EchoVantage v3.48

EchoVantage v3.48
EV Release Notes Header

Version 3.48, Released June 30, 2023                                                                                                              Previous Release Notes

New Features

e-Prescribing

We are excited to announce that e-Prescribing with NewCrop is ready for BETA testing this release. The BETA process provides important real-world testing and feedback which is the final stage before starting the go-live migrations in August. The following articles provide additional details on e-Prescibing from EchoVantage, the NewCrop Medications, NewCrop Medications History, DrFirst Medications, and the updated Client Allergies forms.

UDS Reporting Preparation

Two new forms are available in this release, a Referral Subform and a Client Pregnancy Form, which are the first installments focused on capturing the required data for Uniform Data System (UDS) reporting. The workflow for collecting this data will be centered around the progress note when possible and allows referral information to be added in a single space and carried forward historically.

Referral Subform

The Referral Subform can be accessed from the Clients > Enrollments tab and from the Clinical Hub dial (blue plus “+”) found on the Clients > FaceSheet. This subform can also be added to an existing client form.

From Clients > Enrollments

On the Clients > Enrollments tab, a new grid exists labeled Make Referral. This is below the previous referrals grid that is now labeled Referral Sources.

Enrollments Make Referral
  • Select the green plus “+” button on the Make Referral grid to add a new referral record.

  • This opens the following Make Referral form.

Make Referral Form
  • The values for the Reason for Referral drop-down are pulled from the new Outgoing Referral Reasons Defined List found in Configuration > Setup.

  • The values for the Problem/Finding drop-down are the client’s Active diagnoses.

    • An active diagnosis either has no End Date or an End Date greater than the date the referral form is completed.

    • The Diagnosis type is not considered when populating this list.

  • When the entered information is saved, a new row is added to the Make Referral grid.

  • Data entered in this grid is stored in dbo.OutgoingReferrals.

Make Referral Grid Record

From Clients > Face Sheet

On the Clients > Face Sheet, there is a new Referral option available when hovering the cursor over the Clinical Hub, blue plus “+,” button.

Referral from the Clinical Hub

Selecting this opens a referral screen that allows you to select an Enrollment. Any associated referrals for that Enrollment are shown in the grid below.

Select Enrollment on Make Referral

Add a record to the grid by selecting the green plus “+” and completing the Make Referral form, just like the Enrollments section above.

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As part of the Referral Subform rollout, the table backing the original referrals grid was renamed. The dbo.Referrals, it is now dbo.ClientReferrals. Custom reports, forms, or views that reference the original Referrals table should be updated to use the new table name.

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This new Make Referral system in Enrollments does not affect the CCD. Referral information must still be entered in the Care Plan > Referrals tab to be included in the CCD.

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Pregnancy Form

Three forms were added for capturing and displaying client pregnancy information: ClientPregnancy, ClientPregnancy_Hx, and ClientPregnancyResult. When information is captured using the Client Pregnancy form, a new record is created in the upper grid of the Client Pregnancy History form. When a row is selected on the history grid, results specific to that record can be recorded using the results grid on the bottom half of the history form.

Configure the Client Pregnancy Form

The Pregnancy Form is added to the Timeline under a new Category Header of Pregnancy Assessment. Access must be granted to the desired User Groups in Configuration > Client Chart > VHR Timeline using the Header Editor.

Pregnancy Assessment Header Editor

Six new Client Pregnancy form-specific Defined Lists were added to Configuration > Setup. Each list consists of a 20-character max Code and a 200-character max Description. The number of Codes entered is not restricted, and duplicate values are not prohibited.

  • Alcohol Use During Pregnancy

  • Other Substance Use During Pregnancy

  • Pregnancy Delivery Types

  • Tobacco Use During Pregnancy

  • Results of Pregnancy

  • Pregnancy Delivery Locations

Populate the Client Pregnancy Form

A user group member that has been granted access can add, view, update, or delete a Pregnancy Assessment from the VHR Timeline. Select the green plus to display the following form.

