Hi! I recently hired a PA and want to know the correct way to sign off on her notes. Any suggestions? She has just started seeing patients on her own. As I understand, I need to review at least 10% of her notes and countersign.
Thanks
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How do I sign off on PA notes?
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Strange font problems in HPI and Exam sections
Our physicians are frequently having progress note formatting problems related to fonts. When you’re in the HPI or Exam section and click the Green text, you can either free text in your info, or you can click on the options in the left side of the window. But, if you write free text, the font changes to a larger size. When you close the window and go back to the progress note, the font has now caused a new line break above and below the entry. It looks very disjointed.
Is there a setting in Internet Explorer that I need to set? As it is, I have to run the spell-checker, which warns me that I’ll lose formatting (which is exactly what I want to happen). Is there a way to get away from this?
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10e going down?
Anyone elses 10e gone down the past 2 days at lunchtime? Our providers start to complain that the system is getting really slow and then its stopped working yesterday and today right around lunchtime.
And if you’ve had a downtime in the past, how long did it take to get the RCA? (What does RCA stand for?)
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best way for provider to see when patients are ready
I’m encountering a time-consuming, distracting annoyance that I hope someone has a fix for. My “S” jellybean turns yellow when a patient arrives, of course. If I am working in another patient’s chart, catching up on a previous day’s progress notes, going over labs or messages, I have to keep switching back to the present day’s Office Visits screen to see when the arrived patient is ready for me.
If I’m on the floor with back-to-back patients it’s not an issue, but if I’m at my desk or in a charting alcove when there is time between appointments, at the start of the day, or at the end of lunch I find it really disrupting.
Does anyone have a tip or trick for how to see when patients are ready, that doesn’t involve closing what you’re working on and multiple clicks to other screens? (In the EHR at my previous practice, the notification turned yellow when a patient arrived and then turned green when the patient was ready… I miss you, Athena!)
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Cloud Move advice- Pitfalls
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.
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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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MIPS DASHBOARD - GROUP REPORTING
Does anyone happen to know when group reporting will be available on the MIPS dashboard?
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Hosted ECW
Hi
We are hosted by ECW I believe in Atlanta.
The server is slow (My internet speed is excellent) and the server is down many times a week making my office waiting room chaotic.
Does any one else have similar experience?
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Medlist
We updated to V10 now the medlist has all the meds listed even which were discontinued long ago. This confuses medical care and it is a serious liability let alone makes the care inefficient.
Need to hear the music with less noise. These old meds which were discontinued showing up in the med list in the right panel is confusing.
Anyone have similar experiences ?
Thanks
Gobi
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I thought ECW wants to PROTECT OUR DATA
ECW just contacted my husband asking him to approved sharing of PHA.
I am a solo provider. i am the primary source of contact and the administrator.
I am concerned that my practice manager (and husband) received a letter from
someone asking for permission to share my data. I was not even copied.
This is really scary!! :(
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UDS Module and mandatory training
Does anyone use eCW’s UDS Module and had the mandatory training? We were told you had to get the training in order to get the module turned on. We also have been looking at MediQuire for our UDS Reporting, any thoughts on them?
It would be nice to keep everything in house with eCW but with the support that comes with it I’m hesitant to go this route. The cost is relatively low compared to MediQuire.
Thoughts from the community?
Thanks,
Tim
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Tutorial on NDC Errors, updating NDC codes for Favorites/Order Sets
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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Is there a way to autopopulate Above and Below BMI CPT codes?
It seems there should be a way to auto populate CPT (and maybe ICD codes as well) from the BMI when vitals are taken. I’ve built templates for documentation and included the CPT codes for BMI. Tobacco Use and Falls Risk etc, but I’m working alongside EPIC support people (we have different clinics on different EMRs) and EPIC apparently auto populates all of the G and F codes for Medicare, so the providers don’t have to add anything. If EPIC can do it, then eCW certainly should be able to as well.
Any ideas are appreciated.
Karen
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GO button in treatment window
For some reason this problem is giving me fits. Two of our providers have a GO button in the treatment window when ordering Labs/DI or Procedures. All others are able to add the name of the test and get a real time search, then click and drop the order. These two (on new laptops) have to type and then click a GO button, that no one else has. I know it has to be a setting, but I’ve been unable to find it. Help is appreciated.
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Is ECW starting to Charge for Healow?
My office got a call wanting to “sell” us Healow.
It is a part of the package I have.
Is this something else they are going to shake us down for more $$$$$ ????
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Immunizations disappearing from progress note
We upgraded to v10e last week. When I give an immunization during the visit, the documentation for the immunization disappears from the progress note when I sign off on the note. Anyone know how to fix this? Thanks in advance.
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Group Visits - Visit Type Limit
With our growing use of the CCMR and group visits, I just discovered a new bug. You cannot have more than 8 visit types in the list when creating a group visit. No Bug ID yet.
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best way for provider to see when patients are ready
I’m encountering a time-consuming, distracting annoyance that I hope someone has a fix for. My “S” jellybean turns yellow when a patient arrives, of course. If I am working in another patient’s chart, catching up on a previous day’s progress notes, going over labs or messages, I have to keep switching back to the present day’s Office Visits screen to see when the arrived patient is ready for me.
If I’m on the floor with back-to-back patients it’s not an issue, but if I’m at my desk or in a charting alcove when there is time between appointments, at the start of the day, or at the end of lunch I find it really disrupting.
Does anyone have a tip or trick for how to see when patients are ready, that doesn’t involve closing what you’re working on and multiple clicks to other screens? (In the EHR at my previous practice, the notification turned yellow when a patient arrived and then turned green when the patient was ready… I miss you, Athena!)
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ECW Timed out
Hi
I have PCs in each of my exam rooms connected to individual printer and hardwired to the network. This makes the workflow efficient. I lock the PC with “Windows+L” when I am done working on one patient and I will log in with my password when I come back to the room. The PCs are all locked up in the exam rooms.
Everything were going well until recently.
Now ECW times out (with the message"Your session has been timed out, Please log on again”) every time I lock the PC.
When I log in again, ECW crashes. Now we have to restart ECW again making it time consuming.
We have contacted ECW but no help. Any suggestions or any changes recommended in the security settings so that I can do to mitigate this?
Thanks
Gobi
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Can you add VITALS to the progress notes for procedural visit types
We do in office surgery. The nurses/doctors want to add some fields to the progress notes that aren’t there. What is the easiest option to do this?
Can you create a template for Vitals, medications, etc and then just add it to the progress notes?
We have been live only 2 weeks on the EHR part of the software and are still figuring all of this stuff out.
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