Last year ECW wiped out all the care plans on January 1 and made us make new ones starting in January.
Care Plans are dated and are supposed to be good for a year.
Does anyone know if there will be another mass annihilation or if the plans will actually be good for a year?
CCM CAREPLANS TO GET WIPED OUT AGAIN ON JANUARY 1?
thinking of switching to the cloud
We currently self host and have not had any issues. We would like to switch to the cloud. Has anyone done this? What is the down time? We were told at the annual meeting it was 2 days, but now we are told it is a month with 4 totally down days.
Also, we were told you could use chrome books? Has anyone tried that?
Should we stay self-hosting? It seemed like the cloud was awesome at the annual meeting, but now they are telling us a different story.
Any thoughts would be appreciated.
Anyone else with crashing, freezng,slowness, errors, scripts erros more so than usual?
WE ARE ON ASP 12 ON THE CLOUD
This has been a problem for a few days now.
We have opened a case.
Going very very slowly.
Providers Leaving, Now What?
We have recently had a couple providers leave our practice and two more leaving soon, I am looking for recommended workflows for reviewing results/requests in the jelly beans of the providers leaving, without overloading our current providers. Any suggestions would be greatly appreciated.
Having staff help with E-bean refills
So if a parent uses the portal to make a refill request, our staff adds comments about if they are due for followup or current and ready for the refill to be sent. That gets forwarded to a provider who sends them out. This system work really well whether they call us (we use a TE) or they use the portal (we use a WE).
However if we get something sent via the E-bean, what is the workflow that folks here use so that the doctor doesn’t have to open up the previous encounters to make sure the followup has been compliant and the refill is ok to be sent. There doesn’t seem to be any way to add documentation to an E-bean for a provider to read later.
How do practices use the e-bean with their support staff?
Thanks,
Chris
Patient Portal Question
We’re starting to plan out the portal for roll out and I’m running into an issue that I hope I can get some help with.
Our practices are all geriatric, average age of our patients is 83. They like the portal, they like to be able to view their chart information and send messages to the providers. But they also like their spouse and/or children to have access to their medical information.
I’ve been told there aren’t delegates in the portal. Has anyone found a work around to be able to have multiple portal accounts for a single patient? And if you have, can all the accounts send secure messages to the practice?
Incident-to billing workflow question
Everyone’s probably going to be annoyed with me soon but I’m going to keep asking questions!
Incident-to billing, we mostly use it for our NPs to bill certain but not all visits. Do accomplish it, it looks like we would have to set the NP up as a resource and use that apt book to schedule the incident-to. But since our NPs see other visits, we would end up with 2 apt books for one provider.
Any way around managing 2 appointment book for one provider? Are there any repercussions around using the resource appointment book as the main book for the NP - the resource would be the NP’s resource account and the provider would be the provider’s provider account? That just sounds complicated.
Or any tips on managing 2 books for one provider? Our providers have had one book for 13 years, so this would be a big shift for the front office.
ECW Support for Small Practices
I’m soliciting for advice/opinions on how to manage phone time with ECW. We are a small 4-doc practice with no midlevels and we simply do not have the extra cash to hire an on-site IT person, so our office manager ends up spending several of her daily valuable hours on the phone with ECW staff. It is impacting the management of our clinic as she spend a disproportionate amount of time on comparatively small (but still significant) software issues.
Have any of you small practice folks considered banding together to manage the ECW bureaucracy? From our informal polling at the NUC, larger practices don’t seem to have the same issues, or at least get SAM’s who are better communicators (this is 90% of the issue).
Can you prevent Check-In staff from accessing labs?
I’m trying to learn if there is a way to keep Check-In staff from viewing labs. At first glance there doesn’t seem to be a way to do this. I checked with ECW support and it seems that if you get access to the patient hub you also get access to labs.
I’m curious if anyone has dealt with this before?
Thanks
“PPD” check box in Immunization Update screen in v10
I’ve only hit one thing so far on version 10 that stumped me, so I was hoping someone else on v10 might shed some light on this for me.
When creating new Immunizations or updating Immunizations, there is now a check box labeled “PPD”. I assume this is not meant to be used as some sort of link for actual tuberculin PPD’s that are done. So, if not, then what is the intention of this check box when checked for a vaccine?
v10e feedback
I’m new to eCWusers. What does everything think of v10e? I’m hesitant to sign up until I know it works.
SP2.x/10e User reviews
Fire away, those who have taken the plunge…..