Client Pregnancy Form

When this form is populated and saved, the data is captured in the upper grid of the History form.

Populate the Client Pregnancy Results Form

Select the Client Pregnancy depiction on the timeline or double-click the row in the history grid to view the Client Pregnancy form again. Select the green plus on the results grid to open the Client Pregnancy Result form.

Client Pregnancy Result

When this form is populated and saved, the data is captured in the lower grid of the History form.

View the History Form

View the Client Pregnancy History Form by selecting the H icon on the client’s VHR Timeline. The results row displayed is dependent upon the Client Pregnancy record selected in the upper grid.

Client Pregnancy History

Component Configuration for Scheduler Events

New Component modals were added to Configuration - Scheduler>Events to allow providers to see Service Location and other component data on the Scheduler for Service Events and Group Events. Administrators are now able to configure which Service Components values may be displayed on each Event on the Scheduler and/or within the Event pop-over information display.

Service Events - Component Configuration

Within each modal, the user is able to enable/disable each Service Component value individually. The modal functionality is identical for Group Events.

Group Events - Component Configuration

 

Improvements

270 Eligibility File Improvements

Three new configuration options were added to the Configuration > Services/Payers > Payers > Eligibility screen allowing the agency more flexibility and control over how the 270 file is created. These payer-specific options apply to both eligibility file create types, By Episode Status or For Scheduled Event. Each option is detailed below.

Payer Eligibility Config

(1) 270 Specific Payer ID - Some payers require a payer ID in the eligibility file, Loop 2100A, NM109, that is different than the 837 Payer ID stored in Configuration > Services/Payers > Payers > Profile tab.

  • The Payer ID field was added to the Eligibility configuration screen to capture this eligibility-specific ID.

  • When this new field is populated, that value is reported in the 270 file.

  • When this field is blank, the 837 Payer ID is used in the 270 file just as before.

(2) Service Type Code - When the 270 file is created, the service type code is sent in loop 2110C, EQ01. In all prior versions, this value always defaulted to 30. This new field was added to allow a more specific code for the payers that require it.

  • When populated, the 2-character, alpha-numeric value is sent in the 270 file for the payer.

  • When this field is blank, the default value of 30 is sent.

Clients to Send Config

(3) Clients to Send - The Clients to Send section allows the agency to determine how clients are included in the 270 eligibility request file on a per-payer basis.

  • All Clients - This is the default selection. All clients that meet the Eligibility Period (and Episode status if applicable) are included in the job.

  • Only Clients with Active Payer. When the Only Clients with Active Payer option is selected and a 270 file is created, the only clients included in the file are those with an active Client Payer record for the Eligibility Period (and Episode status if applicable).

271 Eligibility Response Import

The 271 eligibility import process now includes the MCO details when a 1P modifier is used in place of a Y2 modifier in the NM1 segment of the 2120C loop. Previously, the import process only included the MCO details when the Y2 modifier was sent. In addition, when the imported file has a REF*18 segment included, this additional payer information is imported and displayed on the Action Required tab of the most recent request. A new column, Other Payer, displays this information between the Payer and MCO columns as shown below.

271 Import v3.48

Signatures On a Read-Only Tx Plan or Encounter

Signatures collected on a Treatment Plan or Encounter are now visible, even when the user is a member of a User Group with read-only access. Icons for edit actions are still hidden. Face Sheet permission is defined in Configuration > Staff/Users > User Groups > Menu Options. VHR Timeline permission is defined by category by selecting the category’s header in Configuration > Client Chart > VHR Timeline.

  Face Sheet VHR Timeline
Treatment Plan
Signatures on Read Only Tx Plan
Read Only Treatment Plan on VHR Timeline
Encounter
Read Only Encounter Signatures
Read Only Encounter on Timeline

Reports

The following new report was added to identify unmapped allergies and diagnoses after the e-Prescribing migration scripts are run for the transition to NewCrop. Items in this listing are most commonly the result of free-type entries or missing rx norm codes.

