Can a customized procedure be linked to flow sheet? example - to show that a pediatric patient has been taught how to us an MDI and now is proficient to carry on their person or that a photo screening has been done at the required age groups 
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Procedures-flowsheets
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Meds dropping off list
Is anyone else having issues medications just “dropping off” of med lists for no apparent reason? We have a few providers who state that sometimes medications will just drop off of a patients medication list for no reason.
Thanks,
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Release of Information - Medical Records
Joseph
As part of a new process we want to implement to address the various Requests for Medical Information we receive we want to handle those requests centrally, rather than each clinic providing the requested documents individually. This will allow us to review all requests, keep a log of those requests and better control and monitor what is provided to third parties. So to move forward I have the following questions and needs around eCW.
1. They will need to have the ability to make entries into patients files noting that records were provided on a certain date, to a certain third party, in furtherance of a written authorization. How do we do this?
2. We will need compliance training around the limits and restrictions of accessing medical records
3. Does eCW have the capability, or does the tool exist within eCW, to create a log of: all requests for medical records, date of such request patient’s name, requesting party, what was provided, when it was provided, who provided the records, or why such was not provided?
4. Does eCW have the capability, or does the tool exist within eCW, to create for each patient’s file a separate and distinct patient Disclosure Tracking Log, that can be populated with information about a patient’s records as necessary and accessed as needed?
Thanks!
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Eclinicals and Citrix
I am having issue with my physicians using Citrix.
They can log into citrix. Click on the icon for Eclinicals, log in and immediately they get the log in screen again as if they are timed out.
HELP!!!
IT is telling me it is Eclincials, Eclinicals is telling me it is a citrix issue.
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Assessment: All Encounters Not Showing under “Carrot” drop down- MD not happy.
Today, my MD showed me an issue that he has with eCW. [Bare with me - the clinical/progress note portion of eCW is outside my normal use area, so I may explain this poorly. I normally enter Out of Office charges, run different EBO reports and design letter templates].
When he is seeing a patient who has a massive list of diagnosis and medications: He goes into the “Assessment” section of the progress note and hits the down arrow “carat”- which brings up a list of past appointments. Because the patient has many medications, this list tends to be flooded with telephone encounters requesting refills. All my MD wants is the last progress note - which is normally not visible, pushed out by the TEL.
He knows that he can technically click the “Assessment” word link, and find the Dx that way, but he claims that the Dx are then no longer linked to the medications, and he has to relink them in the new progress note.
What he has been doing in these instances, is printing the last progress note, and manually adding the Dx [and I presume, linking them to the appropriate medications, from the note].
Is there a more efficient way to do this? If his nurse creates a TEL encounter before he sees the patient and adds all the diagnosis to that, can they be linked to the medications there, and he can drag them into his progress note?
Is this an issue in later versions of eCW? (We have 10.0.80 SP1C-7)
Is there a way to see ALL the encounters when you click on the assessment drop down “carat”??? Or to block out the TEL encounters?
Any help would be appreciated - even if the help consists of “No - this is how the program was designed, and changing it would require changing the core code of the program.” At least then, I can show it to my MD, show that I asked, and that there is really nothing that can be done about it at this time. Either way, any advice or information would be GREATLY appreciated.
Thanks!
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Readiness Assessment
Does any one have any templates they have used for a readiness assessment?
Questions you asked users?
Any helpful would be appreciated.
This is for eCW Implementation.
Thank you!
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Using Healow for medication refill request
We are pushing our population to use the app (or the portal, but the app appears so much easier) to get med refill requests out to us. We get a large number of parent calling us saying that the app doesn’t have their particular med listed. We are aware that they need to be eprescribed first or it wont show. We ask parent to reinstall the app and that sometimes works. For somme it works great, but a high percentage have glitches.
Do others have success with having patients use the app for refill requests? Are there any common pitfalls to tell patients to avoid?
Curious if there are tips out there.
Thanks,
Chris
(and no, we haven’t dabbled in Healow Kids yet)
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Midmark Spirometer and EKG problems
In 2008 we purchased and paid eCW to install Midmark EKG and Spirometer. Both have worked very well for us until a few weeks ago. One morning the spirometer wouldn’t work, I opened a ticket with eCW support and they responded quickly. The issue was resolved by reloading the Midmark software. The second morning when EKG didn’t work, I again opened a ticket. Again support responded and reloaded the Midmark EKG software. We now have an invoice billing us for installation of both these products. I was not advised there would be a $1200.00 charge for this. I have called the number for Invoice questions and was advised to call my SAM. Messages to our SAM have gone unanswered. Has anyone else encountered this?
