hello, I don’t like the common send feature. How do I turn it off when going through the workflow of doing a note. It’s the last 2 clicks after hitting DONE.
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disable common send
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New iPad Pro 12.9 and eClinicalTouch
Posting to find out if anyone has had similar experience and to give my feedback.
I just bought new iPad Pro 12.9 inch(large). I already have the older iPad Pro that I have used for a couple of years.
I opened them both up and compared.
Because of the difference in number of pixels and maybe aspect ratio, there is a big difference in the display. Also, I have not been able to get the face recognition to work. Fingerprint login works on older iPad but none available on new iPad. I am having to log in manually. Yes, software is UTD.
Everything is smaller on new iPad. That may be good and bad.
I can see more of the note without scrolling, but the print is fairly small in the note itself. It is slightly smaller than print on my regular size iPad. My eyes are older, reading glasses, etc. Will have to see how this works after seeing patients all day.
It still is better than the print size on a laptop.
Because of smaller print, I can see 18 patients on the schedule instead of 10. On telephone messages, I can see most of note without scrolling. On lab review I can see all of the chem profile without scrolling. I think all of this is good except for the fact that the print is so small. This is not adjustable on the IPad. If you change text size in settings, it changes some of the headings but nothing else helpful.
I suspect I would take a great deal of development time to update the app, not sure will be done(have not asked).
Just thought I would give hands up. Cost is high for new iPad Pro 12.9
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Is eCW available on apple/MAC yet? Any options for MAC users?
Greetings,
We have eCW throughout the office and home laptops.
One of our providers only has MAC at home.
Anyone know if eCW can be installed on MACs yet?
If not is there any solution that a MAC user can work on eCW?
Thanks
Jeff
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Wrong time on Messenger Calls
We have had patients complain about receiving the wrong times on their appointment reminder calls. Not all. just here and there. Also had two patients on the same day that had their times swapped. One was actually scheduled to come in at 930 but her message said 1:00, patient with appointment at 1:00 meassage said 930. The message logs reflect their appointment time , but the patients are adamant that they received the wrong time. And of course, ECW says that it is working correctly and because the time was correct on the Log that was the time that the Call said.
Has anyone else had this issue?
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Interoperability Hub Feedback
I’m looking for feedback from the community on the Interoperability hub. I was very interested in this at the conference and it seems that it would be very useful. Have practitioners/providers found it to be a useful resource? Has it caused any extra headaches or bugs in the system?
Any and all feedback helpful
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Associate ICD10 codes with CPT
We associate codes such as D48.5 with our biopsy codes. When the prompt comes up to ask if we want to use those codes, they are all pre-checked. Is there any way to be prompted but have all of them unchecked and we check the ones we want?
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Actions/Alerts/Reminders
I was just wondering what people use, clinically, as reminders/ticklers/alerts.
The “Action” system in ECW is not helpful, overly complicated, a nuisance to create with needless/useless fields that have to be populated. Furthermore, the user has to search for them-they do not “pop-up” when a patient’s hub/progress note is accessed.
This is a very basic function of an EMR-to remind the user of testing follow up-that ECW does not perform well.
I was just wondering what people do instead to remind themselves several months down the road to FU results.
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Current Medication Reconciliation
We are a large 16 practice, multi-specialty database and are looking for ideas on how others manage the reconciliation of Current Medications.
Does anyone utilize the visit type setting of “Medication Reconciliation not necessary”? Successes or failures with this?
Any suggestions on how to prevent medications from ‘falling off’ the record into the ‘Unreconciled
Past Meds’ tab in Current Medications? Best way to clean that tab up?
All advice and suggestions are appreciated!
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Major problems after moving to cloud and V11 - ECW support unhelpful
Nightmares and extremely slow EMR after the move to the cloud. We are having to wait several seconds after each click. Taking twice the time to see each patient. Every day 2 or 3 patients are walking out of the waiting room because of long wait times due to SLOW EMR.
I went for the move to cloud when they offered me a 3-year contract deal for two providers (but later refused to add the second provider unless I paid extra for the second provider addition).
We were not told that the documents would not open quickly. Having to wait several seconds for each document to open and wait several seconds while ECW becomes “unresponsive”. They blame it on the size of the document but they should have either looked into this before the move to the cloud or compressed the document files on their end.
The installation MSI file to install ECW on workstations is very flaky. Leaves lots of setting changes to be made by the user later requiring hours of work to make setting changes of exceptions to the firewall and windows settings etc on each workstations.
It allows users to scan driver licenses in color without giving warning popups to limit the size of the documents to a certain size. Had no trouble opening color image documents when we had the server in-house.
ECW support keeps blaming us for slow internet speed when they had tested the speed prior to move and we checked our speed to be very fast at 100/20. They blame us for not changing all the settings on workstations when we have made them and showed them to the support staff.
I am now stuck between rock and a hard place. Have buyer’s remorse and highly frustrated :(
I started my practice with all charting on Wordperfect when people had handwritten charts. I used to create typed prescriptions and print them out. That was all that was needed to circumvent the handwriting issues (even though I have excellent handwriting) but they have created a monster out of the EMRs wasting the doctor’s time. No wonder the MDs that were close to retiring are retiring fast. If only the students enrolling in medical schools knew that they are headed to become clerks and not doctors, they would think twice. What a shame.
If I had created an EMR, it would be highly intelligent and interactive.
