Greetings eCW community., We recently found an issue where Encounter Responses using Mobile App are not being recorded.
This is directly from eCW on the understanding of the issue, which they feel is not patient safety related and an enhancement:
Issue : From eClinicalmobile application in telephone encounter section, if user click on ‘reply to patient’ option to reply to patient an eMessage gets sent to patient. But on telephone encounter’s action taken field the user message doesn’t show up. If we see logs those details can be found in log history.
Steps to replicate :
1) eClinicalMobile > Create a web encounter > Use ‘reply to patient’ option
2) eMessage will be sent to patient
3) Check web encounter’s action taken field. It will not show that eMessage anywhere.
Notes: Here it saves the blank user timestamp when user sent an e-message to the patient from mobile and the recorded message (not response) can be seen under the patient’s progress note virtual visit, but the detail can only be seen within the messenger logs.
This means the longitudinal record is not accurate as the Logs are not part of the medical record. You should not leave the encounter to look treatment or progress notes for an encounter. The message, which could include treatment andor Dx, needs to be in the encounter. It is also not recorded in patient communications. We feel this is a very high patient safety issue. Example: If a doctor replies a to a patient to increase their medication without sending a new script (I.e. take 2 pills a day instead of 1) and the patient has a severe reaction or is hospitalized and the hospital calls our office when the doctor isn’t working our team would go into the progress notes to check and it would look like the provider never responded to the patient and they would not k is the dosage increased.
Attached is what is recorded in the encounter, note there is no information, just a blank log. You’ll have to know to check the logs by going to the patient hub, click messenger logs, and go to the encounter date which would match the message date, find the communication rom the provider and open it.
We feel this disconnect is a very large patient safety issue, and might also place risk to eCW EMR certification. eCW disagrees, so we are asking the eCW user community to weigh in on the issue given we are the only ones that are aware of it.
Please Vote above if you want to be heard; thank you for your attention to this case (8508635).
