Anyone using the PDMP product in V11 yet? (Appriss Narxcare controlled substance report query)
Curious to see if it allows RN’s/MA’s to run the query while rooming the patient.
Also wondering if logging is working as expected.
Thanks in advance!
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PDMP in V11 (Appriss)
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Fax Scheduling
Has anyone had any luck in scheduling their faxes to go out? We are running into issues with other office fax machines being busy so when ours go out it can clog the fax line. We’ve tried the scheduling option but it doesn’t seem to work like it’s supposed to. I believe we’ve done this in the EXE version, not sure if the 10e version is different or if that works.
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Referral - data copied from other referral
Hi Everyone,
When we create a new referrals, the structured data tab is pre-populated with data data from a referral of a different patient. We reported this in the past and it was resolved, but it has resurfaced. Has anyone experienced this before?
Thanks,
Allen
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Patient Arrival Delay in the S Jelly Bean
Hello eCW users,
Has anyone experienced a delay between marking a patient as arrived at the front office and when clinical staff is notified through the S Jelly Bean? We are seeing about a 5-8 minute delay before providers see that their patient is ready. Providers have reported that they are refreshing their screens and we have checked that all settings are properly set.
Thank you!
-Lila
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eclinicaltouch 3 for resources
Hi,
How do I enable my MA to be able to login to eclinicaltouch; eg to enter vitals and reviews meds. I cannot find the setting under admin, staff or security settings? I know there is a per provider charge but resources should be free.
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ePrescribe-Seeing when we got the request
Is there a way to see when we received an eprescribe request? What happens to the original when a provider responds to it?
We are trying to determine how long we had a request before the provider responded but I’m not seeing a way to figure this out. I was hoping the E jellybean would have something similar to the documents ones where you can what was closed and when. Is this possible to find out, am I missing something, or is this not a thing?
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ECG—to integrate or not to integrate, that is the question!
My “slightly used” ancient ECG bit the dust a few weeks ago. Went to troubleshoot and saw that support ended circa 2003…sigh. 
So I wonder if any of y’all have a little insight for a small primary care practice needing a new ECG. The cost of the “integrated” solution (Midmark, WA, Burdick/Mortara, others?) is substantially higher (read thousands of dollars) than a stand alone machine with some basic interpretative skilz. In the end, is it really worth integration? At the end of the day, is the result really better? You are either going to act on the data (and refer to cards, ER, etc) or not. Does the form change anything, especially at the price?
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Any practices using eCW for Wound Care?
Are there any practices using eCW for wound care? I am interested in seeing if/how eCW can track multiple wound progress- saving images per visit with notes, etc.
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INR flowsheet update - V11
Anyone using anticoagulant flowsheet in v11 ECW? Do you like it and does it allow proper billing with the new 2018 anticoagulation billing rules by medicare with CPT 93792, 93793. So far we basically are not using ECW for INR management and still with the manual.
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Change reporting period for MIPS Dashboard
Last year I put a ticket in and changed the reporting period for the MIPS Dashboard to show only the last quarter, our reporting period. We want to keep a rolling record to track our progress. Not a YTD or a previous 90 day which would be pointless. Last year it was changed the same day and I figure this is something almost all clinics would want to monitor. I went to do the same this year and I’m told they can’t do it. They said I have to put a ticket in each week to change it which is ridiculous.
Does anyone else monitor their dashboard for their reporting period or have put in a request like this?
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Primary pharmacy report?
I need a list of patients who use a certain 3-letter pharmacy, since we are severing communication with them. (Yes, it is that bad)
I don’t see any registry item to run a report. Is there some other way possible?
Thanks
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future vaccine orders
How does your practice enter orders for future vaccinations to be given at nurse visits?
A situation we encounter frequently is that a child arrives as a new patient from outside the US either 1) with vaccine records from outside the US that need to be interpreted and entered, which is rarely possible on the same-day visit, 2) without vaccine records and we draw titers, or 3) without vaccine records and we restart the vaccine series. Once the historical vaccines are entered or the titer results are received the provider needs to order the vaccines that are due.
Currently providers are entering vaccine orders in a Progress Note Follow-Up field (ie 2 weeks: nurse visit for MMR-V); or, when the nurse enters the historical vaccines, she sends a TE to the provider saying that the vaccines are entered and that 4y vaccines are due, and the provider responds with the order to give MMR-V and Dtap-IPV at a nurse visit. Both of these workflows don’t make it easy for the nurse to locate the provider’s orders, the nurse needs to scroll through Progress Notes and TEs to locate what the provider wrote.