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Locking notes
Does anyone know how to make the progress note lock as BULLETED rather than DEFAULT? I know you can select bulleted with the menu beside the lock button, but I didn’t have this problem until my upgrade to 7 came along. It used to lock in what ever style I’m viewing in my progress note as I build it. And I always view it as bulleted.
Thanks for any assistance.
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Adding lab to progress notes
Hi,
what’s is the easiest way to add labs to Progress notes?
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ecliniforms and patient clipboards
Hi,
10 years on ECW and I only use ecliniforms as a place to store forms. We print it and then have patient complete on a clipboard and scan the results under patient docs. Not the most technologically savvy way but it’s works well. What I’d like to do is give patients a ipad or other device and have them complete the questionnaire - like AUA or PHQ9 - and hand it back to me. I then review and save it.
It’s very clumsy to use ecliniforms on eclinicaltouch2 because of a lot of clicks for setup. Plus the form isn’t full size. Has anyone else figured out a way to have patients complete forms on a device rather than paper. Smart forms are nice but require time and effort for mapping and not every form a PCP may use is smartform capable.
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annual wellness visit reminder
Hi,
IS there a way to alert staff that patient is due for annual wellenss visit using alerts? Whats the most effective way you have tracked it.
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Patient input of questionaires
I would like to have patients answer questionaires on a tablet or ipad at the time they are in the office where is will populate into the progress note. Such things as a pain assessment, Well child questionaires..etc. I do not want to do it through the portal as many of the patients are not on the portal.
Is anyone doing something like this and what is the best way to go about it.
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ECW Support
we are having so much issues with ECW Support team. all the tech are not at all knowledgeable how to tackle the issue. Very disappointed. anyone experiencing the same?
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view to see all pending nursing orders
Is there a view where nursing staff can see all pending orders, ie vaccines, medication administration?
Currently our workflow is that our nursing staff constantly scans the Office Visit view set on All Providers and Resources, looking for when a patient status changes to Nurse or Imms. This can be problematic when we have 50-100 patients on the floor per session and it is easy to not see the Status change, or when a provider makes the order but forgets to change the status.
I have tried changing the view to Checked In only to reduce the number of patients to monitor but that produces a blank screen. Also, we have A and B sides of our floor, but we haven’t found a way to view only the providers on A side or B side- we can only view all providers, or just 1 provider.
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Major problems after moving to cloud and V11 - ECW support unhelpful
Nightmares and extremely slow EMR after the move to the cloud. We are having to wait several seconds after each click. Taking twice the time to see each patient. Every day 2 or 3 patients are walking out of the waiting room because of long wait times due to SLOW EMR.
I went for the move to cloud when they offered me a 3-year contract deal for two providers (but later refused to add the second provider unless I paid extra for the second provider addition).
We were not told that the documents would not open quickly. Having to wait several seconds for each document to open and wait several seconds while ECW becomes “unresponsive”. They blame it on the size of the document but they should have either looked into this before the move to the cloud or compressed the document files on their end.
The installation MSI file to install ECW on workstations is very flaky. Leaves lots of setting changes to be made by the user later requiring hours of work to make setting changes of exceptions to the firewall and windows settings etc on each workstations.
It allows users to scan driver licenses in color without giving warning popups to limit the size of the documents to a certain size. Had no trouble opening color image documents when we had the server in-house.
ECW support keeps blaming us for slow internet speed when they had tested the speed prior to move and we checked our speed to be very fast at 100/20. They blame us for not changing all the settings on workstations when we have made them and showed them to the support staff.
I am now stuck between rock and a hard place. Have buyer’s remorse and highly frustrated :(
I started my practice with all charting on Wordperfect when people had handwritten charts. I used to create typed prescriptions and print them out. That was all that was needed to circumvent the handwriting issues (even though I have excellent handwriting) but they have created a monster out of the EMRs wasting the doctor’s time. No wonder the MDs that were close to retiring are retiring fast. If only the students enrolling in medical schools knew that they are headed to become clerks and not doctors, they would think twice. What a shame.
If I had created an EMR, it would be highly intelligent and interactive.
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Dragon Medical One causing Freezeup of Screen
For the last few months I have intermittent freezeups of eCW at random times. My IT guy and multiple support calls did not find any solution. ECW will freeze up completely and you cannot even x out, you have to use task manager to quit the program. It is only happening on the 2 computers that have Dragon Medical One on it (which is the online version, recently installed) so I think this may be the issue. Anybody having the same issue?
Thanks for the input.
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Keyword tracking
I am interested in being able to see how often (if any) browsable keywords in the treatment section (or other treatment sections if possible ?) have actually been used in progress notes (see attached).
I looked through eBO metadata unsuccessfully….
Any thoughts?
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2019 MIPS/PI Requirements - force V11 Upgrade
I haven’t seen this brought up but. If you are a part of MIPS, which I assume a vast majority of us are the new requirements mandate a 2015 CEHRT be used for at least the 90 day reporting period. V11 is the only eCW version compliant which forces us to upgrade. V11 is new and hasn’t had the best reviews. We are just fine on our current version and aren’t looking forward to this update.
Anyone have any insight on this, maybe they’ll make a newer version of 10e 2015 certified? I can see a giant influx of clinics upgrading second and third quarter of 2019 causing major headaches at eCW.
I would speculate maybe 10% of eCW’s client base is using V11, probably less?
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