ECW Users

PCMH Providers

2024-11-04T11:51:04-06:00

Does anyone else think it is totally ridiculous that when a provider leaves, we cannot run PCMH reports at all for that provider anymore? We have a very small clinic where only 1 PCP works. The same PCP worked there for about 3 years, but she left our organization a few months ago. I am now not able to run any PCMH reports for that clinic, because the provider is not able to be selected anymore. All of the PCMH data I need for that clinic is under that provider! Our new provider for that clinic started in July but worked very limited schedules until October, and then we were hit with a major hurricane at the end of September so productivity the entire month of October was very low. I do not have enough data for this new provider to run any PCMH reports. I need to run them for the clinic with the provider who worked there January - July, but eCW will not allow me to (even though we paid for PCMH reporting for the provider for the entire 3 years she was employed here).
If we paid the extra fees for PCMH reporting for a provider while they were employed, we should be able to continue running reports for that provider for the time period that they were employed.

CCM - Chronic Conditions list

2020-01-15T11:29:42-06:00

Is there a way to view the list of chronic conditions for the CCM module? The CMS definition is pretty open so I guess the list isn’t set in stone? We have a provider wanting to add obesity.

Thank you

Care Plan Templates when using a scribe

2019-08-24T12:01:44-06:00

Hello,

Does anyone use scribes in their practice and also use the Care Plan module? Our practice wants to begin using the care plan templates, but the rights to edit and lock care plans are exclusive to the physicians. This means that their scribe cannot enter care plans under their own credentials. Giving the scribe access to edit care plans also gives them access to lock the note, which we do not want.

Has anyone else run into this issue and come up with a workaround?

Thanks for any help you can provide.

KM02 Communiction Needs

2018-10-15T15:02:05-06:00

How is everyone meeting KM02? The hearing/vision would be easy…cognitive harder …

“Communication needs. Identifies whether a patient has specific communication requirements due to hearing, vision or cognition issues. Note: This does not address language; refer to KM 10 for language needs.”

PCPCH for Oregon 1F - refill turnaround times

2018-05-08T18:45:06-06:00

Does anyone track refill request turnaround times? [time request received within system and the time it was addressed by the provider/designee] I was told by eCW chat there isn’t a report for this.
Thank you in advance

Standardized Pediatric Developmental Screening

2017-10-26T12:59:19-06:00

Are there any Standardized Pediatric Developmental Screenings available in eCW as a smartform?

Care Plans

2017-08-02T15:47:14-06:00

Hello,

We are implementing CCMR for Behavioral Health but as a curveball the organizaton will expand it’s use to Chronic Care Management. As a result, I’m under the gun to build care plans for Insomnia and Obesity. Looking to see if anyone has any Care Plans already build and is willing to share. My expertise with eCW dates back to V8 and I’m sure I can find a way to lend my knowledge/past experience with anything you may need assistance with.

Thanks

UDS 2015 Table 6A

2016-03-14T10:36:00-06:00

I put in a ticket to eCW regarding UDS and the fact that table 6A is counting way more mammograms than were actually done. I tried to explain this but was basically told that if you use the codes that UDS mentions (CPT-4 77052,77057 or ICD-9 V76.11, 76.12 or ICD10 - Z12.31) then it gets counted. Well we used the ICD-9 and 10 codes - which are for referrals to get their mammograms done. The problem is that eCW counts those codes whether the mammogram results were received back or not.

I’ll paraphrase my understanding of what the UDS 2015 manual says. If we order and provide the mammogram - we count it. If we order the mammogram and a third party does it and we pay for it, we count it. And if we order the mammogram and the patient goes to a third party and it’s paid for by Medicare/Medicaid then we can count it as well. Is this correct? I’m going to paste some parts of the UDS 2015 manual here for comparison.

Page 74 - 2015 UDS Manual - September 3, 2015 V 1.0 - OMB Number 0915-0193 exp 02/28/2018
“Health centers must actually perform the test in their labs or collect the sample and transfer it to a reference lab for the rest which is paid for by third party payer to be continued. Do not report referrals or orders for tests of procedures, such as mammograms, x-rays, or tomography, which are not performed by or paid for by the health center. (For example, referral of a woman to the County health Department for a mammogram would not be counted,) The only exception to this is lab tests ordered by a health center, but paid for a by a third party payer including Medicare and Medicaid are to be included, as are mammograms performed by a health center, but read by an outside radiologist who then bills a third party.

Then there is this : Page 75 “If a provider asks the patient to get a test not performed by he health center from a third party provider which sends the results back to the provider to be acted on and bills the health center which pays for it, that test is counted. Thus, a health center with a contract to pay for mammograms performed by a third party provider is counted.

And right below it: Page 75 If a provider asks the patient to get a test not performed by the health center from a third party provider which may send the results back to the provider to be acted on but which does not bill the health center, that test is not counted. Thus a health center which sends a patient to the County Health Department for a mammogram which the County will follow up with the patient directly is not counted or reported

And on Page 76: Lines 21–26d: Patients by Selected Diagnostic Tests/Screening/Preventive Services
Report patients who have had at least one visit during the reporting period where the selected diagnostic tests, screenings, and/or preventive services listed on Lines 21–26d was provided. Patients may be counted for more than one service during a single visit. Thus, if a patient had a Pap test and contraceptive management during the same visit, this patient would be counted on both Lines 23 and 25 in Column B. Regardless of the number of times a patient receives a given service, s/he is counted once and only once on that line in Column B. For example, an infant who has an immunization at each of several well child visits in the year has each visit reported in Column A, but is counted only once in Column B. Where multiple codes may be indicated on a patient’s chart, special attention is required to ensure that patients are unduplicated by service.

I put all this here to see if anyone else reads it as I do. That ordering a mammogram/colonoscopy etc is NOT enough that we, in fact, have to verify that it was done and meets the requirements above to be counted for UDS.

The person I spoke with on phone would only read to me from Page 84 - that states what CPT-4 and ICD 9&10; codes I stated above. I couldn’t get him to listen to me about then information above.

Thank you in advance - I realize this is a lot to read.

Michelle

PCMH: Report on medications

2015-11-02T14:58:55-06:00

How does one run reports to obtain:

1. Erx orders ( should be >60%)

2. Review and reconcile meds of patients received from care transitions (should be > 50%)

Thanks

Care Planning under 2014 standards - What does your team look like?

2015-05-18T08:32:15-06:00

We are working toward certification of our primary care practices under the 2014 standards. Some discussion has taken place surrounding what the makeup should be of the care team. Currently, before implementing care planning, we’ve got one provider, one LPN, and one patient rep per team, with some teams seeing as few as 12 patients in a shift, and some seeing upwards of 30 in a shift.

I’m curious as to what other practices use, staff-wise, to meet this standard. Are nurses (RNs or LPNs) completing the care plan, or is this the provider? Do nurses go through the interview with the patient and then pass it off to the provider, or…?

We’re struggling a bit here, and are appreciative of any insight that you may have to offer.