why are future progress notes sitting in this section, why are there notes from other providers, and why are there any notes at all here? We don’t have any midlevels, or cosigning, or anything that would cause us to use this functionality, though I’m not quite sure I even understand the function.

Thanks!

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CommoneWell

July 12, 2017, 9:25 am
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Has anyone activated commonwell, and if so have you come across any problems or was it a smooth transition? Did you need any patches installed after activating commonwell? If it is working well, do you have a workflow for how you ask the patient which facilities they have been to?

Thank you.

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Insert Problem List into Letter, How?

July 12, 2017, 12:51 pm
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As above.  I’m sure I’m missing something here…

Other than my brain! smile

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External Rx History: Reliable or Simply Not Working

July 12, 2017, 3:12 pm
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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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order of options under “Select Default” in “Examination”

July 12, 2017, 4:29 pm
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I’ve build several defaults in the Objective—> Examination section of the Progress Note.  However, I haven’t been able to re-order them, even though the pop up screen has a “Reorder” button and also arrows to move the items on the list up and down.  Has anyone been successful in changing the order of the options?

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Medication Reconciliation - script errors empty medlist

July 13, 2017, 12:06 pm
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Is anyone else getting script errors with med rec and having an empty list? Started this AM. All my clients have the issue, so i am suspecting itis a server issue. The server did have a windows update yesterday.

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Letters without WORD

August 4, 2014, 12:23 pm
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We are on V10 and I had ECW activate the necessary item keys to use the letters/letter designer without Word.

I am still have issues with this feature.

Has anyone got it to work?? Print letters without using WORD.

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iPad Kiosk Pilot

July 14, 2017, 3:44 pm
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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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Difficulty scheduling update resource with eCW

July 17, 2017, 7:26 am
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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.

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Smart Forms in V10

March 20, 2014, 2:51 pm
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Hi All,

Can anyone tell me if you are required to use Smart Forms in Social History in V10 or if they can be “turned off”.  We do not use Smart Forms currently in V9 but on our V10 test server, when you click on smoking or sexual history, it brings up the Smart Forms.  This may be a silly question but I cannot find the answer in the V10 documentation.

Thanks!

Sarah

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Displaying generic and brand name for medications

July 17, 2017, 8:58 am
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While looking through the HelpHub the other day, I noticed the following:

Displaying Generic Names for Medications
With Item Key Code 1332_DMJ enabled, from the Treatment window, Progress Notes window, and the Interactive Clinical Wizard (ICW), the generic names for medications display in parentheses after the brand name for the medication.

Does anyone have this enabled that can tell me if and how it works? There have been times that I get excited about some option that can make our lives easier only to have it not work when enabled (like that item key that is supposed to notify you when faxes fail).

This sounds like it would be helpful. Does it just display the generic after brand name, but not the most common brand name after generic? Also, does it display the names only on the Progress Note view, or also in the Medication Reconciliation window when you are searching for current meds? This would certainly help our dental assistants.

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Incident-to billing workflow question

November 11, 2016, 9:13 am
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Everyone’s probably going to be annoyed with me soon but I’m going to keep asking questions!

Incident-to billing, we mostly use it for our NPs to bill certain but not all visits.  Do accomplish it, it looks like we would have to set the NP up as a resource and use that apt book to schedule the incident-to.  But since our NPs see other visits, we would end up with 2 apt books for one provider. 

 

Any way around managing 2 appointment book for one provider?  Are there any repercussions around using the resource appointment book as the main book for the NP - the resource would be the NP’s resource account and the provider would be the provider’s provider account?  That just sounds complicated.

Or any tips on managing 2 books for one provider?  Our providers have had one book for 13 years, so this would be a big shift for the front office.

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