Unmapped Allergies and Diagnoses

Updates

Ticket Number

Description

EV-6444

A new Defined List, Other Signature Relationship, is available in Configuration > Setup > Defined Lists. This list contains the relationship information for Other type signers and will be accessible when signing in a future release.

EV-6832

A new Defined List, Client Portal Crisis Words, is available in Configuration > Setup > Defined Lists. This list is part of a feature planned for an upcoming release.

EV-7293

In the user Accounts & Preferences page, red warning messages now display if a user’s account is not configured, and if Newcrop is not enabled for the agency.

NewCrop Not Enabled Message
EV-7727 A SQL query used to compile client data returned enormous amounts of data under certain circumstances, leading to poor SQL server performance. This query was optimized to prevent negative SQL server impact moving forward.

Bug Fixes

Ticket Number

Ticket Number

Description

EV-5023  

Updates were made to the Clients > Search scheduled indexing operation performed by Sycamore to prevent it missing clients while indexing. A buffer was added to ensure a client updated just before or while the indexing operation is running, is picked up the next time clients are indexed.

EV-6697

 

In Configuration > Client Chart > Treatment Plans > Treatment Methods, the word “undefined” was removed, and now just Objectives is used for the label.

Treatment Methods Objectives Label

EV-6949

 

An issue was found in Configuration > Client Chart > Treatment Plans > Treatment Plan Types where the Service Definition list did not have a sort order. The issue was resolved, and now the Service Definition list is displayed in alphabetical order.

EV-7302 GRAND An issue was reported where the SAVE button was remaining active after selecting Objectives for an Intervention on the Client Treatment Plan in the Clients > Face Sheet. This has been addressed and the SAVE button no longer remains active. In addition, it was discovered that the Delete button remained active after deleting a problem on the Client Treatment Plan. This was also resolved.

EV-7323

 

An issue was addressed in the Configuration > Setup > Third Party Integrations > External Applications tab where updating an existing application name was successful but the main screen and left-hand list did not reflect the change unless the screen was manually refreshed. The issue was resolved, and now updating an Application name is reflected on the screen immediately.

EV-7337

COOS

An issue was reported in Configuration > Services/Payers > Service Definitions > Rates where the Versions drop-down list opened behind the Rates page, which kept it out of view and made it inaccessible with the mouse. The issue was addressed and now the Versions drop-down list displays as expected.

EV-7380

 

An issue was addressed where Progress Notes were always displayed as Signable, even when the form had the Signable property set to False. The issue was resolved, and now the sign icon is only displayed when the form is configured to be signable.

EV-7399

 

An issue was addressed where an Encounter Service failed to create. The Service creation process was incorrectly expecting the Progress Note table to have a foreign key back to Services. The issue was addressed and now the Encounter Service creation completes as expected.

EV-7425  

Connection leak issues were addressed in Form DesignEHR forms that occurred when there was an unexpected error, for example, closing the browser without logging out or Windows entering sleep mode while a user is still signed into EchoVantage. Now Form DesignEHR connections are closed when,

  • The user logouts of EV, even when the form is still open.

  • The Form is closed.

  • When the connection is closed by the EV inactivity timer.

  • When the browser or browser tab is closed with a Form still open. This last example takes some time as the default Form DesignEHR session expiration is set to 30 minutes, so the connections will be released up to 60 minutes after the browser or tab is closed.

EV-7434  

Updates were made to the query that fetches Treatment Plan to reduce unnecessary API calls.

EV-7474  

An issue was identified where a Client Treatment Plan historical version could not display if the projected review date was empty. This issue was addressed, and now a prior treatment plan version displays, regardless if there is a projected review date or not.

EV-7725 21437

An issue was reported where the 837I file did not contain the DTP segments for Corrected or Void Claims. This has been corrected, and not the DTP segment is included when a corrected or void claim is submitted.

Changed
Thu, 08/10/2023 - 13:59