It has been two weeks since our upgrade and I wanted to give some advice/input. This is a long read but probably worth the time.
Have someone login as soon as the upgrade is complete and uncheck all boxes “Allow user to access 10e”. Also, make sure the box in file > Settings > Practice Default > General > “Show 10e URL Browser Dialog” or users will get a pop up advertising 10e. Ours was already unchecked but I recommend verifying yourself.
The upgrade itself went smooth as far as the client side upgrading on each computer. We didn’t have to manually install the MSI file on any computer. I researched the upgrade for months and thought I was prepared for what could come but boy was I wrong. There were so many issues I can’t begin to list them here but a few main ones on the EXE. version: ERA’s combined per patient, fixed with item key. Security attributes galore (progress note accessibility and many others), eMessenger stopped working completely, some printers stopped working (in eCW only), concurrency lock mess but I was prepared for it thanks to this forum, and many other things I can’t think of at the moment. I’ll post the other issues as I recall.
Like many others i’m sure, we have been excited about 10e and all the potential it brings. So far it has been a complete nightmare. If we went directly to 10e the morning after the upgrade our clinics would had to have closed the doors. The required plug-ins wouldn’t download and eCW had to send them (took 3 days) to be manually installed on every computer using 10e. Luckily only three users are trying to use 10e at the moment. We still get a “failed to update plug-in” error every time we login. The way our infrastructure is set up I will have to physically go to each computer and install these plug-ins.
Eprescription Log didn’t work - was told it was a bug. Was fixed days later
Labs received electronically are coming back and you are unable to change the Results field, it is greyed out. You can’t uncheck received then change the result. eCW said it was a bug.
Lab interface completely stopped working with 10e. Haven’t had time to troubleshoot this yet.
The batch scanning issue made an MA laugh and walk away.
Document management screen was different depending on how you opened the browser. Did you open it from Help > Launch 10e or copy paste the URL into a previously opened window of Chrome. This issue needs it’s own topic which i’ll make later. It was a disaster.
Get ready for Chrome troubleshooting, every time support would remote in it was all about clearing cache/history over and over and making sure you were using Windows Basic theme.
There are too many other things to list but overall I’m disappointed. There are some things the provider using it liked, and I can see the potential. Unfortunately it comes at a bad time and there are already mumblings here from the higher ups of using the free data switch to another EMR. I’m staying out of that conversation but I truly want eCW to work. The reality is it simply doesn’t on so many levels.
Thanks,
Tim