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New EKG Machine
The EKG machine (Midmark) has bit the dust (we have had it since May 2009) so we are looking at purchasing a new machine. Is anyone using another brand of EKG machine? Does it interface/integrate well with eCW? If not and you are using a Midmark machine - what model are you using and does it work well for you?
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Casting from eCW
Has anyone experimented with the possibility of casting from within eCW?
An example I would like to use:
As a nephrologist I like to show patients a graph of their creatinine over time. This is very informative and helpful in demonstrating need for attention if the creatinine is climbing or reassuring if efforts are keeping the creatinine relatively stable. I can do it from my laptop but it is not very patient friendly and is hard to share with family members who may also be present for the visit. Sending it to a TV screen in the room would be very nice. I am sure I could think of many more examples where this would be helpful.
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Upgraded to EBO7 and having severe issues
We recently upgraded to EBO 7 and we are having major issues. It took away our ability for normal users to easily run daysheets and other reports, severely limiting our workflow.
Also, anytime EBO is used it causes the sql service to use 90-100% of the CPU on the database server until the service is restarted. We have had 2 crashes in the last two days
I have reached out to our SAM and created a ticket about downgrading back to EBO 6 but have not heard back yet
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ECW Slowdown Dallas, TX
Anyone else facing unusable slowdowns today??? Have been waiting 2 minutes between clicks for most of the day and was told there was a server slowdown in TX. We didn’t have these issues before moving to the Cloud.
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Registery Reports
Every so often I pull Registry Reports from the side bar, and while this is working in lieu of not having access to EBO reports, I could stand to be a little more efficient and am wondering if anyone has any tips or tricks that I could implement to make this work better for my office’s needs.
Most of the reports I pull concern Medicaid Patients. The Registry Reports gives me the patient name, DOB, Account number. What I also need is the Medicaid ID in addition, but I am not seeing anyway to get that pulled onto the Registry Report. I also need it to show the last Appointment and the next up coming one so that someone in the office, myself or another staff member, can check Member eligibility. Alaska Medicaid eligibility has been a huge issue for us, so being able to have the information quickly and easily makes life easier for everyone.
I’m also trying to see if I can get the Registry Reports to do more for me, and what I can use it to do in place of things I may be doing the difficult way, such as tracking No Show or Cancelled New & Established patients; or even the incoming Referral as I currently do this in Excel. Most of our referrals come across the fax and are not entered into the Referral option as the rest of the staff believe it is too time consuming to keep updating visits, and dates.
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2017 ICD Code Update PL Issue
For the practices that already updated their ICD database to the 2017 version.
How are your providers handling the laterality and specificity updates for these newly implemented codes when all the old ICD-10 codes are already populated in the problem list, especially when the provider unknowingly pull over these codes to the PN causing the billers to fix them manually? Our providers are trained to carry forward problems from the problem list for a more efficient workflow, but the problem is: these are old codes will repeatedly be used until it’s manually deleted and updated from the assessments using the PL checkbox. The doctor will never know what codes needs to be updated, so in the end, the billers and coders have to manually update the old 2016 codes to the new 2017 ones.
I’ll be opening a ticket for ECW in hopes they have a better solution than having physicians manually delete and re-adding problems to the PL using the new 2017 version codes. Is anyone else running into this issue and have a better solution they can share? Thanks
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CHADIS
Has anyone started using this?
per the team that went to the discussion at the NUC there are a few questions…
1) For the forms that interface, will they score in structured format for use in flowsheets?
2) Is is true that ECW will only interface with forms filled out ahead of time? If they are in the office and we want them to fill out a SCARED, do those just go to the chadis website for us to then download and put in pat docs with no flowsheet integration etc…?
Currently we have built our own forms and have them plug into flowsheets etc. Not sure if we need CHADIS if it wont interface except for the pre-visit ASQ/MCHAT’s. (we are a peds practice)
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Failed Fax Jelly Bean
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
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10e User Reviews
If you’re a practice using/piloting 10e, please post your impressions here for the community to see.
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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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How many of you re-certify your in house trainers?
I’m curious, do you have your staff certified by eCW as trainers and if so did you pay to re-certify after the first year.
If so, did you find any value in the re-certification process?
Do you find that the taking the certification exam provides more or less value than sending staff to the National Users Conference.
We are trying to determine how to best allocate our education budget.
Thanks in advance for any input.
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Can you run a report to find all patients that do not have a follow up appointment?
I wonder whether there is an easy way to do this. Sometimes patients cancel and say “I will call you to reschedule” and 2 years later you find out by accident they never did. As we have mostly regular established patients that represents a lot of missed “annual physicals” or worse, patient lost to f/u.
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