Quantcast
Channel: ECW Users
Viewing all 243 articles
Browse latest View live

I prescribed a medication that patient was allergic to!

$
0
0

Am I doing something wrong?

I had a patient today allergic to penicillin, documented as such on the allergy list.

Patient is also on several other medications, some of which have “red” severe interactions, which I am okay with.

However, I saw patient today for infection, wrote Rx for amoxicillin. The typical interaction window popped up, showing me that the patient had other medications which interacted with each other, but did NOT STOP me from writing for the medication to which they are allergic. Luckily the pharmacist caught the error.

Why does an EMR like eCW make it so easy to prescribe a medication which patient is allergic to? Are people happy with how eCW handles allergy notifications???


Does anyone eprescribe diabetic supplies?

$
0
0

We would like to eprescribe test strips and lancets but I believe in order to do so, they need to have NDC codes.  I tried researching how I would find the codes for each brand and size but an not having much luck.  Can anyone help with this?

Using Rx tab in a telephone encounter with ability to associate diagnosis code

$
0
0

We have been discussing this issue with eCW for several months now, and want to see if anyone else is aware of this situation.

We are sure that our practice, possibly in V9, once HAD the ability to associate the diagnosis code to med refills using the Rx tab in a telephone encounter. Many of our staff clearly recall this. We have also had a recent new hire that came from an HCA hospital system previously that also used eCW who stated it was possible there as well. We even had an eCW Business Analyst onsite who is sure he saw this feature used at other practices as well.

The problem is, everyone we speak with at eCW disagrees with us, stating it has NEVER been an option to link the ICD code to a refill using the Rx tab, you must use the virtual visit and treatment section to do this. Does anyone else recall this or have we all gone totally crazy?? Also, why would this tab even exist, along with the “tease” of ICD options that are grayed out??

Please help us settle this confusing dilemma!

Np’s seeing a patient and MD prescribing Suboxone

$
0
0

We are trying to expand our MAT clinic to include NP’s, but running into a problem with prescriptions since NP’s can not prescribe suboxone yet.  The Np will see the patient, but the MD will have to prescribe the meds. Does anyone have any good workflow ideas??

NDC Error popup since C20-3

$
0
0

Our providers are commonly receiving this popup since upgrading to C20-3 - see attached.

As you can see, it’s for the exotic and rarely prescribed Amoxicillin 500mg. **cough, cough**

Is anyone else experiencing this? We are on Multum, BTW. You can assign the NDC for that encounter - but it does not stick for future ones.

Proposed solutions by eCW:

* Fax prescriptions instead of e-prescribing. #Fail. That generates more faxed refill requests.
* Have the provider manually assign the NDC each and every time. #Fail. Providers would likely kill the EMR Admin in such a case.
* Have the provider take a screen shot or write the name of the med down, send it to me and have me email eCW for each and every incident. #Fail. See above RE: Kill.

My proposed solution? Fix it. It wasn’t happening before C20-3.

EPCS and issues

$
0
0

I just activated my first physician and it was smooth however within minutes I get emails from other physicians telling me they have received a message that contained a report of all of their sent prescriptions and the LOCK on the sent prescriptions is now there.

I have been trying to find documentation on this process however I have not read about this happening.

Nothing is easy! Things change or appear without the user knowing that this is going to happen. I feel so unprepared every time I activate a feature because there is no documentation.

Product suggestion : Integration of Rx and HPI

$
0
0

Scenario:  Patient is given Rx for antidepressant such as an SSRI

Program checks to see if PHQ2 / PHQ9 ; if one not done it launches it or MD can indicate med used for other purpose (such as neuropathy)


Scenario 2:  Pt started on dementia drug

Program checks to see if MMSE or similar assessment tool is done

EPCS and Support Staff

$
0
0

Hello all,

We are about ready to pull the trigger and start EPCS in our practices. I have reviewed the documentation and the webinars/videos and have questions.

On a Telephone Encounter medication request, our support staff completes all of the Rx tab information (IE: Nurse pulls forward the Current Rx info for the provider, completes the DDR, etc) and then sends to the provider for authorization. Usually the provider will look it over and reassign back to the Nurse to have scripts sent/faxed/printed.

With EPCS activated, when the Nurse attempts to send a controlled medication, will they get the EPCS pop-up screen or will they get the standard Print to Paper prompt?

