Many folks who are using V11 have mentioned a new look and feel to the e jellybean/quick launch button. Would anyone on the .exe version of V11 be willing to upload or email screen shots? [with PHI covered, of course] I would like to give my providers a heads up to reduce the irritation factor 
Thanks in advance!
Does anyone know if it is possible to get a report of all order sets in eCW and the content of each one?
We are planning to gradually transition to 11e over the next couple months. What are your best tips for training?
I’ve been using 11e for several clinical sessions over the past few weeks and have pages of notes and questions on where to find things, how to do them differently.
I’ve watched some of the eCW University videos (based on 10e, created 3 years ago I think?) and they are helpful for orienting to the new locations of some things, but not all.
How did your practices approach training current 11exe users on 11e?
We recently completed the jump to v11/11e. In our Patient Document Folders we have added a number of sub-folders that are listed alphabetically (for example all our referral consult notes are sub-categorized by specialty). In v11, it maintained our alphabetical order of the sub-folders; however in 11e the sub-folders are all over the place. eCW tells us this isn’t a bug, just something they didn’t program for in 11e. Has anyone else discovered this and found a way to resolve?
I am disappointed in eCW’s lack of capability to perform a proactive rather than reactive audit. Is anyone wiling to share their policy for HIPAA audits?
Jan. 1st there are changes to the SureScripts formatting, I am curious is anyone has heard anything on this and if we need to be on a certain version of eCW by January 1st?
Thanks,
—Kyle
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.
And our docs are not happy. eCW has worked on this numerous times, for hours at a time, and been unable to fix it. Tuesday night they did something which required a Tomcat restart….and that didn’t fix it. Anyone had this issue happen to them, and if so, how did eCW fix it?
We had it happen a a year or two ago and they fixed it then, but that was then and this is now, as they say.
No, we have not made any changes to anything eCW-related, if anyone was thinking about asking.
We can no longer sign documents in eClinicalTouch. Documents take 30-60 seconds to load if it doesn’t time out. We’ve opened tickets and got their BS line of “this is a known bug and will be fixed in a future version.” This after condescending our female office manager and telling her to “calm down and listen” so they could tell her that her workflow was wrong (she doesn’t touch documents).
Just wondering if anyone else has had issues or if we need to double back on tech support.
I get asked all the time about giving ‘read only’ access to auditors or interns, etc, and in case I missed something over the years, is there a setting to allow for ‘Read Only’?
Thanks
Karen
Hello, I was wondering if anybody here uses the i2i Tracks population health reporting software and would be at the eCW conference in Orlando later this week? I’d love to discuss some reporting items with people with shared experiences. Thanks!
I have added First Day of Last Menstrual Period (FDLMP) in the EMR =>Vitals=>Configure Vitals section but it does not show on the progress note.
Historically with older versions, I had done the same and it did work.
Am I missing something? Has anyone else been successful with adding?
Thanks
I have the same question as stated in a previous post. We need to track medications, lot numbers, etc. that were administered during an office visit. We need to be able to run a report of all patients that received a certain med in case of recall or if regulatory agencies request.
Any suggestions?
Dr. John is covering refills for Dr. Jane. Dr. John selects his name from the ‘covering’ drop down and sends the refill response (approved). Dr. Jane’s name is still on the refill response as if she sent it.
Staff seem to be certain that before our V11 upgrade it showed the covering providers name on the script. I went back in the prescription log Documents > eprescription > filtered to refill response, and couldn’t find an instance where it showed the covering providers name on a script.
eCW is clueless but it’s possible I’m not explaining the situation clearly.
Thank you for the help.
Thoughts on adding prescriptions to templates. I’ve been asked to add a specific medication (Narcan) with dosage, duration, etc to a template. I’ve refrained from adding prescriptions in the past. I seem to remember that it will show me as the prescriber and not the provider.
Thanks
I’ve seen some notes on the list about referrals and closing the loop - but has anybody cracked the nut efficiently.
It seems like the issue is…
Doc sends Referral from Progress Note to a P2P Specialist
[in my case, we are trying to solve the flow within the same hospital system with primary care and specialists on the same system]
Specialist gets the Referral and sees patient and completes their note.
The conundrum seems to be…
How does the Specialist notify the Primary Care doc that the evaluation is done and the PC doc can review the note.
And does the PC doc need to document that they reviewed the Consult.
It seems like the options are….
Fax - old school, but works - however, is redundant if we are all on the same eCW. PC Doc gets fax of the record that is already in the EMR, but now they know that the consult is done. Can attach to the chart (redundant) or print out to notify doc or delete, but send other message to PC doc that consult is ready to review.
Messaging - M-jelly bean—works, but not directly attached to the patient, so if the referring doctor wants to go look at the note, s/he has to remember the name in the message and look them up—extra steps.
P2P Messaging - M-jelly bean - works, but same problem as above. I guess it’s a more secure way to message provider 2 provider - or perhaps it just allows you to message someone that is on the P2P Network that isn’t part of your office eCW
P2P Patient Records—can be sent for T-jelly bean and from Common Send window .
Advantage is that the message includes the patient and can include labs, xrays, etc.
