We have identified a major safety patient concern in this version of eCW (Version 10 Service Pack 2.3), outside of the concurrency lock issue that has been discussed in several different threads. We are interested in knowing if any other practice is experiencing this and if so what resolution ECW has provided to you. We are still waiting a fix from eCW presently on this issue (and have reported to our SAM and have current tickets open):
We have identified the following problem in this version:
• Medical History are automatically pulling forward into encounters when the progress note is opened. If you click on medical history or allergies or any of the other history section in the future encounter note, it then gives you an exclamation point in past open encounter notes in which it states if that section is up-dated, the information will not pull forward into future encounter notes. The providers are then left with no way to up-date histories or allergies in the note with the exclamation point and any information added to the right chart panel will also not carry forward. This leads to histories that are not up-dated and allergies that are not carrying forward to future visits correctly.
• When updating Medical History from the HUB, it does not pull forward into future progress notes. Advised by eCW Helpdesk- and were told that HUB is view only and if you update anything it does not pull forward in to any future progress notes. But yet there is still an ellipse button present that gives the impression that you should be able to update from the right chart panel.
Scenario to give you an example of what is happening:
zzTest, Patient has an appt with PCP on 1/3/16 at 10:00am. Pre-visit prep staff opens the progress note 2 weeks early from the provider’s resource schedule and updates the chief complaint with “Due for Hgb A1C, urine albumin/creatinine, diabetic foot and eye exam”. Provider opens the progress note 1 day before the appt and updates the medical history with “New lung nodule”
Test, Patient comes into the clinic for an urgent care visit on 12/22/16. The provider needs to update the medical history with pertinent information for the PCP to follow up at the scheduled visit. They are unable to due to the red exclamation next to the medical history.
Patient arrives for his appt with his PCP at 10:00am, provider opens the progress note, the medical history and the right chart panel are not updated with the very important information from the urgent care visit. This is a problem!
At this visit, the patient also sees Behavioral Health and the Care Coordinator, they each make appts on their resource schedule at the same time. They each open a separate progress note, the medical history is pulled forward but the PCP has not finished updating the Medical History yet. The medical history is not the most current in either the Behavioral Health or Care Coordinator progress note.
The medical history, all other histories and allergies will not be the most current in future encounters as it is pulling from the last progress note.
Thank you in advance for your response as we are desperate for a resolution from eCW on this one!