Also, if for some reason we want to print a controlled prescription to paper, are we still able to do so? If yes, how?

Thanks in advance for your assistance!
Marjo


How to handle compounding pharmacy Rx’s

$
0
0

Hello!

I work with a few clinics who have a compounding pharmacy nearby and the patients have very unique prescriptions. The provider wants to see this in their med list, but the Rx is specific to each patient, it’s usually some type of hormone medication where each patient may a different dosage or %, etc.

Has anyone discovered an easy workflow for this? I’ve seen the Custom Rx’s get out of control and they aren’t very in love with the idea of putting the sig in the notes in current meds.

eCW says all on C20-3 and above should have this NDC error: do you?

$
0
0

Since July we have been receiving and NDC error popup when prescribing certain meds direct from the Multum database. These are not Custom meds nor linked with Custom meds. I have been on the eCW Engineer merry-go-round more than once on this and spent 34 quality minutes on the phone today with two Engineers.

The second Engineer maintains that all practices - yes, all- should be receiving popups of the nature shown in the attached. The “fix?” The provider is to add the NDC every single time they prescribe it. After being asked if I could read (seriously(!)), I was told to read the popup. I did so, reading it back to the Engineer, proving I could indeed read. I reminded the Engineer that eCW’s own popup states the med cannot be e-prescribed. He agreed and said we are to click “Yes” to e-prescribe without the NDC(!!). I also reminded the Engineer that if we’ve seen it once, we’ve seen 1,000 reminders from eCW about making sure the NDC is populated correctly - for Patient Safety- and I also reminded him that Girish has told us all that a million times as well.

Now, since upgrading to C20-8, this is affecting the importing of the External Rx history. If the patient shows Losartan 25mg, guess what? You get a popup saying it cannot be imported due to….an NDC mismatch. The popup states to add it manually to Current Meds.

Applying the NDC through the mismatch report does not stick, either.

Something which was not broken is now broken. Asking providers to apply an NDC repeatedly throughout the day is ridiculous.

So….is anyone else experiencing this? Remember, the Engineer told me today that you all should be receiving these popups if on C20-3 or later? Are you?

Notifying Pharmacy of a Stopped Med

$
0
0

In a Telephone Encounter I can go to the Rx tab, click on Current Meds, click the “S” icon to Stop a particular med and this stop action will then appear as a row within the Rx tab of the TE.  However, when I then go to “Fax Script”, that stopped medication is not part of the fax.  In fact, I have never seen anything appear in the, “Existing Prescriptions not requiring Refills” section of the script fax preview.  Is there any way to communicate a cancellation or stopping of a medication to a pharmacy other than calling the pharmacy?  It’s a long story, but I’m asking this due to an ongoing problem we are having of not getting enough eRefill requests but instead large amounts of fax refill requests.  Thank you!

Changing EPCS Effective dates

$
0
0

It was advertised and demonstrated at the conference that we could send in several prescriptions for Schedule II Medications and post-date.  For example, send in three 30 day Adderall prescriptions which are effective 30 days apart, to account for 3 months. Our practice has yet to successfully execute these. They seem to work fine on the eCW side, but the pharmacies NEVER receive the subsequent prescriptions - only the first month’s Rx.

Has anyone else had similar issues? Anyone able to drill down to the root problem? Is this our software or the Pharmacies? We prescribe to several - Kroger, Tom Thumb, Walgreens, CVS. None are able to handle it.

Pharmacy letter

$
0
0

I attended a session called Tips and tricks from ECW super users to improve efficiency, patient engagement and cash flow at the 2016 national user conference. The presenters were Dr. Bradley Block and Dr. William Reddy Biggs. Towards the end of the presentation they mentioned a letter they fax to the pharmacy that sent them a faxed medication refill request. Does anyone have this letter or know how to get it? I did not see their presentation loaded on myeclinicalworks.

classic view vs modern?

$
0
0

How do I switch from modern view in treatment window to classic view for new medications.