We have installed it in our Test Environment. Impressions to follow, but one which we checked right away was the ability to print a PPD in an Immunization History….and you can. See attached. More to come.
CAVEAT: We are locally-hosted. I cannot speak for how the desktop client availability works for Cloud clients and if 10e in the Cloud is any different than what I will report. Ask your SAM about that.
Transferring progress notes from one eCW clinic to another
Question: Has anyone found a method for moving a patient population’s progress notes from one eCW system to another? (I.e., all of one doctor’s charts.) Having changed clinics, I was promised that my charts would be easy to transfer over to my new clinic’s eCW. Not true in the least, according to our consultants. In fact, it seems not to be possible. Note that I am not talking about data elements, or lab, or patient documents. Also note that I have tried P2P and it is impossibly slow for this purpose.
Thanks for any suggestions.
Patient emails
Does anyone know how you can pull a list of your patient panel that shows their name, address, and in particular email address? Our Outreach team wants to be able to communicate with our patients, but there is nothing I can find that will show me the name and their email address? Any assistance would be greatly appreciated for our Outreach team.
Thanks
Vaccine Lot #
Hello,
I was wondering the best practice for entering a new shipment of a vaccine that is already in eCW Vaccine Lot #. Do you create a transaction under the existing vaccine lot # or do you create a new lot # and make the existing inactive? Any help would be appreciated. I could not find a clear answer in the videos or manuals provided.
Thanks!
Cancelling Orders
In v10 we have the functionality that allows the user to cancel order in v10. Is anyone using this? If so do you have an interface?
We have learned that interfaced results will attach to a cancelled order so we are hesitant to use this feature in case a result does come back and no one will ever see it because the order is cancelled.
MIPS
Hi
We are a 3 Provider practice planning to use the MIPS rather than APM pathway for the MACRA. We need to know how we have been doing in the quality indicators so far to see where we need to focus on to prevent a penalty and achieve + Cash flow. Anyone know of any ECW resources to extract data from our EMR?
Thanks
Registry Structured Data not able to search Subcategories
We have a few categories under HPI that also have subcategories. For example, we have a category under HPI titled “Dental” which has some structured data questions. But we also have a subcategory under “Dental” titled “CRA CDP” for a caries risk assessment for our community dentistry program. That subcategory also has some structured data questions.
If I go into Registry > Structured Data> and click on “...” next to “Field Name” I can select “HPI” as the section, and then “Dental” as the category. This then shows all of our questions in the box below, and I can select an item. Then I click “Ok” and now the “...” next to “Field Value” shows me all the structured data options for that question and I can pull reports for patients depending on what value they have.
However, if I do the same thing, but for “Category” instead of selecting “Dental” I click the plus sign next to it to expand it and then select the subcategory “CRA CDP,” nothing shows up in the box below. I am not able to see or select any of the structured data questions, nor see any of its values.
Can anyone help me figure out how to work with subcategories like this under HPI to access structured data through the registry? Is this just a huge bug?
I’m a provider at a FQHC, so perhaps my IT knows how to do this. But I wanted to set up some more subcategories under the “Dental” category, and I wanted to make sure the data was usable. As for the version we are running, all the “About eClinicalWorks” shows is “Version 10,” so I’m not sure what updates we’ve received.
Portal upgrade help!!!
We were just upgraded to portal version 6.5 - prior to our upgrade, when a patient would “reply” from their portal to a message, the reply (in the form of a new message) would go directly to whom sent the original message - now, all messages are going back to the general “inbox” of the person who is listed to get all new portal messages (in this case its me). eCW is telling us this is how this is supposed to work now and that the only option is to now use the provider based routing. This does not make any sense to me - has anyone had this issue?
Our providers/staff got used to the replies going directly back to them from patients and now that is not happening any longer!
Is there a way to purge all Medications from eClinisense and Favorites?
I am wondering if anyone has an easy way to delete all medications from eClinisense and/or Favorites. I would like to remove all medications for all providers (and all diagnoses for eclinisense) and just started over.
The reason this is important is due to the Problems we are having with NDC codes. Instead of changing all the NDC codes in these sections it is just easier to remove the medications and create new favorites and start anew with eClinisense.
eCW certainly doesn’t make this easy. Although there are a few reports I can run that shows which medications are without a valid NDC code within each section (Favorites, eClinisense, Templates, Order sets & Current Meds), the tools do not allow me to see which provider has those medications in their favorites or eClinisense.
Any help would be appreciated.
Thanks,
Marc