Quantcast
Viewing all 4230 articles
Browse latest View live

Want a SINGLE-PAGE OUTGOING REFERRAL?  Here! (temporary sticky/dzbanyai)

Remember, any eCW update/upgrade will overwrite this.

So keep a copy somewhere else on your network.

It is located in the eClinicalWorkstomcat6webappsmobiledocjspcatalogxml folder on your eCW server where Tomcat is stored.

Disclaimer: this is obviously a use at your own risk, no warranty is expressed or implied.  Feel free to edit to your hearts’ content.


HEDIS dashboard reviews

Hi all,
I am always willing to invest in something that can improve the overall quality of care and close care gaps for my patients.  What is anyones feedback on easy and accuracy of the HEDIS dash board before I commit to a 3 year term on enabling it.  I don’t get any reimbursement for doing this from our local insurers so it’s purely for patient care.  However the MIPS dashboard is horrible and does a poor job of identifying correct care gaps.  Is the HEDIS much better?  Remember it’s a 3 year $79 per provider per month fixed investment.  If it works well, I’ll do it. 

Thanks as alaywas

Exe > v11 Plugin Crosswalk documents

Has anyone in the community come across a documentation that address visual cross overs between exe and V11e plugin?

The predominant substantial changes inside of the exe to browser conversions are muscle memory in various regions for:
1)  Accessing HUB (i.e. prescription refill and Lab review)
2)  Lab View
3)  Ordering Radiology orders
4)  Ordering Lab orders
5)  Ordering Referral
6)  Sending Prescription queues (limited common send)
7)  Patient Docs (Web view vs plugin view)
8)  Plugin vs Web ?


Why switch (Quick reference guides, high desirable features, 1-2 pagers):
1)  Quick order feature
2)  Inline editing
3)  HCC Module Assessment
4)  PDMP locations
5)  Patient outbound communication (Common send), Text/Video [new]/Voicemail/Patient Portal

I’ve looked at the ecw University - Nothing.  Attended NUC 2019, even their powerpoint content lacked great options for sharing. 


Has there been an eCW BA or team that has 1 page content on these fundamentals? There are video elements available, not as targetted. As we all know, repetition is king, and curious if handouts that are educational aids are out there. Before I endeavor to create them all myself.

COPD Assessment Test (CAT) as Smart Form

Has anyone built the COPD Assessment Test (CAT) as a Smart Form?  Or used any other feature to capture assessment of COPD severity?

EVA…does it work

When we upgraded to V11 we did not turn on EVA.  I’m wondering what everyone else’s experience is with EVA…does it help providers? Are there internet security concerns?  Does your staff feel it’s beneficial?

thanks in advance
Jessica

Patient Portal Proxy Setting Ideas?

Hello, we are just now starting to plan on rolling out eCW’s patient portal proxy settings. As we prepare to do so, we are trying to determine what services to offer portal patients and proxies of different levels. For example I’m interested in what portal options you all make available for these groups:

Proxy Full Access (So a typical parent who is full proxy for their 0-12 year old child.)

Proxy Limited Access.So when State specific settings kick in and a proxy moves to partial access from full. (So a child who turns 13 and our setting move any of their proxies to from “full” to “partial.”)

Teen who is now 13 and now get their own limited access as their parents move to partial proxy access.


So different settings on the portal we are considering activating or deactivating as people move into different types or proxy include:

Messaging to provider teams
View Lab Results
View Billing Statements
Requesting patient appointments
Requesting Refills of current medications
Bill Pay Online

We are just struggling to decide how to navigate these options. What happens to a parent who has full access who then gets limited proxy for their child. How does their access change? What does a teens portal look like at your organization? What can that kid do or see online? Now that their parents are now partial proxies, what can the parents do/see? We want to protect the privacy and rights of our patients without opening ourselves up to complications and complaints from patients. I’d love to hear or talk to anybody who has navigated these waters, things you’ve learned or maybe had to change, and what you do no. Feel free to message or PM me and I’d be happy to connect however you are willing. Thanks so much for any insight!

