eScribe 5.0.12
Released Thursday, September 22nd, 2011
Meaningful Use Report
The MU Report has been completely redesigned to contain more and better information.(#1409)
- Objectives and CQMs have been separated into two separate reports within the MU Report interface.(#1532)
- All 25 objectives are now displayed. They are divided between the core and menu sets, each set divided between percentage- and attestation-based requirements.(#1493)
- Descriptions of all objectives and CQMs are now included.
- Percentage-based objectives now include a progress bar that shows how close the provider is to meeting the requirement.
- Numerators and denominators are now labeled for those CQMs that have multiple populations.(#1474)
- Added support for several CQMs.(#1106, #1537, #1416, #1467, #1468, #1469, #1506, #1533, #1536, #1541, #1400, #1401)
Other improvements
- Patient eligibility information is now retrieved automatically for every patient.(#1422)
- It is now possible to create a Clinical Summary of a visit that is in progress.(#1531)
eScribe 5.0
Released Friday, August 5th, 2011
eScribe 5.0 is our first major release in over two years and contains many new features, enhancements, and fixes.
Important Note About Passwords
As of this release users’ passwords will be case sensitive. The first time you log in, your password will be verified using whatever case you enter. Every time afterwards your password must be entered exactly the same. If you have any issues please contact your administrator. (#1157)
Meaningful Use
eScribe 5.0 is the first version of eScribe to be ONC Certified as a Complete EHR. Many of the features and enhancements listed below are required for or related to achieving Meaningful Use. eScribe offers an administrative interface that helps track MU and CQM compliance. (#691, #710)
Patient Charts
- Many chart interface elements have been reorganized: Patient name, demographics, contact information, and chart actions are now displayed along the top of the chart. Reports Quickview has been removed.(#1112)
- There is now a new Advanced Patient Search feature that allows you to find patients using very specific criteria including age, sex, examiner, meds, problems, allergies, lab results, and procedures due. It is also possible to create Reminder Tasks for patients that have a visit coming up or a procedure due.(#686, #704)
- Patient problems are now recorded as structured data in office notes and can be viewed in aggregate in a separate Problems chart section.(#680)
- Patient allergies are now recorded as structured data in office notes and can be viewed in aggregate in a separate Allergies chart section.(#682)
- It is now possible to view height, weight, and BMI growth charts for each patient using data captured in office notes.(#683)
- The Face Sheet section has been removed, since Active Meds are now part of the Medications section (explained below) and problems are now managed in office notes only.
- It is now possible to provide patients with educational resources (documents and/or websites) based on their meds, problems, allergies, and lab results.(#690)
- The following patient demographics fields have been added per Meaningful Use requirements: Race, Ethnicity, Preferred Language, and Communication Preference.(#703, #704, #1168)
- It is now possible to search for patients, create new ones, and access recently viewed charts without first navigating to the Patient Charts module.(#196)
Medications
Patient medication management has been completely redesigned. In previous versions prescriptions were managed in Rx Pad and the med history was managed in the Active Meds section of the Face Sheet. These interfaces have been combined into a single Medications section of the patient chart. This interface is designed for viewing and editing a patient’s med history (when they started and stopped taking each med) as well as writing new prescriptions, renewing existing prescriptions, and responding to electronic refill requests. (#316, #681)
Noteworthy features and improvements to medication management are as follows:
- View all meds or just active meds.
- View changes to meds over a period of time.
- Easily renew, prescribe a new dose, or discontinue a med.
- View side-by-side comparison of the med list and a published report.(#687)
- There is now much more granular medication information available to be published in reports.(#1250)
- It is now possible to prescribe a drug that does not exist in the drug library.(#1069, #1300)
- It is now much more obvious whether or not an erx was sent to and received by the pharmacy successfully.
- There is a new rx activity log that succinctly displays all the important actions that happened to an rx during its lifetime.
- When an rx that has been held for a provider is issued or deleted, the associated task is updated with a comment. If the rx is issued, the task is automatically resolved.(#434, #1161)
- The rx management process has been updated to properly account for controlled substances per Surescripts specifications.(#1146)
- A warning is now displayed if a drug that is known to be a risk for the elderly is about to be prescribed to an elderly patient.(#705)
Visits, Procedures, & Labs
What was previously called "Reports" has now been split up into three different categories: Visits, Procedures, and Labs. This is to more accurately reflect what each of them are. Each one has its own chart section, and each time a visit, procedure, or lab is opened or created, a new tab is added to the chart sidebar. (#1065, #1067)
- A new ‘Completed’ state has been introduced for when it doesn’t make sense for an encounter to be signed or expedited. In addition, unfinished encounters are no longer called ‘Drafts’. Instead, they are simply ‘In Progress’.(#1066, #1125)
- The interface for editing an encounter has been improved: It is now much easier to jump to a specific section and navigate between sections using keyboard shortcuts.(#1064)
- It is now possible to create a Clinical Summary of an office visit which can be given to a patient after the visit is recorded.(#708)
- It is now possible to create Summary of Care documents which aggregate all of a patient’s relevant health information into a single encounter. There is also a new Patient Request task type for tracking when patients request their health information.(#706, #831)
- Immunization data is now captured in office notes and can be exported to a file for submission to immunization registries.(#688)
- Added more smoking status values per Meaningful Use requirements.(#684)
- A warning is now displayed if an uncontrolled Hemoglobin A1c level is detected for a diabetic patient.(#705)
Schedule
In order to speed up access to charts at point of care, eScribe 5.0 introduces a new Schedule module. Use this module to:
- List the patients that have appointments scheduled for a given day.
- Schedule a patient’s next visit.
- Create an appointment for a walk-in patient.
- Quickly start or jump to an existing encounter.
Tasks
- Tasks can now have a due date. You can search for tasks due within a specified time frame. Tasks that are due today look more urgent.(#240)
- It is now possible to view a patient’s tasks from within their chart.(#160, #379)
- The patient’s contact information is now included at the bottom of each task.
- Added new task types for Lab and Radiology orders.(#701, #848)
- The unread task count now appears in the browser tab.(#609)
- Task searches now include resolved tasks by default.(#610)
Misc.
- Patients can now access health information made available by users via the PHR tab on the login screen. Information is made available by clicking the PHR button next to an encounter. The patient’s PHR password can be set in their Demographics chart section.(#707)
- It is now possible to temporarily grant a user emergency access to patient information when they would not have permission to access it otherwise.(#693)
- There is a new admin section for controlling which drug interactions are displayed based on severity level.(#678)
- There is now an audit log accessible to account administrators that keeps track of every access, creation, update, and deletion of patient data.(#695)
- The date field calendar has been improved: It is now possible to set the month and year separately. Also, the calendar no longer automatically appears when the field is focused. Instead, it appears when you click on the calendar button next to the field.(#210)
- Internet Explorer 7 users now only have access to the feature-limited version of eScribe.(#1023)
