We are developing a previsit planning workflow but are wondering how others are currently performing it. I know eCW is working on something for PreVisit Planning but we need to move forward. Is there anyone willing to share a workflow or process for their previsit planning?
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Previsit Planning Workflow
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Why is “Self Pay” showing up as insurance on green sticky note on patient information header?
We just had our front desk people leave and two new employees start. We also just upgraded to V11. I’m not sure which of those two events caused this, but now the green sticky note (or rectangle) on the top of the progress note and telephone encounter views reads “Ins: Self Pay” instead of showing the actual insurance. The patient has insurances under “Pt Info” and this happens regardless of whether any are marked as primary or not, or whether they are verified.
It was helpful to be able to see the insurance without going into Pt Info. Let me know if you have any idea how to fix this, and spell it out for me if you can (since I am not familiar with the front end side of things). See attached to see what I’m talking about. Thanks!
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Is anyone using Healow Insights?
Hi all
Is anyone using Healow Insights? http://www.healowinsights.com/
What has your experience been thus far.
Does eCW charge a fee for this?
Is the connection process easy or difficult?
Is the data meaningful / valuable?
thank you
Tyler
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Using eCW for Outpatient Behavioral Health
We have a practice that is interested in moving their OP BH practice onto EHR from paper.
The question is, what have others done regarding keeping a separate database from Primary care, versus having one database.
Thoughts? Best practice?
Thanks,
Ed
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Duplicate Medications on Med List
Does anyone else have problems with duplicate medications on the med list? It seems to be when SureScripts sends a refill request. For example, provider prescribed Diazepam 10 MG Tablet from MediSpan at an office visit. Today, a refill request came in from SureScripts for Diazepam 10 Tablet (MG was not included) in the name so now there are 2 instances of Diazepam on his med list:
Diazepam 10 MG Tablet
Diazepam 10 Tablet
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Digital Signature
Is there a way to add a provider’s uploaded signature onto a document that is saved in patient docs? We are having outside hospitals fax directly to eCW. Our health information department scans the document and sends to the provider’s D jellybean for review. We are working with ink but it would save clicks if the signature could be automatically added.
We are currently in V11
Thanks
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Referring Provider Setup
I’m curious what the best setup is for Referring provider. Currently ours is a bit of a mess…i.e we use Dr office name for Last Name and in first name put the whole dr’s name on some, some have specialty as the last name, etc.
Thanks
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eCliniSense
A medication (azithromycin) was removed from eclinisense and I’m unable to add it back. Anyone ever come across this? I contacted eCW about this multiple times and they haven’t been able to resolve this. Went through the treatment window in the progress note, tried through the eclinisense manager, there just doesnt seem to be an option to add anything to an assessment in eclinisense.
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Automatically create TE when a patient No-Shows
I’m new to the site and relatively new to eCW in general, but I’ve tried searching for this but was unsuccessful.
Is there a way to have eCW automatically create a TE for a patient that is marked as a no-show that is then sent to our scheduler so they can contact the patient and reschedule them?
Thanks in advance!
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Follow-up in 2 weeks w/o scheduled appointment
We have several providers that prefer to tell their patients to “schedule appointment in 2 weeks” as opposed to actually scheduling the appointments two weeks out. The rationale is that as an FQHC our population has a high no show rate and patient more likely to schedule on their terms in open access when they can book w/in 48 hours.
Our problem is that the “schedule appointment in 2 weeks” does not show up on the visit summary as a reminder for the patient.
Anyone have a recommendation on a workflow that would put that information on the visit summary?
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Staff changed name on test account to actual patient - mixed documentation
We don’t have a test environment so we have ‘Test, Test’ patients or Disney names with profile pic. Couldn’t be anymore obvious as far as the patient name goes. A Test,Test patient from 2015 had years worth of documentation on their chart. We’re talking locked progress notes with labs, RX’s, claims, allergies you name it. Sometime in 2017 a staff member changed the first and last name to an actual patient with demographics, insurance etc.. and from that point on the account was used by providers and staff as the real patient account. Meds from the Test period were reconciled to real patient, allergies “verified”.
There are about seven actual progress notes from 2017-2020 locked, that I’m assuming would have to be unlocked, corrected then locked again. I’m not sure if that’s even the best route to go. Hoping for some feedback from the community. Maybe eCW can do something from the back end.
Thanks
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Data Migration - Care 360
Hola,
Has anyone on this forum gone through a data migration from Care 360? I think it used to be Quest Care 360 or might still be called that. Not sure. We are acquiring a physician practice that uses this EHR and are thinking about doing a data migration. Wanted to see if anyone has gone through this and was it worth it?
Thanks!
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Lab order numbers
Has anyone every tried to run a report to find out how many labs a provider orders within eCW on a given day or within a set time frame i.e. for a month?
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schedule not showing on eClinical Mobile
We enabled and set up a provider with eClinical Mobile, but her schedule does not show on the app. We have recently enabled other providers who did not have any problem. Any tips? Thanks!
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Report Server Replication
Does anyone in eCW land have a report server that is a replication of Production? If not replication, what method do you use?
eCW is recommending replication - but we have encountered serious issues…
Thanks,
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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
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Patient Portal Proxy
Hello,
Has anyone had any experience with portal proxy? We are hoping to turn this on soon but wanted to know of any potential issues or bugs other users have encountered. We’re unable to test in our test environment.
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Surgical Procedure Management and Tracking
I’m looking for information on how everyone out there handles and tracks surgical procedures in eCW. We are a new practice, less than 2 years old. So we’ve only been using eCW since April 2018. We are an orthopedic practice and our surgeon does all procedures other than spine. The way eCW has you create procedures within the interface doesn’t feel like it fits surgeries very well. The list of procedures has things like collection date and results on there. Which don’t even apply to surgeries. And when we track a surgical candidate, we create the procedure while we wait for insurance authorization and medical clearances. Then the procedure gets scheduled. Then it gets performed. I wish there was a way to track the patient from start to finish so I could see a list of all procedures awaiting insurance auth, all that are still awaiting clearances, all that have been scheduled but waiting to be performed, and all that are performed and finished. And some notification if we are awaiting to hear back from the patient. I used to track everything on paper in a binder, but then the surgeon couldn’t see what the status was when he wasn’t in the office.
At any rate, if anyone has tips on how they do it, I’d love to hear them.
Thank you!
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eBO issue
So we have discovered (you may already be aware) that when users do not have access to eBO, if they go to Reports, eBO reports, they cannot log into eBO….BUT if they use the URL to open eBO, they have full access to all reports, after entering their credentials (even though they do not have security settings access)! Has anyone else addressed this issue with eCW? We have been told that there is no two-factor authentication on eBO through the URL, but happened to discover that users dont need access if they go in through the URL. We were floored by this!
Anyone else ever addressed this?
Thanks,
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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.
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