Deny Refills for Departed Provider

I seem to remember reading a pdf from eClinicalWorks this fall which outlined the recommended workflow for denying refills in E jellybean for providers no longer with the practice. Denied > Provider no longer at this practice or location.

I cannot for the life of me find the pdf and neither could support this morning.

Is anyone familiar with the pdf I am looking for? I thought it was a short 2-3 page pdf, but I might be thinking of a 2-3 page section of a larger pdf.  I understand the recommended workflow, but have been asked to produce this document for a member of leadership. Does anyone else know what pdf publication I am thinking of? Am I loosing my mind?

order that HPI categories appear in templates

We are finding that the order that HPI tags/bookmarks sometimes appear out of order in templates.  I recently built 2, and 1 appeared in the order I entered it, but the 2nd got scrambled.  I tagged the same fields in the same way in both templates.  Has anyone else had this experience, any suggestions or fixes?


Letter Design - Web Mode - Current Date

Any tips on how to get a letter/form in Web Mode to import the Current Date (eg letter printed today and today’s date shows up on the form)?

Currently, I only see an Encounter Date option - which is OK if the patient is seen that day, but if the patient was seen last month, then last month’s encounter date is imported - not appropriate if the patient is signing the form today.

Anyway Tag that I’m not aware of?

I think in the Plug-In mode, there is the usage of Word Document tags - like today’s date, etc.

Thoughts?

Code Correct Errors started out of the blue

Monday at about 2 PM we started getting Code Correct Errors on every claim in eCW.  The error reads: “Invalid or expired ICD9 XXXX - CodeCorrect Error”  with XXXX being the ICD-10 code (yes these are ICD-10 codes). 

We get this error for every single ICD code for every single CPT code.  So for example if we have the dx I10 used twice, once for 99213 and once on a lab CPT we will get the error twice.

We are self hosted.  Our revenue cycle team reports making no changes on Monday.  Everything was working fine all morning, then around 2 PM BAM!  ECW support was in our servers around that time, but they deny making any changes.

eCW does not seem be be able to figure it out.  Our test environment works fine.  They have escalated this to the code correct team, but nothing…

Does anyone have any ideas?  We are all frustrated beyond belief.

Thanks!

Jan 1 2020 Medicare requires CDS for all imaging orders, really?

https://www.medscape.com/viewarticle/914238

Does anyone know the details and how it will impact ordering any CT or MRI on a Medicare patient?
Apparently providers will have to pay for a licensed clinical decision support tool “consultation” in order for Nedicare to cover imaging.  And if I’m correct,  Medicare’s site does not list ECW has having a certified clinical decision support tool that qualifies.

CCMR - License Expired Message for New Providers

Hi,

We have been having an ongoing problem with new CCMR providers license. Once eCW finalizes the license, our providers cannot work within CCMR and get the message that their license has expired. Now, as soon a CCMR license in finalized, I have to open a new ticket to have them reissue the license.

Is anyone else having this issue?

Thanks,

Registry “encounters” sum does not equal Quality Measures population sum

Greetings,

When we use the Quality Measures module (as, for example in monitoring our colorectal cancer screening performance), we obtain one number for the “population at risk” in the time interval in question (the “denominator”).  The Quality Measures module specifically defines the denominator for each measure.  In the case of colorectal cancer screening, the denominator is “Number of unique patients with a visit in the reporting period, ages 50-80.”

However, if we do a Registry search for patients age 50-80, seen in that same time period (e.g., month), in other words attempting a second method to obtain the denominator or the “population at risk”, the Registry result returns a figure roughly twice the size of that returned by the Quality Measures module.