EPCS and 3 months of controlled med

$
0
0

Some of our providers would like to use EPCS, but would like to continue to prescribe 3 months of medication at a time, notating the fill dates of one each month, to avoid having the patient either call in every month or return to clinic each month.  We did turn on an item key to allow the same (NOT CONTROLLED) medication to be prescribed (started) under a diagnosis, and have created a work around for refilling those meds. 
Can our docs use the EPCS token to eRX controlled meds refills for 3 months at a time? Is there a separate item key that needs to be enabled.  Either way, can someone tell me the workflow for this.  I’d really appreciate it.
Thanks,
Karen


eRX provider mismatch notification

$
0
0

Forgive me if this has already been asked/answered.  We continue (even after provider/staff education) to have e-prescriptions sent out under the wrong providers name.

As we understand it - the providers name that gets printed on the eRX is the name of the provider that is on the Telephone/Web encounter (not who it is assigned to).  This is what we are running into:

1.  Staff member takes a message from a pt requesting a refill, and they do not change the Provider name on the TE, but only assign it to the provider who will be refilling.

2.  Provider who receives the TE does not realize (or pay attention) to the name of the provider on the TE, or even the name on the eRX screen of the provider.  They get a message, then refill without looking at the providers name.

3.  The eRX will transmit, and will not have their name on the prescription, but the name of the other provider.

4.  Other provider gets an eRX refill notification at a later date, realize that they never even prescribed the medication, but rather one of our other providers.

Our providers have said that in previous versions of eCW, if they were to try to ePrescribe, and they were not listed as the Provider on the eRX encounter, they would get a pop up notification that there was a mismatch of providers (they do not remember the exact wording).  In V10 they are no longer getting this notification. 

How are other practices handling this?  Is there still an option in V10 and we just do not have it enabled (our SAM is checking for us).

Oh - and one other question - is there anyway for a provider to change the Ordering Provider Name on the ePrescribe screen?  Or must they always cancel out of that screen and go back to the TE to change the provider name there?

NDC error vs changing eRx to a fax error

$
0
0

So Concerta has worked fine all through January until today and I have gotten 3 diff errors on three diff doses at three diff pharmacies.  Will put in a ticket, but didn’t know if there was a new database launched or what the prob can be. 

Put in a ticket for the unavailable -noncustom- RX ndc report item key to be turned on…will see if this gives any light.

However, quillivant always comes over as afax instead of a regular ndc error.  Has anyone found a fix for this kind of error?  A ticket on this never resolved anything

Practice Defaults Options Show Age Based Criteria in Drug Interaction depending on patients age

$
0
0

Good morning

I am curious if anyone is using this practice default setting “Show Age Based Criteria in Drug Interaction depending on patients age.” We have a peds practice we recently took on who was previously using epic. One of their biggest concerns is around a lack of medication controls to prevent provider typos. Does anyone know if this practice default can help with that?
Thank you in advance for your feedback.

Tyler

refill allows ordering of discontinued medications no alerts

$
0
0

If a provider refills a medication from the treatment window by clicking on the ‘Cur Rx’ button in the Manage Order window there is no signal from eCW that you could be refilling a discontinued medication.  There is an alert when you order a new medication from the treatment window when you use the ‘Add New Rx’ tab and choose Rx Type Medispan then have the ‘Show Discontinued’ checked.  If you try to order for instance ‘Diltiazem HCL’ at the 180 mg dose it will show on the display screen as highlighted in Red so that the provider is aware that the drug dose of 180 mg is discontinued.  However, if the provider ‘refills’ the same Rx in the Medication Summary tab then the provider is given no warning or alert that the refill is discontinued.

Has anyone else had issues with this workflow for ‘refills’ that are listed as ‘discontinued’ being able to order them in the medication summary tab without any warning that they have been discontinued?

Is the Medication Summary tab now not being used by providers to refill medications?

ePrescriptions coming through as Faxes at CVS

$
0
0

Has anyone had issues in which prescriptions that are ePrescribed through eClinicalWorks actually get to a pharmacy through a fax? 

This week, CVS Pharmacy faxed us back a prescription they received with a request from CVS for the doctor to sign it.  However, since we ePrescribed this, there should be no reason to send it with a signature.  Upon talking to one of the pharmacy techs, it appears that any prescriptions that we ePrescribe to CVS actually come through their fax machine which means they need it hand signed instead of the electronic signature.  It sounds like this happens to this pharmacy from any clinic that has eClinicalworks. 

I looked through other topics, but was unable to find if anyone else has had this happen to them because we need to find a solution ASAP.  Thanks!

Viewing all 243 articles
Browse latest View live