We are hoping to avoid having to ask nursing staff to grab a provider on the floor to input the vaccine orders at the time of the nursing visit. Looking forward to your suggestions and input!
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previsit Med rec
What’s the best way patients can review and reconcile their meds before I see them in the exam room. Something they can do in waiting room, as well as complete my standard Review of systems. I tried the portal but seems rather buggy. And I’m too cheap to pay $25 per month per provider for another service that costs money but doesn’t help my bottom line.
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Depression Screening in the HPI
I’ve been reading a bunch of things on CMS guidelines and I’ve found quite a bit regarding documentation in the HPI, on any level, being done only by the billing provider. Here is a link to just one example:
https://www.aapc.com/blog/27349-confirmed-billing-provider-must-document-the-hpi/
Our revenue cycle director says pressure for this is increasing and we are having more conversations about how it is not inappropriate for RN or MA to conduct a PHQ depression screening, that screening they do should NOT copy directly into the HPI. It can be given to the provider but they should enter it. Currently our support staff is still doing the screenings. But we’ve confirmed with eCW that the PHQ cannot be re-mapped to copy to a section like Preventive Medicine. I’m afraid our next step might have to be to pay eCW for a new copy of the PHQ-2, PHQ-9, and PHQ-9A forms and have them copy in another location.
Has anyone else had a discussion like this? Thanks for any feedback!
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Faxing progress notes upon locking?
On my multitude of notes from the national users conference, I wrote down “the ability to automatically fax progress notes to referring provider upon locking in V11”. Was I wishful thinking or did I hear this at one of the presentations? We upgraded to V11 this weekend and try as I might, I cannot find it. If anyone sees (or knows about) this option, please point me in the right direction. Thank you!
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Converting to Cloud Based versus In house Server based - Version 11 and fax solutions questions
We’ve been with ECW since 2005. Looking at switching to ECW cloud host server versus being in house. Several factors involved in this - cost of servers, IT help is off site and limited in resolving our ECW issues, multiple off site satellite clinics, etc. I am the one who gets stuck doing all the upgrades, fixing the crashes in house, etc - I want my life back and this way ECW does the patches and fixes the system if/when it goes down. Doctors want to be able to use ECliniMobile on Ipads while at hospitals and other facilities - 50+% of our patients not seen in clinic as we are a surgical practice. Cloud based allows them to go into our records from any computer as well without a remote connection. We have fiber optic internet so we are also wondering if the slow issues with version 11 would still occur.
Questions that I need help with before we go to this option.
Version 11 - does the EXE version still work like the version 10 does. I absolutely HATE the 10e version for billing data entry as I cannot tab thru my screens, must click with a mouse. It is absolutely paramount that I still get EXE version on cloud.
Fax solutions - if you go cloud, does the analog fax still work or do we need to go with eFax Solution? Is this a huge cost to change to?
Has anyone else gone in house to cloud? Pros and Cons please.
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practices using portal forms
Is anyone using the portal forms. We recently experimented with our annual form. IT was a time consuming process requiring ECW to manually create the form, upload it and then map it. Apparently, unbenownced to us, because the annual form is link to an annual visit, pt gets the visit reminder and a link to complete that form associated with that visit type. This can be very useful since pt complete before hand.
Is there is easier way to create forms and upload to portal, in house?
What other forms are practices commonly using for this purpose?
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Web encounter - reply to patient-where do you enter the message?
When replying to a patient who has created a web encounter through the portal, do you write in the action taken box, the reply to patient box?
If I reply in action taken box then click reply to patient, then patient receives empty message.
If I reply in “reply to patient” box, the patient receives the message but it does not show in the action taken box so it looks like I never wrote the patient back.
This is only on the chrome browser version.
ECW says this is normal.
Wondering if this is true?
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New computers - Printing anything crashes
IT has deployed some new computers.
The image is the same as all other computers however when you try to print anything from ECW, it closes automatically.
Not sure what is different.
Any ideas?
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Change reporting period for MIPS Dashboard
Last year I put a ticket in and changed the reporting period for the MIPS Dashboard to show only the last quarter, our reporting period. We want to keep a rolling record to track our progress. Not a YTD or a previous 90 day which would be pointless. Last year it was changed the same day and I figure this is something almost all clinics would want to monitor. I went to do the same this year and I’m told they can’t do it. They said I have to put a ticket in each week to change it which is ridiculous.
Does anyone else monitor their dashboard for their reporting period or have put in a request like this?
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