We have spoken with eCW representatives who suggest that the “Encounters” search function in Registry searches counts each time a patient is seen in the given time period (e.g., month), but we have tested that hypothesis and found that to be incorrect.  Using the “Encounters” Registry search function returns unique patients.  Thus a Registry search should return essentially the same “denominator” as one obtains when using the Quality Measures module (for a given demographic definition.

Help, please.  These two functions must be roughly equivalent if we are to use the Registry function in quality monitoring as a supplement to the Quality Measures module.

Thank you,
Mark. M. Nunlist, MD, MS
White River Family Practice

Telemedicine and Portal Accounts

Hello,

We are hoping to implement Televisits soon, and have run into a few access questions. Since the Patient Portal is a part of this functionality, how are other practices providing this option to children 0-17? Do you allow these patients to have a portal account with a proxy? We currently have the portal disabled for any patient ages 13-17 years old, and realize that when we begin using telemed they will not have the same opportunities.

Have any other practices already implemented this and have any recommendations?

Thank you!

Eclinisense Bug: Unable to delete unwanted notes from eclinisense

Eclinisense is a helpful tool. After a ECW update 6 months ago, Eclinisense developed a problem. In Eclinisense manager, I am now unable to delete unwanted notes, procedures and labs. I CAN delete medications, but nothing else. Gradually Eclinisense gets bogged down with dozens of notes I don’t want. I have put tickets in and spoken with ECW several times about this, and they know it is a problem, but after 6 months the problem persists. It makes using Eclinisense difficult.
These 2 screenshot show Eclinisense manager for hypercholesterolemia. The first shot shows an unwanted note I want to delete. The second shows the note persisting despite this process.
Anyone having the same problem?


“R”/Referral Jellybean

Has anyone ever gotten this jellybean to populate?

It sits at the top of the window, but it has never populated, despite a plethora of “incoming” and “outgoing” referrals.

I’ve played with “dates” , “assigned to:” with no luck.

-Has anyone seen it populated?

-If so, what operators have you used to get results to display?

Thanks

Using Microsoft Edge (chromium version) with eCW

I was pleasantly surprised that MOST ecw functions work with the brand new Edge version, and it seems FASTER than Chrome.

First, you need to manually download this new Edge from Microsoft. They won’t push it out in their monthly updates until later this year.

Next, you need to tell it that plug ins are OK from eCW,

We have a security certificate for our locally hosted eCW , so we don’t get that nanagging security warning from the browser.

Go to
edge://settings/content/unsandboxedPlugins?

Under Site Permissions, the bottom part has ALLOW , and add the address that you go to for eCW in the allow section.  For us, it is ecw.amarillomed.com for instance.  For you it could be an IP address.  Use whatever is in the address bar when you log in.

That way the eCW plug ins will work.

I haven’t checked out everything yet, but printing and documents work great.

Dragon DOES NOT work within Edge yet, but Edge claims they are working on that with Dragon.

Ortho Module

Hi,

Currently, our ortho providers do not use the Orthopedic Module.  I was wondering if anyone had any insight if their docs have been using it and what the pros and cons would be.  One of our complaints of our providers is that the system is too clicky.  That was one reason when going live we did not present this module to them. 

Also, most of our providers skip from section to section, so we are unsure if they would like having to follow a set path when documenting.  For example, sometimes the physical therapy script or testing is the first thing to be documented when charting because the patient is on their way out.

Any insight on this would be super helpful!  Thanks in advance!

v11 Chart Prep Workflow

We just upgraded to V11, our medical assistants usually prep charts 1-2 days in advance.
Would anyone be willing to explain your staffs workflow in V11 to avoid all the red exclamations
and possible loss of history information on the ICW

any help would be appreciated.

Kiosk Checkin failed

Is anyone else experiencing where the appointment fails and the status of the appointment doesn’t change to Kiosk Failed?

Check in works perfectly.

Thank you

Viewing all 4230 articles
Browse latest View live


<script src="https://jsc.adskeeper.com/r/s/rssing.com.1596347.js" async> </script>