Quantcast
Channel: ECW Users
Viewing all 4230 articles
Browse latest View live

Scribe verify not working

$
0
0

I have this macro that adds the flollowing text


Import all history
Verify current medication
Social History:
..
Verify medical history
Verify allergy
Verify surgical history
Verify hospitalization
Verify social history
Verify family history

WHen I scribe it random sections are not copied and some times copied but not verified. What is the issue?


faxing growth charts

$
0
0

Does anyone know how to fax a growth chart directly from eCW without printing it out and scanning it back in (or saving it) as a document?  We are often faxing them to consultants or as part of a medical record transfer, and haven’t been able to figure it out.

Lisa Denny
Barrington Family Medicine
Barrington, RI

20 minute appointments with 15 minute practice background schedule

$
0
0

I administrate ECW in a multi speciality practice.
Baseline schedule is 15 minutes- originally set up for primary care. Now our specialists want 20 minute appointments. Since the background is 15 minutes, the creation of the 20 minute appointment leaves ‘holes’- e.g. An appointment is made at 9 AM for 20 minutes…next open appointment would be 9:30 and not 9:20. Has anyone instituted this successfully without the staff manipulating the starting time for every appointment and without changing the baseline 15 minutes slots?
I also do not want to separate the speciality practices into separate ECW practices - they are designated by facility now.
Thanks.

eCW & Windows 10

$
0
0

Hi Everyone,
Ever since our providers switched from Windows 7 to Windows 10, we have experienced several problems ranging from not being able to to print orders, ink edit, sending outgoing referrals etc. Most of the times the resolution was to to re-register some .dll’s.

Mostly when there is a Windows update, something in eCW breaks down such as user’s access to patient docs or the growth chart.

Is anyone else experiencing similar issues?

stop med date causes serious harm

$
0
0

Saw a diabetic in March, controlled disease, HbA1c 6.8. He received a visit summary including medications.  His metformin read “continue metformin:500 orally once a day, STOP DATE: 06/06/2016.

He did not understand that the “stop date” referred to date he would need refill, and STOPPED metformin in June.

Saw him today, Sept 20 with HbA1c 14, blood sugar>700, Na 128, CO2 20, and admitted him to hospital for hyperosmolar state.

Printing “stop date” on the medication list of the summary needs to be changed to “refill date”.  I gather from support that this stop date is a program issue and the techs cannot make the change. This could lead other patients to experience serious harm, even death, and needs to be fixed.

Thank you,

Georgia Newman MD

Eclinicaltouch update very good (2.2)

$
0
0

Eclinicaltouch 2.2 was released 1-2 days ago. I used it in the office yesterday. Very good update.
I can not mention all the changes, but, will comment on a few:

I now can use my fingerprint to log into my iPad Pro and Eclinicaltouch. Cool.
Lots of design changes that seem to make the flow easier. Visually pleasing…
I can touch a line in ROS or Examination(for example), and it will take me to the box for editing. Helps speed up editing.
There now is a link function in treatment(like exists in visit code area). Works well.
Many more, still learning….

I was reviewing notes, answering phone calls, doing lab, etc, last night. The overall speed seemed better and I had the overall impression that tasks took less time(which is huge).

Greg Cusato and his team have done a good job on this update, thanks.

Wish list: I use “symptoms” a lot(not symptom(s)), to type and dictate notes. I want to be able to touch this text and go to the box, just like in other areas of history, ROS, and now Examination. This would save a lot of time. Not sure why this does not happen?

One other thing I have noticed BEFORE and AFTER update: In treatment screen when I try to delete something like a lab, I get message “Error deleting object”. I click OK and the object remains. Go to another screen, come back, object gone.
So, it does get deleted. But, I have never seen this kind of warning before. Right now just creating extra clicks…I suspect the team already knows about this, but you never know….

Using Scribe and the Examination

$
0
0

Howdy,

I’ve just started using scribe and for the most part, I love it.  Saves a lot of time.  I’m currently using Dragon Medical 2nd edition.  I’m hoping that someone can help me get the wording down so that macros can be used to better place structured data in the proper places.  Right now when I dictate the HPI everything goes under one, and is always the same one, sub category.  It is the default subcategory that occurs when you open the HPI window.  For example, entering a rash under dermatology, or hypertension under cardiology.

The same goes with the physical exam.  Right now I can only enter structured data into one subcategory of the examination.I have tried using the format described on the YouTube demo videos but the majority of the information described over his entered as free text in the note section.

Thanks in advance

Cloud Vs Hosted?

$
0
0

When you host ECW can you do “back end” work yourself?
Not being able to get at my data has been probably the most frustrating part of moving
from Amazing Charts to ECW in the Cloud.
It occurred to me, maybe this is just a cloud problem.
I can’t afford to host myself right now but it is always nice to look toward the future.


Physician Leaves

$
0
0

I am trying to come up with a check-off sheet for the steps that should be taken when a provider leaves the organization.

I know when we deactivate his account most of the options will be covered however we still have claims that have been be sent out so I can not make him inactive at this time.

Here is what I got…

Change Password.
Remove HEALOW profile
Remove pic off website
Stop messenger
Remove access to emobile
Deactivate his control substance token
End his working hours on Resource schedule.
Remove Portal options for appointment and messages


How do I deactivate for P2P or I have to wait until I get clearance from billing?
I know I am missing stuff…Just can think of all the bits and pieces until we make his profile inactive.

Failed Fax Jelly Bean

$
0
0

Hi,
In the distant past when an outgoing fax failed, the D jelly bean would turn red letting that person know they have a failed fax. It stopped when we upgraded our fax server which we host. eCW had no resolution.
Has anyone else had this problem?

