ECW Users

Surescripts

2012-02-03T16:31:35-06:00

Has anyone noticed an increased amount of complaints from patients who are saying their e-prescribed presciptions did not make it to the pharmacy? It seems like they go to a black hole and all we can see is that Surescripts has acknowledged they received the prescription. Any tips on troubleshooting this issue?

“Dispense” amounts not carrying forward

2012-02-01T13:59:34-06:00

My providers are getting really frustrated with the prescribing in ecw. We have not been able to find a way to always bring forward the dispense amounts on our prescriptions. When filling out the treatments section and clicking “continue” the med comes forward, but not the prescribed amount. The next time the provider goes to order the same med, they then have to go back to the rx history to see how much is usually prescribed (i.e. 30 days, 90 days, etc.). Is there any way to have this field stay populated without having to manually enter it every time?

Delay in receipt of eRX by pharmacy

2011-12-14T18:07:00-06:00

We are seeing eight plus hour delays in the pharmacy receiving our eRX requests. We will commonly see something like this:

Accepted by Ultimate Receiver.(2011-12-14T22:56:32.9Z)
Message Send Date:2011-12-14T14:56:32Z

Accepted by Ultimate Receiver.(2011-12-14T20:25:47.5Z)
Message Send Date:2011-12-14T12:25:44Z

Is this normal? Do we have a setting wrong?

Medications in Telephone Encounters for V9-possibly view related?

2012-01-26T13:12:31-06:00

Our practice has been having some issues with medications in Telephone Encounters if V9. We use Modern View everywhere that meds are concerned, most providers are displaying the DDR section, and the calculate stop date is a practice default. I’ve spent some time reading other posts and have not found these exact issues

Issue 1
Medication is selected from the Right Chart Panel to C R or S and the med never displays under the RX tab of the encounter. When you try to click it again (because you don’t see it) you get a message that says “Medication already added”. We can look at a Virtual Visit, the RX tab, everywhere we can think of and never see that the medication is there, but when you click Send Rx, there’s the med, ready and waiting…..

Issue 2
When selecting a medication from the current meds section, the application will just sit at “Processing”. We are only finding this on meds where a special character was used, but it doesn’t happen at all if we are in Classic View but will happen every time with Modern view. Some of these meds have had the @ in them for years and suddenly we have issues with them…anyone else experiencing this?

Issue 3
Meds are gone….We have occasions where a patient will have been on a medication for years (coumadin, for example) and now suddenly we can’t see that they have ever been on said medication. If we switch back to classic, we can see it, but as soon as we are on modern, it’s gone.

We have contemplated switching back to the classic view for TE’s, however the problems listed are the minority. The functionality with the Modern view is much better and providers really like the conveniences provided. Any input would be appreciated. We have opened tickets with eCW support on this, none of these have been listed as bugs, they are as perplexed as to the cause as we are. For the special characters I can preach every day about not using them, but if someone can save keystrokes with speical characters that have not been an apparent problem in the past, it’s a 6 year old habit that will be difficult to break…..

Permission denied for linking pharmacies

2011-12-28T10:28:18-06:00

Which security attribute needs to be checked to allow a staff member to use the “linking pharmacy” function under tools>eprescribing? Some of my staff can do it (those with max permissions) others cannot.

Thanks

Dr. Stahlman

Add new rx settings

2012-01-24T13:04:23-06:00

Currently when adding a new rx you have 3 list options. Show “standard, favorites or both” and it always defaults to Standard.

Does anyone know how to change this default. Our doctors use favorites 99% of the time and I’m trying to eliminate a click.

Thanks in advance.

Greg

“continue all with DX” button useless, and, rx screen dropping meds from list(s)

2011-10-07T13:30:52-06:00

1)
In the Treatment screen, while looking at Current Meds, there is an option ‘Continue All with Dx’. In Version 8, if I had already matched the meds with a diagnosis in a prior visit, and picked that option during a subsequent visit, the meds would fall under the diagnosis in the bottom pane, saving me the time to have to match each medication with a diagnosis all over again. Since we got upgraded to Version 9, that does not work. Irrespective of whether I click ‘Continue All’ or ‘Continue All with Dx’, the result is the same, which is that all the meds, go under ‘Other’. This has been frustrating, as I have to spend valuable time each visit, to do the matching.
Is the ‘Continue All with Dx’ working for someone, as I believe it should, with Version 9?

2)
Additionally, the med database seems to be deleting medications from the lists. Example, patient verifies current meds of lisinopril, metformin, and metoprolol succinate. Same as in previous visits. then on treatment screen, metoprolol is not listed, and is not visible under any of the previous dates for medications. When I go to add the new rx, i can not get it to add that particular medication under any dx. I have to hand write it for the patient. this seems to happen with different medications as well, and If someone else pulls the patient up concurrently, it may or may not be on the lists. This is a critical problem IMHO

anyone groups having this problem? any fixes found or in the works?

Thanks

defaults on meds orders and updates

2012-01-10T13:25:24-06:00

I need help with 2 things with medications:
1. Is there a way to make it so the meds dont default with a duration. With the exception of antibiotics,pain meds, antiemetics, i rarely need a duration indicated? It is getting laboreous to keep deleting this field for all meds i put in the history.
2. Can someone explain to me how the “favorites” work with regards to meds. I have clicked on “add to favorite” numerous times, but I cant find where the favorites list is in ECW for meds.

Thank you so much:
George Elias
dctrgme at gmail dot com

Multum vs Medispan, which do I have?

2012-01-12T14:12:39-06:00

How can I tell which drug database I have?

Printed Prescriptions

2008-06-19T06:16:55-06:00

Does anyone know if there is a log of printed prescriptions, preferrably by patient but if not by user or provider? Most of scripts are faxed but of course there are a few that must be printed. Thanks