Accessing from T-jelly bean - a bit of a hassle - you have to search out the patient you want to attach to the message and add in the labs, xrays, etc—BUT, you can add a free-text message that the other person can see.
Accessing from Common Send window in the Progress Note - this is nice because it’s part of the flow and the patient is automatically attached and the subject line of the message is the name of the progress note and the progress note is automatically attached - I’m not sure, but I wonder if any labs, xrays performed in the note are automatically attached, too - I haven’t checked that out to confirm. The downside is that it doesn’t allow free text.
Telephone Note - Specialist sends a Telecon back to Primary Care that they saw the patient and maybe gives a very brief summary. PC doc can then sign it off and review note. Patient is automatically attached to the Telecon, so PC doc is right in the chart and can review labs, xrays, etc. Disadvantage is that it “clutters” up the chart with documentation of notifications, etc. Advantage is that it documents that PC Doc saw consult. The PC Doc can order further studies within the Telecon, etc. In theory, could even send back to the specialist to clarify the consult if needed.
Action - Specialist sends an Action to the PC doc. Similar to the Telecon, but more behind the scenes. Possibly allows the PC doc to document that they are aware of the consult being done. Specialist can attach patient note and labs, etc to the Action, so they are easily seen.
Phone Call - specialist calls PC doc office to let them know consult is done. Seems silly since they are on the same system.
P2P Referral—The original Referral that was sent—either from the R-jelly bean or usually from inside the Progress Note - and sent electronically to the Specialist. Is there a way for that to be changed in status by the Specialist, so that the PC doc office knows the consult is done? If the Specialist signs it off as complete, then I guess it disappears. We have someone in the office tracking Referrals to sign them off as complete. Could the Referral be changed from Open to Pending and then our office during their review would look for Referrals with that status and know the Consult was complete?
Doesn’t seem ideal, but it is the piece of info that starts the process at the beginning and ultimately needs to be closed.
=================================
In our situation, we are working with Orthopedic docs for our referrals. They have Med Techs and schedulers and PA’s that do much of the grunt work of tracking this stuff. So, they may not use it in the way it was maybe intended.
I think we are leaning toward using the P2P Patient Records from the common send in the progress note.
So….
PC doc sends referral to Specialist.
Specialist handles the Referral however they want on their side, but when done with the note, clicks send and selects the referring doc to send a P2P Patient Record.
Referring/PC doc gets the P2P Patient Record and reviews the automatically attached consult note. Then either goes to the full chart and documents an addendum that they have seen the consult or does a telecon documenting, etc.
Then forwards the P2P Pt Record from the specialist to the PC Doc clinic person who monitors Referrals to let them know that the consult is done - whereupon, they will close out the Referral that was originally sent.
Thoughts?
How are other people closing the documentation and referral pending loop?
Anyone out there utilizing the Facility Registration feature of P2P? We are considering it for one of our clinics in order to receive CCD/CCR documents.
The setup shows a limitation of being able to select only one ‘Authorized Staff’ person that can access referrals/patient records/etc on that facility’s behalf (seems silly considering the same set up at the provider level allows up to 40 ‘Authorized Staff’ users). See attached
If you are using this functionality, how do you get around this limitation (or not)?
Thanks in advance!
Seeking other practices who bill for TCM services… we have recently found out the only way to get paid for TCM, is if the Clinician determines the visit is at a moderate or high level. How does your practice determine the patient is at moderate or high prior to booking the follow up appointment? Do you book a follow up for all patients and only get paid for those that are moderate or high eligible? Any or all input would be great!
We just received an email from our SAM about 15 mins ago regarding a V11.40.19 deployment tonight for our datacenter that will put us offline from 9.30pm to 4am next day.
I would like to inform you about the bulk deployment for V11.40.19, which is scheduled for the datacenter you are hosted on tonight. The Release notes are available on the support portal. The application will not be available from 9.30 pm PDT – 4 am PDT. This is only a server side change and no client side action needed.
The only thing I see on the notification portal is this notice, but not until Nov 2nd, did this get moved up possibly? Anyone else receive an email??
Notification on Portal:
eCW Data Center Maintenance Notification - ASP 33 - Pod 1 - Oct 2019
Dear eClinicalWorks Customer,
eClinicalWorks is constantly reviewing technology platforms and architectures to provide clients with the best possible hosting solutions, and to plan for projected growth. As a result, eClinicalWorks will be completing required maintenance on the database servers in the Santa Clara, CA hosting facility.
This maintenance has been scheduled for Saturday, November 2, 2019 from at 12:01AM ET to Saturday, November 2, 2019 at 9:00 AM ET.
During this time, eClinicalWorks will not be available. This maintenance will occur on the server side; no client action is needed.
Am I looking in the wrong place? Does anyone have any more info? Is this suppose to be a major upgrade that we’ll have to deal with tomorrow morning with settings changed all across the board? I wish we had more info.
Any info would be greatly appreciated.
What process does everyone use for managing referring provider info? Most specifically facility, we cant create a new facility for every referring provider or we end up with an unmanageable list of facilities. What is your solution? I have seen usage of the address fields or specialty to address but neither seem to work well in practice.