Thanks
Ann Marie

Best update EVER

$
0
0

Have been slowly working through the slide presentations from last month’s NUC.  Go to my.eclinicalworks.com and Click Knowledge, then click on Conferences/2015. At the very end of Friday’s list is The Block and Biggs Road Show. I’ve been using eCW since 2006 and found a lot of new tricks.  Anyone who hasn’t seen it, should download it.  Still trying to figure out how to add favorite immunizations though…

Face to Face Overtime

$
0
0

Where does everyone have their Providers document that they spent an extended amount of time with a Patient, so the Coders can verify the Code change?

HEDIS Dashboard

$
0
0

Do any of health centers have the eCW HEDIS dashboard?
If so, what is your experience with the dashboard (pros and cons), how useful is it for meeting the HEDIS measures, or reporting?
Any feedback health centers have would be greatly appreciated!

Referrals

$
0
0

I’m wondering if another group is had a similar problem and found a way to address it. We have begun to centralize referrals, so for we have centralized 20 or so of our 200 providers.  We’re having trouble tracking productivity for referral associates. Since eCW does not log when a referral goes from Open to Pending it has made tracking the workflow difficult.

Does anyone else have a centralized referral process? How are your tracking it?

CCM and eclinicaltouch

$
0
0

I’ve been using CCM for past few months however 2 obstacles still exisit that I haven’t read if anyone has overcome them on the forum

1) I cannot use eclinicaltouch to document CCM minutes.  So if I am reviewing letters, etc - that time cannot be tracked.  My solution, STOPPED USING ECLINICALTOUCH.  Girish, this seems like a major oversight.  I jsut spent 30 minutes in a ecw CHAt essentially told they don’t know how to either.

2) CCM careplan - developing a SIMPLE easy careplan is still very cumbersome, not intuiative at all.  And it’s gets confused with the CCMR module.

Medicare designed CCM for providers to be properly compensated = however eclinicalworks still has not allowed me to capitalize fully on this.  If anyone has had better luck, feel free to share.


Dr. S


S Jellybean- notification for Nurses

$
0
0

Our providers would like their nurse notified when a patient arrives for his/her appointment.  They would like the nurse’s S jellybean to light up like theirs does.  Setting in assistant area?

Major issues with IE 11

$
0
0

Our IT pushed out IE 11 last week. Since that day, I have had nothing be major headaches.

issues with scanning
opening patient docs
send prescriptions
shutting people out
the log in screen pops up constantly
ink edit

I am going crazy.

I reverted back to IE10 on my computer and no problems at all. We have to move to IE 11 because the update for our hospital system requires it.

I need help!! Eclinicals is trying but no resolution to all issues yet.

Physician Leaves

$
0
0

I am trying to come up with a check-off sheet for the steps that should be taken when a provider leaves the organization.

I know when we deactivate his account most of the options will be covered however we still have claims that have been be sent out so I can not make him inactive at this time.

Here is what I got…

Change Password.
Remove HEALOW profile
Remove pic off website
Stop messenger
Remove access to emobile
Deactivate his control substance token
End his working hours on Resource schedule.
Remove Portal options for appointment and messages


How do I deactivate for P2P or I have to wait until I get clearance from billing?
I know I am missing stuff…Just can think of all the bits and pieces until we make his profile inactive.

eCW Log out time

$
0
0

Is anyone else having issues with logout time in eCW.  We are V10 SP1 C20.8 and when exiting eCW I have found that it takes 15-20 seconds (sometimes much longer) to pass the “saving profile” step and another 10 to clear the browser settings. That’s around 30 seconds on average to log out.

While 30 seconds may sound short it adds up very quickly especially for staff that are not at the same machine all day.

Thanks in advance for any feedback!

SP1C-20.3 upgrade impressions/issues

$
0
0

Ten days ago we upgraded to SP1C-20.3. The aftermath?

Speed is the same (we are locally-hosted).

The ICD-9/ICD-10 icons are a nice feature.

Users will have to upgrade their workstations at the first login after the upgrade. Ours all took 45-90 seconds, even at remote locations with poor Internet more than 500 miles away.

Problems?

1) Document previews (Reports button for faxed/scanned results, for example) were unreadable. After several days, it seems to have been resolved.
2) When writing new prescriptions, the popup below appears. eCW says once you set the NDC, it should stick, but it doesn’t. You need to do it every time. Our providers have adapted by blowing past it and not setting the NDC and things appear to still be going fine electronically. It is, however, concerning.
3) Outgoing faxes broke. Has since been fixed.
4) We had a template loaded for our Claims Summary with our logo and provider/tax ID, which broke, just like it did when we went to C7 last summer. Since resolved.
5) The new Security feature enabling the ability to restrict users’ ability to delete meds in the Med Rec window come with all users disabled. You will have to select those users with permission.
6) You will need .Net 4.5 installed on each workstation. We update .Net routinely through Windows Update so it wasn’t an issue for us.
7) The default for the Med Summary in the right chart panel is set at “Medication.” Your users will need to go into their My Settings and change it back if they used “Date.”
8) The Sel button has been removed from the Progress Note.
9) You cannot add a new item/property to a medication from the popup when prescribing. The hyperlink does not save the change, nor can you edit it the Strength or Formulation by making it a Favorite.

All things considered, it could have been worse, but also it could have been better.

The Document preview issue was a little frustrating. If you have the issue, don’t let the Engineer tell you all settings are fine but nothing can be done. You’ll have to push a little because they finally did change something to make it work.

Viewing all 4230 articles
Browse latest View live


<script src="https://jsc.adskeeper.com/r/s/rssing.com.1596347.js" async> </script>